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“Elective Induction of Labor” (1955), by Edward Bishop

In 1955, obstetrician Edward Bishop, a physician specializing in childbirth, published the article “Elective Induction of Labor,” in which he proposed the best conditions for pregnant women to elect to induce, or begin, labor. Elective induction of labor requires an obstetrician to administer a drug to help a pregnant woman to start her contractions, and to rupture the fluid-filled sac surrounding the fetus called the amniotic sac.

Format: Articles

Subject: Reproduction, Publications

“Pelvic Scoring for Elective Induction” (1964), by Edward Bishop

In the 1964 article, “Pelvic Scoring for Elective Induction,” obstetrician Edward Bishop describes his method to determine whether a doctor should induce labor, or artificially start the birthing process, in a pregnant woman. Aside from medical emergencies, a woman can elect to induce labor to choose when she gives birth and have a shorter than normal labor. The 1964 publication followed an earlier article by Bishop, also about elective induction.

Format: Articles

Subject: Reproduction, Publications

Sir Graham Collingwood Liggins (1926-2010)

Sir Graham Collingwood Liggins devoted much of his professional life to obstetric research. Liggins demonstrated that hormones created by the fetus helped initiate labor, rather than hormones originating solely from the mother. Liggins also discovered that cortisol given to pregnant mothers helped delay premature labor, and that it increased the likelihood that premature infants would breathe normally after birth. Prior to cortisol treatment, premature infants often died of respiratory distress syndrome characterized by the inability to inflate immature lungs.

Format: Articles

Subject: People, Reproduction

Albert William Liley (1929–1983)

Albert William Liley advanced the science of fetal physiology and the techniques of life-saving in utero blood transfusions for fetuses with Rh incompatibility, also known as hemolytic disease. Due to his advances, fetuses too young to survive premature delivery, and likely to die in utero if their Rh incompabilities were left untreated, were successfully transfused and carried to term. Liley was as passionate as a clinician and researcher as he was about his views on the rights of the unborn.

Format: Articles

Subject: People, Reproduction

Abortion

Abortion is the removal of the embryo or fetus from the womb, before birth can occur-either naturally or by induced labor. Prenatal development occurs in three stages: the zygote, or fertilized egg; the embryo, from post-conception to eight weeks; and the fetus, from eight weeks after conception until the baby is born. After abortion, the infant does not and cannot live. Spontaneous abortion is the loss of the infant naturally or accidentally, without the will of the mother. It is more commonly referred to as miscarriage.

Format: Articles

Subject: Processes, Ethics, Reproduction

The Infant Incubator in Europe (1860-1890)

In the nineteenth century, obstetricians in Europe began to construct devices to incubate infants in increasingly controlled environments. The infant incubator is a medical device that maintains stable conditions and a germ free environment for premature infants born before the thirty-seventh week of pregnancy. Records show that physicians had used infant incubators since 1835. However, Jean-Louis-Paul Denuce, a physician who worked in Bordeaux, France, first published about incubator technology in 1857.

Format: Articles

Subject: Technologies, Reproduction

Pierre Budin (1846-1907)

Pierre Constant Budin worked in France to improve the lives of newborns and their mothers during the late nineteenth century. Budin stressed the importance of proper nutrition in infants and educated new mothers on breastfeeding and infant care. Budin established infant care facilities and created a nutritional check-up system for infants. Budin helped design early artificial nipples, breast pumps, and incubators for premature newborns. He also began the practice of consulting with new mothers after they gave birth, redefining the roles of obstetricians.

Format: Articles

Subject: People, Reproduction

Evaluation of the Newborn Infant--Second Report (1958), by Virginia Apgar et al.

Virginia Apgar and colleagues wrote “Evaluation of the Newborn Infant—Second Report” in 1958. This article explained that Apgar’s system for evaluating infants’ condition after birth accurately predicted the health of infants. Apgar had developed the scoring system in 1953 to provide a simple method for determining if an infant needed medical attention after birth.

