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Maternity Care in the Second Half of the 20th Century

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Magenta8 Sun 12-Oct-25 10:39:50

I am not researching a book or anything. This is just personal interest.

I was idly pondering how the treatment of women in childbirth has developed over the latter half of the 20th century.

I remember, in the 1950s, when my little sister was born, my mother was admitted to an NHS hospital once labour started. Even though this was her third child and her previous deliveries had both been straight forward she stayed in hospital for eight days. I believe, had she given birth in a private nursing home, her stay would have been more likely to be 14 days.

During the early 1970s I did a two month obstetric course.
At the maternity hospital where I was training, the mothers were shaved and given enemas as a matter of routine. For normal births the mothers were required to lie flat on their backs with both their legs up in stirrups. Episiotomy cuts were pretty much routine. Hardly any mothers breast fed and the ward staff gave me the impression that they thought those mothers who did were 'weirdos'. An injection to dry up the milk was given to the majority of mothers. The babies spent most of their time in a nursery which was separate from the main ward where the mothers had their beds. The babies were brought to the mothers for feeding at set four hourly intervals and were weighed before and after feeds. The night staff did the night feeds.

I had my DCs during the 1980s but as I had emergency caesareans, I have no personal experience of how normal deliveries were handled. I was booted out of hospital as soon as possible after delivery.

These are just some random personal memories and I am sure that GNs have a wealth of experiences and comments.

mokryna Mon 20-Oct-25 17:58:30

Granmarderby10

Oh MilestOne I had an iron injection in hospital after an op for acute peritonitis, the most horrid sensation like.. well lead weights in your muscles. But necessary.
I was offered Mackeson in hospital with evening meals too after treatment for dehydration due to severe pregnancy sickness - always liked it anyway much nicer than Guinness imo sweeter by far. Can you still buy it?
Quite incredible really, this was 1979.
How things change.

I was given wine to ‘bring up the milk’ in the French clinic (same as a hospital, sounds better but wasn’t). However my eldest wasn’t allowed to visit, no children were at that time I signed myself out after 7 days.

silverlining48 Mon 20-Oct-25 15:17:37

Lizzie I still have my old paraffin heater , it’s under the stairs just in case … it did us proud pre central heating.

Lizzie44 Wed 15-Oct-25 17:48:40

I had my first baby in 1969. It was a home birth (my choice). I phoned the midwife when my waters broke. Later in my labour the midwife had to call out my GP and I had a low forceps delivery. Not very pleasant. When I had my second baby two years later I was not allowed to have a home birth. It's extraordinary to think back to tmy first birth in our small spare bedroom with a paraffin stove as the only heating in the house in a cold January. Them was the days...

Allsorts Wed 15-Oct-25 05:54:56

Frognet, what an awful experience, can see why your ex is your ex too.
My daughter was born in hospital, on the ward as I was not checked for about 7 hours and no time to get to theatre, natural birth. Only just 20, I was sent to a mother and baby ward and the baby went to a nursery, she was bought to me
about 5.39 girls a nappy change, which immediately fell off and was told to feed, I wasn't shown it was the woman next bed along that told me what to do. Babies then stayed with us all day, no night feeds. She never woke up in tge night when hone 8 days later. The nurse was do in love with my daughter, as was I, she had her boyfriend come in the day we were discharged, dressed up to go home, curly hair almost to her shoulders, she had the framed picture of her with the nurse last time I saw her, years ago now, on display with family photo's, that was when she thought I was a good mother, now she has nothing to do with any family. My son was born at home, he on the others hand loved being awake all night, however he was a good baby too once he grew out of that stage, he is a lovely son to this day, No one went back to work after a baby then, no one that I knew anyway. As soon as youngest at school I got work to fit in, when divorced it had to be full time to keep us. They had that good start though.

Frogoet Wed 15-Oct-25 05:21:52

I had twins in 1989.
I had to stay in for 3 weeks 7 weeks before due date as blood pressure began to climb and I was exhausted.
I was allowed a home visit and went to a bonfire party.
I was petrified and thought something was wrong when waters broke.
Rushed back to hospital. Labour started middle of the night and I was taken to Labour ward.
Kept asking them to ring husband and was told to let him sleep!
All okay until docs arrived on duty. They examined me Ugh! Broke the hind waters-no explanation.
Luckily my sister worked at the hospital and came to see me. I was scared.
Husband arrived mid morning.
Remember it took all day but at least they tried to be as natural as possible.
In tge end they were delivered with forceps. I was allowed to stand up but wired up to a monitor.
Was very relieved to have prearranged epidural. Twin births I’d been told it was routine-so a section could be done quickly.
Then I couldn’t stand.
They tried to let this wear off near delivery but I panicked. Topping up was then hard as I couldn’t keep still.
Babies stayed with me-husband ( now long ex) left to celebrate.
As a result of top up when I woke up later that night I hadn’t been warned but couldn’t move. Thought I was paralysed.
Worst bit was returning to normal Hispital for d and c and being alone with 2 babies preparing for general anaesthetic and wondering how they’d be without me!

