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Historically were women petrified of being pregnant due to childbirth?

289 replies

Buttercupsandpoppys · 12/07/2024 23:04

As the title says. Mortality rates weren’t great with so many women dying during labour.

I know there was so much pressure to have children as a women. In period dramas and books/films you see women desperate to ‘provide sons’. But if they knew death was so likely, wouldn’t they be petrified at the very thought of pregnancy?

im suprised history isn’t full of women just point blank refusing sex/marriage and all having to be publicly dragged kicking and screaming knowing pregnancy was practically a flipping of the coin between life and death.

I honestly think I’d have tried any and every trick in the book to avoid it. Even making myself as unattractive as possible so no kind would wish to marry me!

Anyone have any knowledge of this?

OP posts:
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WinterV2point0 · 13/07/2024 08:03

Yet some people seem to think doing it the old fashioned way and rejecting medical assistance is a good choice...

https://www.mumsnet.com/talk/am_i_being_unreasonable/5118385-to-ask-if-you-free-birthed

TeaAndStrumpets · 13/07/2024 08:08

meringue33 · 13/07/2024 07:31

There is a great 1920s novel called South Riding which covers some of this. Also the Scottish classic novel Sunset Song. Both very moving. Women were often terrified and had little choice.

As an aside, I saw a programme a while back about a prehistoric mother recovered from a bog by archaeologists. She had died while giving birth to triplets. As at least one triplet is usually breech it would have been very hard to deliver triplets in those days. It was a very sad programme.

I think I saw the same programme, how sad that was. If I remember the experts deduced from the baby's positions that only one was born successfully, the others were still in utero when the mother died. Archaeologists call it a "coffin birth"

FrancescaContini · 13/07/2024 08:12

BertieBotts · 12/07/2024 23:13

I think they were probably more afraid of having another child to bring up, it wasn't that common to die in childbirth. The risk was about 1 in 1000 even in 1751. Of course much higher than today, but it wasn't 50/50. And you wouldn't want nobody to marry you because in the past it was extremely difficult for a woman to support herself on her own. So not being married would damn you to a life of poverty and social ostracism.

I think you’ve interpreted the information from the graph the wrong way round. The very pale yellow colour that covers the map for now = less than 1% of 1,000 births ending in maternal deaths. The map becomes increasingly red the further you go back over the centuries = higher rates of maternal deaths.

TeaAndStrumpets · 13/07/2024 08:18

Social attitudes and religion played a big part. Keeping women ignorant and lacking in choices. It's still happening in many parts of the world.

thebluebeyond · 13/07/2024 08:20

User7842462 · 13/07/2024 07:49

Childbirth is still barbaric today, with the exception of modern science providing the option of ELCS. I‘m shocked not more women aren‘t terrified of the potential injuries or trauma. Most have been brainwashed into believing they need a natural birth (a belief engineered by men, driven by politics & misogny, actually designed to save resources for the medical system at the expense of female suffering) so they go into it hoping the bad things simply won‘t happen to them. Or they were never aware of the risks in first place and rarely speak of it afterwards.

Statistically 33% of births end in emergency csection and 42% of births involve some degree of injury. Those are whopping numbers. If I ride a bike and someone told me I had a 33% or 42% chance of getting hit by a truck today, I would definitely stay home! 62% of women end up with pelvic floor issues later in life. Imagine willingly accepting you may be disfigured or injured for life. It‘s better than dying but historically people may still see it as bonkers.

This is total rubbish, I have asked my retired midwife friend how many births would be straightforward even if there was no midwife, and she said as long as there was someone else there to support the baby's head and check the chord wasn't around its neck, then more than 75%. This is after 50 years in the job! And most of the rest are fine too, but do need a midwife to intervene in some way

ToBeOrNotToBee · 13/07/2024 08:22

thebluebeyond · 13/07/2024 08:20

This is total rubbish, I have asked my retired midwife friend how many births would be straightforward even if there was no midwife, and she said as long as there was someone else there to support the baby's head and check the chord wasn't around its neck, then more than 75%. This is after 50 years in the job! And most of the rest are fine too, but do need a midwife to intervene in some way

Sorry but your friend is talking total rubbish.

Also ex midwife here.

Freysimo · 13/07/2024 08:24

Appalonia · 13/07/2024 01:43

Centuries ago, it was common to have paintings made of wealthy women when pregnant because the risk of death in childbirth was so high. The famous painting, ' The Arnolfini Marriage', wasn't celebrating their marriage at all, but, as this female art historian cleverly deduced, it was a posthumous painting of the wife, as she actually died in childbirth.

vimeo.com/236264058

That's so interesting. Is that why she looks pregnant in the painting?

malakkalakka · 13/07/2024 08:25

Yes. Many were slaves or whores, or concubines or wives. All were treated with contempt.

Slaves, whores and concubines were terrified of getting pregnant because their children would belong to whoever owned or kept them.

user1471538283 · 13/07/2024 08:29

My maternal DGGM had 13 DCs! I imagine she had no choice in it, it was relatively common place and of course there was less money as more DC were born. She must have been terrified and miserable. It's really upsetting.

