CHAPTER VI
Decides to qualify herself as midwife—Meets great difficulties due to being unmarried and too young—Studies privately under Dr. Schmidt—History and organization of the School for Midwives: first school established through Justina Ditrichin (obstetric surgeon and writer about 1735); after her death, owing to the opposition of medical men, educated women withdrew from the profession which then deteriorated; it became legally standardized in 1818 with the present school, and women of the higher classes returned to the profession—Marie being refused for the third time, Dr. Schmidt obtains an order from the King for her admission to the school—Becomes assistant teacher under Dr. Schmidt—Receives diploma of highest degree, and the class which she taught makes the highest known record. (Eighteen to twenty-two years of age: 1847-1851.)
My household duties, however, continued distasteful to me, much to the annoyance of my father who still contended that this was the only sphere for woman. From being so much with my mother, I had lost all taste for domestic life—anything out of doors was preferable to the monotonous routine of the household.
I at length determined to follow my inclinations by studying, in order to fit myself to become a practitioner of midwifery, as is usual in Berlin.
My father was satisfied and pleased with this idea, which opened the way to an independent, respectable livelihood, for he never really wished to have us seek this in marriage.
My mother did not like my resolution at all. She practiced, not because she liked the profession, but because in this way she obtained the means of being independent and of aiding in the education of the children.
I persisted, however, in my resolution, and immediately took measures to carry it into effect by going directly to Dr. Joseph Hermann Schmidt, the Professor of Midwifery in the University and the School for Midwives, and Director of the Royal Hospital Charité; while my father, who for several years held the position of a civil officer, made the application to the city magistrates for me to be admitted as a pupil to the School for Midwives, in which my mother had been educated.
In order to show the importance of this step, it is necessary to explain more fully the history and organization of the school.
About 1735, Justina Ditrichin (the wife of Siegemund, a distinguished civil officer of Prussia) was afflicted with an internal disease which baffled the skill of the midwives, who had pronounced her pregnant, and none of whom could define her disorder. After many months of suffering, she was visited by the wife of a poor soldier, who told her what ailed her; in consequence of which, she was cured by her physicians.
This circumstance awakened in the mind of the lady an intense desire to study midwifery, which she did; and afterwards practiced it with such success that, in consequence of her extensive practice, she was obliged to confine herself solely to irregular cases. She performed all kinds of operations with masterly skill and wrote the first book on the subject ever published in Germany by a woman. She was sent for from all parts of Germany, and was appointed body-physician to the Queen and ladies of the court of Prussia and Mark Brandenburg.
Through her influence, schools were established in which women were instructed in the science and the art of obstetrics. She also taught many herself, and a very successful and respectable practice soon grew up among women. After her death, however, this was discountenanced by the physicians, who brought it into such disrepute by their ridicule that the educated class of women withdrew from the profession. This left it in the hands of ignorant pretenders who continued to practice it until 1818. At this time, public attention was called to the subject and strict laws were enacted by which women were required to call in a male practitioner in every irregular case of confinement, under penalty of from one to twenty years of imprisonment and the forfeiture of the right to practice.
These laws still continue in force. A remarkable case is recorded by Dr. Schmidt of a woman who, feeling her own competence to manage a case committed to her care, did not send for a male physician as the law required. Although it was fully proved that she had done everything that could have been done in the case, her penalty was imprisonment for twenty years. Two other cases are quoted by Dr. Schmidt, in which male practitioners were summoned before a legal tribunal. It was proved that they had not done that which was necessary, yet their penalty was no heavier than that inflicted on the woman who had done exactly what she ought.
At this time (1818), it was also made illegal for any woman to practice who had not been educated. This brought the profession again into repute among women of the higher classes. A school for midwives, supported by the government, was established in Berlin, in which women have since continued to be educated for practice in this city and in other parts of Prussia. Two midwives are elected each year, by a committee, from the applicants, to be educated for practice in Berlin. And as they have to study two years, there are always four of these students in the school, two graduating every year. The remainder of the students are from the provincial districts.
