HB 11081 THE DECLINE IN THE BIRTH-RATE, ,AN 'ESSAY .IN STATISTICS, COGHLAN. 2/£V2/~/^=yHi/Hi/^S/SL 01 ••7R1 '-$6•515 41-061 7fli oq.o7« 38•469 42-811 Oft- OX.CMO 40•359 44-443 GfTh 07 .QK£ 4^' 176 inth OQ.QQfi 43•905 1 1 f TK 41 -74.R 45-535 1O+ Vi 4O.KAQ 47 '030 1 q+u 45•175 14th 46 '768 15th 48-298 80 These figures are based on the experience of all women living in the state at the date of the Census, and do not, therefore, give the expectation of women who have married recently or of future marriages. They afford additional evidence, if such were needed, ql the incorrectness of the popular assumption that the fertility of women marrying at immature ages soon becomes exhausted, The figures, however, seem to show that when women marry at mature years and prove fecund, their children come a little more quickly than those of younger women. The evidence on the point is, however, somewhat conflicting, and this view cannot be stron^y pressed. The birth of each succeeding child brings a woman nearer and nearer to the limit of her child-bearing, and there is a far larger proportion of older women amongst those with large than amongst those with small families. This will be seen from the following statement, in which the average age of mothers at the birth of each child is given. Average Age of Mother. 1st child 25-6 ' VPft 2nd 28'0 3rd 30-2 4th 32-2 5th 33 '9 6th 35-9 7th 37'9 8t,h .. . 39'6 9th 41•3 10th 44-3 The increase in the-age of the mothers ought to-be accompanied by a decline in fertility, and such appears to bs tite case. Much more than this is disclosed by the following table, which gives the number of children born within a year to 1,000 women under 45 years of age with the specified num- ber of previous issue. The figures cover a full intercensal period. NUMBER of Children born in 12 months to 1,000 women according to previous issue. With 1 child. With 2 child- ren. With 3 child- ren. With 4 child- ren. With 5 child-, ren. With 6 child- ren. With 7 child- ren. With 8 child- ren. With 9 child- ren. With 10 child- ren. With 11 and more children. 1891,.. 345 J269 268 2;56 26.0 231 228 .232 227 193 ;- 174 1892... 326 264 269 258 252 244 238 Qig 224 200 .'; 162 1893... 318 263 265 254 ' 246 234 219 225 22T 188 ' 166 1894... 304 248 245 236 i 232; 227 227 219 212 191 '..- 156 1895... 298 248 235 232 234' 218 220 208 193 176 - 141 1896... 268 230 . 218 211 213 206 197 195 174 165 ; 124 1897.. 268 231 217 214 ; 2io;: 208 195 201 187 176 * 134 1898... . 249 ;210 210 196 196; 195 187 ; 185 187 157 ".! 138 1899... 250 217 199 195 185 188 188 \ 174 172 154 > 133 1900... 256 214 19,7 191 ' 192. 185 191 ->- 178 17J3 155 , 137 31 If the figures just given be looked into it will be seen that there have been very striking changes in the rates for the period, and a persistent and astonishing decline amongst women of every class. Reading the figures with those .relating to first births it would seem that an increasingly large number of women make up their minds on marrying not to have children, or to delay child-bearing as long as possible. After each successive confinement an increasing proportion of women still of child-bearing age cease to give birth to any more children, and the extraordinary condition of affairs has now come to pass that the fertility of women who have had two children is less than that of women in 1891 who had given birth to nine children. The fall in the proportion of births during the ten years has been greatest in the group of women who have had one child only, and, generally speaking, the ratio of reduction lessens as the number of previous issue increases. Dividing the decade into two periods it will be seen that the fall for nearly every group was much greater up to 1896 than since that year, and this may be taken to indicate that the decline in the proportion of births in some of the groups has been checked; nevertheless, there is not yet any indication of a return to the higher ratios of previous years. When, however, the remark- able fact is taken into consideration that the average period elapsing between the births of each of the last five children is no greater than that from marriage to the birth of the first child, it will be evident that, though the majority of women now become infertile at an early age, or refuse to bear any more children, there is still a large section of the community to whom the practice of prevention is unknown, and who accept child-bearing as a condition of married life from which they do not take means to escape. In thus resigning themselves to the bearing of large families, there are some who are influenced by the force of religious scruples, and these comprise a large proportion of the child-bearing class ; there are others to whom children come as an acceptable burthen—they believe in the scriptural counsel, " Happy is the man who hath his quiver full "; but it is to be feared that by no means the smallest class comprises those who, unfit for the responsibilities of a large family, are as fertile as they are unfit. It would have been interesting to pursue the inquiry further, in order to discover whether the birth-rate has declined more in one class of the popula- tion than in another, but the information available does not admit of this being done with that satisfying accuracy that statistics can alone supply. The following table shows (a) the births