title: An analysis of Simpson's notebook data on the wet nurse.
abstract: OBJECTIVE
  to understand the meaning of the qualitative data included in the Notebook of wet nurses kept by James Young Simpson.
  
  
  METHODS
  quantitative and qualitative analysis of data in an historical document.
  
  
  METHODS
  a list of wet nurses kept by a 'Professor of Midwifery' in mid-19th century Edinburgh.
  
  
  METHODS
  the Notebook lists the names and other details of 749 women.
  
  
  RESULTS
  the Notebook indicates how the wet nurse was recruited, the implications for her baby, how she negotiated her role and the decision-making around her recruitment.
  
  
  CONCLUSIONS
  the ambiguity of this medical pioneer's decision-making is demonstrated. Simpson's scientific credentials may have featured much rhetoric. While in the forefront of many obstetric and medical developments, Simpson was regressive in his support for wet nursing. The social input into the selection of the wet nurse has not been identified previously.
  
  
  CONCLUSIONS
  the woman's ability to negotiate her terms of employment emerges. The social determinants of baby feeding decisions, identified in this document, have assumed greater significance since the time that this Notebook was written.
authors.affiliation: School of Nursing Studies, University of Edinburgh, 31 Buccleuch Place, Edinburgh, EH8 9JT, UK. r.mander@ed.ac.uk
authors.forename: Rosemary
authors.initials: R
authors.lastname: Mander
mesh_terms: D001942:Breast Feeding; D004739:England; D005260:Female; D049673:History, 20th Century; D006701:Home Nursing / Q000266:history*; D006801:Humans