María Teresa Ferrari
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María Teresa Ferrari (11 October 188730 October 1956) was an Argentine educator, physician, and women's rights activist. She was the first female university professor in Latin America and one of the first women allowed to teach medicine. She was a pioneering researcher in women's health, studying the use of
radiation therapy Radiation therapy or radiotherapy (RT, RTx, or XRT) is a therapy, treatment using ionizing radiation, generally provided as part of treatment of cancer, cancer therapy to either kill or control the growth of malignancy, malignant cell (biology), ...
rather than surgery for
uterine tumors Uterine cancer, also known as womb cancer, includes two types of cancer that develop from the tissues of the uterus. Endometrial cancer forms from the lining of the uterus, and uterine sarcoma forms from the muscles or support tissue of the uter ...
and developing a vaginoscope that revolutionized women's health care in Brazil. She established the first maternity ward and gynecological services at the Hospital Militar Central of Buenos Aires in 1925, which provided the first incubation services in the country. Born into a wealthy family whose forebears had been involved in ensuring Argentina's independence from Spain, she was not expected to work outside the home. Yet Ferrari not only chose to have a career but also insisted on participating in the male-dominated medical profession. She first earned a teaching diploma and became a school teacher; then, she earned her medical degree in 1911. After completing her
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, she applied to teach at the university level but instead was offered a teaching post at the School of
Midwife A midwife (: midwives) is a health professional who cares for mothers and Infant, newborns around childbirth, a specialisation known as midwifery. The education and training for a midwife concentrates extensively on the care of women throughou ...
ry. Outraged, she fought for 13 years against the prejudices that prevented her from advancing in her career. In 1927, Ferrari won her fight and was granted a professorship as an alternate. Finally, in 1939, she was awarded a full professorship. Ferrari undertook an advanced medical study in Europe and the United States, learning pioneering techniques that she brought back to Argentina. She studied
urinary tract The human urinary system, also known as the urinary tract or renal system, consists of the kidneys, ureters, bladder, and the urethra. The purpose of the urinary system is to eliminate waste from the body, regulate blood volume and blood pressu ...
monitoring at the
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, earning the first diploma ever given to a woman. She designed a vaginoscope, studied radiation therapy at the Curie Institute, and performed a
Caesarean section Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the Surgery, surgical procedure by which one or more babies are Childbirth, delivered through an incision in the mother's abdomen. It is often performed because va ...
at
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. She was responsible for bringing these innovations back with her to Argentina and implementing them at the maternity and gynecological unit she established at the Military Hospital. An ardent feminist, she established the Argentina Federation of University Women in 1936 and pushed for recognition of both civil and political rights for women. When the government of Argentina took a conservative turn in the late 1930s, she was pushed out of the hospital and later, in the early 1950s, out of teaching. She died in 1956.