My paternal DGGM was having none of it (she was part of a huge family) and said at the outset in 1916 she was having 2. She wanted and got further education and professional careers for her DC. As my DGGF was skilled they bought a house, went on holidays and had a much better life.

Gingerdancedbackwards · 13/07/2024 08:33

Buttercupsandpoppys · 12/07/2024 23:04

As the title says. Mortality rates weren’t great with so many women dying during labour.

I know there was so much pressure to have children as a women. In period dramas and books/films you see women desperate to ‘provide sons’. But if they knew death was so likely, wouldn’t they be petrified at the very thought of pregnancy?

im suprised history isn’t full of women just point blank refusing sex/marriage and all having to be publicly dragged kicking and screaming knowing pregnancy was practically a flipping of the coin between life and death.

I honestly think I’d have tried any and every trick in the book to avoid it. Even making myself as unattractive as possible so no kind would wish to marry me!

Anyone have any knowledge of this?

Do you know any history?
Women of all classes were married off at a young age. No (or minimal) education.
No contraception available apart from a vinegar-soaked sponge that had to be inserted before sex, so if your DH came home pissed and decided he wanted a shag, you were fucked, in all senses of the word. Or an animal skin condom, but blokes tended only to use them in extremis and with a prostitute.
Then there's the rifeness of STIs; affecting all classes and often the baby
Bear in mind too, that women were owned by the men in their life. Why do you think a father 'gives away' the daughter in the wedding ceremony. She then became the posession of her husband. No opportunity to earn her own money, be educated, or do whatcshe wanted.
If the husband wanted sex, he had it. Rape was legal within marriage until relatively recently.
So, no, you wouldn't be acting with you 2024 freedoms and attitudes 'back in the day'. But you should know that

WinterV2point0 · 13/07/2024 08:33

reluctantbrit · 12/07/2024 23:54

My original birthplan said C-Section before any attemps of forecepts or any other instrumental help.

DD was breech until week 36 and I made plans for C-section because I didn't want a breech birth. She turned but when I was in labour she also decided to turn back-to-front. Luckily I had an amazing midwife but I am sure that with the one I had before I would have ended with an emergency C-section.

I don't have another one but I think the experience is part of that. I would definitely have gone for an elective C-section if I would have been pregnant again

I put that on my birth plan too but I don't know how realistic it was - I think there are circumstances where the baby is too far down for a section and it has to be instrumental?

(I was lucky and didn't need either)

MissScarletInTheBallroom · 13/07/2024 08:34

Bigcoatlady · 12/07/2024 23:17

I think the data shows maternal mortality in ft labour without intervention is around 1/100 births. Of course if a woman had ten pregnancies leading to birth her odds of dying due to complications increased to 1/10 (crudely - genetic variation means some women would be at more risk than others).

Maternal mortality becomes frighteningly high in inpatient settings before infection control was understood - women in Vienna in the 1860s were terrified of being removed to hospital if they had complications during labour because they knew pretty much all women who went into hospital caught a fever and died. Understanding that infection was attributable to surgeons not washing their hands after performing autopsies was Semmelweiss big breakthrough - and also lead to him being ostracized by the medical establishment.

But outside hospital women fared much better. It's only in the late nineteenth century that medical intervention starts to significantly reduce the maternal.mortality rate and since the 1950s it's become thankfully incredibly rare.

Babies then and now are more vulnerable. Parents commonly lost children before the age of 10 to infection. Even today the first year of a child's life is by far the most dangerous although thankfully the absolute number of deaths is lower. But I suspect people feared losing children as much if not more as their own mortality.

It is clear women were scared of the pain of labour - and before anesthesia started to be used in the 19th century all kinds of other interventions including just having regular slugs of gin were used to alleviate that. But there's a lot of moving accounts of how much women were apprehensive of childbirth and how they would cope.

That's interesting. My great great grandmother was born at the lying in hospital in Islington in 1860. I wonder whether her birth was dangerous/traumatic and that's why, unusually for the time, she was an only child.

EdithStourton · 13/07/2024 08:42

FrancescaContini · 13/07/2024 08:12

I think you’ve interpreted the information from the graph the wrong way round. The very pale yellow colour that covers the map for now = less than 1% of 1,000 births ending in maternal deaths. The map becomes increasingly red the further you go back over the centuries = higher rates of maternal deaths.

From the map, the earliest UK stats are 1850, and it looks like 500 maternal deaths per 100k live births. That's 50 per 10k, or 5 per 1,000, or 0.5%. So 1 in 200. First births would be the riskiest. Someone correct me if I'm wrong as I'm in a rush.

There is a wonderful book called something like 'The Midwife's Tale: The Life of Martha Ballard's about a midwife in Maine in the early 1800s. She was pretty clearly very skilled and had very low maternal mortality.

Edited to correct my numbers.

reluctantbrit · 13/07/2024 08:43

timetobegin · 13/07/2024 07:10

Do you mean the baby was born back to back? Back to the front is the more straightforward way.

