On the consequences of childbirth: obstetrics/gynaecology, comparative anatomy and racial theories in 19th century France and Brazil.

IF 1.2 3区 社会学 0 HUMANITIES, MULTIDISCIPLINARY Medical Humanities Pub Date : 2025-08-21 DOI:10.1136/medhum-2024-013097
Maria Helena Pereira Toledo Machado
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Abstract

The following paper is centred on an analysis of comparative studies of the human pelvis developed over the 19th century by mostly French natural scientists, physical anthropologists, students of the human anatomy and doctors engaged in the initial stages of the emerging fields of gynaecology and obstetrics. As this paper will argue, there was considerable overlap between these specialisations, producing a fundamentally masculine, Eurocentric and racialised knowledge that had an enormous impact in establishing racially informed gynaecological and obstetric practices. This paper argues that comparative pelvic anatomy studies originated from the belief that African and Black women had specifically different pelves and genitalia and served to stratify women of different races and promoted racially oriented obstetric and gynaecological treatments. Despite their European origins, these French publications had profound repercussions across various regions of the Atlantic world and directly influenced the medical care provided to women of African descent in both slave and postemancipation societies, particularly in Brazil. In 1887, a doctoral candidate from the Rio de Janeiro Medical School (Brazil) wrote a dissertation in which he advocated and justified the racialised treatments offered to enslaved, free and soon-to-be-free women of African descendent who delivered their offspring at the medical school's maternity ward. In his advocacy for such practices, the author drew connections between the prevailing methods at Rio de Janeiro's Medical School to a long lineage of French medical thought on the racialised comparative anatomy of women's pelvises throughout the 19th century.

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关于分娩的后果:19世纪法国和巴西的产科/妇科、比较解剖学和种族理论。
下面这篇论文主要是对19世纪以来由法国自然科学家、体质人类学家、人体解剖学学生和从事新兴妇产科领域初期工作的医生所开展的人类骨盆的比较研究进行分析。正如本文所述,这些专业之间存在相当大的重叠,产生了一种基本的男性化,以欧洲为中心和种族化的知识,这对建立种族知情的妇产科实践产生了巨大影响。本文认为,比较盆腔解剖学的研究源于非洲妇女和黑人妇女具有明显不同的盆腔和生殖器的信念,并有助于对不同种族的妇女进行分层,促进以种族为导向的妇产科治疗。尽管这些法国出版物起源于欧洲,但它们在大西洋世界的各个地区产生了深远的影响,并直接影响了在奴隶社会和解放后社会,特别是在巴西,向非洲裔妇女提供的医疗服务。1887年,巴西里约热内卢医学院(里约热内卢de Janeiro Medical School)的一名博士候选人写了一篇论文,在论文中,他主张并为在医学院产科病房分娩的被奴役、自由和即将自由的非洲裔妇女提供种族化治疗进行辩护。在他对这种做法的倡导中,作者将巴西里约热内卢医学院的流行方法与整个19世纪法国医学思想对女性骨盆的种族化比较解剖学的长期传承联系起来。
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来源期刊
Medical Humanities
Medical Humanities HUMANITIES, MULTIDISCIPLINARY-
CiteScore
2.60
自引率
8.30%
发文量
59
期刊介绍: Occupational and Environmental Medicine (OEM) is an international peer reviewed journal concerned with areas of current importance in occupational medicine and environmental health issues throughout the world. Original contributions include epidemiological, physiological and psychological studies of occupational and environmental health hazards as well as toxicological studies of materials posing human health risks. A CPD/CME series aims to help visitors in continuing their professional development. A World at Work series describes workplace hazards and protetctive measures in different workplaces worldwide. A correspondence section provides a forum for debate and notification of preliminary findings.
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