The hospital was funded by voluntary subscriptions and donations. At the outset, the hospital provided only for in-patients, but by 1828 extended to an out-patient service, supervising home deliveries. The hospital was attacked within the first two years of operation by
Frank Nicholls, a prominent physician who issued, anonymously, a
satirical essay, the
Petition of the Unborn Babes, which raised a number of concerns questioning the involvement of (allegedly brutal) men-midwives, and asserting high mother and baby mortality rates. Nicholls's publication can be seen to set the tone for much of the subsequent discussion of maternity hospitals to this day.
A Vindication of Man Midwifery (1752) attempted a positive spin, but the debate about Man Midwifery and the use of forceps raged for at least the next century. ==Victorian era==