Midwives

When Guy de Chauliac mentioned midwives in his great work on surgery, it was only a mention: he declined to express details because the field was dominated by women; men were not even allowed into the room when a woman was giving birth. In fact, "One Henne Vanden Damme, for having hid behind a staircase to eavesdrop upon his wife, she being in labour of childbirth, which thing doth not befit a man, for the said eavesdropping was fined 15 livres." [source]

Later in the Middle Ages, there was regulation of midwifery, but midwives, unlike doctors, were not associated with any formal training. In fact, some of the early manuals produced on midwifery—by the rare individuals in the profession who were literate—do not even demonstrate current medical knowledge. Midwives never formed into guilds, as other professions did with regularity. So far as we know, the qualifications for becoming a midwife were gained from on-the-job experience. Even Trotula, the famous female doctor and professor of medicine, discussed many female conditions but not the subject of childbirth.

According to Joseph and Frances Gies:

During labor the midwife rubs her patient's belly with ointment to ease her travail and bring it to a quicker conclusion. She encourages the patient with comforting words. If the labor is difficult, sympathetic magic is invoked. The patient's hair is loosened and all the pins removed. Servants open all the doors, drawers, and cupboards in the house and untie all the knots.
...
When the baby is born, the midwife ties the umbilical cord and cuts it at four fingers' length. She washes the baby and rubs him all over with salt, then gently cleanses his palate and gums with honey, to give him an appetite. [Life in a Medieval City, pp.60-1]

Some historians have noted that the regulation of midwifery started generally around the same time as persecutions for witchcraft. This is, of course, not true in all countries, but it would be difficult to miss the similarity between two different practices of trying to place controls on a segment of society that was in a position of potential harm, either through neglect (on the part of midwives) or design (on the part of witches).

Skincare for Women

Madonna of the Recommended,
Lippo Memmi (c.1291 - 1356)

Cosmetics were known as far back as early Egyptian culture, so it is no surprise that ways to maintain good skin were known through the Medieval Era. The materials needed for cosmetics were derived from some of the same sources as medicines—such as lily root or white lead—so much cosmetic advice came from physicians.

An example of ideal skin was the 1350 painting by Lippo Memmi, "Madonna of the Recommended." Trotula of Salerno offered recipes for fair skin. "Fair skin" was not necessarily light-colored skin, but referred to smoothness  and a lack of blemishes. A woman could be considered "fair-skinned" if she were a pale Englishwoman or an olive-complexioned Mediterranean. Frequent smallpox epidemics made fair skin a rarity.

There were several ways to treat a less-than-perfect complexion. Rubbing a saliva-coated amethyst over pimples to remove them was one method, or just hold the amethyst over a pot of boiling water and use the moisture that gathers on it.

Hildegard of Bingen (c.1098 - 1179) is known today largely for her devotional musical compositions, but as this blog has noted in the past, she also gave medical advice for, among other things, clear skin:

Pulverize ginger with twice as much galingale* and a half portion of zedoary.** Place in a tied cloth in vinegar and then in wine so it doesn't become too dark. Smear the skin where eruptions are, and he will be cured.

Rosemary, also mentioned previously in this blog, could be mixed with white wine and applied to the face as a beauty treatment. And if you wanted to get rid of freckles, the Liber de Diversis Medicinis ["Book of Diverse Medicines"] from 14th century England (found in the Lincoln Thornton Manuscript in Lincoln Cathedral) suggested the blood of a hare or bull.

I feel compelled to add the caveat: Don't try these at home!

*Galingale was a plant from the ginger family.
**Zedoary is a perennial herb native to India. Also called "white turmeric," it has largely been replaced in western cuisine by ginger.

The First Female Professor of Medicine

The medical school in Salerno had on its staff the first well-known female physician and professor of medicine. Sadly, we know nothing of her personal life, not even her dates: her existence at Salerno in the 11th or 12th centuries is inferred from the handful of texts she wrote or contributed to. Fortunately, her texts were considered important enough that they were preserved and copied, translated and distributed throughout Europe.

Trotula

Her name was Trotula (listen here for pronunciation), and we find it on several texts. The best-known is the three works collectively known as La Trotula.

• Conditions of Women—based on the Latin translation of an Arabic work, with additions of several Latin-based passages that had been around for awhile.
• Treatments for Women—"a disorganized collection of empirical cures with only a thin theoretical overlay."*
• Women's Cosmetics—a head-to-toe listing of ways to beautify all aspects of a woman's appearance, with no medicinal applications.

Although there are conditions that make no sense to modern medicine (such as a "wandering womb"), there are also techniques that we would consider very sound, such as using opium on the patient during childbirth (defying church tradition that women should suffer; see Genesis 3:16), and using silk thread to repair tears that occur in childbirth.

Some scholars have attributed these works to a man, perhaps through simple chauvinism, but also because it is believed that the frank addressing of gynecological topics would be too indelicate for a female author of the era. The author of La Trotula, however, self-identifies in the texts as a woman, and the analysis of history is always turning up surprises that challenge modern notions of medieval sensibilities. Also, in Chaucer's Canterbury Tales, the book of wicked wives read by the Wife's husband Jankyn includes the name "Trotula." However little we may know of her now, it seems she developed a reputation that preserved her name for at least a couple centuries after her prime.

*Quotation from The Trotula: An English Translation of the Medieval Compendium of Women's Medicine, by Monica Green.