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The girls were born in Brighton, England (East Sussex) on 5 February 1908. Their mother was a single barmaid named Kate Skinner. The sisters were born joined by their hips and buttocks; they shared blood circulation and were fused at the pelvis but shared no major organs. Skinner's boss Mary Hilton, who helped in childbirth, apparently saw commercial prospects in them, and thus effectively bought them from their mother and took them under her care. The girls first stayed above the Queens Head in Brighton, but later moved to the Evening Star.
According to the sisters' autobiography, Mary Hilton with her husband and daughter kept the twins in strict control with physical abuse; they had to call her "Auntie Lou" and her current husband "Sir". They trained the girls in singing and dancing.
A medical account of the birth and a description of the twins was provided for the British Medical Journal by Dr James Augustus Rooth,the physician in charge at the time of their birth. He reported that subsequently the Sussex Medico-Chiurgical Society considered separation, but unanimously decided against it as it was believed that the operation would certainly lead to the death of at least one of the twins. He notes that these twins were the first to be born in the United Kingdom conjoined and to survive for more than a few weeks.
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