N. Hart, BEYOND INFANT-MORTALITY - GENDER AND STILLBIRTH IN REPRODUCTIVE MORTALITY BEFORE THE 20TH-CENTURY, Population Studies, 52(2), 1998, pp. 215-229
Though it has been the largest component of reproductive mortality sin
ce its statutory registration in 1928, stillbirth has received little
attention from historical demographers, who have relied on the more or
thodox indicator of early human survival changes-'infant mortality'. T
he exclusion of stillbirth hampers demographic analysis, underestimate
s progress in newborn vitality, and over-privileges post-natal causes
in theoretical explanation. A case is made for estimating stillbirth b
efore 1928 as a ratio of early neonatal death, and for employing perin
atal mortality as an historical indicator of female health status. The
long-run trend of reproductive mortality (encompassing mature foetal
and live born infant death during the first eleven months) reveals a s
ubstantial decline in perinatal causes in the first industrial century
(1750-1850), implying a major concurrent improvement in the nutrition
al status of child bearers. Reproductive mortality is a more complete
indicator of death in infancy. It offers demographers a means of fract
uring the fertility versus mortality dualism and a potential purchase
on gender as a demographic variable, while re-opening the case on mort
ality in the demographic dynamic of the world we have lost.