To be admitted to this school is considered a stroke of good fortune, as there are generally more than a hundred applicants, many of whom have to wait eight or ten years before they are elected. There is, besides, a great deal of favoritism, those women being generally chosen who are the widows or wives of civil officers or physicians, to whom this chance of earning a livelihood is given in order that they may not become a burden on the government. Though educated apart from the male students while studying the theory of midwifery, they attend the accouchement ward together, and receive clinical or practical instruction in the same class from the same professor.
The male students of medicine are admitted to the university at the age of eighteen, having first been required to go through a prescribed course of collegiate study and to pass the requisite examination. Here they attend the lectures of various professors, often of four or five upon the same subject, in order to learn how it is treated from different points of view. Then, after having thus studied for a certain length of time, they present themselves for an examination by the professors of the university, which confers upon them the title of M.D., without the right to practice. They are then obliged to prepare for what is called the State’s examination, before a Board of the most distinguished men in the profession appointed to this place by the government; these also constitute the medical court. Of this number, Dr. Schmidt was one.
Dr. Schmidt approved my resolution and expressed himself warmly in favor of it. He also recommended to me a course of reading, to be commenced at once as a kind of preliminary education. And although he had no influence with the committee of the city government who examined and elected the pupils, he promised to call upon some of them and urge my election. But despite his recommendation and my father’s position as civil officer, I received a refusal, on the grounds that I was much too young (being only eighteen) and that I was unmarried.
The latter fault I did not try to remove; the former I corrected daily; and when I was nineteen, I repeated my application and received the same reply.
During this time, Dr. Schmidt became more and more interested in me personally. He promised that he would do all in his power to have me chosen the next year and urged me to read and study as much as possible in order to become fully acquainted with the subject.
As usual, I continued to assist my mother in visiting her patients, and thus had a fine opportunity for explaining to myself many things which the mere study of books left in darkness. In fact, these years of preliminary practical study were more valuable to me than all the lectures that I ever listened to afterwards. Full of zeal and enthusiasm and stimulated by a friend whose position and personal acquirements inspired me with reverence and devotion, I thought of nothing else than how to prepare myself in such a way that I should not disappoint him nor those to whom he had commended me.
Dr. Schmidt was consumptive and almost an invalid, often having to lecture in a reclining position. The author of many valuable medical works and director of the largest hospital in Prussia (the Charité of Berlin), he found a most valuable assistant in his wife—one of the noblest women that ever lived. She was always with him except in the lecture room, and almost all of his works are said to have been written by her from his dictation.
This had inspired him with the highest possible respect for women. He had the utmost faith in their powers when rightly developed, and always declared their intellectual capacity to be the same with that of men. This belief inspired him with the desire to give me an education superior to that of the common midwives; and at the same time, to reform the school of midwives by giving to it a professor of its own sex.
To this position he had in his own mind already elected me. But before I could take it, I had to procure a legitimate election from the city to the school as pupil, and during my attendance, he had to convince the government of the necessity of such a reform, as well as to bring over the medical profession. This last was not so easily done, for many men were already waiting for Dr. Schmidt’s death in order to obtain this very post which was considered valuable.
When I was twenty, I received my third refusal. Dr. Schmidt, whose health was failing rapidly, had exerted himself greatly to secure my admission. The medical part of the committee had promised him that they would give me their vote, but some theological influence was set to work to elect one of the deaconesses in my stead, so that she might be educated for the post of superintendent of the lying-in ward of the hospital which was under Dr. Schmidt’s care. She also was rejected in order not to offend Dr. Schmidt, but for this he would not thank them.
No sooner had I carried him the letter of refusal than he ordered his carriage and, proceeding to the royal palace, obtained an audience with the king, to whom he related the refusal of the committee to elect me on the ground that I was too young and unmarried, and entreated of him a cabinet order which should compel the city to admit me to the school, adding that he saw no reason why Germany as well as France should not have and be proud of a Lachapelle.
The king, who held Dr. Schmidt in high esteem, gave him at once the desired order, and I became legally the student of my friend. His praise, however, procured me intense vexation, for my name was dropped entirely and I was only spoken of as Lachapelle the Second, which would by no means have been unpleasant had I earned the title, but to receive it sneeringly in advance before having been allowed to make my appearance publicly, was indeed unbearable.
