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1.
Hum Nat ; 31(2): 141-154, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32548757

ABSTRACT

Life history theory predicts that exposure to high mortality in early childhood leads to faster and riskier reproductive strategies. Individuals who grew up in a high mortality regime will not overly wait until they find a suitable partner and form a stable union because premature death would prevent them from reproducing. Cox proportional hazard models were used to determine whether women who experienced sibling death during early childhood (0-5 years) reproduced earlier and were at an increased risk of giving birth to an illegitimate child, with illegitimacy serving as a proxy for risky sexual behavior. Furthermore, we investigate whether giving birth out of wedlock is influenced by individual mortality experience or by more promiscuous sexual behavior that is clustered in certain families. Models are fitted on pedigree data from the eighteenth- and nineteenth-century Krummhörn population in Germany. The results show a relationship between sibling death in early childhood and the risk of reproducing out of wedlock, and reproductive timing. The risk of giving birth out of wedlock is linked to individual mortality experience rather than to family-level effects. In contrast, adjustments in connubial reproductive timing are influenced more by family-level effects than by individual mortality experience.


Subject(s)
Death , Illegitimacy/statistics & numerical data , Marriage/statistics & numerical data , Registries/statistics & numerical data , Risk-Taking , Sexual Behavior/statistics & numerical data , Adolescent , Adult , Female , Germany , History, 18th Century , History, 19th Century , Humans , Illegitimacy/history , Marriage/history , Mortality , Pedigree , Proportional Hazards Models , Sexual Behavior/history , Siblings , Young Adult
2.
Epidemiol Prev ; 40(3-4): 228-36, 2016.
Article in Italian | MEDLINE | ID: mdl-27436257

ABSTRACT

Enrico Modigliani (1877-1931) was an Italian paediatrician of the early Twentieth century whose work anticipated modern concepts of maternal and child health. Convinced of the importance of creating a network of health and social care for children born out-of-wedlock, he began by providing care to single mothers and their babies at his home on Sundays. In 1918, in Rome, he established the Institution for Maternal Assistance, which aim was to provide single mothers with basic health information as well as tools to face their socioeconomic situation. The Opera encouraged breastfeeding and maternal acknowledgement of the child and promoted the establishment of lactation rooms and nurseries within factories. Moreover, women were supported to find a job which was compatible with their situation. In the first five years of activity, over 1,000 unmarried women were assisted; 95% of them acknowledged their children and 52% found a job. The infant mortality rate fell to 11%, which was much lower than the 35% observed at the time among the social classes which Modigliani called the most miserable. This article reviews Modigliani's paper, in which the paediatrician reported the first five years of activity of the Institution of Maternal Assistance and where he largely focused on the social factors surrounding illegitimate motherhood. The paper was structured like a modern scientific report, with photographic documentation and statistical data, and proposed a point of view regarding social inequality which is surprisingly up-to-date.


Subject(s)
Health Education/history , Illegitimacy/history , Infant Health/history , Maternal Health/history , Pediatrics/history , Physicians/history , History, 19th Century , History, 20th Century , Humans , Italy , Photography/history
3.
Neonatology ; 109(3): 170-6, 2016.
Article in English | MEDLINE | ID: mdl-26771523

