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Tuesday, December 3, 2024

Women in Medicine - Part One

Midwives Lydia Peters Baldwin and Bathsheba Rich Wallace served the area during the period after the Revolution. They delivered hundreds of local babies.


Gladys Barr Boyd graduated from Mary Hitchcock Hospital nurses program in 1944 and then entered the Army Nurses Corps.  Working for Lyme's Dr. William Putnam, she cared for patients in Fairlee, Thetford and Lyme area.  

Betty Rainey Minot graduated from St. Johnsbury's Brightlook Hospital nursing program in 1949. After working for four years at the old Woodsville Cottage Hospital, she was Dr. Harry Rowe's first employee in what became the Wells River Clinic. 

Journal Opinion Nov 27, 2024

This column is the first of two exploring the role of local women in medicine in times past. It includes the careers and contributions of two 18th-century midwives and two 20th-century registered nurses. The second column will cover the careers of three local physicians.

 These seven women all practiced locally. Examining the lives of these individuals is not meant to exclude others, but rather to use them as a way of focusing on the contribution of women to the health care of local residents.

Before the 19th-century, the family-centered care for the ill was traditional. The birthing process, was one with only female relatives, neighbors, and midwives attending. Historian Laurel Thatcher Ulrich wrote, “Rural midwives were capable of managing difficult as well as routine births…” Although little is known about their training, it is assumed that they acquired knowledge by practice and observation of more experienced midwives. 

Midwife Lydia Peters was born in Connecticut around 1741. In 1766, she and her husband Benjamin Baldwin moved from Connecticut to Orford. Ten years later, they moved to Bradford to join other members of their families. Baldwin was, to use Ulrich’s description of another midwife, “a gifted woman, a skilled practitioner, careful about her fees and sure of her methods.”

Bradford historian Silas McKeen wrote, “(She) was a woman highly distinguished for her cheerfulness, resolution, and energy.  Besides bringing up a large family of her own, and managing her domestic affairs in an exemplary manner, she for many years was extensively, and with remarkable success in the practice of midwifery.”

Her practice included Bradford, Corinth, Fairlee, Piermont, and Orford. When called, regardless of the weather or time, she went.  She rode sidesaddle on her own mount or on a pillion behind the man who had come for her. She kept a careful diary of her work.

She charged a few shillings for her services and was often paid in goods or services rather than hard money. In over 50 years of practice, she delivered 926 children including 10 pairs of twins.  Of her number, 16 babies were stillborn and 7 were illegitimate.  Only one mother died of complications while Baldwin was in charge.  She performed her last delivery at age 78. She died on September 3, 1825, at the age of 85.

Bathsheba Rich was another midwife who made her mark in the area. Born in 1752 in Connecticut, she  moved with her parents to Strafford VT around 1773. She married Richard Wallace in 1776 and moved to Thetford. During the Revolution, she maintained the family farm while her husband was away with the militia.  In the years following the Revolution, Wallace became skilled as a midwife in Thetford and six other area towns.

Thetford historian Martha Howard points out: “She was an accomplished horsewoman, and her sorrel mare with Bathsheba astride must have been a welcome sight to laboring women in need of her care.  Day and night, good weather or bad, Bathsheba responded to requests for assistance.  She and her horse are even credited with crossing the swollen Ompompanoosuc River on a bridge stringer to reach a woman in distress on the other side.”

In the 42 years that Wallace practiced, she delivered 1,666 babies, including 21 sets of twins.  No mother ever died in her care. Records show that she was in personal control of her earnings, an unusual practice at the time. 

She acquired the title Granny Wallace, “a common term of respect and affection that was given to women who worked as midwives.” She died in 1832.

Wallace and Baldwin’s record of success was difficult for male physicians to replicate as the practice of midwifery was replaced by the male-dominated medical profession’s control of deliveries.

Nursing eventually expanded beyond maternity care.  The Civil War solidified the need for professional trained nurses.  After so many attendants cared for the wounded on the battlefield and in hospitals.

Not long after the Civil War, in 1873, nursing training schools opened in Boston, New York and New Haven. By 1900, there were hundreds of nursing schools across the nation, including in New Hampshire and Vermont.

The first training school for nurses in New Hampshire opened at the State Hospital in Concord in 1888.  In 1893, Hiram Hitchcock established the Mary Hitchcock Memorial Hospital School of Nursing in Hanover. That school began with a two-year program, increased to three years in 1905. The program closed in 1980.  In 1953, Saint Anselm College in Manchester established the first four-year nursing program.

Woodsville’s Cottage Hospital began a two-year nursing program as early as 1903, the first classes drawing students from Canada.  In 1933, the program was expanded to three years, but the final class graduated in 1936.

In Vermont, the Brightlook Hospital nurses training program opened in St. Johnsbury in 1900. The Thompson School of Practical Nurses in Brattleboro and the Barre City Hospital School of Nursing opened in 1907. In 1911, Vermont enacted the first licensure law regulating nursing practice in the state.

 UVM created a bachelor’s degree in nursing in 1943 to meet the increased demand for nurses. Other programs opened at Norwich University in 1958 and Vermont College in 1961.

 Despite the increase in the number of men in the nursing field, about 88% are still women. The following are two local women who were exemplary members of the nursing profession.

Gladys Lucy Barr was born in 1922 in Topsham. After graduating from Woodsville High School in 1940, she entered nurses’ training at Mary Hitchcock Memorial Hospital in Hanover, NH.

