Ina May Gaskin is a certified professional midwife, or CPM, in the US during the late twentieth and early twenty-first centuries. She worked at the Farm Midwifery Center in Summertown, Tennessee, a center well known for its low rates of intervention, which contributed to low rates of maternal and fetal mortality. One technique Gaskin used when assisting women with delivery helped resolve a complication called shoulder dystocia, which is when a part of the infant’s body is delivered, but the rest of the body is stuck in the birth canal. Her work served as an example for midwives and obstetricians, physicians who specialize in a woman’s reproductive system, childbirth, and pregnancy, to use a low-intervention approach without medication or a cesarean section. Through her work in developing different birthing techniques, Gaskin provided women with alternative ways to deliver infants without the need for hospitals, medication, or surgical intervention, even in the case of complicated births.
Renate Blumenfeld-Kosinski published Not of Woman Born in 1990. The book is a historical account of the cesarean birth procedure, hereafter c-section, during the Renaissance in Europe. A c-section is a surgical procedure that medical professionals use to deliver a fetus through an incision in a pregnant person’s abdomen. During the medieval and Renaissance periods, midwives performed c-sections on pregnant women after they had died when there was a chance that the fetus was still alive. They did this so the midwife could get the baby baptized, enabling it to be buried in sacred ground after death. Not of Woman Born traces how the procedure evolved in the late fifteenth and sixteenth century to be more commonly performed by male surgeons, rather than midwives, to save both the mother and the fetus. Blumenfeld-Kosinski provides historical, religious, and cultural context for understanding how people viewed and practiced c-sections in Europe during medieval and Renaissance times, in contrast to how people view and rely on the widespread delivery procedure in modern times.