Yes, back to back. It seems 17 years is a long time to get things muddled up.

Thereislightattheendofthetunnel · 13/07/2024 08:45

Blackcats7 · 12/07/2024 23:42

Not just historically.
I am 57 and I was certainly terrified of childbirth which is part of the reason I never had children and it made me VERY careful with my contraception.
I also did a post reg course and placement in a continence clinic (I am a nurse) and seeing the damage done to many women totally reinforced my fears.
Had there been the option of elective c sections in my child bearing years maybe I might have considered it.

It is true. The damage done to women’s undercarriage it’s not talked about enough before pregnancy. It should be taught in school.

wish I had known sooner

Gardenschmarden99 · 13/07/2024 08:46

A lot more women wanted to be nuns….
I know lots of really religious single women and none have considered being nuns. So I suspect the protection from marriage and inevitable pregnancy was a big attraction.

MotherOfCrocodiles · 13/07/2024 08:48

@EdithStourton I am seeing 500-1000 per 100000 live births, so 0.5-1%

Bearing in mind that the average woman has many kids (say 5), the chance for a given woman of dying in childbirth would be more like 5-10%-

mostly when having the first baby as this is most risky for complications

Gardenschmarden99 · 13/07/2024 08:50

I wasn’t terrified of giving birth and I should have been. Lifelong serious issues. Had a c section for my second child and bought life insurance. Would love more children but would not under any circumstance get pregnant again. Awful.

Candleabra · 13/07/2024 08:52

Most woman didn’t have a choice.
It wasn’t just the risks from pregnancy and birth each time, it was the cumulative effect of so many pregnancies close together. Most women were almost permanently pregnant. They were worn out by the end.

ArseInTheCoOpWindow · 13/07/2024 08:53

BertieBotts · 12/07/2024 23:13

I think they were probably more afraid of having another child to bring up, it wasn't that common to die in childbirth. The risk was about 1 in 1000 even in 1751. Of course much higher than today, but it wasn't 50/50. And you wouldn't want nobody to marry you because in the past it was extremely difficult for a woman to support herself on her own. So not being married would damn you to a life of poverty and social ostracism.

The risk was one in three.

FrancescaContini · 13/07/2024 08:54

EdithStourton · 13/07/2024 08:42

From the map, the earliest UK stats are 1850, and it looks like 500 maternal deaths per 100k live births. That's 50 per 10k, or 5 per 1,000, or 0.5%. So 1 in 200. First births would be the riskiest. Someone correct me if I'm wrong as I'm in a rush.

There is a wonderful book called something like 'The Midwife's Tale: The Life of Martha Ballard's about a midwife in Maine in the early 1800s. She was pretty clearly very skilled and had very low maternal mortality.

Edited to correct my numbers.

Edited

I haven’t had coffee yet today and so I misread the crucial figure of 100,000, not 1,000 live births, sorry, that’s an enormous misreading!

I think that the earliest recorded data from the UK shown on the graph is from 1848, and the very dark red means between 1,000 and 2,500 maternal deaths per 100,000 live births - which is 1-2.5% of live births ending in maternal death. I think!

EdithStourton · 13/07/2024 08:54

MotherOfCrocodiles · 13/07/2024 08:48

@EdithStourton I am seeing 500-1000 per 100000 live births, so 0.5-1%

Bearing in mind that the average woman has many kids (say 5), the chance for a given woman of dying in childbirth would be more like 5-10%-

mostly when having the first baby as this is most risky for complications

If your risk is 0.5% and you have 10 births, then you have a 5% risk. 10 was a lot though, most women breastfeed which on the diet they had then reduced their fertility, and also marriage age varied over time, and was often mid-20s.

But yeah, it wasn't sunshine and roses. My GGM had 9 babies. One of her daughters died in childbirth. Another had 10, who all lived to adulthood.

StrictlyAFemaleFemale · 13/07/2024 09:05

I saw a tweet once that said women didn't start dying in childbirth in large numbers until male doctors got involved. I don't know how true that is but it wouldn't surprise me.

Vergus · 13/07/2024 09:05

Birth is still a horrific trauma though isn’t it??! I had PTSD after my first (was rushed into theatre after hours of excruciating labour) and it took me years to recover, physically and emotionally. And yet still I don’t feel there’s enough post-partum support for mums. We are just expected to get on with it. I was on anti-depressants for years, my marriage took a hit & my body was a ruin. Awful

ArseInTheCoOpWindow · 13/07/2024 09:06

Blackcats7 · 12/07/2024 23:42

Not just historically.
I am 57 and I was certainly terrified of childbirth which is part of the reason I never had children and it made me VERY careful with my contraception.
I also did a post reg course and placement in a continence clinic (I am a nurse) and seeing the damage done to many women totally reinforced my fears.
Had there been the option of elective c sections in my child bearing years maybe I might have considered it.

I’m 60.

l had an elective C section at 42.

Nice permitted this from the early 2000’s

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