Format: Articles

Subject: Reproduction, Publications

Elinor Catherine Hamlin (1924- )

Elinor Catherine Hamlin founded and helped fund centers in Ethiopia to treat women affected by fistulas from obstetric complications. Obstetric fistulas develop in women who experience prolonged labor, as the pressure placed on the pelvis by the fetus during labor causes a hole, or fistula, to form between the vagina and the bladder (vesicovaginal fistula) or between the vagina and the rectum (rectovaginal fistula). Both of those conditions result in urinary or fecal incontinence, which often impacts womenÍs social status within their communities.

Format: Articles

Subject: People, Reproduction

Amniocentesis Prior to 1980

The extraembryonic membranes that surround and originate from the embryos of vertebrates such as birds, reptiles, and mammals are crucial to their development. They are integral to increasing the surface area of the uterus, forming the chorion (which in turn produces the placenta) and the amnion, respectively. The amnion will ultimately surround the embryo in a fluid-filled amniotic cavity. This amniotic fluid, which cushions and protects the fetus and helps prevent the onset of labor, is sampled in amniocentesis to screen for genetic diseases.

Format: Articles

Subject: Processes, Reproduction

James Marion Sims's Treatment of Vesico-Vaginal Fistula

James Marion Sims developed a treatment for vesico-vaginal fistulas in Montgomery, Alabama in the 1840s. Vesico-vaginal fistulas were a relatively common condition in which a woman's urine leaked into her vaginal cavity from her bladder, and many regarded the fistulas as untreatable during the early 1800s. After years of efforts to repair the fistulas with myriad tools, techniques, and procedures, Sims developed the speculum and a vaginal examination position later named for him.

Format: Articles

Subject: Technologies, Reproduction

James Marion Sims (1813-1883)

James Marion Sims developed a surgical cure for ruptures of the wall separating the bladder from the vagina during labor, ruptures called vesico-vaginal fistulas, and he developed techniques and tools used to improve reproductive examinations and health care for women in the US during the nineteenth century. Sims's lateral examination position allowed doctors to better see the vaginal cavity, and his speculum, a spoon-like object used for increased view into the vagina, helped to make gynecological examinations more thorough.

Format: Articles

Subject: People, Reproduction

William Smellie (1697–1763)

William Smellie helped to incorporate scientific medicine into the process of childbirth in eighteenth century Britain. As a male physician practicing in childbirth and female reproductive health (man-midwife), Smellie developed and taught procedures to treat breech fetuses, which occur when a fetus fails to rotate its head towards the birth canal during delivery. Throughout his career, Smellie compiled a wealth of information about female anatomy in his writings. He modified medical technology such as the obstetrical forceps, an instrument used to maneuver the fetus during childbirth.

Format: Articles

Subject: People, Reproduction

Hamlin Fistula Ethiopia (1974- )

Hamlin Fistula Ethiopia is a nonprofit organization that began in 1974 as a joint endeavor by Reginald and Catherine Hamlin and the Addis Ababa Fistula Hospital in Addis Ababa, Ethiopia. Hamlin Fistula Ethiopia promotes reproductive health in Ethiopia by raising awareness and implementing treatment and preventive services for women affected by obstetric fistulas. It also aims to restore the lives of women afflicted with obstetric fistulas in Ethiopia and eventually to eradicate the condition.

Format: Articles

Subject: Organizations, Reproduction, Outreach

Fetal Surgery

Fetal surgeries are a range of medical interventions performed in utero on the developing fetus of a pregnant woman to treat a number of congenital abnormalities. The first documented fetal surgical procedure occurred in 1963 in Auckland, New Zealand when A. William Liley treated fetal hemolytic anemia, or Rh disease, with a blood transfusion.

Format: Articles

Subject: Disorders, Ethics, Reproduction

Cocaine as a Teratogen

Cocaine use by pregnant women has a variety of effects on the embryo and fetus, ranging from various gastro-intestinal and cardiac defects to tissue death from insufficient blood supply. Thus, cocaine has been termed a teratogen, or an agent that causes defects in fetuses during prenatal development. Cocaine is one of the most commonly used drugs in the US and it has a history of both medical and illegal recreational use. It is a drug capable of a wide array of effects on physical and mental health.

Format: Articles

Subject: Reproduction, Disorders

Commonwealth v. Luceba Parker [Brief] (1845)

The Court settled the question left open from the case of Commonwealth v. Bangs that it must be proved a woman was "quick with child" in order for abortion prohibitions to have any effect in Massachusetts.

