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The deprivations and cruelty of slavery have overshadowed our understanding of the institution's most human dimension: birth. We often don't realize that after the United States stopped importing slaves in 1808, births were more important than ever; slavery and the southern way of life could continue only through babies born in bondage.

In the antebellum South, slaveholders' interest in slave women was matched by physicians struggling to assert their own professional authority over childbirth, and the two began to work together to increase the number of infants born in the slave...

Each time a child was born in bondage, the system of slavery began anew. Although raised by their parents or by surrogates in the slave community, children were ultimately subject to the rule of their owners. Following the life cycle of a child from birth through youth to young adulthood, Marie Jenkins Schwartz explores the daunting world of slave children, a world governed by the dual authority of parent and owner, each with conflicting agendas.

Despite the constant threats of separation and the necessity of submission to the slaveowner, slave families managed to pass on essential...