Diaries of midwives
With the rise of gynecology, the traditional role of midwifery came under scrutiny. In Germany the first maternity hospital was established in 1779 in Jena. In 1818 the first regulations for midwifery were published. Midwifes were appointed to certain districts for a length of time and came under the observation of the health department. They had to report their activities yearly to the health official, who would determine their salary and their competence. Midwives had to be trained and certified in order to take up their profession.
Midwives were encouraged to keep diaries, in which they recorded the procedures of the deliveries and their observations. This was necessary because not only the employer needed to gain an insight into the activities of the accoucheuse, the midwife herself would profit from keeping notes about her work. Her duty was not only to deliver a child and look after the wellbeing of the mother, but she had to report the child birth to the priest, the civil registration or the police officer. If she had taken careful notes, she would have no problem to report, names, addresses, and dates. If a midwife had to become a witness in a court procedure, she would also be well prepared with dates and facts.
The keeping of a diary would serve the midwife well, when she writes down her observations. She would be more precise in her recordings, since she has to explain what is happening. She would have to ponder the outcome and ask herself what could be done better and how a situation should be handled in the future.
A diary would enable the midwife better to recall certain cases, especially when she assists the same woman again and therefore can recall any problems in a professional manner. For the length of her professional life a midwife was encouraged to keep a yearly log of her activities.
The diaries of midwives were evaluated for statistical purposes, which on the other hand served as a base for improving the health of women.
An excellent diary would have the following information:
Day and hour of birth
Name of mother, her age and her domicile
Name of father
The child’s position at birth
The gender of the child
Did the child live or was it a stillbirth?
Was it a normal birth, a premature birth or a miscarriage?
Was the assistance of a physician required?
How much carbolic acid was used?
Did the mother stay healthy, did she get sick, did she die and when?
Midwife diaries may have been kept by health administrations (Gesundheitsamt) and archived.