Studies in the Psychology of Sex, Volume 6 | Page 7

century it has sometimes slightly risen and sometimes slightly fallen, and though during the past few years the general movement of mortality for children under five in England and Wales has shown a tendency to decrease, in London (according to J.F.J. Sykes, although Sir Shirley Murphy has attempted to minimize the significance of these figures) the infantile mortality rate for the first three months of life actually rose from 69 per 1,000 in the period 1888-1892 to 75 per 1,000 in the period 1898-1901. (This refers, it must be remembered, to the period before the introduction of the Notification of Births Act.) In any case, although the general mortality shows a marked tendency to improvement there is certainly no adequately corresponding improvement in the infantile mortality. This is scarcely surprising, when we realize that there has been no change for the better, but rather for the worse, in the conditions under which our infants are born and reared. Thus William Hall, who has had an intimate knowledge extending over fifty-six years of the slums of Leeds, and has weighed and measured many thousands of slum children, besides examining over 120,000 boys and girls as to their fitness for factory labor, states (British Medical Journal, October 14, 1905) that "fifty years ago the slum mother was much more sober, cleanly, domestic, and motherly than she is to-day; she was herself better nourished and she almost always suckled her children, and after weaning they received more nutritious bone-making food, and she was able to prepare more wholesome food at home." The system of compulsory education has had an unfortunate influence in exerting a strain on the parents and worsening the conditions of the home. For, excellent as education is in itself, it is not the primary need of life, and has been made compulsory before the more essential things of life have been made equally compulsory. How absolutely unnecessary this great mortality is may be shown, without evoking the good example of Australia and New Zealand, by merely comparing small English towns; thus while in Guildford the infantile death rate is 65 per thousand, in Burslem it is 205 per thousand.
It is sometimes said that infantile mortality is an economic question, and that with improvement in wages it would cease. This is only true to a limited extent and under certain conditions. In Australia there is no grinding poverty, but the deaths of infants under one year of age are still between 80 and 90 per thousand, and one-third of this mortality, according to Hooper (British Medical Journal, 1908, vol. ii, p. 289), being due to the ignorance of mothers and the dislike to suckling, is easily preventable. The employment of married women greatly diminishes the poverty of a family, but nothing can be worse for the welfare of the woman as mother, or for the welfare of her child. Reid, the medical officer of health for Staffordshire, where there are two large centres of artisan population with identical health conditions, has shown that in the northern centre, where a very large number of women are engaged in factories, still-births are three times as frequent as in the southern centre, where there are practically no trade employments for women; the frequency of abnormalities is also in the same ratio. The superiority of Jewish over Christian children, again, and their lower infantile mortality, seem to be entirely due to the fact that Jewesses are better mothers. "The Jewish children in the slums," says William Hall (British Medical Journal, October 14, 1905), speaking from wide and accurate knowledge, "were superior in weight, in teeth, and in general bodily development, and they seemed less susceptible to infectious disease. Yet these Jews were overcrowded, they took little exercise, and their unsanitary environment was obvious. The fact was, their children were much better nourished. The pregnant Jewess was more cared for, and no doubt supplied better nutriment to the foetus. After the children were born 90 per cent. received breast-milk, and during later childhood they were abundantly fed on bone-making material; eggs and oil, fish, fresh vegetables, and fruit entered largely into their diet." G. Newman, in his important and comprehensive book on Infant Mortality, emphasizes the conclusion that "first of all we need a higher standard of physical motherhood." The problem of infantile mortality, he declares (page 259), is not one of sanitation alone, or housing, or indeed of poverty as such, "but is mainly a question of motherhood."
The fundamental need of the pregnant woman is rest. Without a large degree of maternal rest there can be no puericulture.[4] The task of creating a man needs the whole of a woman's best energies, more especially during the three months before birth. It cannot be subordinated to the tax on strength involved by manual or mental labor,