X
No study of this problem can be regarded as satisfactory which ignores the question of poverty and its relation to the number of still-births, yet we can only touch briefly upon it. No brutal Malthusian cynicism, but a calm view of such facts as those cited, leaves the impression that, however it might be under other and more humane social conditions, still-birth means very often a child’s escape from a life of suffering and misery. It is surely better that a babe should be strangled in the process of delivery from its mother’s womb, never to utter a cry, than that it should live to cry of hunger which its mother cannot appease, or from the torture of food unsuited to its little stomach! When a mother suffers all the pain and anxiety caused by the struggling life within her, and in her travail goes down to the brink of the grave, only to be mocked at last by a lifeless thing, she suffers the supreme anguish of her kind. Last year there were more than 6000 such tragedies in the city of New York alone, and the number in the whole country was probably not less than 80,000.
Some of the best authorities upon the subject of vital statistics insist that still-births should be included in the death-rates, and in many foreign cities, notably Berlin,[[37]] they are so included. If such a method were adopted in this country, it is easy to see how important the effects would be upon the tables of mortality. Whatever opinions they may hold upon the moot question of regarding still-births as deaths in all enumerations, all authorities appear to agree that the circumstances of the mothers influence the numbers of the still-born as surely as they do the actual infantile death-rates. Six physicians of large obstetrical experience were asked to estimate what percentage of the still-born should be ascribed to the influence of poverty, and the average of their replies was 60 per cent.
BABIES WHOSE MOTHERS WORK CARED FOR IN A CRÈCHE
That may be an overestimate, or it may be, and probably is, an underestimate. If we assume it to be fairly correct, it means that in one city something like 3700 mothers needlessly endured the supreme agony, and as many lives were sacrificed to poverty. It means that to the 80,000 babies annually devoured by the wolf of poverty must be added another 45,000 killed by the same cruel foe in the passage of the race from the womb of dependence to a separate existence. Whatever the number may be, it is certain that many are still-born because of the fatigue and overexertion of the mothers in the critical periods of pregnancy and that many more are suffocated in the passage from the womb because of the employment of untrained and unskilled midwives—especially, as often is the case, when the “midwife” is only a kindly neighbor called in because of the poverty of the family to which the child comes. And it may be added, incidentally, that still-birth is not by any means the only danger from this source, nor the most lamentable. Many accidents of a non-fatal character occur at birth which seriously affect the whole of life. Carelessness, inexperience, and ignorance may cause the suffocation of the child, or by pressure upon some delicate nerve centre irreparable injury may be caused to it, such as paralysis for life or hopeless imbecility.[[38]]