per thousand women who have had previous issue of the number stated in the first -column, (6) the age at which such women bear their children, (c) the average number of issue per thousand newly married women, and (d) the average per thousand of all women. The last includes the other two classes, as well as other women of the age stated, who have either less or more issue than indicated in the first column. The interest of the table lies in a comparison of the ratios for women with the specified issue, and for newly married women. It will be seen that the newly married have a greater probability of issue than women of the same age who have borne not more than four children ; for women with a greater number of children than four, newly married women of like age have less probability of issue, and the probabilities in favour of the women of proved fertility greatly increase in accordance with the increase in the number of their children, until at age 37'9 years, a woman with seven children has twice the probability of giving birth to a child than has a newly married woman of like age ; and at age 41•3 years the probability of a woman with nine children becoming a mother is more than seven time that of a 32 newly married woman of equal age. The question of the comparative fertility of the newly married and other women is returned to in the next chapter, wherein the effect of marriage postponement on fertility is further discussed. Average Age of Mother. Births per 1,000 Women. Previous Issue. With Issue as stated. Newly Married of age stated. All Women of age stated. 1 25-6 28-0 30-2 32•2 33-9 35-9 37'9 39'6 41-3 44•3 285 239 231 224 221 213 208 204 197 176 350 286 255 238 190 127 100 68 26 0 277 259 240 221 205 184 . 147 137 109 50 2 3 4 5 6 7 8 9 10 33 Effects of Postponement of Marriage on fertility. WOMEN who have demonstrated their fecundity by having given birth to a child are, as regards fertility, in a different category to married women without issue. Amongst the latter there are many women who have been married for lengthened periods without having given birth to a child, and in regard to whom absolute barrenness may be assumed. To ascertain what effect postponement of marriage has on the child-bearing capacity, women of proved barrenness should be excluded from comparison, which should be restricted to the probability of a child being born to a married woman within the year following her marriage, and the probability of further issue to the women of equal ages, who already have been mothers. If the newly married women be arranged according to their ages, and their numbers be compared with the first births within a given period after marriage, what is termed the initial fertility of a married women may be ascertained. This, for the women marrying during the ten years, 1891-1900, was as shown in the following statement; two rates are given, viz.—the expectation (a) within a year, and (b) within two years of marriage, births of ante-nuptial conception being of course excluded :— Probability of a Birth. Probability of a Birth. Age at Marriage. Age at Marriage. Within a year of Marriage per 1,000 wives. Within 2 years of Marriage per 1,000 wives. Within a year of Marriage per 1,000 wives Within 2 years of Marriage per 1,000 wives. 17 397 724 32 242 383 IS 398 730 33 220 366 ]9 397 733 34 187 331 20 397 731 35 144 287 21 396 694 36 125 261 22 394 615 37 111 236 23 386 571 38 99 209 • 24 376 556 39 82 161 25 362 548 40 58 114 26 342 541 41 32 74 27 320 525 42 12 45 28 286 488 43 31 29 265 454 44 19 30 256 419 45 14 31 250 396 It will be seen that the summit of initial fertility is at the beginning of the child-bearing period, and extends without any diminution to the twenty- second or twenty-third year of age; then it rapidly falls away, so that before age 30 is reached, the fertility has declined by one-third, and at age 34, by considerably more than one-half. Comparing the fertility of the newly married with that of women who have borne children, it will be found that, as between women of the same age, there is an absolute superiority of the newly married at the earlier age, and this continues until age 28 is reached, when the probabilities are reversed; and at age 38, the probability of a newly married woman having a child within the ensuing twelve months is less than half that of a woman with previous issue, and at age 41 years, it is only one-fourth. It would thus appear that the reproductive system, if unused, is apt to become inoperative, as it cannot be supposed that prevention is practised more amongst women newly married than amongst those who have already had experience of the troubles of maternity. When a woman has proved fecund, her fertility continues with little impairment until her thirtieth year, and possibly even beyond that age; thence it declines very gradually ; whereas amongst the newly married there is a very rapid decline in fertility after age 30 has been passed. The probability of a newly married woman having a child is extinguished about her forty-third year, at which age there will still be born one child to every ten women with previous issue. In the following statement the figures for newly married women are repeated and set side by side with the figures representing the probability of a birth to women who have already been mothers. The following shows the probable