years in Maternity Hospitals, more especially in France,
have shown conclusively that not only the present and
future well-being of the mother and the ease of her
confinement, but the fate of the child, are immensely
influenced by rest during the last month of pregnancy.
“Every working woman is entitled to rest during
the last three months of her pregnancy.”
This formula was adopted by the International Congress
of Hygiene in 1900, but it cannot be practically carried
out except by the cooeperation of the whole community.
For it is not enough to say that a woman ought to
rest during pregnancy; it is the business of the community
to ensure that that rest is duly secured. The
woman herself, and her employer, we may be certain,
will do their best to cheat the community, but it
is the community which suffers, both economically and
morally, when a woman casts her inferior children into
the world, and in its own interests the community
is forced to control both employer and employed.
We can no longer allow it to be said, in Bouchacourt’s
words, that “to-day the dregs of the human species—the
blind, the deaf-mute, the degenerate, the nervous,
the vicious, the idiotic, the imbecile, the cretins
and epileptics—are better protected than
pregnant women."[5]
Pinard, who must always be honored as one of the founders of eugenics, has, together with his pupils, done much to prepare the way for the acceptance of this simple but important principle by making clear the grounds on which it is based. From prolonged observations on the pregnant women of all classes Pinard has shown conclusively that women who rest during pregnancy have finer children than women who do not rest. Apart from the more general evils of work during pregnancy, Pinard found that during the later months it had a tendency to press the uterus down into the pelvis, and so cause the premature birth of undeveloped children, while labor was rendered more difficult and dangerous (see, e.g., Pinard, Gazette des Hopitaux, Nov. 28, 1895, Id., Annales de Gynecologie, Aug., 1898).
Letourneux has studied the question whether repose during pregnancy is necessary for women whose professional work is only slightly fatiguing. He investigated 732 successive confinements at the Clinique Baudelocque in Paris. He found that 137 women engaged in fatiguing occupations (servants, cooks, etc.) and not resting during pregnancy, produced children with an average weight of 3,081 grammes; 115 women engaged in only slightly fatiguing occupations (dressmakers, milliners, etc.) and also not resting during pregnancy, had children with an average weight of 3,130 grammes, a slight but significant difference, in view of the fact that the women of the first group were large and robust, while those of the second group were of slight and elegant build. Again, comparing groups of women who rested during pregnancy, it was found that the women accustomed to fatiguing work had