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BUILDING THE NATION THROUGH WOMEN'S HEALTH: MODERN ...

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of discharge from the hospital, one at the end of six weeks, one at the end of the sixth month, and<br />

the final one at the end of the year. Mothers were also expected to bring their infants in for 12<br />

examinations during the first year, once per month. Two-year-olds were to make four visits,<br />

once every three months. Children three to five years old were expected to make six visits, once<br />

every six months. When follow-up visits were not made, the Service sent out inquiry cards and<br />

letters, and when they received no response, the antepartum cases were followed up by a home<br />

visit. Such calls averaged about 40-50 cases per month. 393<br />

This extensive control over and intrusion into family lives must have been, for many, at<br />

the very least an inconvenience. It is telling, for example, that public health was under the<br />

jurisdiction of the Beiping Municipal Police Department. Numerous routine prenatal, antenatal,<br />

and well-baby visits was a Western standard at a time when public health was just gaining<br />

ground in the United States and Europe. Even today, the standard maternal and child health<br />

visits in modern medical practices in the United States are not as onerous. It is no wonder that so<br />

many home visits had to be made in order to persuade the mothers to comply with these<br />

expectations. The larger question is, why did the FNMS expend so much time and energy<br />

following up with these mothers and their infants? In part, they collected scores of data on infant<br />

growth and death rates, feeding and bathing routines, environment, and physical activity.<br />

During the 1920s and 1930s, missionary organizations like the YMCA and YWCA<br />

promoted fresh air and exercise to improve the health of China’s citizens. 394 Furthermore, efforts<br />

to improve sanitation and public health were also at the forefront, especially in cities like Beijing,<br />

Tianjin, and Shanghai. 395 One of the criticisms by the PUMC and FNMS was that the living<br />

393 "Fourth Annual Report, FNMS."<br />

394 Gael Graham, "Exercising Control: Sports and Physical Education in American Protestant Mission Schools in<br />

China, 1880-1930," Signs: Journal of Women in Culture and Society 20, no. 1 (1994): 23-48.<br />

395 MacPherson, A Wilderness of Marshes, Rogaski, Hygienic Modernity.<br />

158

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