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[Towards a history of prematurity]

J Dupâquier

    Annales De Demographie Historique
    |January 1, 1994
    PubMed

    Insights

    High infant mortality historically, especially in the days after birth, may be linked to early deliveries caused by strenuous domestic work. This hypothesis is supported by seasonal patterns in neonatal mortality.

    Area of Science:

    • Historical demography
    • Perinatal epidemiology
    • Sociomedical history

    Context:

    • Infant mortality historically showed a peak in the days following birth.
    • Modern premature infants face risks like hypothermia.
    • Neonatal mortality and stillbirth rates were exceptionally high until the late 19th century.

    Purpose:

    • To hypothesize the causes of high historical neonatal mortality and stillbirth rates.
    • To explore the link between domestic labor and early delivery.
    • To investigate the role of early delivery in historical infant mortality.

    Summary:

    • The study proposes that heavy domestic work led to early deliveries, causing high neonatal mortality and stillbirths until the late 19th century.
    • Historical infant mortality data reveals a concentration of deaths in the early neonatal period.
    • Seasonal variations in neonatal mortality support the hypothesis linking delivery timing to maternal workload.

    Impact:

    • Provides a novel perspective on historical infant mortality causes.
    • Suggests a socioeconomic determinant for perinatal health outcomes.
    • Highlights the potential impact of physical labor on pregnancy and birth outcomes.

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