"Pieter de Marees announced in 1602, for instance: 'the women here are of a cruder nature and stronger posture than the Females in our lands in Europe.'" p. 12
The masculinization of African/black women began even around the 16th and 17th century. Its' effects still reverberate in many of our American systems today (i.e. black women and pregnancy---Serena Williams popular example).
"...they [African women] have no need of midwives, doctors, nurses and I have known [African] women go to bed over night, bring forth a child and be abroad the next day by noon." p. 12
The same type of attitude is still held on to today and brings irreputable harm to black women in medicine more broadly as well as during pregnancy. In the present we have appointed officials such as Robert F. Kennedy Jr. who even repeats extraordinarily similar rhetoric.