number of births within a year amongst every 1,000 women of each class :— Newly -married Women. Women with Previous Issue. Newly-married Women. Women with Previous Issue. Age. Age; 21 396 281 34 187 238 22 394 281 35 144 234 23 386 270 36 125 228 24 376 272 37 111 217 25 362 290 38 99 207 26 342 299 39 82 189 27 320 298 40 58 155 28 286 292 41 32 134 29 265 286 42 12 115 30 256 274 43 94 31 250 263 44 66 32 242 253 45 35 33 220 244 35 Number of Children to JVIarriages lasting througl] the whole period of Child-bearing. IT has been usual amongst statisticians to estimate the average number of children born to a marriage by an empirical formula based on the results of the Swedish observations. To arrive at such average, the number of legiti- mate births in a given year is divided by the number of marriages contracted in a twelvemonth six years previously, the interval between the mean age of marriage and the mean age of mothers corresponding to that period. This rule cannot be applied to New South Wales or to Australia generally, where the marriage rate has been declining for a considerable period; there'is, how- ever, no necessity to have recourse to any formula, as the number of children to a marriage can be directly ascertained from the registration of the deaths of married people, the issue of every person who dies being enumerated in the record of his or her death; it can also be ascertained indirectly from the regis- tration of births, and over and above this, at the Census of 1901, the number of children to each married woman then living in the State was ascertained. The information available, therefore, is ample to determine all the necessary facts bearing upon the investigation. From what has already been written, it will have been gathered that the fertility of married women has greatly declined, and it is important to determine how far this decline has affected the number of children born to a marriage. There is no difficulty in establishing, direct from the statistics, the number of children born to the earlier marriages, but, in regard to recent marriages, the number cannot be determined without having recourse to calculation, for though the number of children born up to the present time is known, there are many marriages whose tally of children is not complete, and it is necessary to allow for the unfulfilled or probable future fertility of such marriages. This can ba done readily by using the figures given in an earlier chapter. The probability of a birth to a married woman of a given age has already been calculated; this, with an allowance for initial fertility, and for births due to ante-nuptial conception, an important consideration in earlier years, enables the following estimate to be made. It will be understood that the calculation assumes that the marriage in every case remains unbroken through the whole period of child-bearing, which, in this instance, has been taken as up to fifty years. The following figures relate to marriages contracted during the ten years 1891-1900 :— Age at Marriage. Average Issue. Age at Marriage. Average Issue. Age at Marriage. Average Issue. 20 5-395 i 31 2-287 42 •311 21 5-085 ! 32 2-054 43 •215 22 4-776 33 1-831 44 •140 23 4-470 34 1-617 45 •085 24 4-168 35 1-413 46 •047 25 3-874 36 1-218 47 •024 26 3-588 37 1-035 48 •Oil 27 3-309 38 •863 49 •005 28 3-040 39 •704 50 •002 29 2-780 40 •558 ; 30 2-530 41 •426 36 The actual ascertained issue of earlier marriages was as shown in the statement given hereunder. In connection with this statement it should be remembered that all marriages contracted prior to 1875 are completed so far as concerns the expectation of issue, inasmuch as all the women who were parties to them have lived through the child-bearing period. Such is also the case for all other wives except those who married since 1881, and whose age at marriage was less than 25 years, and for wives under 30 years who married since 1886. The unfulfilled expectation for such wives has been calculated, and the adjusted expectation inserted in the table, otherwise the figures are the actual results of direct observation. It is believed that the calculated figures fairly represent the probabilities of the case ; but, however that may be, their absolute accuracy is not necessary to sustain any of the conclusions arrived at. AVERAGE issue of women marrying at stated age and living through period of child-bearing. Period of Marriage. Marriage Age Groups. 15 and under 20. 20 and under 25. 25 and under 30. 30 and under 35. 35 and under 40. 40 and under 45. 1851-55 1856-60 1861-65 1866-70 1871-75 1876-80 1881-85 1886-90 9-918 9-926 9-779 9-371 8-679 8-440 8-318 8-097 7-521 7-022 6-821 6-437 6-407 6-451 5-888 5-392 4-972 '4-615 5-107 4-636 4-379 4-149 3-923 3-396 3-026 3-500 2-143 2-915 2-235 2-534 2-095 1-797 1-717 3-000 1-500 1-350 1-235 •940' •852 •603 •547 8-867 The first point to be observed in connection with the foregoing table is the very large average issue shown for early marriages. Some incredulity was displayed when similar figures were given by the author in a paper read before the Royal Statistical Society ; and in order to meet any similar objections, it has been thought well to give the actual statistics showing these rates. The following information was obtained at the Census of 1901. The figures represent all the women 45 years and over then living who were married between the years 1850 and 1870. Number of Married Women. Number of Children. Average per Married Woman. Marriage Age Groups. 