Book Review – Medical Bondage: Race, Gender, and the Origins of American GynecologyBook Review: Medical Bondage

The origins of American gynecology reflect back to the racism that has been seen within medicine for quite some time. Black women were seen as these “superbodies” that were capable of withstanding all levels of pain. As a result of this belief, black women were abused in different ways and used for experimental and teaching purposes within the gynecology field. Author Deirdre Cooper Owens focused on the history of American gynecology and the racist origins behind the field. Dr. Cooper Owens reflects on the stories of black women who were at times left to die and then used as study subjects by the same doctors who were meant to cure them. At the same time, Dr. Cooper Owens reflects on the connection that slavery and medicine have and emphasizes the idea that black women in many ways can be seen as the founders of gynecology. 

Throughout the book Medical Bondage, Dr. Cooper Owens makes a connection between the racist doctrines within American gynecology and the abuse that black women faced as experimental subjects. For many black women, stepping into a gynecologist’s office was a sentence for death. More specifically, “Slavery and the rise of American gynecology were the vessels that poured both life and death into the black women’s lives” (Cooper Owens, 44). Many of these women were forced to go to these doctors for their own health concerns and yet they would end up being abused and used and as was often seen killed as a result of this abuse. Dr. Cooper Owens also reflects on the difference in treatment between white and black women. The experiments that black women were forced to undergo would eventually be used to treat white women. Although the procedures were the same, white women did not receive the same abusive treatment that black women did. From these various arguments, Dr. Cooper Owens emphasizes on the idea that black women are the real founders of American gynecology. Black women not only contributed through forced participation, but many black women were also nurses and midwives. The trauma that these white doctors inflicted upon black women led to many black women continuing as midwives and nurses as a way to avoid any further abuse from occurring. As I read Medical Bondage, it was clear that gynecology as a field was not founded by white men but rather by the black women who underwent abuse and various experimental procedures. 

Dr. Cooper Owens is an award-winning historian, a popular speaker, and a professor. Dr. Cooper Owens attended two historically black colleges and universities, Bennett College and Clark Atlanta University. After completing her education in these two institutions, Dr. Cooper Ownes went on to earn her Ph.D in history at the University of California Los Angeles. Dr. Cooper Owens has also taken part in various fellowships throughout the United States. Using her own personal experiences  has led to her realizing that stories are what draw in the attention of the readers. Having the historical background that she does, Dr. Cooper Owens is working to make history accessible to all people as well as inspiring to all. 

In order to create this monograph, Dr. Cooper Owens uses a variety of sources to discuss the role that black women had throughout the history of American gynecology. One source that Dr. Cooper Owens focuses on the stories of the black women who were forced to take part in these experimental procedures. One case that Dr. Cooper Brown’s discussed, the Julia Brown’s case,  reflects on the shift in value that the lives of black women had to the white doctors. Dr. Cooper Owens states that this case “…illuminates how southern white men developed and deployed medical and pharmaceutical methods that revealed how the value of black people’s lives shifted back and forth like measurements on a sliding scale” (Cooper Owens, 42). This specific example allows readers to understand how the value of black women depended on how valuable their bodies were for the purpose of advancing American gynecological practices. Dr. Cooper Owens also used different records and documents that reflect on this idea that enslaved people, and in particular, enslaved women were seen as nothing but experimental subjects and sources of income. The use of these various sources allow readers to visualize the abuse and disrespect that black women faced in order to have gynecology where it is today. 

The organization of the book made it easy to read along and this would have to be one of the strengths of the book. The actual book is divided into five chapters, with each chapter focusing on a different aspect of American gynecology. The first chapter focuses on the birth of American gynecology and on the father of gynecology, James Marion Sims. Dr. Cooper Owens uses this section to expand upon the procedures that were conducted by these white doctors at the time. It is during this chapter that Dr. Cooper Owens begins to expand on how doctors “… used stark medical terminology that reduced black women’s reproductive organs and bodies to mere “physical specimen” ” (Cooper Owens, 21). Chapter two focuses on these procedures but shifts the focus away from the doctors and the history of American gynecology overall and emphasizes on the experiences of black women during this time. In this chapter, the stories of various black women were told and the abuse and neglect that they received both from their owners and from their doctors. With the example of the State of Missouri v. Celia, Dr. Cooper Owens discusses how Celia, although she was raped by her owner, she was still sentenced to death for defending herself and killing her abuser. Celia was pregnant at the time and although her life was not spared, the life of the baby was (Cooper Owens, 43). This specific chapter highlights the importance that was placed on the unborn child, and the lack of care that was given to enslaved women during this time. Chapter three focuses on the connections between sex, slavery, and  medicine. Many of these black women were abused whether it was by their owners or their doctors. This same abuse is what led to many of these women ending up pregnant or developing certain health concerns that required them to be taken to a doctor. Chapter four expands on this topic of abuse and discusses the experiences of Irish women immigrants and the similarities with those of black women. The example of Mary Donovan reflects the commonalities between the experiences of Irish women and black women in relation to how they were treated by doctors. Donovan was described as “violent, dumb, and defective, but her body provided a pathway for doctors to learn more…” (Cooper Owens, 104). Similar to the experiences of black women, Irish women were also abused by white doctors and these white doctors also exposed the private medical matters of these women to public medical journals. Chapter five summarizes the main points made in the previous chapters as well as discusses the idea of a medical “superbody.” Although this topic was mentioned in previous chapters, Dr. Cooper Owens goes into detail on this topic as well as on the medical gaze and how these topics both added to the trauma that black women in particular endured during the beginning stages of American gynecology. 

