03/02/2021
This Black History Month we honor the Mother of Gynecology- Betsey
--Trigger Warning--This story involves sensitive content
Betsey, also 17-18yo, had gotten married the year prior to her delivery. She was owned by Dr. Harris from Lowndes County, a friend of Dr. Sims. She too had her first child around the same time as Archana and Lucy, and developed a 2-inch vesicova**nal fistula with urinary incontinence. Dr. Harris asked Dr. Sims to take her on as a case in his surgical experiments. So, she was sent alone to Sim’s home and small backyard hospital without her husband. Of her vesicova**nal fistula Sims wrote: “the base of the bladder was destroyed, and her case was certainly a very miserable one.” She was the second woman Sims operated on after Lucy.
The ownership and control of slave women’s bodies and the fact that Anarcha, Lucy, and Betsey all had their first child at age 17 in the same month is no coincidence. The reproduction of slaves as property was a developed and thought-out business.*
Many things remain the same. A woman’s self-autonomy is still questioned in many places. Obstetric outcomes and maternal mortality still differ by race in America in the 21st century. Black women are 3xs more likely to die in childbirth than their white counterparts! We must ask how we can learn from the past and present to improve the future. We must listen to the stories of Anarcha, Lucy, and Betsey, and to the contemporary voices of our patients.
Resources:
*Roberts, Dorothy E. Killing the Black Body: Race, Reproduction, and the Meaning of Liberty. New York: Pantheon Books, 1997. Print.
CDC reporting on U.S. maternal mortality:
https://www.cdc.gov/reproductivehealth/maternal-mortality/disparities-pregnancy-related-deaths/infographic.html