15 and under 20 20 ,, 25 25 „ 30 30 „ 35 7,889 10,021 3,239 76,264 83,026 20,943 3,826 9-667 8-285 6-466 4-566 838 There can be no question but that the women who came to Australia between 1850 and 1870, and who form a large proportion of the older married women now living, were of a type likely to be prolific in children, and the evidence of the fruitfulness is seen in the foregoing table. Nor was the Australian-born woman of the same period any less fruitful, as will presently appear. The second point in regard to the table of average issue is the great de- crease in the number of children born to recent marriages as compared with 37 former marriages. It is convenient in considering this matter to group the information available under three periods, viz., for years prior to 1870, which may be termed the earlier period ; for the years between 1870 and 1880; and for the years 1891 to 1900, which may be conveniently termed the recent period. The average issue to women marrying in each of the periods is given below, but it should be understood that for the middle period the experience of the marriages at the earliest age groups has had to be completed in respect of some women, whose period of child-bearing had not been completed at the close of the year 1900, ample material for the completion of such experience being available. Period of Marriage. Marriage Age Groups. 15 and under 20. 20 and under 25. 25 and under 30. 30 and under 35. 35 and under 40. 40 and under 45. Prior to 1870 9-667 8-606 8-285 7-232 4-776 6-466 5-610 3-309 4-566 4-020 2-054 2'474 2-265 1-035 1-385 •882 •311 1871-1880 1891-1900 There appears from the table just given to have been a decline in the average number of children to a marriage from period to period, marriages of recent years showing the least number of children. The decline from the first to the second period is not large, and is explainable on the well-known fact that the women who came to Australia in the gold-digging days and in the two following decades were, as a class, above the ordinary fertility of the time, and there is no reason to suppose that in the second period any general effort was made to limit the number of children born. The practice alluded to came into vogue between 1881 and 1890, and its full effect is now being felt on the birth-rate of the State. Comparing the marriages of the period 1871-1880, with those of 1891-1900, there has been a decline in each age group as follows :— Age Group. Decline in Number of Children. Years. Per cent. 20 and under 25 34 25 „ 30 41 30 ,, 35 49 35 „ 40 54 40 „ 45 62 It would thus appear that the effects of prevention are visible amongst women marrying at all ages, but are increasingly evident as the age at marriage advances. 38 Average Dumber of Children to all Marriages. THE foregoing pages show that the age of a woman at marriage is the chief factor in determining the number of her children, the younger the age the more numerous the offspring, and this rule appears to hold even when a woman marries at an immature age. The number of children borne by women marrying at various ages is set out in the tables of the preceding chapter on the supposition that the marriage of every woman lasts through the full period of her child-bearing. A large number of women do not, of course, have this experience; their marriage is broken by their own death or the death of their husbands. The average number of children likely to be born to women marrying at any given age, allowing for those who die or become widows before completing the full period of child-bearing, can be ascertained by direct observation or by calculation from the average of fertility at each age, using a joint life table to determine the number of marriages that will be broken by death during each year of life time after marriage. Such a life table was computed for New South Wales from materials obtained at the Census of 1891, and as little change has since taken place, this table has been employed for the purpose of estimating the number of children to present day marriages. .The following are the results : the calculations themselves present no features of special interest, and therefore need not be reproduced in these pages :— MAR.RIAGES of 1891-1900. All Women. Age at Marriage. Average Number of Children. Age at Marriage. Average Number of Children. Age at Marriage. Average Number of Children. 20 4-996 30 2-395 40 •523 21 4-719 31 2-176 41 •390 22 4-444 32 1-966 42 -275 23 4•171 33 1-761 43 •182 24 3-896 34 1-564 44 •113 25 3-624 35 1-373 45 •060 26 3-360 36 1-193 46 •033 27 3-105 37 1-013 47 •007 28 2-857 38 •844 48 •003 29 2-620 39 •674 49 •001 That there has been a great decline in fertility during recent years has been made abundantly manifest in the foregoing pages; an actual measure of this decline can now be given by setting against the figures in the preceding table the average issue of women marrying at earlier periods. The average number of children born to women who married between the years 1871 and 1880 is shown for each age at marriage in the following table; the figures have been arrived at by using the table for joint lives employed for calculating the issue of recent marriages, the annual birth rate to women of different ages being that shown in the chapter dealing with the 39 birth rate according to age of mother. An allowance has been made in this as in the table dealing with recent marriages for the initial fertility at each age and for ante-nuptial conception. MARRIAGES of 1871-1880. All Women. Age at Marriage. Average Number of Children. Age at Marriage. Average Number of Children. Age at Marriage. Average Number of Children. 