Linda Janet Holmes

"Margaret Charles Smith, a 91-year-old midwife, and Linda Janet Holmes, a long-time friend and historian of Alabama's midwives, have combined their talents to present a fascinating and powerful account of the career of Alabama's oldest living midwife. Born in Greene County, Alabama, in 1906, Margaret Charles Smith attended nearly 3,000 births between 1949, when she received her midwife permit, and 1981, when she attended her last birth. During her distinguished midwifery career, she never lost a mother and rarely lost a baby. . . . In assessing her last days as a midwife, Smith concluded, 'You could count on midwives. They took care of everybody, no matter what.'"—Journal of the American Medical Association

"Smith's dedication, strong religious faith, and dignity are evident throughout this tribute to a tradition of self-care and community support. This fascinating oral history will interest students of the health sciences, women's studies, and history, as well as general readers. Highly recommended for all collections." —Library Journal

Margaret Charles Smith, a ninety-one-year-old Alabama midwife, has thousands of birthing stories to tell. Sifting through nearly five decades of providing care for women in rural Greene County, she relates the tales that capture the life-and-death struggle of the birthing experience and the traditions, pharmacopeia, and spiritual attitudes that influenced her practice. She debunks images of the complacent southern "granny" midwife and honors the determination, talent, and complexity of midwifery.

Fascinating to read, this book is part of the new genre of writing that recognizes the credibility of midwives who have emerged from their own communities and were educated through apprenticeship and personal experience. Past descriptions of southern black midwives have tended to denigrate their work in comparison with professional established medicine. Believed to be the oldest living (though retired) traditional African American midwife in Alabama, Smith is one of the few who can recount old-time birthing ways. Despite claims that midwives contributed to high infant mortality rates, Smith's story emphasizes midwives' successes in facing medical challenges and emergencies.

Margaret Charles Smith was educated in rural Alabama, where she acquired a fifth-grade education by attending school the three months out of the year it was held. She spent most of her childhood working in the fields. She learned her calling by becoming an apprentice to an older midwife, and by attending training courses. Her own experience while growing up of inadequate schooling, sexual abuse, racial discrimination, and sex discrimination, as well as her adult experiences of marriage and pregnancy, made her sensitive to the hardships of others. Smith describes her experiences as a midwife, and also her relationships—both of collaboration and of conflict—with local doctors, nurses, and public health officials, relationships that were often further complicated by the segregated order of the Old South.

Although Alabama passed a law in 1976 banning lay midwifery, Smith's story illustrates the historical importance and power of the midwife in southern black communities. In addition to the general reader, scholars of women's studies, women's health, public health, black studies, sociology, oral history, and southern history will all find something of interest and of lasting value in this vivid account of Smith's life.