Format: Articles

Subject: Legal, Reproduction

Pope Sixtus V (1520-1590)

Known for dropping a long-held distinction in the Catholic Church between the animated and unanimated fetus, Felice Peretti was born in Grottamare, Italy, in 1521, son of a Dalmatian gardener. In his early years, Peretti worked as a swineherd, but soon became involved in the local Minorite convent in Montalto, where he served as a novice at the age of twelve. He went on to study in Montalto, Ferrara, and Bologna, continuing his devotion to religious life, and in 1547 Peretti was ordained as priest in the city of Siena.

Format: Articles

Subject: People, Religion, Reproduction

"Effraenatam" (1588), by Pope Sixtus V

"Effraenatam," the brain-child of Pope Sixtus V, was released as a papal bull in the year 1588. Papal bulls are formal declarations issued by the pope of the Roman Catholic Church and are named for their authenticating leaden seals (bullas). This particular document became famous for its official forbiddance of all procured abortions. "Effraenatam," meaning "without restraint," is often regarded as a specific response to increasing rates of prostitution and procured abortions in the Papal States, though this is not discussed in the actual document.

Format: Articles

Subject: Religion, Reproduction

Twin-to-Twin Transfusion Syndrome

Twin-to-Twin Transfusion Syndrome (TTTS) is a rare placental disease that can occur at any time during pregnancy involving identical twins. TTTS occurs when there is an unequal distribution of placental blood vessels between fetuses, which leads to a disproportionate supply of blood delivered. This unequal allocation of blood leads to developmental problems in both fetuses that can range in severity depending on the type, direction, and number of interconnected blood vessels.

Format: Articles

Subject: Disorders, Reproduction

Evans v. People of the State of New York [Brief] (1872)

Attempts by the New York legislature to make abortion a crime regardless of the stage of gestation were permanently frustrated because the court decided that manslaughter cannot occur until the law recognizes a living being in gestation and that only happens after quickening.

Format: Articles

Subject: Legal, Reproduction

Pope Paul VI (1897-1978)

Pope Paul VI, born Giovanni Battista Enrico Antonio Maria Montini, has been crucial to the clarification of Roman Catholic views on embryos and abortion in recent history. His 1968 encyclical "Humanae Vitae" spoke to the regulation of birth through various methods of contraception and sterilization. This encyclical, a result of Church hesitancy to initiate widespread discussion of the issue in a council of the Synod of Bishops, led to much controversy in the Church but established a firm Catholic position on the issues of birth control and family planning.

Format: Articles

Subject: People, Religion, Reproduction

John Charles Rock (1890-1984)

Born on 24 March 1890 in Marlborough, Massachusetts, to Ann and Frank Rock, John Charles Rock was both a devout Catholic and one of the leading investigators involved in the development of the first oral contraceptive pill. In 1925 he married Anna Thorndike, with whom he later had five children. He spent over thirty years of his career as a clinical professor of obstetrics at Harvard Medical School, and in 1964 the Center for Population Studies of the Harvard School of Public Health established the John Rock Professorship.

Format: Articles

Subject: People, Reproduction

Effects of Prenatal Alcohol Exposure on Ocular Development

Maternal consumption of alcohol (ethanol) can result in a range of alcohol-induced developmental defects. In humans, those collective birth defects are called Fetal Alcohol Spectrum Disorders, with the most severe manifestation being Fetal Alcohol Syndrome (FAS). FAS is defined by pre- and post-natal growth retardation, minor facial abnormalities, and deficiencies in the central nervous system (CNS). The eye and ocular system development is particularly susceptible to the effects of prenatal alcohol exposure and can result in visual impairment or blindness.

Format: Articles

Subject: Disorders, Reproduction

"The Familial Factor in Toxemia of Pregnancy" (1968), by Leon C. Chesley, et al.

In the 1950s and 1960s, researchers Leon Chesley, John Annitto, and Robert Cosgrove investigated the possible familial factor for the conditions of preeclampsia and eclampsia in pregnant women. Preeclampsia and eclampsia, which are related to high blood pressure, have unknown causes and affect at least five percent of all pregnancies.

Format: Articles

Subject: Reproduction, Experiments, Disorders

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