My poor Mother's first baby was stillborn. A little boy, born premature. He was taken away and she wasn't told anything about it at all. This was 1968. Thankfully, my mother worked in the hospital as a paediatric nurse and so was able to find out some of the details about her baby (sex, when he was buried, etc.). She also found out that he was buried in the same grave as an elderly man (just included in the burial plot, not mentioned or given a ceremony). It hurt her hugely. She told me when I was in my twenties - blurted it out one evening as we were sat together - and I do feel sad that she carried that around with her for so long.
She also told me an amazing story about when she was a nurse on the obs/gynae ward of a military hospital in the 1960's (she was an army nurse) and she used to be called into consultations as a chaperone (she was married and so therefore considered respectable). There was a young army wife there who was seeing the gynae about the fact that she hadn't become pregnant. Examination revealed that she was still a virgin but that she had an inflammed and irritated belly button. It turned out that she and her husband were both totally ignorant of the facts of life and so had 'guessed' things. My mother sat there and witnessed this appointment and the shock of the young woman as the gynae gave her a potted education. Apparently he sent her home with a dilator to help things along.
There's also a fascinating book about the mistresses of the Sun King, Louis XIV and it mentions how one of them had to 'retire' after the birth of one of her children as she was 'greviously injured in the service of the King'. She presumably sustained quite a bad injury (tearing, fistula?) during the birth and so intercourse was difficult/impossible. People must have torn and just had to deal with the consequences of bad healing, etc. such as pain, continence issues, etc. As such things weren't discussed I suppose it was a silent burden - like much of sex and childbirth, considered the lot of women. 'Eve's punishment' if you like. Supposedly sanctioned by the church - that 'women bring forth in sorrow'. I also read a book called 'The Light at the Window' about a midwife in 1950's Ireland at one of the Magdalen Laundrys (where unmarried mothers were sent to have their children and engage in three years of slave labour as punishment). The midwife wrote about how the needle and thread for stitching was kept by the Nuns in a locked cupboard and not produced even for the most severe tearing - girls were just left to heal as best they could. More punishment for them if you like.
We have it very, very lucky.