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| Book Review | The Journal of American History, 96.2 | The History Cooperative
96.2  
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September, 2009
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Book Review



Mary Breckinridge: The Frontier Nursing Service and Rural Health in Appalachia. By Melanie Beals Goan. (Chapel Hill: University of North Carolina Press, 2008. xii, 348 pp. $45.00, ISBN 978-0-8078-3211-0.)

In Mary Breckinridge, Melanie Beals Goan places her subject within the maternalist tradition and links Breckinridge's work to significant social movements of the early twentieth century. Though Breckinridge (1881–1965) "believed firmly that females possess a natural capacity to nurture and thus belonged in the home," the loss of two husbands and both children drew her to apply her nurse's training for the well-being of other women and their children (p. 1). Her 1918 experiences as a traveling lecturer for the U.S. Children's Bureau heightened her concerns about rural maternal-child health services. 1
      Employing her family's extensive political network, she selected mountainous Leslie County, Kentucky, in 1923 to demonstrate her innovations. Based on her public health study at Columbia University and midwifery certification in England, Breckinridge prepared to implement a network of district health centers. Goan details how Breckinridge adapted to the American context her knowledge of European health services, including the influence of her postwar relief work in France (1919–1921) and study of health services in remote highland and coastal areas of Scotland. . . .

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