Cesina Bermudes
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Cesina Borges Adães Bermudes (1908–2001) was a Portuguese
obstetrician 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 surgi ...
who introduced the concept of “painless childbirth” to
Portugal Portugal, officially the Portuguese Republic, is a country on the Iberian Peninsula in Southwestern Europe. Featuring Cabo da Roca, the westernmost point in continental Europe, Portugal borders Spain to its north and east, with which it share ...
. She was also a prominent feminist and an opponent of the '' Estado Novo'' authoritarian regime, for which she was imprisoned for three months.


Background

Cesina Bermudes was born on 20 May 1908 in
Lisbon Lisbon ( ; ) is the capital and largest city of Portugal, with an estimated population of 567,131, as of 2023, within its administrative limits and 3,028,000 within the Lisbon Metropolitan Area, metropolis, as of 2025. Lisbon is mainlan ...
,
Portugal Portugal, officially the Portuguese Republic, is a country on the Iberian Peninsula in Southwestern Europe. Featuring Cabo da Roca, the westernmost point in continental Europe, Portugal borders Spain to its north and east, with which it share ...
in the parish of Anjos. She was the daughter of Félix Bermudes and Cândida Emília Borges. Her father was an author and playwright as well as being a notable sportsman who represented Portugal in
shooting at the Summer Olympics Shooting sports have been included at every Summer Olympic Games since the birth of the modern Olympic movement at the 1896 Summer Olympics except at the 1904 and 1928 games. Summary Events Shooting was one of the nine events at the first m ...
and was a financial supporter and president of
S.L. Benfica (), commonly known as Benfica, is a professional football club based in Lisbon, Portugal, that competes in the Primeira Liga, the top flight of Portuguese football. Founded on 28 February 1904, as ''Sport Lisboa'', Benfica is one of the " ...
, now one of Portugal’s leading soccer clubs. Her mother was a well-educated woman who taught her French and read Greek mythology to her at bedtime. Bermudes inherited her father’s athleticism and was a swimming champion, also taking part in skating, gymnastics and in bicycle and car races, being one of the first women in Portugal to obtain a driving license. As a cyclist, she won the first two "Tour of Lisbon" cycling races for women. Like her father she was a member of the
Theosophical Society The Theosophical Society is the organizational body of Theosophy, an esoteric new religious movement. It was founded in New York City, U.S.A. in 1875. Among its founders were Helena Blavatsky, a Russian mystic and the principal thinker of the ...
of Portugal, where she served as secretary-general. She believed in reincarnation and was a vegetarian. After initially receiving a private education at home Cesina Mercedes attended the elite Camões Secondary School. When she joined there were four other girls in her class, but by the time she left she was the only girl in a glass with 15 boys. She graduated from the Faculty of Medicine of the
University of Lisbon The University of Lisbon (ULisboa; ) is a public university, public research university in Lisbon, and Portugal's largest university. It was founded in 1911, but the university's present structure dates to the 2013 merger of the former Universit ...
in 1933 and followed this with a General Internship and an Internship in Surgery with a specialty in
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 ...
. She worked as a doctor at the “Centre for Assistance to Maternity and Childhood” in Lisbon. This was followed by a period as Assistant Professor of Anatomy at a Lisbon hospital. In 1947 she became the first woman to obtain a Doctorate in medicine (with a score of 19 out of 20). The title of her thesis was ''Os Músculos Radiais Externos Estudados nos Portugueses de Condição Humilde'' (The External Radial Musculature Observed in the Portuguese Low Income Population). However, as a result of her political activism the ''Estado Novo'' did not allow her to pursue an academic teaching career. As a result, she taught at a nurses’ college. Her political awareness had been formed in the early 1940s and she became a supporter of the opposition to the ''Estado Novo''. In 1945 she joined the
Movement of Democratic Unity The Movement of Democratic Unity () was a quasi-legal platform of Portuguese democratic organizations that opposed the authoritarian regime of António de Oliveira Salazar and was founded in October 1945. The defeat of the Fascist regimes in World ...
, a semi-legal umbrella organization of groups that opposed the Government. She supported the candidacy of
José Norton de Matos José Maria Mendes Ribeiro Norton de Matos, GCTE, GCL (23 March 1867 – 3 January 1955) was a Portuguese general and politician. 1880s After attending college in Braga, and attending the Escola Académica in Lisbon in 1880, Norton de Matos ...
in the 1949 Portuguese presidential elections and spoke in his support at several rallies. On 14 October 1949 she was arrested by the Portuguese Secret Police (
PIDE The International and State Defense Police (; PIDE) was a Portuguese security agency that existed during the '' Estado Novo'' regime of António de Oliveira Salazar. Formally, the main roles of the PIDE were the border, immigration and emigrati ...
) for being a member of the Central Commission of the Women's Democratic National Movement, and held in prison at Caxias, near Lisbon, for three months. In 1950, she was involved in developing the constitution of the National Committee for the Defence of Peace.


