I just remembered how my grand grandmother studied "Family school." In my time it was considered something obsolete.
She was highly trained in housekeeping and births. Professional midwife, housekeeper and cook. I've heard many times how hard the work was, but also to study hard to avoid this kind of work with hands. Academy is life.
Two decades later I can't express how much respect I'd have for someone who can mend clothes during waiting for second stage of labor of some smith's wife, while planning what to buy and cook on Sunday for paying upper class family. Hands of gold. So much management, skill and nerves of steel.