Midwife Regulations

As mentioned yesterday, midwifery was one of the few professions that was not considered worthy of a guild. That may be partially because guilds generally required some literacy and the women who became midwives likely had little to no formal education.

Lack of a guild meant no regulation, no "entrance exam," no oversight or laws involved. This could be a benefit, since a woman acting as a midwife was "under the radar" of any interference. She was called in by the family to help in their time of need. Her position in the community was as a trusted neighbor whose presence and experience was a comfort, and worthy of compensation ration by the family of the mother.

As formal medical education was developed during the rise of universities, those practicing in the field of health without formal education started being criticized.

Early in the 13th century, female health workers, long accustomed to the trust and respect of their patients, began to face opposition. Barred from most European universities because of their gender and thus denied academic training in medicine, they were considered ineligible as healers, and those who persisted often met with capricious, even harsh punishment. [source]

The next century saw some municipal acceptance of midwives. The accounts of Bruges have an item in 1312, for example: "Communal expenses – Two midwives who were called to see a newborn infant found in front of the city walls on Christmas Eve, 20 solidi." What to do with an abandoned baby? Call a couple of midwives who could be trusted to care for a newborn, and give them 20 solidi for its care.

Requiring a license granted by an institution did not become widespread until the 15th century. Regensburg in 1452 is the earliest known example, and of course it established a hierarchy with men at the peak. Besides municipalities and guild and universities, the Church also was interested in having a hand in what a midwife did.

The Church's involvement was to ensure that newborns were properly baptized:

Ecclesiastical and municipal authorities each recognized that they could rely on midwives as representatives, both in the birthing chamber and on the witness stand. Midwives preserved the life of the mothers and children, and both groups agreed that they should preserve the life of a baby over a dying mother. They both recognized that emergency baptism was a vital responsibility for the midwife as well. [source]

Midwives were willing to accept this relationship:

It was in the midwives’ best interest, therefore, to carve out a niche for themselves as agents of both ecclesiastical and municipal officials. As midwives became limited in some ways, therefore, their agency, increased. Midwives became important tools of ecclesiastical authorities. [source]

As midwifery evolved into a more formally recognized role in society, some midwives made names for themselves and wound up in historical records. I'll introduce you to a few tomorrow.