Promotion of childbirth without pain

In 1954 Cesina Bermudes travelled to Paris to study the psychoprophylactic method of childbirth, often known as the Lamaze technique after its founder the French obstetrician Fernand Lamaze. The technique aims to build a mother's confidence in her ability to give birth, through classes that help pregnant women understand how to cope with pain in ways that facilitate labour. In Paris she met three other Portuguese doctors, Joaquim Seabra-Dinis, Pedro Monjardino and João dos Santos, who she subsequently worked with to develop new techniques that would have a great impact in the way labour could be approached, including the use of medicines to stimulate birth. Back in Lisbon she introduced these techniques to Portugal. Some of her ideas were considered almost
heretical Heresy is any belief or theory that is strongly at variance with established beliefs or customs, particularly the accepted beliefs or religious law of a religious organization. A heretic is a proponent of heresy. Heresy in Christianity, Judai ...
at the time. Painless childbirth was still an inconceivable idea, especially for Catholics who believed that a woman should suffer when fulfilling the role of mother. Only in 1956 did
Pope Pius XII Pope Pius XII (; born Eugenio Maria Giuseppe Giovanni Pacelli; 2 March 18769 October 1958) was the head of the Catholic Church and sovereign of the Vatican City State from 2 March 1939 until his death on 9 October 1958. He is the most recent p ...
lift the Catholic condemnation of childbirth without pain. Bermudes rapidly became a highly respected figure in the medical field. She produced several articles in medical journals of which ''Scientific Bases of Childbirth without Pain'' (Bases Científicas do Parto sem Dor) in 1955 and ''Notes on Childbirth without Pain'' (Notas Soltas sobre o Parto sem Dor) in 1957 are the best known. Following the 1958 elections, when the ''Estado Novo'' was again returned to office, she disappeared from political matters to enable her to provide medical assistance to pregnant women of the
Portuguese Communist Party The Portuguese Communist Party (, , PCP) is a Communism, communist and Marxism–Leninism, Marxist–Leninist List of political parties in Portugal, political party in Portugal. It is one of the strongest List of communist parties, communist par ...
(PCP), who were forced to live clandestinely. Forbidden by the state from working in public hospitals, she worked in clinics in Lisbon and
Cascais Cascais () is a town and municipality in the Lisbon District of Portugal, located on the Portuguese Riviera, Estoril Coast. The municipality has a total of 214,158 inhabitants in an area of 97.40 km2. Cascais is an important tourism in Port ...
that were devoted to supporting single mothers. Cesina Bermudes died on 9 December 2001.


Awards

* In 1989 she was awarded the Portuguese Order of Freedom (), which rewards relevant services to the cause of democracy and freedom. The order was created in 1976, after the
Carnation Revolution The Carnation Revolution (), code-named Operation Historic Turn (), also known as the 25 April (), was a military coup by military officers that overthrew the Estado Novo government on 25 April 1974 in Portugal. The coup produced major socia ...
of 1974 when the ''Estado Novo'' was overthrown. * In 1996 she received the Movement of Democratic Unity “Distinction of Honour”. * A street in Lisbon is named after her: ''Rua Cesina Adães Bermudes''.


References

{{DEFAULTSORT:Bermudes, Cesina Portuguese obstetricians Portuguese feminists 1908 births 2001 deaths Portuguese anti-fascists Portuguese prisoners and detainees Prisoners and detainees of Portugal Portuguese physicians Portuguese women physicians