ABSTRACT

This is the third of three papers investigating the legislative history concerning infanticide. After Antiquity and the Middle Ages, this paper focuses on legislative reforms during the last 400 years. Despite dreadful punishment, the practice remained frequent until safe abortion became available. In the 17th century, the rate of executions of women for this crime was 1 per 100,000 inhabitants. The actual incidence greatly exceeded this figure. The death penalty failed to deter, and punishing fornication promoted rather than prevented infanticide. Well into the 18th century, severely malformed infants were killed. The lung flotation test, albeit unreliable, was used to save the mother from the death penalty. When the motives for infanticide - poverty, shame, despair, and preserving honour - became understood in the late 18th century, the image of the 'child murderess' changed, and infanticide shifted from constituting a capital crime to a privileged delict. Illegitimate pregnancy was no longer punished, and lying-in hospitals for pregnant unmarried women and foundling hospitals for their children were established. Specific infanticide laws were issued in Prussia in 1756, Britain in 1803, and France in 1811. Once psychosis and denial of pregnancy became understood, severe penalties were no longer issued. The justifications for lenient legislation included social circumstances, difficult proof, and curtailed protection of the newborn due to its illegitimacy, helplessness, and diminished awareness. Thoughts on the limited right to live of newborn infants are still hampering ethical decisions when the beginning and end of life are near each other.


Subject(s)
Crime/legislation & jurisprudence , Infanticide , Legislation, Medical , Female , History, 17th Century , History, 18th Century , History, 19th Century , History, 20th Century , History, 21st Century , History, Ancient , History, Medieval , Humans , Illegitimacy/history , Illegitimacy/legislation & jurisprudence , Infant, Newborn , Infant, Newborn, Diseases/mortality , Infanticide/history , Infanticide/legislation & jurisprudence , Pregnancy
4.
J Community Health ; 40(5): 869-80, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26233712

ABSTRACT

For many centuries, unwed mothers in southern Italy were forced to surrender their infants because of a number of social, religious, economic, and political pressures. This study focuses on the policies and practices that were in place in southern Italy regarding illegitimate infants in the late nineteenth century. A detailed analysis of the policies and practices present in the town of Forio d'Ischia during the 20-year period 1880-1899 is also presented. During these two decades, there were 37 illegitimate live births representing 0.70% of the 5249 live births recorded in this town. Although small in number, these illegitimate births, referred to as spuri in Italian, from the Latin spurius, meaning bastard, were managed by standard predetermined procedures. These included anonymity for the parents, the transfer of such infants to an official town receiver of foundlings, and their transport to Naples' orphanage, the Real Casa Santa dell'Annunziata. This orphanage maintained fairly detailed records about the children who were delivered to it. After a few days at the orphanage, infants were often entrusted to the care of external wet nurses, preferably outside of Naples. This was done in the belief that infant survival was better assured in more rural environments. The case of an illegitimate infant, Antonino Spinalbese, is presented in detail. Born on 14 February 1882 in the town of Forio d'Ischia, he was brought to the orphanage 4 days later. Following a two-day stay at the orphanage, he was entrusted to an external wet nurse, Michele Mondella, and her husband, Ciro Fiscale di Felice, a mariner in the town of Torre del Greco. The available evidence indicates that Antonino Spinalbese became a mariner like his stepfather. As a crew member of the passenger ship, Vulcano, he made three trips from Naples to New York City in 1922 and 1923.


Subject(s)
Illegitimacy/history , Orphanages/history , Social Environment , History, 19th Century , Humans , Illegitimacy/statistics & numerical data , Infant, Newborn , Italy , Politics
5.
J Med Humanit ; 36(2): 113-26, 2015 Jun.
Article in English | MEDLINE | ID: mdl-23456746

ABSTRACT

This paper aims to contribute to the exploration of the shift from a problematisation of 'unwed motherhood' to 'teenage motherhood' in late twentieth century Britain. It does so by exploring the dominant social scientific understanding of 'unwed mothers' during the 1950s and 1960s which suggested that these women suffered from a psychological disorder. I then analyse the conceptualisation of 'adolescent unwed mothers' exploring why professionals deemed them to be less disturbed than older women in their predicament. This finding is discussed in light of contemporary social scientific concern with adolescent motherhood.


