“Total neglect of women in pregnancy and childbirth had been the norm. Among many primitive societies, women menstruating or with child, or in labour or suckling the child, were regarded as unclean, polluted. The woman was isolated and frequently could not be touched, even by another woman. She had to go through the whole ordeal alone. Consequently only the fittest survived, and by the processes of mutation and adaptation, inherited abnormalities, such as disproportion in the size of the pelvis and the foetal head, died out of the race, particularly in remote parts of the world, and labour became easier. In Western society, which we call civilisation, this did not occur, and a dozen or more complications, some of them deadly, were superimposed on the natural hazards: overcrowding, staphylococcal and streptococcal infection; infectious diseases such as cholera, scarlet fever, typhoid and tuberculosis; venereal disease; rickets; multiple and frequent childbirth; the dangers from infected water. If you add to all this the attitude of indifference and neglect that often surrounded childbirth it is not hard to understand how childbirth came to be known as “the curse of Eve”, and how women could often expect to die in order to bring forth new life.”
―
Jennifer Worth,
Call the Midwife: A Memoir of Birth, Joy, and Hard Times