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Born in Ohio on April 27, 1875, Mary D. Osborne graduated from the Akron City Hospital
School of Nursing in 1902. Her early interest in the field of maternity nursing brought her to
New York City, where in 1912, she became supervisor of nurses for a voluntary agency
concerned with improving conditions for the poor. Her simultaneous involvement with the
American Red Cross of New York provided the impetus for her relocation to Mississippi in 1921
and her acceptance of a position as supervisor of the Division of Maternal and Child Health for
the Mississippi State Board of Health. Soon after, Osborne was named supervisor of public
health nurses for the same agency.
At that time, midwives delivered approximately 80% of the black babies born in
Mississippi. Called "granny" midwives, most of the women were black, had little education, and
played central roles in the provision of perinatal care in rural black communities. Critical of the
midwives' lack of formal preparation, state officials enacted regulatory mechanisms through
which standards were established and maintained. Under the direction of Osborne, a
collaborative network of public health nurses and "granny" midwives was begun in which the
nurses implemented training programs for the midwives, and the midwives in turn assisted the
nurses in the delivery of improved maternal/infant services. In 1922, Osborne authored
Manual for Midwives which contained guidelines for the appropriate provision of care,
and which continued to be revised as recently as the 1970s.
During the 1930s, more than one hundred public health nurses were employed by the
Mississippi Board of Health. In addition to teaching midwives, the nurses reinforced cleanliness,
the need to prevent infection, and compliance with state regulations. Through Osborne's model
partnership, "granny" midwives gained wider recognition and were empowered to provide health
teaching in local areas, help control venereal disease, and disseminate information regarding the
importance of pre- and post-natal care. Osborne's strategies have been credited with markedly
reducing maternal and infant mortality rates in Mississippi, as well as in other states where her
innovative ideas were adopted. In June 1946, Osborne resigned her position and died on July 7 of
the same year.
Mary D. Osborne's devotion to the care of mothers and babies, and her profound regard for
the needs of poor, predominantly black, rural communities, saved many lives in Mississippi. The
healing alliance she created endured for more than fifty years and provided a vital link between
the people and access to public health services.
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