How Can a Combination of Historical Demography and Prosopographical Methods Aid the Understanding of Causes of Death? An Illustration Using Maternal Mortality as an Example

Alice Reid; Eilidh Garrett

doi:10.51964/hlcs23197

Author(s)

Alice Reid University of Cambridge https://orcid.org/0000-0003-4713-2951
Eilidh Garrett University of Edinburgh https://orcid.org/0000-0001-5971-9675

DOI:

https://doi.org/10.51964/hlcs23197

Keywords:

Maternal mortality, Doctors, Cause of death, Civil registration, Prosopography, Scotland

Abstract

The growing availability of individual-level historic cause of death data is allowing increased insight into the construction of official mortality statistics, the role of changing medical provision and knowledge, and the practices of individual medical practitioners. Even the most detailed demographic data can shed little light on the particular choices that doctors made, however. We argue that a mixed methods approach, combining demographic and prosopographical approaches, can help to resolve such questions. We illustrate this using a particular conundrum relating to cause of death recording: why doctors "hid" deaths in childbirth by allocating them to causes which cannot be assumed to be maternal mortality. Triangulating different types of evidence from different sources for a particular, but fairly typical, Scottish doctor in the mid-19th century, we argue that doctors were unlikely to have deliberately obscured the maternal nature of deaths. The evidence suggests that they were more likely to have failed to realise that although they knew a woman had recently delivered, this fact was not indicated in the death register and thus the causes of death they offered could often not be identified as maternal mortality.

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References

Arbuckle, J. H. (1885). Complete cure of the inversion of the uterus. The Lancet, 126(3252), 1183–1184. https://doi.org/10.1016/S0140-6736(02)28897-2

Bradley, J., & Short, H. (2005). Texts into databases: The evolving field of new-style prosopography. Literary and Linguistic Computing, 20(Suppl), 3–24. https://doi.org/10.1093/llc/fqi022

Colgrove, J. (2002). The McKeown thesis: A historical controversy and its enduring influence. American Journal of Public Health, 92(5), 725–729. https://doi.org/10.2105/AJPH.92.5.725

Fielding, N. G. (2012). Triangulation and mixed methods designs: Data integration with new research technologies. Journal of Mixed Methods Research, 6(2), 124–136. https://doi.org/10.1177/1558689812437101

Frenk, J., Bobadilla, J. L., Stern, C., Frejka, T., & Lozano, R. (1991). Elements for a theory of the health transition. Health Transition Review: The Cultural, Social, and Behavioural Determinants of Health, 1(1), 21–38.

Janssens, A., & Devos, I. (2022). The limits and possibilities of cause of death categorisation for understanding late nineteenth century mortality. Social History of Medicine, 35(4), 1053–1063. https://doi.org/10.1093/shm/hkac040

Janssens, A., & van Dongen, E. (2017). A natural female disadvantage? Maternal mortality and the role of nutrition related causes of death in the Netherlands, 1875–1899. TSEG - The Low Countries Journal of Social and Economic History, 14(4), 84–115. https://doi.org/10.18352/tseg.988

Kippen, R. (2005). Counting nineteenth-century maternal deaths: The case of Tasmania. Historical Methods: A Journal of Quantitative and Interdisciplinary History, 38(1), 14–25. https://doi.org/10.3200/HMTS.38.1.14-25

Lane-Claypon, J. (1915). The economic aspect of midwifery. In Forty-fourth annual report of the Local Government Board, 1914–15. Supplement in continuation of the Medical officer of the board for 1914-15 containing a report on maternal mortality in connection with childbearing and its relation to infant mortality (pp. 85–104). HMSO (Cd. 8085).

Leap, N., & Hunter, B. (1993). The midwife's tale: An oral history from handywoman to professional midwife. Scarlett Press.

Loudon, I. (1992). Death in childbirth. Clarendon Press.

MacDonald, D. (1893). Triplets. British Medical Journal, 392.

Macleod, D. (1857). Case of complete retroversion of the uterus, where the mother died, undelivered, in the tenth month of her pregnancy. Glasgow Medical Journal, 4(16), 410–415.

McLeod, D. (1889). The forceps and the perineum. British Medical Journal, 695–696.

Omran, A. R. (1971). The epidemiologic transition: A theory of the epidemiology of population change. The Milbank Memorial Fund Quarterly, 49(4), 509–538. https://doi.org/10.2307/3349375

Paxton, J. (1866). Case of superfœtation. Glasgow Medical Journal, 13(52), 396–399.

Reid, A. (2012). Mrs Killer and Dr Crook: Birth attendants and birth outcomes in early twentieth-century Derbyshire. Medical History, 56(4), 511–530. https://doi.org/10.1017/mdh.2012.30

Reid, A., Davies, R., & Garrett, E. (2002). Nineteenth-century Scottish demography from linked censuses and civil registers: A 'sets of related individuals' approach. History and Computing 14(1–2), 61–86. https://doi.org/10.3366/hac.2002.14.1-2.61

Reid, A., & Garrett, E. (2018). Medical provision and urban-rural differences in maternal mortality in late nineteenth century Scotland. Social Science & Medicine, 201, 35–43. https://doi.org/10.1016/j.socscimed.2018.01.028

Reid, A., Garrett, E., Dibben, C., & Williamson, L. (2015). 'A confession of ignorance': Deaths from old age and deciphering cause-of-death statistics in Scotland, 1855-1949. The History of the Family, 20(3), 320–344. https://doi.org/10.1080/1081602X.2014.1001768

Revuelta-Eugercios, B., Castenbrandt, H., & Løkke, A. (2022). Older rationales and other challenges in handling causes of death in historical individual-level databases: The case of Copenhagen, 1880–1881. Social History of Medicine, 35(4), 1116–1139. https://doi.org/10.1093/shm/hkab037

Select Committee on Death Certification. (1893). First and second report from the Select Committee. Proceedings, minutes of evidence, appendix and index (BPP XI.195, 1893–1894, Sessional nos. 373 and 402).

Thomson, J. (1855). Statistical report of three thousand three hundred cases of obstetricy. Glasgow Medical Journal, 3(10), 129–150.

Thomson, J. (1864). Statistical report of five thousand cases of obstetricy. Glasgow Medical Journal, 12(45), 27–36.

Woods, R. (2009). Death before birth. Oxford University Press.