Subject(s)
Hope , Illegitimacy/history , Illegitimacy/psychology , Mental Disorders/history , Mental Disorders/psychology , Pregnancy in Adolescence/psychology , Psychoanalytic Theory , Adolescent , Female , History, 20th Century , Humans , Pregnancy , Prognosis , United Kingdom
6.
20 Century Br Hist ; 25(2): 305-26, 2014.
Article in English | MEDLINE | ID: mdl-24988697

ABSTRACT

In the early decades of the twentieth century, as the British government expanded its social programs, and private charities and co-operative associations began to offer more benefits, birth certificates became essential to the bureaucratic process of establishing both age and identity. But every time a birth certificate was produced, it made the private circumstances of an individual's birth public knowledge. For those born out of wedlock, handing over these certificates was often stigmatizing at a time when illegitimacy remained for many a shameful family secret. When the government finally introduced an abbreviated birth certificate in 1947, which documented name, sex, and birth date without reference to parentage, they were responding to long-standing concerns both within and beyond the state bureaucracy about the tension inherent in keeping public records about people's private lives. The emergence of the short form birth certificate is thus part of a much larger human story that can help us to map significant shifts in the relationship between the individual citizen and the modern state in the information age.


Subject(s)
Birth Certificates/history , Illegitimacy/history , History, 20th Century , Humans , United Kingdom
8.
Tidsskr Nor Laegeforen ; 133(23-24): 2493-7, 2013 Dec 10.
Article in English, Norwegian | MEDLINE | ID: mdl-24326502

ABSTRACT

The lack of access to contraceptives and poor control over their own pregnancies represented a major problem for women 100 years ago. An unwanted pregnancy could lead to social exclusion and loss of paid work, and clandestine births and infanticide thus posed a social problem. A review of the archives of the Norwegian Board of Forensic Medicine in the period 1910 to 1912 shows that one-fifth of all expert opinions were related to infants and pregnancy. Autopsies performed on children constituted over one-third of all forensic autopsies during this period. Although the reports provide a timely reminder of the value of hard-earned rights in Norway, the lack of control over their own sexuality and unwanted pregnancies are unfortunately still the reality for a large proportion of the world's women.


Subject(s)
Forensic Pathology/history , Illegitimacy/history , Infanticide/history , Pregnancy, Unwanted , Single Person/history , Female , Forensic Pathology/statistics & numerical data , History, 20th Century , Humans , Infant, Newborn , Infanticide/legislation & jurisprudence , Infanticide/statistics & numerical data , Male , Norway , Pregnancy
9.
J Interdiscip Hist ; 42(4): 645-72, 2012.
Article in English | MEDLINE | ID: mdl-22530257

ABSTRACT

In nineteenth-century Europe, the foundling hospital grew beyond its traditional purpose of mitigating the shame of unwed mothers by also permitting widows, widowers, and poor married couples to abandon their children there temporarily. In the Foundling Hospital of Madrid (FHM), this new short-term abandonment could be completely anonymous due to the implementation of a wheel­a device on the outside wall of the institution that could be turned to place a child inside­which remained open until 1929. The use of survival-analysis techniques to disentangle the determinants of retrieval in a discrete framework reveals important differences in the situations of the women who abandoned their children at the FHM, partly depending on whether they accessed it through the Maternity Hospital after giving birth or they accessed it directly. The evidence suggests that those who abandoned their children through the Maternity Hospital retrieved them only when they had attained a certain degree of economic stability, whereas those who abandoned otherwise did so just as soon as the immediate condition prompting the abandonment had improved.


Subject(s)
Child, Abandoned , Child, Orphaned , Hospitals , Illegitimacy , Socioeconomic Factors , Child, Abandoned/education , Child, Abandoned/history , Child, Abandoned/legislation & jurisprudence , Child, Abandoned/psychology , Child, Orphaned/education , Child, Orphaned/history , Child, Orphaned/legislation & jurisprudence , Child, Orphaned/psychology , Child, Preschool , History, 19th Century , History, 20th Century , Hospitals/history , Hospitals, Maternity/economics , Hospitals, Maternity/history , Hospitals, Maternity/legislation & jurisprudence , Humans , Illegitimacy/economics , Illegitimacy/ethnology , Illegitimacy/history , Illegitimacy/legislation & jurisprudence , Illegitimacy/psychology , Infant , Orphanages/economics , Orphanages/history , Orphanages/legislation & jurisprudence , Socioeconomic Factors/history , Spain/ethnology
10.
J Fam Hist ; 36(4): 387-403, 2011.
Article in English | MEDLINE | ID: mdl-22164357