On the third day after his visit to the king, Dr. Schmidt received me into the class and introduced me to it as his future assistant teacher. This announcement was as surprising to me as to the class, but I took it quietly, thinking that if Dr. Schmidt did not consider me fit for the place, he would not risk being attacked for it by the profession en masse, by whom he was watched closely.
On the same day, a little incident occurred which I must mention. In the evening, instead of going alone to the class for practical instruction, I accompanied Dr. Schmidt at his request. We entered the hall where his assistant, the chief physician, had already commenced his instructions. Dr. Schmidt introduced me to him as his private pupil to whom he wished him to give particular attention, ending by giving my name. The physician hurriedly came up to me and grasped my hand, exclaiming, “Why, this is my little blind doctor!” I looked at him and recognized the very Dr. Müller with whom I used to make the rounds of the hospital when I was twelve years old, and who had since risen to the position of chief physician. This rencontre and the interest that he manifested afterwards greatly relieved Dr. Schmidt who had feared that he would oppose me instead of giving me any special aid.
During this winter’s study, I spent the most of the time in the hospital, being almost constantly at the side of Dr. Schmidt. I certainly made the most of every opportunity, and I scarcely believe it possible for any student to learn more in so short a time than I did during this winter. I was continually busy, acting even as nurse whenever I could learn anything by it. During the following summer, I was obliged to reside wholly in the hospital, this being a part of the prescribed education. Here I became acquainted with all the different wards and had a fine opportunity to watch the cases by myself.
In the meantime, Dr. Schmidt’s illness increased so rapidly that he feared he might die before his plans in respect to me had been carried out, especially as the state of his health had compelled him to give up his position as Chief Director of the Hospital Charité. His intention was to make me chief accoucheuse in the hospital, and to surrender into my hands his position as professor in the School for Midwives, so that I might have the entire charge of the midwives’ education.
The opposition to this plan was twofold. First, the theological influence that sought to place the deaconess (Sister Catherine) in the position of house-midwife; and, second, the younger part of the profession, many of whom were anxious for the post of professor in the School for Midwives, which never would have been suffered to fall into the hands of Sister Catherine. Dr. Schmidt, however, was determined to yield to neither. Personal pride demanded that he should succeed in his plan, and several of the older and more influential members of the profession took his part, among whom were Johannes Müller, Busch, Müller, Kilian, etc.
During the second winter, his lecturing in the class was only nominal, often nothing more than naming the heads of the subjects while I had to give the real instruction. His idea was to make me feel the full responsibility of such a position, and at the same time to give me a chance to do the work that he had declared me preëminently capable of doing. This was an intrigue, but he would not have it otherwise. He did not intend that I should perform his duty for his benefit, but for my own. He wished to show to the government the fact that I had done the work of a man like himself and had done it well; and that, if he had not told them of his withdrawal, no one would have recognized his absence from the result.
At the close of this term, I was obliged to pass my examination at the same time with the fifty-six students who composed the class. Dr. Schmidt invited some of the most prominent medical men to be present, besides those appointed as the examining committee. He informed me of this on the day before the examination, saying, “I want to convince them that you can do better than half of the young men at their examination.”
The excitement of this day I can hardly describe. I had not only to appear before a body of strangers of whose manner of questioning I had no idea, but also before half a dozen authorities in the profession, assembled especially for criticism.
Picture to yourself my position: standing before the table at which were seated the three physicians composing the examining committee, who questioned in the most perplexing manner, while four other physicians of the highest standing were seated on each side, making eleven in all; Dr. Schmidt, a little way off, anxious that I should prove true all that he had said in praise of me, and the rest of the class in the background, filling up the large hall. It was terrible. The trifling honor of being considered capable was rather dearly purchased.
I went through the whole hour bravely, without missing a single question, until finally the clock struck twelve, when everything suddenly grew black before my eyes, and the last question sounded like a humming noise in my ear. I answered it—how, I know not—and was permitted to sit down and rest for fifteen minutes before I was called to the practical examination on the manikin. I gave satisfaction to all, and received the diploma of the first degree.
This by no means ended the excitement. The students of the year were next examined. This examination continued for a week, after which the diplomas were announced, when it was found that never before had there been so many of the first degree and so few of the third. Dr. Schmidt then made it known that this was the result of my exertions, and I was pronounced a very capable woman.