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Included in her well-known posterity are Presidents Franklin Delano Roosevelt (sixth-generation greatgrandson); George H. W. Bush and George W. Bush (ninth- and tenth-generation 1: THE EARLY VOICES OF MIDWIVES ■ 9 greatgrandsons, respectively); author Eve LaPlante (10th-generation great granddaughter); and Certified Nurse-Midwife Lisa Paine (12th-generation great granddaughter of Anne Hutchinson and 11th-generation great granddaughter of Mary Dyer). Childbirth in the colonies and early America was a social event with female family members, friends, and neighbors in attendance as well as the midwife.

Health practices came from a variety of tribes largely based on West African traditions. 24 ■ THE VOICES OF GRANNY MIDWIVES (LATE 1800s–MID-1900s) “Granny” midwife is a generalized term used to describe midwives after the colonial, early American, and antebellum slave midwife voices had been silenced; midwives other than the immigrant midwives in the late 1800s and up to the mid-1900s; and before the resurgence of community lay midwives in the 1970s. The literature referring to granny midwives usually describes midwives located in the southern states of Georgia,25 South Carolina,26 Alabama, Mississippi, Louisiana,27 Florida,28 Arkansas,29 Missouri,30 Tennessee, Virginia,31 West Virginia,32 North Carolina, Texas, Oklahoma, Kentucky, and Maryland.

17 The development of man-midwifery in the United States and subsequently the specialty of obstetrics began with the more wellto-do men going to Great Britain to study medicine. Their studies included anatomy and 24 ■ I: EARLY HISTORY OF MIDWIFERY IN THE UNITED STATES midwifery and the use of forceps. The incorporation of midwifery into medicine enabled the physician to expand his practice. He could make the argument that medical science gave him knowledge and something new to offer his patients, which made him the better choice over the local midwife.

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