After graduating from the three-year program 1944, Boyd joined the Army Nurse Corps in 1945 and served in Italy, being discharged in February 1947. Shortly after her discharge, she went to work in the Lyme office of Dr. William Putnam.

 In 1949 she met and married Merton Boyd, and for the next 18 years, they made their home in Fairlee. When the approaching new interstate highway threatened their neighborhood, the family of five moved to Thetford.  

Working with Putnam often meant Gladys Boyd assisted with frequent in-home births. Sometimes, when the doctor was not immediately available, she did the procedure herself. 

Such was the case in 1957 when she arrived at the Martin farm on the Fairlee-Bradford border to find that the doctor was not readily available.  She proceeded to deliver my sister-in law, Kathy Martin Oakes.

In addition to traveling with the doctor to visit patients, Boyd was a major force in the Lyme office. Dr. Putnam was my wife’s primary care physician during her childhood and after our marriage in 1968, we continued to visit the office.

I recall Boyd’s approach to situations as one of being very much in charge. She was gentle but firm and efficient. Undoubtedly our experience with her is a primary reason I selected Boyd for this column.   

Boyd’s son Peter shared with me some memories of his mother. He said that while she performed all the regular nursing duties in the Lyme office, she “often worked outside the system by providing advice, care and even medicine to those in need.” He recalled that late-night visits from or to neighbors who were ailing, were fairly routine.

“No such thing as a fee for those services then, it was just what she did,” he said, “Her sense of commitment to others extended to her own family, where she undertook senior and hospice end-of-life for her parents and other members in her own home.”

Boyd also used her nursing skills in service to the wider community. From 1951 until the 1980s she was an attending nurse at blood drives. She donated blood as well. She organized dental and eye testing clinics and conducted vaccination clinics for measles and polio in area communities on both sides of the river. After retirement, she often served as the school nurse for the Orford, Fairlee and Thetford schools.

As early as 1951, she organized local fund-raising drives for the American Red Cross, and in the 1980s. she was chair of the American Heart Association Vermont fund drive. In the early 1960s, she helped start the Valley School in North Thetford for area special needs students.

She was a participating member of the Silver Leaf Grange, the Fairlee PTA, the Fairlee Federated Church, and Church Women United. After the family moved to Thetford, she joined corresponding groups in that town. 

There, Boyd was active in the First Congregational Church of Thetford, volunteered for the town library, was a classroom assistant at the elementary school, and participated in the senior citizen mentoring program. She helped start the Norwich-Thetford Visiting Nurse Association.  She delivered Meals on Wheels, and cooked meals for the senior citizens’ weekly luncheons.  

“Gladys also cared for her community with the same sense of commitment that she cared for her patients,” said longtime Thetford resident Dana Grossman, who recruited Boyd to run for the Thetford School Board in the 1980s. “When I asked her whether she’d be willing to run for the board, her willingness to serve the town’s schoolchildren, even though that was a somewhat challenging time in town politically, came without hesitation.”

 “Her approach to life made her a wonderful role model for her patients, but also for all the other people lucky enough to know her.” Gladys Boyd died on December 31, 2005, at her home in East Thetford.

Beatrice “Betty” Rainey was born in 1929 in Lyndonville. After graduating from Lyndon Institute, she entered nursing training at St. Johnsbury’s Brightlook Hospital Nursing School.

 In 1950, she married Alden Minot and went to live on the Minot Farm in West Bath. The following years meant being involved as the farmer’s partner, helping with chores, maintaining a large garden and raising her family.   

Minot worked for four years as a registered nurse at the old Cottage Hospital in Woodsville. In 1954, she became Dr. Harry Rowe’s first employee in what became the Wells River Clinic and continued there until her retirement in 2002.

I recently spoke with Brenda Minot of Bath. She was Betty Minot’s daughter-in law-and medical associate at Rowe’s clinic. She recalled that “patients loved Betty,” because she was “professional, friendly, and experienced.”  They had “confidence in her.” She said that as years went by, the doctors, especially younger doctors, came to rely on her for her opinion. She added that patients often called Betty at home for advice.

At the time of her passing in 2018, those who knew her contributions to the Clinic recalled that “things clicked at the Clinic,” thanks to her.  They spoke of her as a “marvelous capable woman” whose kind and gentle manner eased the fears that patients might have.

In addition to her nursing, Minot was “a force in the community.” She was active in the Bath Congregational Church and was superintendent of the Sunday School for over 40 years. She was a leader in the Bath Historical Society and Friends of Bath. 

More broadly, she and Alden founded the Cottage Hospital Volunteer Ambulance Service and taught First Aid and CPR courses. They spent some nights and holidays at the hospital, covering the ambulance service. 

She was a Grafton County Farm Bureau member and 4-H Dairy Project Leader. In the mid-1960s, Minot was on the Planning Board for a possible regional school district.

Gladys Boyd and Betty Minot are just two of the women who have fulfilled the roles of nurses’ assistant, licensed practical nurse, registered nurse, and, more recently, nurse practitioner. They are proof of the dedication those medical professionals show to both their patients and their communities.

My next column on women in medicine will describe the contributions of three female physicians who served the area for extended periods of time. They are Drs Jean Henderson of Fairlee, Frances Olsen of East Corinth, and Elisabeth Berry of Haverhill. I would like to hear stories from patients or colleagues of any of the three. Please contact me at larrylcoffin@gmail.com if you have information to share.