specki4eyes Tue 14-Oct-25 13:08:24

I was just 21 when I had my eldest son in 1967. Waters broke 20 miles away from the maternity hospital where I was booked in and it was a whole month before the due date, so I was blue lighted in with H following behind in the car. Normal birth ensued 8 hours later at 2am, episiotomy necessary and the shift changed at that moment. My son was placed in my arms and they left us. The new shift didn't seem to know that I was still on the delivery table so we stayed like that until 6am, he and I staring at each other. It was uncomfortable but lovely at the same time. It happened to be the same labour ward where my mum had delivered me.
Second son was a home birth..local midwife, gas and air, my GP abandoned his evening dinner event and came to stitch me up still wearing his DJ! My dear friend next door visited carrying a delicious casserole, followed by my parents with a Victoria sponge. It was all bliss. My baby was inspected by his brother and father and we all settled down later to sleep in our cosy home.
It beggars belief when I hear of the impersonal and cold birth procedures of today.

sarahcyn Tue 14-Oct-25 12:49:03

watermeadow

Experiences recounted here show that my awful memories were commonplace.
I was left alone for most of my second labour and when my baby was emerging and I shouted for help, a nurse looked around the door and said,’You’re not the only woman in here’.
Having No. 3 in Wales I pleaded not to be left alone and the little nurse was shocked at the very idea!

Sadly, those horrible, probably thoughtless, little acts of disrespect stay with mothers - all their lives.

watermeadow Tue 14-Oct-25 12:22:10

Experiences recounted here show that my awful memories were commonplace.
I was left alone for most of my second labour and when my baby was emerging and I shouted for help, a nurse looked around the door and said,’You’re not the only woman in here’.
Having No. 3 in Wales I pleaded not to be left alone and the little nurse was shocked at the very idea!

silverlining48 Tue 14-Oct-25 12:17:15

In a few weeks time it will be 50 years since I had my first baby. We had no birth plans then, no , scans or other interventions. A metal tube pressed against the stomach to listen to the baby was about as tech as it got, and was accepted for what it was.
Despite being two weeks late and induced I was in labour for 36 hours. I begged for a Caesarian but was refused. I have never forgotten the pain which was the longest and worst I had ever experienced, then or since.

sarahcyn Tue 14-Oct-25 11:26:43

A big change since the 1970s was the move - or should I say "attempt to move" towards more woman-centred care which means listening to women's preferences instead of delivering a patriarchal, one-size-fits all service. As a doula and antenatal teacher, some of your experiences I read here from the 60s and 70s make my blood run cold. Quite aside from the authoritarian attitude to women's bodies, the ignorance about the benefits of breastfeeding and how to initiate it successfully was awful. While it may sound lovely to be in hospital for 8 days, separating mother and baby and timing feeds is no way to get breastfeeding started. Even now breastfeeding rates are higher and support has improved, if you look on your phone for the emoji for "baby" a bottle pops up.
Unfortunately there are so many shortages of staff. Midwifery is a wonderful profession but it has become very risk-averse and midwives are terrified of being hauled over the coals. Avoiding risk these days is seen as synonymous with a need to add more technology and take tighter control of a process which often does not flourish under such circumstances. Take induction of labour, promoted as a tool for reducing stillbirths. Stillbirths have, happily, gone down but remain at the same level for the last decade while a steady increase in inductions continues. For first time mothers, induction of labour doubles the likelihood of an unplanned caesarean. Most caesareans are unplanned. Which means that about a quarter of our mums now are leaving hospital after a birth which was completely the opposite of what they had expected.
The emotional effect of this needs to be thought through.