Early life and education

María Teresa Ferrari Alvarado was born on 11 October 1887 in
Buenos Aires Buenos Aires, controlled by the government of the Autonomous City of Buenos Aires, is the Capital city, capital and largest city of Argentina. It is located on the southwest of the Río de la Plata. Buenos Aires is classified as an Alpha− glob ...
, Argentina, to Catalina Alvarado and David Ferrari White. Her family was among the founding citizens of Argentina: her paternal great-grandfather, Guillermo Pío White had provided money to assist the
United Provinces of the Río de la Plata The United Provinces of the Río de la Plata (), earlier known as the United Provinces of South America (), was a name adopted in 1816 by the Congress of Tucumán for the region of South America that declared independence in 1816, with the Sove ...
in defeating the Spanish and her maternal great-grandfather Rudesindo Alvarado had served in the
Army of the Andes The Army of the Andes () was a military force created by the United Provinces of South America, United Provinces of the Río de la Plata (Argentina) and assembled by General José de San Martín as part of his campaign to liberate Chile from the S ...
. Ferrari enrolled at the Normal School Nº 1 of Buenos Aires, receiving her teaching certificate in 1903. For a woman of Ferrari's social class, paid work was unusual at the time. It was understood that in cases of financial necessity poor women might nurse or teach, because both were considered charitable, but upper-class women were expected to be no more than wives and mothers, managing their households.Alvarez & Carbonetti (2008), p 139 Ignoring convention, she embarked on a career in medicine, but also began teaching.Alvarez & Carbonetti (2008), pp 140–141 Ferrari taught at the Colegio William Morris and the Escuela Nº 3 Bernardino Rivadavia. She had studied psychology in a cutting-edge field known as "
experimental psychology Experimental psychology is the work done by those who apply Experiment, experimental methods to psychological study and the underlying processes. Experimental psychologists employ Research participant, human participants and Animal testing, anim ...
" and applied it to her classes, which caused the authorities to launch an investigation into her teaching methods. She was allowed to continue teaching, as her techniques of motivating students and encouraging them to learn proved effective.Alvarez & Carbonetti (2008), p 142 In 1904, Ferrari enrolled in medical school at the
National University of Buenos Aires The University of Buenos Aires (, UBA) is a public research university in Buenos Aires, Argentina. It is the second-oldest university in the country, and the largest university of the country by enrollment. Established in 1821, the UBA has educa ...
while continuing to teach. There had been five other women in the history of Argentina who had earned medical degrees, and although her enrollment was not desired, there was no legal precedent to bar her admittance.Alvarez & Carbonetti (2008), p 143 In her first year, she was assigned to work as an assistant to in his
pathology Pathology is the study of disease. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatme ...
research, which inspired her continued participation in medical research. Ferrari was awarded her medical degree in 1911. That same year, she married another graduating physician, Nicolás M. Gaudino. After that, sometimes Ferrari was known as María Teresa Ferrari de Gaudino or simply María Teresa de Gaudino. In 1918 the couple had their only child, Maurio Nicholás Gaudino.Alvarez & Carbonetti (2008), p 138


