Louise Boursier

Louise (Bourgeois) Boursier (15631636) was a French Royal Court midwife who delivered babies for many young women in her twenty-six year professional career. Marie de Médicis, the wife of Henry the Great of France, was one of her patients, and Bourgeois delivered her six children. Bourgeois' income was about ten times the average midwife's.

Louise Boursier
Born1563 (1563)
Died1636 (aged 7273)
CitizenshipFrench
EducationDiploma and license to practice midwifery
Known forScholarly writings on midwifery, midwife to French royal family
Spouse(s)Martin Boursier
Scientific career
Fieldsmidwifery
Institutionscourt of Henry IV of France
PatronsQueen Marie de Médicis and French King Henry the Great

Bourgeois was known as a scholar and educator. Through her common-sense-based medical methods and prodigious writings, she helped raise midwifery to state of the art science. She was the first woman to write a book on obstetrics, which was further expanded with other more detailed medical works by her and her descendants and colleagues. These works were used by medical professionals in several countries.

Early life

Bourgeois was born in 1563[1] as Louise Bourgeois in what was then a farming area outside of Paris called the Faubourg Saint-Germain.[2][3] Her family was not of noble ancestry, but her father was a builder who constructed houses at the village of Bussy, fifteen miles north of Paris.[1] She was raised in upper middle-class circumstances and received an education customary of the children of families of that class.[4]

Bourgeois' family lived near the barber surgeon medical professional Martin Boursier, who was a pupil-assistant of Ambroise Pare.[4] Bourgeois married Martin Boursier at the parish of Saint Sulpice in 1584.[5] They moved to Faubourg Saint-Germain sometime between 1586 and 1587. The couple had a comfortable life style there, and three children were born by September 1589.[3]

When King Henry IV attacked Paris in October 1589, Bourgeois was home alone with her three children, and her husband was out of the country away on duty in the army. She abandoned her rural home and most of their possessions to retreat with her children and mother behind the city walls of Paris for protection.[6] For an income, Bourgeois then took up needlework and sold items she embroidered in addition to pieces of valuable personal items she had managed to save. This was barely enough income to support her family.[4]

Bourgeois' husband returned from the army around 1591, but his income as a medical doctor was not enough to support the family. When she had their third and last child, her nurse at the time suggested she go into midwifery.[7] She took up midwifery part-time in the 1580s, and by 1593, she had joined the Guild of Midwives as a professional. Bourgeois learned this medical skill from the writings on obstetrics by her husband and Pare. She also went to a new college for midwives at the hospital Hôtel-Dieu de Paris.[4] She believed she was blessed with practical midwifery talents from Phaenarete, the mother of Socrates.[8]

Marie de' Medici and her family (1607). Bourgeois was the royal court midwife at that time.

Career

Bourgeois obtained a diploma and license to legally practice midwifery in 1598 when she passed the examination for that profession and became a registered midwife.[9] The judging panel consisted of a medical doctor, two barber-surgeons, and two well respected professional midwives.[10] She then moved with her family into a fashionable house on the Left Bank at the rue Saint-Andre´des-Arts. There she built up a large scale medical practice in the Latin Quarter. She developed an excellent reputation in the delivery of two thousand babies and was well liked as a professional midwife.[11] She was known as a foundation level scholar and educationalist because of her advanced knowledge in the field which she documented in various manuscripts.[12] With her husband, she headed a minor medical dynasty and pharmacy that ran down through her family and lasted for decades.[13]

Henry the Great of France married Marie de' Medici in 1600. Their first child was due in 1601.[2] The King wanted to employ Madame Dupuis to be the royal midwife. Marie de' Medici chose Bourgeois instead because she demonstrated authority.[9] She had successfully assisted the childbirths of several young ladies of the Royal Court as a loyal professional midwife.[14] Bourgeois wrote of her experience with this first childbirth of Queen Marie in her 1617 book True accounts of the births of the royal children of France.[15]

Between 1601 and 1610 (when Henri IV was killed) six children were born to Marie de' Medici, all assisted by Bourgeois. They were Louis XIII, future King of France (1601), Elizabeth, Queen of Spain (1602), Christine Marie, Duchess of Savoy (1607), Nicolas Henri, Duke of Orléans (1607), Gaston, Duke of Orléans (1608), and Henrietta Maria, Queen of England, Queen of Scots and Queen of Ireland (1609). Bourgeois received 500 livres (crowns) of money for each son delivered and 300 livres for each daughter.[2] The average midwife at the time had an income of 50 livres for each delivery.[16] Bourgeois' career as a royal court midwife spanned over twenty-six years.[11]