Dr. Cooper Owens reflects on the experiences of Irish women, but this is a topic that is not as focused on throughout the monograph. The main focus of this book is on the experiences of black women as experimental subjects for white doctors, but it would be valuable to learn more on the experiences of Irish women. Seeing that this monograph does focus primarily on black women, adding the relationship between American gynecology and Irish women would take away from the main argument being made. Regardless of this, it is important to know the stories of these women as well. Rather than including a chapter towards the end on Irish women, it would be helpful to instead have the stories of Irish women in connection to American gynecology discussed throughout the book similar to the structure used to give the stories of black women. 

Medical Bondage is a book that I would say all people should read. It emphasizes the stories of black women and their role in the history of American gynecology. Dr. Cooper Owens also gives a voice to these black women by sharing their stories. During the time in which these events were occuring, these black women were not given a platform or rights to defend themselves. As a result of this, people are unaware of the actual history of American gynecology and the racist ideologies that make up the field. This monograph exposes the racism of gynecology while providing a voice for the Irish and black women who were silenced and used for experimental purposes. Ultimately, Dr. Cooper Owens’ writing reminds society of the vital role that Irish and black women played in making American gynecology what it is known to be today. 

Works Cited:

Owens, Deirdre Cooper. Medical Bondage: Race, Gender, and the Origins of American Gynecology. University of Georgia Press, 2017. 

“Bio.” Dr. Deirdre Cooper Owens. Accessed December 16, 2022. https://www.deirdrecooperowens.com/bio. 

The Obstacles Blocking the Pathway to Reproductive Rights

People, especially those who can give birth to a child, have been in a constant back and forth argument about having the choice to have or not have an abortion. 

Although Roe v. Wade was a big step in the reproductive rights movement, the idea of this choice of keeping or aborting a pregnancy goes back to before this impactful court decision. 

After the Dobbs vs. Jackson Women’s Health Organization (2022) decision was made, reproductive rights were taken away from many people in the United States. This decision led many individuals to lose their reproductive rights including the choice to have an abortion or even the decision to use birth control to avoid the possibility of pregnancy.

This image connects to what is occurring today especially in the United States because, for many people, going to the voting polls and taking part in elections is the only way to protect their reproductive rights. The image above shows a woman at a voting poll with a speech bubble that says “This is now a part of my birth control routine…”

What first stood out to me from this image was the way in which the woman is being portrayed. Based on things like her posture or even the colors used for her clothing, it seems like she is stressed or concerned even about the impact of her vote. In a way, this can connect to all people who were impacted by the Dobbs v. Jackson court case decision because many people are tired of having to fight for their own reproductive rights. Before and even after Roe v. Wade, reproductive rights were constantly being challenged by the government whether at the state or federal level, and people, especially women, were already having to go to voting polls to make their voices heard. Eventually, this got tiring for many once it was evident that the government did not really pay much attention to what the people wanted. This same sense of exhaustion and hopelessness can be seen in this image and the way in which the woman is standing at the voting poll in a posture that makes it seem like she has the weight of the world on her shoulders.

Going back to the colors of her clothing, for the most part these are all dark colors. The use of color for the clothing can reflect on the emotions being felt not only by the woman portrayed in this image, but by all people who are currently being impacted by Roe v. Wade being overturned. After the Dobb vs. Jackson Women’s Health Organization court case, women around the country felt a sense of defeat and loss of hope. These dark colors connect to the dark times that people are going through now that they do not have access to reproductive rights that for many were considered to be lifesaving, whether it is from a medical complication or simply as a way to avoid having an unsafe abortion. 

Another part of this image that caught my attention is the speech bubble. This idea that voting is a reproductive right alone says a lot about the accessibility to reproductive rights here in the United States. The text in the image is portrayed in a way that at least for me, it leads to a sense of uncertainty and worry even. Specifically, the use of the ellipsis in the end leads me to wonder about the even longer list of thoughts that people have when voting, especially on topics regarding reproductive rights. Reproductive rights alone encompass many different areas and having to vote for all these rights alone to then potentially not be heard can be quite a lot to have on your mind. 

This post also leads me to reflect on the lack of access to this right for people of color in the United States. For white people, it is a normal thing to be able to do things like vote, but many communities of color are given certain obstacles that make voting inaccessible to them. 

Obstacles like making voting polls farther away from people of color or having fewer voting polls than in places that are mainly made up of white communities leads to the voices of people of color to be ignored. Reproductive rights, before Roe v. Wade was overturned, were not as accessible to many people of color, but now that the case is overturned, women of color are left with few, if any, reproductive rights. This in itself is quite harmful because it leads many individuals to take part in unsafe abortions which can negatively impact a person’s health physically, mentally and emotionally. Going past the impact that this can have on a person’s health, limiting these rights, especially to women of color, has led to the deaths of many people who were only trying to ask for help, but instead were denied and left with options that were not safe for them at all. 

Overall, this social media post opens up the floor to the topic of reproductive rights, but it also reflects on the inequality seen in the voting system and the impact that this lack of choice can have towards people of color and their own reproductive rights.