Career


Struggle for a university professorship

In 1914, Ferrari started work at the
obstetrics Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a su ...
clinic of the
Hospital Ramos Mejía Hospital Ramos Mejía is a hospital in Buenos Aires, Argentina. Notable patients who have been in the hospital * José María Gatica José María Gatica (25 May 1925 – 12 November 1963) was an Argentine boxer, one of Argentina's most famo ...
of Buenos Aires. She applied to teach obstetrics at the university, but was turned down. In the proceedings of the Honorable Consejo Directivo (HCD) on 23 June 1915, it was stated: "Despite their qualifications, for physiological and psychological reasons people of the feminine sex do not meet the required conditions to be engaged as professors in the Faculty f Medicine. The following year, she was permitted to teach at the School of
Midwifery Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period (including care of the newborn), in addition to the sexual and reproductive health of women throughout their lives. In many cou ...
, but this lacked the standing and credentials of a professorship at the university. When an opening for an alternate professorship appeared in 1919, Ferrari reapplied to the university but was met with resistance. The members of the HCD delayed calling together the jurors to fill the vacancy until 1925, altering evidence, ignoring recommendations, and evading a decision.Alvarez & Carbonetti (2008), p 145 In 1926, she sent a detailed outline of her accomplishments to the committee, stating that she had taught in secondary schools for 20 years and had dedicated 15 years to her field of medicine, and had enrolled in university courses for nine years. One adviser, Dr. Speroni, having read her qualifications, sent a message to the dean imploring that they admit her because she was qualified, had shown dedication, and the school was understaffed. It was not until 1927 that the jurors met, and a thirteen to two vote approved her application for an alternate professorship.Alvarez & Carbonetti (2008), p 148 The news of the first female university professor in Latin America made headlines throughout Spanish-speaking countries. Newspapers in Argentina, including ''
La Prensa La Prensa may refer to: Argentina * ''La Prensa'' (Buenos Aires) Bolivia * ''La Prensa'' (La Paz), a newspaper in Bolivia Chile * ''La Prensa'' (Curicó) Cuba * ''Prensa Latina'', the official state news agency of Cuba Ecuador * ''La Pren ...
'', ''
La Nación ''La Nación'' () is an Argentine daily newspaper. As the country's leading conservative newspaper, ''La Nación''s main competitor is the more liberal ''Clarín (Argentine newspaper), Clarín''. It is regarded as a newspaper of record for Argen ...
'', '' La Razón'', and others of the capital, ''El Censor'' in Gualeguaychú, ''Los Andes'' in Mendoza, ''Buenos Aires Sud'' in Florencio Varela, and the Italian '' La Patria degli Italiani'' and Spanish ''
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'' carried stories of her triumph.Alvarez & Carbonetti (2008), p 149 In the interim, Ferrari continued her studies rather than await a decision. Between 1921 and 1923, she visited many European clinics, including facilities in Austria, Belgium, England, France, Germany, and Italy. She was an assisting physician in the
clinic A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs ...
of
Marie Curie Maria Salomea Skłodowska-Curie (; ; 7 November 1867 – 4 July 1934), known simply as Marie Curie ( ; ), was a Polish and naturalised-French physicist and chemist who conducted pioneering research on radioactivity. She was List of female ...
in Paris, as well as, in the Columbia Hospital for Women and Lying-In Asylum in Washington, D.C. The Faculty of Medicine of Paris awarded her the first diploma ever given to a woman for studies in
urinary tract The human urinary system, also known as the urinary tract or renal system, consists of the kidneys, ureters, bladder, and the urethra. The purpose of the urinary system is to eliminate waste from the body, regulate blood volume and blood pressu ...
monitoring. In 1924, she designed a vaginoscope, which was much easier to sterilize and was more adaptable to multiple
specula Specula is the plural form of speculum and may refer to: * 86196 Specula, a minor planet * Specula (gastropod), a genus of minute sea snails, marine gastropod molluscs or micromolluscs in the family Cerithiopsidae * Specula (watchtower), a w ...
than previous models.Alvarez & Carbonetti (2008), pp 155–156 The device significantly improved services available to women in Brazil, and the invention was featured in the articles of the ''Journal of Gynecology and Obstetrics of Rio de Janeiro''. The innovation won the Grand Prize at the 1924 Congreso Hispano Lusitano Americano de Ciencias Médicas held in
Seville Seville ( ; , ) is the capital and largest city of the Spain, Spanish autonomous communities of Spain, autonomous community of Andalusia and the province of Seville. It is situated on the lower reaches of the Guadalquivir, River Guadalquivir, ...
, Spain. Ferrari was particularly interested in investigating alternatives to surgery, and her studies on
radiation therapy Radiation therapy or radiotherapy (RT, RTx, or XRT) is a therapy, treatment using ionizing radiation, generally provided as part of treatment of cancer, cancer therapy to either kill or control the growth of malignancy, malignant cell (biology), ...
at the Curie Institute became the basis for a 1928 thesis on "Treating Uterine tumors with radiation".Alvarez & Carbonetti (2008), p 155 In 1925, she was appointed as the Argentine governmental delegate to the First Child Welfare Congress in
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. One of the major topics of the conference was the training of midwives in
labor Labour or labor may refer to: * Childbirth, the delivery of a baby * Labour (human activity), or work ** Manual labour, physical work ** Wage labour, a socioeconomic relationship between a worker and an employer ** Organized labour and the labour ...
and
hygiene Hygiene is a set of practices performed to preserve health. According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Personal hygiene refer ...
practices. When her professorship was finally approved, and she returned to Argentina, a celebration was held on 11 August 1927 at the Jockey Club of Buenos Aires, attended by the Minister of the Interior, ; the director of the Hospital Militar, Alberto Levenne; her research mentor, Joaquín Llambías; and many colleagues, peers, family members, and friends.Alvarez & Carbonetti (2008), p 150 Ferrari was appointed head of gynecology and maternity at Hospital Militar in Buenos Aires, a post which she held until 1939.