Allira Tue 14-Oct-25 10:46:26

Allsorts

I wouldn't be having a baby now if I was starting out in life. The world and his wife seem to be on every ward, visiting time seems to be all the time, no rest, left on your own in many instances whilst in labour and shoved out on the same day, the shortage of midwives now won't ensure you will get one. I wouldn't feel we would be safe. When I had my two we were looked after too, wards spotless and well looked after with Sisters and a Matron. You were an old mother at 26, I was told by doctors the best time to have health babies and mothers was between 18 an 25, now people are in their forties.

In the maternity home for No. 2, I shared a room with a lovely woman who was having third baby. She was married to an Italian and had her first two babies in Italy where the experience, in the 1970s, was just as you describe, Allsorts.
We did get a peaceful eight days afterwards in the maternity home, it was a much more pleasant experience than the local hospital.

Musicgirl Tue 14-Oct-25 10:32:30

@Ladyleftfieldlover, l had my first known migraine (l think l had had some previously but not realised them for what they were) when I was expecting my third baby. I had an aura then, two hours later, the most horrendous headache imaginable. I have been prone to migraines ever since but, thankfully, never had the aura that preceeded the first one.

TerriBull Tue 14-Oct-25 09:49:41

I also remember my husband coming to pick me up with my older one, nearly 4, who came along too, proclaiming at the time "I only want to bring mummy home, not the baby" shock. He did however turn into a very good older brother right away, sorting out numerous toys to give him.

TerriBull Tue 14-Oct-25 09:36:23

Baby number 1 was born in 1986, just as the Chernobyl clouds dispersed and were floating our way from Russia, that event always resonated as being a synonymous event with my giving birth for the first time. I was monitored carefully in my pregnancy, particularly in the weeks after I'd stopped working at 7 months, I seemed to be having an inordinate amount of appointments in the final run up. My doctor told me I had preeclampsia, I had no idea what that was, just as well the age of Google wasn't upon us, so I didn't delve further to find out about the condition, just as well, I don't think I would wanted to have known it could be life threatening, I was blissful in my ignorance. The labour was long drawn out, I had an epidural, which I was told rather harshly by one quite unsympathetic nurse that had slowed everything down and I was hardly dilated when actually I was almost fully. He eventually arrived somewhat distressed, forceps delivery, which I didn't want but the doctor deemed necessary, I suppose any baby would be distressed having a pair of metal salad like servers clamped around their head, but still a somewhat perfect 7lb 3ozs, I think I was in hospital for something like 3 or even 4 days afterwards, all I remember is I couldn't wait to get out of the place, it was impossible to get any sleep the lights appeared to be on all night from what I remember. One of the mothers had ridiculous numbers of visitors who should have left come evening time, but often didn't so they created too much noise when the rest of us in the ward wanted to be quiet. We, the mothers had to clean the bathrooms before using them. I remember finding the stitches quite painful afterwards. My second baby was born in 1990, he was a huge 9lb 4ozs and like his brother rather overdue, an easier labour though, he arrived looking just like a native American baby, a shock of black lavatory brush hair and quite puce we had a sofa at the time, the colour a similar hue to his initial skin tone, we'd often place him on that because he matched it so well. Over the next couple of weeks that all changed and he looked quite different the high colour disappeared, the black hair fell out to be replaced by fair hair, but as my children grew older their hair became darker, so often the case. Number 2 was extraordinary to behold initially though shock Both my children were born at Queen Charlotte's Maternity Hospital in West London, which sadly is no longer.

Allsorts Tue 14-Oct-25 08:07:49

I wouldn't be having a baby now if I was starting out in life. The world and his wife seem to be on every ward, visiting time seems to be all the time, no rest, left on your own in many instances whilst in labour and shoved out on the same day, the shortage of midwives now won't ensure you will get one. I wouldn't feel we would be safe. When I had my two we were looked after too, wards spotless and well looked after with Sisters and a Matron. You were an old mother at 26, I was told by doctors the best time to have health babies and mothers was between 18 an 25, now people are in their forties.

Jaycee19 Tue 14-Oct-25 07:49:00

On my hospital notes it said I was a mature mother as I was thirty years old when I had my first baby in 1985. I had to stay in hospital for a week after giving birth. I was also encouraged to bottle feed, no breast is best from the nurses.

Bellasnana Tue 14-Oct-25 07:43:05

My mother had my two older sisters in hospital but I was born in the back bedroom of the Army quarter we were living in with just a midwife in attendance. The midwives visited just like in Call the Midwife and Mum said they were lovely. Pictures are of the midwife who delivered me, another midwife, mum and my very unimpressed sister, two weeks after I was born.