ABSTRACT

This article uses reconstituted family data from birth, death, and marriage registers to measure ex-nuptial fertility and premarital pregnancies in nineteenth-century Tasmania. It also examines the extent to which convict origins of European society on the island caused a departure from English norms of family formation behavior, during a period when men greatly outnumbered women. Illegitimacy was high during the convict period. From the mid-1850s, after the convict system collapsed, levels of ex-nupital births were relatively constant until the end of the century, as indicated both by the illegitimacy rate and by the proportion of marriages associated with prenuptial births. By the end of the nineteenth-century, rates of illegitimacy and prenuptial conceptions in Tasmania were well within the range of those of contemporary English-speaking populations.


Subject(s)
Birth Rate , Illegitimacy , Marriage , Prisoners , Women's Health , Australia/ethnology , Birth Rate/ethnology , Europe/ethnology , History, 19th Century , Illegitimacy/ethnology , Illegitimacy/history , Illegitimacy/legislation & jurisprudence , Illegitimacy/psychology , Marital Status/ethnology , Marriage/ethnology , Marriage/history , Marriage/legislation & jurisprudence , Marriage/psychology , Prisoners/education , Prisoners/history , Prisoners/legislation & jurisprudence , Prisoners/psychology , Prisons/education , Prisons/history , Prisons/legislation & jurisprudence , Tasmania/ethnology , Women's Health/ethnology , Women's Health/history , Women's Rights/economics , Women's Rights/education , Women's Rights/history , Women's Rights/legislation & jurisprudence
11.
J Fam Hist ; 36(4): 424-39, 2011.
Article in English | MEDLINE | ID: mdl-22164523

ABSTRACT

Abandoning a child was no rare deed in European towns in the nineteenth century, mostly among single women in underprivileged environments. On the other hand, taking this same child back was more unusual. By analyzing the registers of the Lyon hospitals, it is possible to determine the percentage of children taken back by their mothers, how this was actually achieved, and to examine the family status of the mothers at the time of both events. Both of these acts -- abandoning a child and then taking it back -- can be put back in their context in these women's lives, for instance, by looking into the length of time separating the two procedures. To finish with, it appears that the 'Hospices civils de Lyon' encouraged mothers to take the children back and generally had a conciliatory attitude toward them, supposedly in the children's interest.


Subject(s)
Child, Abandoned , Family , Illegitimacy , Mothers , Single Parent , Socioeconomic Factors , Child , Child, Abandoned/education , Child, Abandoned/history , Child, Abandoned/legislation & jurisprudence , Child, Abandoned/psychology , Child, Preschool , Child, Unwanted/education , Child, Unwanted/history , Child, Unwanted/legislation & jurisprudence , Child, Unwanted/psychology , Family/ethnology , Family/history , Family/psychology , Family Characteristics/ethnology , Family Characteristics/history , France/ethnology , History, 19th Century , Humans , Illegitimacy/ethnology , Illegitimacy/history , Mothers/education , Mothers/history , Mothers/legislation & jurisprudence , Mothers/psychology , Single Parent/education , Single Parent/history , Single Parent/legislation & jurisprudence , Single Parent/psychology , Social Conditions/economics , Social Conditions/history , Social Conditions/legislation & jurisprudence , Socioeconomic Factors/history
12.
J Contemp Hist ; 46(4): 832-53, 2011.
Article in English | MEDLINE | ID: mdl-22180924

