References

Cobb WM. Surgery and the Negro physician: some parallels in background. Journal of the National Medical Association. 1951; 43:(3)145-148

Doss HEA. The enslaved women surgical patients of J Marion Sims in Antebellum Alabama: sisterhood of shared suffering. In: Ashmore SY, Dorr LL (eds). Athens, GA: University of Georgia Press; 2017

Downes H. The forgotten women of gynaecology. British Journal of Midwifery. 2019; 27:(10)614-615

Earle H. Clinical lecture on vesico-vaginal fistula. London Medical Gazette. 1829; 5:198-202

Simpson JY. Clinical lectures on diseases of women II: on vesico-vaginal fistula. Medical Times Gazette. 1859; 1:25-30

Sims JM. Two cases of vesico-vaginal fistula, cured”. New York Medical Gazette. 1854; 5:1-7

Sims JM. Silver sutures in surgery. The anniversary discourse before the New York Academy of Medicine, delivered in the new building of the historical society on the 18th November, 1857.New York: Samuel S, Wood W; 1858

Wall LL. Fitsari ‘Dan Duniya’: an African (Hausa) praise song about vesicovaginal fistulas. Obstetrics and Gynecology. 2002; 100:(6)1328-1333

Wall LL. Obstetric vesicovaginal fistula as an international health problem. Lancet. 2006; 368:1201-1209

Wall LL. J Marion Sims and the vesico-vaginal fistula: historical understanding, medical ethics, and modern political sensibilities. Female Pelvic Medicine and Reconstructive Surgery. 2018a; 24:66-75

Wall LL (2018b) Tears for my sisters: the tragedy of obstetric fistula.Baltimore, MD: Johns Hopkins University Press; 2018b

J Marion Sims and the ‘forgotten women of gynaecology’

02 March 2021
8 min read
Volume 29 · Issue 3

Abstract

L. Lewis Wall comments on the surgical operations conducted by Dr J Marion Sims and the ethics surrounding his work

Dr J Marion Sims (1813–1883) was one of the most prominent physicians of the mid-19th century, especially noted for his development of the first consistently (but not universally) successful operation for the closure of obstetric vesico-vaginal fistula. He developed his surgical technique through a series of operations conducted on enslaved African-American women with this condition during the 1840s.

By today's societal standards, many regard what Sims did as a medical ‘atrocity’. In an article published in the British Journal of Midwifery, volume 27, issue 10, entitled ‘The forgotten women of gynaecology’, Heidi Downes (2019) argued that the contributions to medicine made by the fistula patients of Dr J Marion Sims (1813–1883) should be more widely recognised.

Downes' article offers an opportunity to consider the difficulties of rendering judgment on the clinical practice of past times and different places. If we judge the past on the basis of present assumptions rather than attempt to understand how those who lived in the past saw, experienced and interpreted their circumstances, it is easy to become angry. Although retrospective indignation may be emotionally satisfying, it rarely illuminates what the past meant for those who actually lived it.

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