My DD1 was born in Farnborough Hospital, Kent in 1982. It was a long labour (19 hours) with her head pressing into my back with every contraction.

After ten agonising hours I was given an epidural which was bliss! I was half sitting up so saw her little head emerging. Had a trainee midwife and a senior one just observing, but both very kind. No epidural and no stitches, no stirrups!

I stayed in hospital a week and was very well looked after. I had a meltdown one day from sheer exhaustion, so they took DD1 to the nursery overnight and gave me a sleeping pill. I woke the next day feeling fantastic and ready to cope.

Flew back to Malta when baby was just three weeks old, she was a very easy baby, breast fed which had taken two weeks of perseverance to establish.

DD2 arrived two years later and was born in hospital in Malta. Had a horrible midwife, really rough, shoved her fingers in and broke my waters manually and just generally treated me unkindly.

Had an epidural and DD2 was born fairly quickly, no stitches. I discharged myself after one night in hospital as I was so miserable and wanted to be home with DD1.

DD3 arrived five years later, a bit of a surprise! Waters broke at home, went to hospital, sat in bed with no contractions for ages so they put me on a drip which soon got things going. No pain relief whatsoever. I always told them at the start “Please don’t give me pethidine even if I’m yelling for it” as I’d heard so many unfavourable opinions of it.

Two days in hospital, treated very well.

Two years later ( 1991) DS1 arrived. Born very quickly after getting to hospital, no shaving, enema or pain relief, but the kindest, sweetest midwife. Two days in hospital but it was so noisy I was glad to get home. I wished I’d had him at home but at the last minute panicked in case anything went wrong as the hospital was a good half hour away.

I loved having babies but DH said four was enough and had the snip! Spoilsport!😂

JamesandJon33 Tue 14-Oct-25 06:03:02

DH bought a crate of Mackeson for me when I had DC1. Kept it in the bedroom!!

Granmarderby10 Tue 14-Oct-25 03:55:29

Oh MilestOne I had an iron injection in hospital after an op for acute peritonitis, the most horrid sensation like.. well lead weights in your muscles. But necessary.
I was offered Mackeson in hospital with evening meals too after treatment for dehydration due to severe pregnancy sickness - always liked it anyway much nicer than Guinness imo sweeter by far. Can you still buy it?
Quite incredible really, this was 1979.
How things change.

Nvella Tue 14-Oct-25 02:33:25

I had both of mine in the early 80’s in the West London Hospital where the head consultant was Hugh Jolly - quite a famous obstetrician then. I had no enema, no shave and nothing but gas and air. I gave birth kneeling on the bed. Quite straightforward births. Afterwards we were encouraged to have our babies in bed with us (Dr Jolly told me off for not having my baby in bed with me when he did his rounds!) and feed on demand. I was in hospital for 10 days with the first 8 for the second. It gave plenty of time for breastfeeding to be established with midwife help. I think I was really lucky.

Milest0ne Tue 14-Oct-25 00:22:41

In the maternity hospital in ‘64 we were in a large ward with upto 20 mums but no babies except at feeding time. Silly things to remember but we all tried to discourage a mum from calling her beady Wendy as her surname began with C. An older mum was given iron injections in her bum with a very large needle and breastfeeding mums were offered a Mackeson every day.

Nightsky2 Mon 13-Oct-25 23:11:49

pinkprincess

I had my two children in 1969 and 1972.Both born by emergency c section because of serious complications .in labour.
I am only 4ft 10 ins tall with narrow hips but old that I was ok for vaginal delivery in my first pregnancy.I am a qualified nurse and midwife so suspected this was risky.Both C Sections under GA which was normal then.
My first baby head never engaged and when my waters broke he went into transverse lie and passed meconium which is a sign of foetal distress.I can remember being rushed to theatre they were running with me on a trolly.I stopped breathing under the GA and we both almost died.Was in hospital 12 days had the longitudinal cut but all stitches were out by th the we went home.
Second pregnancy spent in fear no counselling existed then.I was told it was ok for vaginal delivery again because the first section was because of the transverse lie. Baby's head got stuck in my pelvis in labour.Never engaged either.Another c section as my contractions stopped and it was thought my uterus had ruptured.It thankfully had not but baby got out just in time.
Today I would have possibly had elective section the first time and certainly the second time.Also had tubal tie done during second section as I had decided during pregnancy for this to be done as was terrified of going though childbirth again.
My first son has autism and other problems which could have been related to his horrible birth.My younger son is father and grandfather now.
In some ways modern day are better in that epidurals have replaced GA for most sections and you can request one which was unthinkable then.I do not agree with short hospital stays after sections but this is due to current state of the NHS.
20-30 years before I gave birth I would have died with my first baby.
Sorry for one rant but OP was wanting to now what it was like.