ABSTRACT

This article juxtaposes three types of illegitimate motherhood that came in the wake of the Second World War in Nazi Germany. The first found institutional support in the Lebensborn project, an elite effort to raise the flagging birth-rates, which at the same time turned a new page in the history of sexuality. The second came before the lower courts in the form of paternity and guardianship suits that had a long precedent, and the third was a social practice that the regime considered a 'mass crime' among its female citizenry: namely, forbidden unions between German women and prisoners of war. Through these cases the article addresses issues such as morality, sexuality, paternity, citizenship and welfarism. The flesh-and-blood stories have been culled from the Lebensborn Dossiers and Special Court files, as well as cases from the lower courts.


Subject(s)
Illegitimacy , Judicial Role , Mothers , National Socialism , Paternity , Sexual Behavior , Women's Rights , Birth Rate/ethnology , Germany/ethnology , History, 20th Century , Illegitimacy/economics , Illegitimacy/ethnology , Illegitimacy/history , Illegitimacy/legislation & jurisprudence , Illegitimacy/psychology , Judicial Role/history , Morals , Mothers/education , Mothers/history , Mothers/legislation & jurisprudence , Mothers/psychology , National Socialism/history , Sexual Behavior/ethnology , Sexual Behavior/history , Sexual Behavior/physiology , Sexual Behavior/psychology , Social Control Policies/economics , Social Control Policies/history , Social Control Policies/legislation & jurisprudence , Women's Health/ethnology , Women's Health/history , Women's Rights/economics , Women's Rights/education , Women's Rights/history , Women's Rights/legislation & jurisprudence
13.
J Fam Hist ; 36(4): 367-86, 2011.
Article in English | MEDLINE | ID: mdl-21977558

ABSTRACT

The eighteenth-century "sexual revolution" cannot simply be explained as a consequence of economic or institutional factors -- industrialization, agricultural revolution, secularization, or legal hindrances to marriages. The example of western Valais (Switzerland) shows that we have to deal with a complex configuration of factors. The micro-historical approach reveals that in the eighteenth- and nineteenth-century sexuality -- and above all illicit sexuality -- was a highly subversive force that was considerably linked to political innovation and probably more generally to historical change. Nonmarital sexuality was clearly tied to political dissent and to innovative ways of behavior, both among the social elites and the common people. This behavior patterns influenced crucial evolutions in the social, cultural, and economic history of the region.


Subject(s)
Demography , Family , Illegitimacy , Sexuality , Social Change , Demography/history , Empirical Research , Family/ethnology , Family/history , Family/psychology , Family Characteristics/ethnology , Family Characteristics/history , History, 18th Century , History, 19th Century , Humans , Illegitimacy/ethnology , Illegitimacy/history , Marital Status/ethnology , Politics , Population Groups/ethnology , Population Groups/history , Sexuality/ethnology , Sexuality/history , Sexuality/physiology , Sexuality/psychology , Social Change/history , Switzerland/ethnology
15.
Womens Hist Rev ; 20(1): 47-65, 2011.
Article in English | MEDLINE | ID: mdl-21299010

ABSTRACT

This article investigates the numbers of 'other women' and their children up until the 1960s in Britain. It analyses 'irregular and illicit unions' in the records of the National Council for the Unmarried Mother and her Child (now One Parent Families/Gingerbread), and explores evidence on these unions in the debates over the passage of the Divorce Acts of 1923 and 1937 as well as the Legitimacy Acts of 1926 and 1959. It suggests that the prevalence of illicit unions throughout the twentieth century and before allows us to question contemporary concerns about our supposed 'divorcing society' and the decline of family life in modern Britain.


