West, E. and Knight, R. J. (2017) Mothers' milk: slavery, wet nursing, and black and white women in the Antebellum South.under slavery it represented the point at which the exploitation of enslaved women as workers and as reproducers literally intersected. Feeding another woman's child with one's own milk constituted a form of labor, but it was work that could only be undertaken by lactating women who had borne their own children. As a form of exploitation specific to slave mothers, enforced wet-nursing constituted a distinct aspect of enslaved women's commodification. The evocative image of an enslaved wet nurse, carefully holding a white child to her breast in order to provide sustenance through her own milk, therefore holds much resonance for historians interested in gender, slavery, and relationships between black and white women in the antebellum South. Wet-nursing bound women together across the racial divide, and white women also sometimes wet-nursed enslaved infants. Yet ultimately, white women used wet-nursing as a tool to manipulate enslaved women's motherhood for slaveholders' own ends.This article evaluates patterns of wet-nursing in the antebellum South by locating the practice along a spectrum of gendered exploitation where enforced wet-nursing sits at one end, women's paid employment of "professional" wet nurses exists somewhere in the middle, and informal networks of support where women shared their breast milk lie at the other. Women in the antebellum South practiced forms of wet-nursing across this spectrum. Inextricably linked with ideologies of race, ethnicity, and class, historical patterns of exploitative wet-nursing have shaped contemporary distaste for the practice within the medical profession and elsewhere, even though informal networks of shared breast-feeding (for which little evidence survives) have probably been more common than has hitherto been recognized.
SUMMARYThe mortality experienced by a group of 1534 impaired people identified by means of a census-type survey of all households in the City of Canterbury is related to the degree of difficulty in carrying out selected self-care activities as reported by the impaired people. Although not entirely consistent, the findings in relation to people in their own homes agree with previously reported findings among patients in long-stay hospitals and residents in institutions that increasing difficulties in self-care (and therefore of dependency) are associated with increased mortality rates. These findings suggest that there is no clear boundary between some services for disabled people and those for terminal care, and that many severely handicapped people at home require co-ordinated and flexible care from nurses, social workers, and doctors.
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