In some ways modern day are better in that epidurals have replaced GA for most sections and you can request one which was unthinkable then.

Not unthinkable at Queen Mary’s Roehampton Hospital in 1970 when I had my first son. I requested an epidural and had one which was a very good thing as he was a forceps delivery but only weighed 7st 2lbs and not the 9 pounder the doctors had been betting on earlier on in the evening because of my size!. I was hugh but it was all water.

I remember everyone being very nice and I went home after 7 days with no midwife lined up as we had just moved house and I hadn’t registered with one. The breast feeding was a disaster. In fact it was so bad that two years later when I had my second son I flatly refused to breast feed even when Matron came and sat at the foot of my bed and lectured me😀.

Gogo84 Mon 13-Oct-25 23:10:10

It always amazes me that any woman goes on to having another baby after having a terrible time with the first, but we do. I had a really experienced midwife for my first delivery, and put my legs on her shoulders while I pushed. Son delivered safely and no episiotomy or stitches. My second 18 months later in the newly built, now notorious Shrewsbury maternity unit was completely different. I was alone in a small room with gas and air and was visited from time to time by a midwife. Eventually one came in and I said that I wanted to push. Rubbish she said you're not nearly dilated enough. 10 minutes later I had my dear daughter in the bed waters breaking baby shooting out and placenta all at the same time. They must have heard me calling as suddenly the room was full of tight lipped staff, not saying a word to me. Eventually I had the courage to ask what was the sex of my baby. They were so uncaring and of course I had to have a huge number of stitches. They blamed me I suppose for having her all on my own!

pinkprincess Mon 13-Oct-25 21:57:03

Thankyou very much Magenta8

DotScot Mon 13-Oct-25 21:40:10

My first two were born 13 months apart in Simpsons in Edinburgh. The first was in 1983, and I had to battle for my husband to be 'allowed' to see the ultrasound scan. She was 10 days 'overdue' (all my 4 babies were 'late' , so I don't think she really was overdue, I just had a long cycle) so I was brought in in the evening for an induction of labour next day. A nurse came to shave me and I said I didn't want that. She said she had to or she'd get into terrible trouble with the sister,but she would just do my perineum. I was given a suppository, but never having had one before, immediately needed to go to the toilet and passed it out. A vigorous internal probably broke my waters and started labour but I didn't recognise it as such. I thought I'd peed myself so spent the night back and forward to the toilet. Next day a very young nurse swabbed the area with scalding water. 'OK I'll use as little as I can,' she said. Then a very young doctor attempted to break my waters but had great difficulty, possibly because the membranes had already been broken the previous evening. He succeeded in cutting my cervix though. You're not supposed to have nerve endings in your cervix. I do! Then although I thought I was having mild contractions they hooked me up to a syntocinon drip. Then my husband was allowed in. Later they asked if I wanted pethidine. I asked how much longer labour was likely to last. Could be ages they said. So I had the pethidine. Never again! I couldn't keep my eyes open and felt completely out of control. The baby was born just over an hour later and thanks to the pethidine was really sleepy. I had an episiotomy, sewn up far too tight by the same doctor who botched the ARM. I stayed in for 5 days and was given Guinness every day.
Fast forward to 1984, baby 2, husband encouraged to come to everything, went into labour at home, excruciating car journey to Simpsons, baby born 80 minutes after arrival in hospital. Stayed in for 4 days.
Baby 3, 1986, student midwife pulled on the cord in 3rd stage, causing heavier bleeding so stayed in for 3 days, and then discharged myself. No Guinness!
1990, baby 4 at the new (then) Borders General hospital. Great midwives but awful consultant. Told me as this was baby 4, I'd obviously want to be sterilised and he could do it 'while you're in anyway having the baby'. I said IF sterilisation was being considered, then my husband would be the one who would take that step. 'You wouldn't want to do that,' said the old codger. 'He's the breadwinner, you know.' When I went in to be induced, he would not examine me with my husband in the room. In advanced labour when he appeared at the door, I shouted (well you're allowed some licence in labour) 'Get him out of here!' The midwives were amused. He disappeared quick smart and thank goodness! Baby was born at 10pm, I went home next morning.