Subject(s)
Extramarital Relations , Family Characteristics , Illegitimacy , Social Change , Women's Health , Women , Child, Unwanted/education , Child, Unwanted/history , Child, Unwanted/legislation & jurisprudence , Child, Unwanted/psychology , Extramarital Relations/ethnology , Extramarital Relations/history , Extramarital Relations/legislation & jurisprudence , Extramarital Relations/psychology , Family Characteristics/ethnology , Family Characteristics/history , Family Health/ethnology , Female , History, 20th Century , Humans , Illegitimacy/economics , Illegitimacy/ethnology , Illegitimacy/history , Illegitimacy/legislation & jurisprudence , Illegitimacy/psychology , Infant , Infant, Newborn , Mothers/education , Mothers/history , Mothers/legislation & jurisprudence , Mothers/psychology , Pregnancy , Social Change/history , Social Conditions/economics , Social Conditions/history , Social Conditions/legislation & jurisprudence , United Kingdom/ethnology , Women/education , Women/history , Women/psychology , Women's Health/ethnology , Women's Health/history , Women's Rights/economics , Women's Rights/education , Women's Rights/history , Women's Rights/legislation & jurisprudence
16.
Womens Hist Rev ; 20(1): 67-86, 2011.
Article in English | MEDLINE | ID: mdl-21299011

ABSTRACT

This article explores the experience of pregnancy and childbirth for unmarried mothers in the metropolis in the eighteenth and nineteenth centuries. It draws upon, in particular, the infanticide cases heard at the Old Bailey between 1760 and 1866. Many of the women in these records found themselves alone and afraid as they coped with the pregnancy and birth of their first child. A great deal is revealed about the birthing body: the ambiguity surrounding the identification of and signs of pregnancy, labour and delivery, the place of birth and the degree of privacy, and the nature of, and dangers associated with, solitary childbirth.


Subject(s)
Illegitimacy , Infanticide , Parturition , Pregnancy , Women's Health Services , Women's Health , Female , History, 18th Century , History, 19th Century , Humans , Illegitimacy/economics , Illegitimacy/ethnology , Illegitimacy/history , Illegitimacy/legislation & jurisprudence , Illegitimacy/psychology , Infant , Infant, Newborn , Infanticide/economics , Infanticide/ethnology , Infanticide/history , Infanticide/legislation & jurisprudence , Infanticide/psychology , London/ethnology , Parturition/ethnology , Parturition/physiology , Parturition/psychology , Women/education , Women/history , Women/psychology , Women's Health/ethnology , Women's Health/history , Women's Health Services/economics , Women's Health Services/history , Women's Health Services/legislation & jurisprudence , Women's Rights/economics , Women's Rights/education , Women's Rights/history , Women's Rights/legislation & jurisprudence
17.
Womens Hist Rev ; 20(1): 109-26, 2011.
Article in English | MEDLINE | ID: mdl-21299014

ABSTRACT

This article explores the changing experiences and representation of Ireland's unmarried mothers from 1880 to 1973. It focuses on the stigma of illegitimacy in political and cultural discourse and the representation of unmarried mothers as immoral and their children as a drain on resources. These remained constant themes within the discourse of unmarried motherhood in Ireland throughout the nineteenth and twentieth centuries. The article uses the records of philanthropic, government and religious organisations to chart the rising interest in the moral reformation of unmarried mothers at the end of the nineteenth century and rising tolerance towards them by the end of the twentieth century.


Subject(s)
Illegitimacy , Mothers , Public Assistance , Social Welfare , Women's Health , Women's Rights , Anthropology, Cultural/education , Anthropology, Cultural/history , History, 19th Century , History, 20th Century , Illegitimacy/economics , Illegitimacy/ethnology , Illegitimacy/history , Illegitimacy/legislation & jurisprudence , Illegitimacy/psychology , Ireland/ethnology , Mothers/education , Mothers/history , Mothers/legislation & jurisprudence , Mothers/psychology , Public Assistance/economics , Public Assistance/history , Public Assistance/legislation & jurisprudence , Single-Parent Family/ethnology , Single-Parent Family/psychology , Social Change/history , Social Values/ethnology , Social Values/history , Social Welfare/economics , Social Welfare/ethnology , Social Welfare/history , Social Welfare/legislation & jurisprudence , Social Welfare/psychology , Women/education , Women/history , Women/psychology , Women's Health/ethnology , Women's Health/history , Women's Rights/economics , Women's Rights/education , Women's Rights/history , Women's Rights/legislation & jurisprudence
18.
Soc Sci Med ; 68(9): 1633-40, 2009 May.
Article in English | MEDLINE | ID: mdl-19268413