Later life

In 1608, Bourgeois was awarded a lump sum of 6,000 livres for her services as royal midwife.[2] After the birth of Henrietta Maria, the last child, Bourgeois asked for a pension of 600 livres per year. King Henry IV agreed in 1610 to 300 livres, which was considered a reasonable retirement income.[16] In her retirement from being the royal midwife, Bourgeois wrote a great deal and made important contributions to obstetrics. She wrote a book on childbirth practices in 1609 titled Various Observations on the Sterility. Bourgeois was the first woman to write a book on midwifery.[17]

The last section of her 1609 book contains Bourgeois' opinions on various topics specifically written for her daughter. She told her to fear God, to attend the poor with charity, and to never let unmarried women into her house for confinement or to assist in abortions. She also criticized the women of her time for preferring male physicians to midwives.[7] Additional techniques and information were added in 1759 by her descendant, Angelique le Boursier du Courdray, who was also a royal French midwife.[18] She in turn passed this knowledge down to poor women of her time.[19]

Although she was technically retired as a royal midwife, Bourgeois still delivered children. In 1627, she delivered the child of the Duchess of Orleans. Unfortunately, the Duchess died from fever after her labor. Male physicians (many of whom were enemies of Bourgeois) wrote the autopsy report and said that a piece of afterbirth was left on the womb implying that Bourgeois was at fault for the Duchess' death. In response to this, Bourgeois wrote the "Apology of Louise Bourgeois" in which she questioned the validity of the report.[20] In her 'apology,' Bourgeois highlighted her many qualifications and said she had practiced the midwife profession for thirty-four years. She pointed out that she honorably acquired the proper certificate and wrote books on midwifery that were used by physicians in several countries. She described herself as the first woman midwife to write on the subject.[2]

Works

Bourgeois wrote five medical manuscripts between 1609 and 1634 and advocated that the clinical information contained in them be practiced by all midwives.[21] Her first book on midwifery and childbirth had practical information on obstetrics. Few texts of this type existed at the time. This book contained references to some 2000 childbirths[22] and was published in German, Dutch, and English.[9] There was a Latin edition used until the 1700s.[23] Her first expanded edition had a short autobiography, and other later editions had medical cures for skin ailments and pain.[9]

  • 1609 - Various Observations on the Sterility, a medical textbook on midwifery giving procedure steps.
  • 1617 - Diverse Observations, expanded edition of above obstetrical theory + 'Advice to my Daughter'.
  • 1626 - Diverse Observations, expanded edition of above obstetrical theory with treatments for anemia.
  • 1634 - Collection of Secrets, expanded edition of above obstetrical theory with podalic version advice.
  • 1642 - Diverse Observations, expanded edition of above obstetrical theory with infant care guidelines.
  • 1652 - Diverse Observations, expanded edition of above obstetrical theory with augmented treatments.[9]

See also

References

  1. Goodell 1876, p. 6.
  2. Dunn, PM (2004). "Louise Bourgeois (1563-1636): royal midwife of France". Arch Dis Child Fetal Neonatal Ed. 89 (2): F185-7. doi:10.1136/adc.2003.037929. PMC 1756029. PMID 14977911.
  3. Perkins 1996, p. 15.
  4. "Mother of midwifery with a cure of iron". The Guardian. London, England. 14 December 1993. p. 60 via Newspapers.com .
  5. Chereau 1875, p. 5.
  6. Christensen 2012, p. 100.
  7. Goodell, William (5 June 1876). "A sketch of the life and writings of Louyse Bourgeois, midwife to Marie de' Medicine, the queen of Henry IV. of France. The annual address of the retiring president before the Philadelphia County Medical Society". Philadelphia, Pennsylvania: Collins, printer. pp. 1–52. Retrieved 18 December 2016 via Internet Archive.
  8. Perkins 1996, p. 27.
  9. Robin 2007, p. 57.
  10. Perkins 1996, p. 17.
  11. Christensen 2012, p. 102.
  12. Lander 2015, p. 134.
  13. Perkins 1996, p. 26.
  14. Perkins 1996, p. 18.
  15. Read 2016, p. 58.
  16. Perkins 1996, p. 23.
  17. Proffitt 1999, p. 53.
  18. Anzovin 2000, p. 115.
  19. Gelbart 1998, p. 263.
  20. Proffitt 1999, p. 50.
  21. Thompson 2015, p. 23.
  22. Perkins 1996, p. 24.
  23. "Louise Bourgeois (French midwife)". Encyclopedia of World Biography. 2005. Retrieved 17 August 2020.

Sources

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