00:23:34.380This is why, even as the witch trials ended, laws restricting midwifery expanded.
00:23:39.340Women who had spent decades delivering babies now had to be licensed by the same institutions that had always barred them.
00:23:46.160Exams were written in Latin. Instruction was male-led.
00:23:49.500Everything about the new system was designed to exclude women.
00:23:53.100And while midwives struggled through gatekeeping,
00:23:55.520male physicians were rewriting the rules of childbirth, sometimes disastrously.
00:24:00.180As the 18th century unfolded, male obstetrics often increased infant and maternal mortality.
00:24:07.100Forceps were overused. Interventions were chosen for spectacle rather than safety.
00:24:12.000Hospitals became breeding grounds for infection. Male physicians migrated from autopsies to labor
00:24:17.640wards and back again without washing their hands, dismissing sanitation as woman's superstition.
00:24:24.000In some regions, maternal mortality doubled after male midwives replaced traditional midwives.
00:24:29.340But socially, culturally, legally, the man-midwife was still celebrated.
00:24:34.920And this is where Federici's analysis hits hardest.
00:24:37.880The shift to male medicine was not about improving outcomes.
00:24:41.720It was about transforming women's reproductive labor from communal authority to state-managed infrastructure.
00:24:48.340Childbirth moved from the hands of local women to male professionals who were backed by universities, guilds, medical boards, and the emerging modern state.
00:24:57.480Even the image of the good medical woman changed.
00:25:00.460The independent midwife became the dangerous relic of a superstitious past,
00:25:04.500and the newly created nurse became the ideal, obedient, self-sacrificing, morally pure,
00:25:10.420and always under the supervision of a male doctor.
00:25:13.520Women were welcome in medicine only as assistants, never as authorities.