ABSTRACT

This study contributes to the understanding of how social mortality patterns are reproduced across generations by documenting associations of women's marital status at childbirth in the beginning of last century with selected health indicators across three subsequent generations of their offspring, and by highlighting a special set of plausible mechanisms linked to this particular event in history. We use the Multigenerational Uppsala Birth Cohort Study (UBCoS) database consisting of 12,168 individuals born at Uppsala University Hospital in 1915-1929 (UG1), their children (UG2) and grandchildren (UG3). Results showed that men and women born outside wedlock (BOW) in early twentieth century Sweden were at an increased risk of adult mortality compared to those who were born in wedlock (BIW), and the men were also significantly less likely to reach their 80th birthday. The question of childhood social disadvantage and its long-term consequences for health is then taken one step further by examining their offspring in two subsequent generations in terms of four specific anthropometric and psychological outcomes at the time of military conscription, all known to predict disease and mortality later in life. Results showed that sons of men BOW as well as sons and grandsons of women BOW had significantly lower psychological functioning and cognitive ability. Regarding body mass index and height, however, significant associations were found only among descendants of men BOW. The anthropometric and psychological disadvantages found among descendents of individuals BOW were partly mediated by their social class background. The four outcomes observed early in the lives of UG2s and UG3s do in fact constitute early health determinants, each potentially influencing longevity and mortality risk in these generations. We conclude that the social disadvantage imposed on those BOW in early twentieth century Sweden appears to be reproduced as a health disadvantage in their children and grandchildren, with likely consequences for mortality among these.


Subject(s)
Cohort Effect , Illegitimacy/history , Mortality/history , Adult , Aged, 80 and over , Body Height , Body Mass Index , Cohort Studies , Female , Health Status Disparities , History, 20th Century , Humans , Illegitimacy/psychology , Illegitimacy/statistics & numerical data , Longevity , Male , Marital Status/statistics & numerical data , Mortality/trends , Proportional Hazards Models , Risk Factors , Sex Factors , Social Class , Socioeconomic Factors , Sweden
20.
Bull Hist Med ; 81(4): 730-59, 2007.
Article in English | MEDLINE | ID: mdl-18084105

ABSTRACT

This article considers the quality of midwifery skills and practice principally in eighteenth-, nineteenth-, and early twentieth-century England. It discusses the merits of assessing effectiveness via differentials and changes in late-fetal rather than maternal mortality. Evidence from the lying-in hospitals, both in-patients and out-patients, in terms of stillbirths and the deaths of mothers and children is set against what is known from demographic studies of the background levels of early-age and maternal mortality. The conclusions emphasize the value of taking a "fetal health" perspective, rather than viewing midwifery simply in terms of maternal well-being. They also note the apparent superiority of London's position compared with the provinces and the steady improvement during the eighteenth century, and lack of progress during the nineteenth; and they reconfirm the particular dangers to mothers delivered as hospital in-patients. Finally, the considerable methodological problems faced by such studies are emphasized.


Subject(s)
Hospitalization , Midwifery/history , Mortality/history , Obstetrics/history , Stillbirth , Female , History, 18th Century , History, 19th Century , History, 20th Century , Hospitals, Maternity/history , Humans , Illegitimacy/history , Infant, Newborn , Midwifery/standards , Obstetrics/standards , Pregnancy , Risk Factors , United Kingdom/epidemiology
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