Mid-career development

Ferrari traveled to Mexico, the United States, and Canada in 1929, studying for eight months and attending conferences. In the United States, she participated in a
Caesarean section Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the Surgery, surgical procedure by which one or more babies are Childbirth, delivered through an incision in the mother's abdomen. It is often performed because va ...
at
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, becoming the first Argentine to have performed surgery in
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The baby born as a result of the surgery was named "Argentina".Alvarez & Carbonetti (2008), p 156 In 1930, she served as the Argentine delegate for the VII Medical Congress of Latin America held in Mexico and presided over the first general session. She presented three papers; one addressed uterine tumors, and the other two were about
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms depend on the stage it presents: primary, secondary, latent syphilis, latent or tertiary. The prim ...
. She was also the delegate for the 2nd Congress of the Pan-American Medical Association in Panama. Between 1930 and 1932 she returned to the United States for additional studies, which focused on colibacillosis,
sepsis Sepsis is a potentially life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage of sepsis is followed by suppression of the immune system. Common signs and s ...
,
puerperal infections Postpartum infections, also known as childbed fever and puerperal fever, are any bacterial infections of the female reproductive tract following childbirth or miscarriage. Signs and symptoms usually include a fever greater than , chills, lower ...
, and investigating whether
vaccines A vaccine is a biological preparation that provides active acquired immunity to a particular infectious or malignant disease. The safety and effectiveness of vaccines has been widely studied and verified. A vaccine typically contains an ag ...
could be developed to prevent the development of conditions resulting from
childbirth Childbirth, also known as labour, parturition and delivery, is the completion of pregnancy, where one or more Fetus, fetuses exits the Womb, internal environment of the mother via vaginal delivery or caesarean section and becomes a newborn to ...
or
miscarriage Miscarriage, also known in medical terms as a spontaneous abortion, is an end to pregnancy resulting in the loss and expulsion of an embryo or fetus from the womb before it can fetal viability, survive independently. Miscarriage before 6 weeks ...
.Alvarez & Carbonetti (2008), p 157 In 1936, Ferrari founded the Argentina Federation of University Women (FAMU) to improve the social and legal standing of women and, specifically, open educational doors. She recruited professional women, including physicians, dentists, and attorneys and she organized scientific and cultural discussions and seminars. FAMU had regular French, German, physical education, and mathematics courses, which it offered to its nearly 100 members. The political and civic limitations that threatened the careers of these women was a concern, and the organization's official statement supported enfranchisement as "not a mere political aspiration for women, but a real right acquired by suffering, work, and deprivation experienced by women..."Alvarez & Carbonetti (2008), p 153 In 1938, the Argentine organization joined the
International Federation of University Women Graduate Women International (GWI), originally named the International Federation of University Women (IFUW), is an international organisation for women university graduates. IFUW was founded in 1919 following the First World War by both British and ...
, which had served as Ferrari's inspiration.


Military hospital and later career

In 1925, Ferrari was called to assist a military wife during childbirth at the Hospital Militar Central of Buenos Aires, which had no gynecological unit. After she proposed that one be developed, Ferrari started the facility with one bed and donated equipment and supplies. In June of that year, the military gazette began advertising that gynecological services were available from Mondays to Fridays at the hospital. As military wives became aware of the services, the growth was exponential. Within five years, Ferrari had expanded the service to two floors that housed a maternity unit with two delivery rooms, their own sterilization facility, a recovery unit, and forty beds in private rooms. She also developed a small sealed room with purified air and an
incubator An incubator is anything that performs or facilitates various forms of incubation, and may refer to: Biology and medicine * Incubator (culture), a device used to grow and maintain microbiological cultures or cell cultures * Incubator (egg), a dev ...
, the first of its kind in Argentina.Alvarez & Carbonetti (2008), pp 157–158 Ferrari brought the techniques she had learned abroad to Argentina. Although radiology had been performed in other parts of the world for decades, there was resistance to implementing it by professionals with no experience. Ferrari insisted it should be introduced and fought against the previous practice of surgical solutions for all cases, advocating that surgery only be used when absolutely necessary. A commemoration for the tenth anniversary of the maternity unit was attended by the Minister of War, the Director General of Health, the Hospital Director, and other senior officials, as well as by children born during the previous ten years, together with their families. A commission of the Marine wives who had received service from Ferrari's unit made a substantial donation.Alvarez & Carbonetti (2008), p 159 Despite her success, the atmosphere at the hospital remained hostile.


