To be honest, I was rather taken-back by how under-trained the midwives of the deep south were. I guess I shouldn't be surprised, as medicine in general has developed enormously since then. But still - they weren't even taught simple things like how to perform resuscitation on a baby, or to keep the baby in skin-to-skin contact with the mother. She described using a bucket of warm water and a bucket of cold water to dunk babies that weren't breathing (if spanking them didn't work). It was also sad to read how restricted they were legally; she recounted a breech birth in which the head got stuck and the baby died. When a doctor complained that she should have helped maneuver the baby out when it got stuck, she replied that the midwives weren't allowed under any circumstances to put their hands inside of the woman. They weren't even allowed to bring (sterile) gloves with them, to prevent them from doing anything internal. So sad!
I found it fascinating to read her describe the dietary changes she has observed in the population in general; when she was young everyone had their own garden with plenty of fresh veggies, and their own animals to slaughter. They also got more exercise, as they had to walk most places. She explained her concern for the next generation that preferred to purchase prepared foods with less nutritional value. I also found it interesting to read her feeling that women should be made to rest for at least a month after the birth. She said that was the tradition back in her day, but that nowadays women assume that as soon as they are released from the hospital, they can go around like normal. Fascinating to read about the culture shift.
It was also interesting to read about her perception of the difference in pain levels between her clients. In her own words: "I don't think the colored population really has much pain - the more sophisticated you get the more educated you get and the more you read, the more you worry and the more pain you have. But they don't worry as much and they consider childbirth is a natural phenomenon."As far as what I will do different based on the knowledge I gained from this book; I think I will strive to be more compassionate and caring like Claudine was. To really be able to help women feel comfortable and relax during labor, and encourage them to walk. I also think I will realize that our knowledge of medicine is constantly changing and developing, so I shouldn't be surprised if people think of midwives as old-timish.