Childbirth in colonial America was a difficult and sometimes dangerous experience for women. During the seventeenth and eighteenth centuries, between 1 percent and 1.5 percent of all births ended in the mother's death as a result of exhaustion, dehydration, infection, hemorrhage, or convulsions. Since the typical mother gave birth to between five and eight children, her lifetime chances of dying in childbirth ran as high as 1 in 8. This meant that if a woman had eight female friends, it was likely that one might die in childbirth.
Death in childbirth was sufficiently common that many colonial women regarded pregnancy with dread. In their letters, women often referred to childbirth as "the Dreaded apperation," "the greatest of earthly miserys," or "that evel hour I loock forward to with dread." Many, like New England poet Anne Bradstreet, approached childbirth with a fear of impending death. In a poem entitled "Before the Birth of One of Her Children," Bradstreet wrote,
How soon, my Dear, death may my steps attend,
How soon't may be thy lot to lose thy friend.
In addition to her anxieties about pregnancy, an expectant mother was filled with apprehensions about the death of her newborn child. The death of a child in infancy was far more common than it is today. In the healthiest seventeenth century communities, one infant in ten died before the age of five. In less healthy environments, three children in ten died before their fifth birthday. Puritan minister Cotton Mather saw eight of his fifteen children die before reaching the age of two. "We have our children taken from us," Mather cried out, "the Desire of our Eyes taken away with a stroke."
Given the high risk of birth complications and infant death, it is not surprising to learn that pregnancy was surrounded by superstitions. It was widely believed that if a mother looked upon a "horrible spectre" or was startled by a loud noise her child would be disfigured. If a hare jumped in front of her, her child was in danger of suffering a harelip. There was also fear that if the mother looked at the moon, her child might become a lunatic or sleepwalker. A mother's ungratified longings, it was thought, could cause an abortion or leave a mark imprinted on her child's body. At the same time, however, women were expected to continue to perform work until the onset of labor, since hard work supposedly made for an easier labor. Pregnant women regularly spun thread, wove clothing on looms, performed heavy lifting and carrying, milked cows, and slaughtered and salted down meat.
Today, most women give birth in hospitals under close medical supervision. If they wish, women can take anesthetics to relieve labor pangs. During the seventeen and eighteenth centuries, the process of childbirth was almost wholly different. In colonial America, the typical woman gave birth to her children at home, while female kin and neighbors clustered at her bedside to offer support and encouragement. When the daughter of Samuel Sewall, a Puritan magistrate, gave birth to her first child on the last day of January, 1701, at least eight other women were present at her bedside, including her mother, her mother-in-law, a midwife, a nurse, and at least four other neighbors.
Most women were assisted in childbirth not by an doctor but by a midwife. Most midwives were older women who relied on practical experience in delivering children. One midwife, Martha Ballard, who practiced in Augusta, Maine, delivered 996 women with only four recorded fatalities. Skilled midwives were highly valued. Communities tried to attract experienced midwives by offering a salary or a house rent-free. In addition to assisting in childbirth, midwives helped deliver the offspring of animals, attended the baptisms and burials of infants, and testified in court in cases of bastardy. |