Political shift to conservatism disrupts career

Following the 1930
coup d'état A coup d'état (; ; ), or simply a coup , is typically an illegal and overt attempt by a military organization or other government elites to unseat an incumbent leadership. A self-coup is said to take place when a leader, having come to powe ...
of
José Félix Uriburu José Félix Benito Uriburu (20 July 186829 April 1932) was an Argentine military officer and politician, he was the President of the Provisional Government of Argentina, ousting the successor to President Hipólito Yrigoyen by means of a ...
with the country's shift to a more conservative stance during the
Infamous Decade The Infamous Decade () was a period in Argentine history that began with the 1930 coup d'état against President Hipólito Yrigoyen. This decade was marked on one hand by significant rural exodus, with many small rural landowners ruined b ...
, Ferrari ultimately was forced to leave the hospital in 1939.Alvarez & Carbonetti (2008), pp 161–162 Ferrari's disappointment at having to leave the hospital was offset in 1939, when she was finally made a full professor, receiving the title "Profesor Extraordinario" of the Obstetrics Faculty.Alvarez & Carbonetti (2008), p 151 Throughout the 1940s she continued her education, traveling to Cuba, New York, Pennsylvania, Peru, and Puerto Rico, publishing her research in a variety of journals.Alvarez & Carbonetti (2008), pp 166–167 In 1946 she resigned as president of the Argentina Federation of University Women,Alvarez & Carbonetti (2008), p 152 but continued to represent the organization at conferences, such as the
Primer Congreso Interamericano de Mujeres The Primer Congreso Interamericano de Mujeres (First Inter-American Congress of Women) was a feminist meeting held from 21 to 27 August 1947 in Guatemala City, Guatemala. It was called together by the Women's International League for Peace and Freed ...
, which she attended in
Guatemala City Guatemala City (, also known colloquially by the nickname Guate), is the Capital city, national capital and largest city of the Guatemala, Republic of Guatemala. It is also the Municipalities of Guatemala, municipal capital of the Guatemala Depa ...
in 1947. After 43 years of teaching at Normal School Nº 3, Ferrari was forced into retirement by the Ministry of Education because she refused to participate in a political contribution fund. She also was asked to resign from her position as professor of psychology at Colegio William Morris. In 1952, rather than join the
Peronista Peronism, also known as justicialism, is an Argentine ideology and movement based on the ideas, doctrine and legacy of Juan Perón (1895–1974). It has been an influential movement in 20th- and 21st-century Argentine politics. Since 1946, Pe ...
supporters and betray her ideals, she took full retirement. When elected, Perón had instituted a massive overhaul of the health system of Argentina. He appointed
Ramón Carrillo Ramón Carrillo (7 March 1906 – 20 December 1956) was an Argentine neurosurgeon, neurobiologist, physician, academic, public health advocate, and from 1949 to 1954 the nation's first Minister of Public Health. Early life and education Carr ...
as his health minister. In the beginning, hospital beds were added,
vaccination Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating ...
programs were instituted, a campaign against
malaria Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomitin ...
was launched, and other improvements were made. However, by the early 1950s, it was clear that policies were unevenly applied, implementation was erratic, and political
cronyism Cronyism is a specific form of in-group favoritism, the spoils system practice of partiality in awarding jobs and other advantages to friends or trusted colleagues, especially in politics and between politicians and supportive organizations. ...
was working against providing health services for those most in need. Two years after Ferrari resigned, Carrillo resigned, disillusioned with the Perón administration.


National professional affiliations

Ferrari was a full member of the Argentine Association of Surgery, the Argentine Medical Association, and the Argentine Society of Obstetrics and Gynecology of Buenos Aires. She also was a correspondent member of the Society of Medicine and Surgery of Rio de Janeiro.Alvarez & Carbonetti (2008), p 154 Ferrari died on 30 October 1956 in Buenos Aires.


Selected works

Ferrari's works were all in French or Spanish and outlined her research on various scientific and gynecological topics. They included the following: * * * * * * * * * * * * * *


See also

*
Timeline of women in science This is a timeline of women in science, spanning from ancient history up to the 21st century. While the timeline primarily focuses on women involved with natural sciences such as astronomy, biology, chemistry and physics, it also includes women f ...


References

{{DEFAULTSORT:Ferrari, Maria Teresa 1887 births 1956 deaths Argentine women's rights activists Argentine women physicians Argentine women writers University of Buenos Aires alumni Academic staff of the University of Buenos Aires Argentine medical writers Argentine women academics 20th-century Argentine physicians 20th-century Argentine women physicians