20 7'051 30 3-882 40 •979 21 6-727 31 3-581 41 •763 22 6-409 32 3-286 42 •588 23 6-089 33 2-984 43 •445 24 5•762 34 2-691 44 •330 25 5-437 35 2-393 45 •233 26 5-116 36 2-105 46 •159 27 4-802 37 1-810 47 •100 fc8 4-489 38 1-526 48 •050 29 4-184 39 1-233 49 •010 By comparing the two tables (1871-1880 and 1891-1900), it will be seen that whereas in the former period there was an even chance of a child being born to a woman marrying at 42 years of age, this is now reduced to women marrying at age 40. Women whose marriage is postponed until they are in their thirty-second year cannot now expect more than two children, and those who marry after age 27 not more than three. According to the earlier experience women marrying at age 36 might expect two children, and at age 33 three children. The full extent of the decline may be gathered from the following summary:— Children to a Marriage. Age at Marriage. Marriages of 1871-80. Marriages of 1891-1900. 20 an 25 30 35 40 id tinder 25 , 6•409 4-802 3-286 1-810 •588 4-444 3-105 1-966 1-013 „ 30 35 „ 40 ,, 45 •275 All Ages 5-384 3-636 Applying the figures herein obtained to the women marrying at these different periods, it is found that the issue to marriages of 1871-80 was 5,384 to every 1,000 marriages, whereas under present conditions the number of issue would be 3,636. This denotes a decrease of 32-5 per cent, in the fertility of marriages, and a like reduction in the birth rate. The elements of the decline may be resolved into (a) postponement of marriage on the part of women (ft) reduction in fecundity and the comparative increase of childless marriages (c) the earlier cessation of fertility, and (d) the decline in the fertility of fecund marriages. Of the 1,748 less children now being born than to earlier marriages, the loss of 301 may be attributed to postponement of marriage; 236 to the decline in fecundity, and 1,211 to the cessation of fertility at an earlier period than formerly, and to a generally decreased fertility at every age. 40 fertility in relation to Birthplace and Religious Belief. THE question of the fertility of women of different nationalities is one of much importance, but in New South Wales, as already explained, the great majority of women are of British birth or parentage, the women of other races being too few to admit of any accurate idea of their fertility being obtained. Two sets of figures are available to illustrate fertility in relation to birth- place. The first of these comprises information as to the issue of all women living in the state at the date of the Census of 1901, and the second, the annual birth-rate amongst women of different nationalities during the same year. The first includes both women of earlier and women of more recent marriage, and in view of the great fall in the birth-rate it is desirable to eliminate women of recent marriage, and thus reduce the information so as to illustrate the experience of marriages contracted prior to the year 1880. This can best be done by including only women who have lived through the whole period of child-bearing, and this course has been followed in the accompanying table, which represents in effect, for marriages contracted prior to 1881, the average number of children born to women marrying at the ages specified, and born in the countries named :— Age of Women at Marriage. Other Australian States. Birth-place of Married Women. New South Wales. England and Wales. Scotland. Ireland. Other Countries. 20 and under 25 8-23 6-10 4•09 2-04 0-60 7-45 5-30 3-19 T72 0-66 7-27 5-32 3•43 1-75 0-52 7'78 5-64 3-84 1-62 0-50 7'66 5-70 3'66 1-70 0-61 7'58 5-66 3-27 25 „ 30 30 ,, 35 35 ,, 40 1-88 0-42 40 „ 45 It will be seen that there is no great range in the number of children to women of the various nationalities included in the list, any variation disclosed being due rather to difference in social conditions than to any other cause. Women of Australian birth show somewhat greater fertility than non- Australians ; amongst the latter, the Scotch have a slight superiority over the Irish, and the Irish over the English, at almost every age. It must be remembered that these figures denote a past experience, somewhat higher perhaps than that of 1871—1880, and corresponding fairly closely with that of all marriages contracted prior to 1880. They may be taken as illustrating the natural fertility of women of the races named, unimpaired by resort to any form of artificial restriction. The present fertility of these women is a very different matter. It may be ascertained by a comparison of the number of women of each nationality now living with the births occurring amongst them during the last few years. The annual rates thus derived are as follow :— Age. Present Annual Birth-rate to Wives born in- New South Wales. Other Austral- asian States. England. Scotland. Ireland. 18 and under 20 •501 •391 •308 •242 •203 •096 •438 •380 •297 •231 •175 •079 •522 •424 •280 •226 •192 •089 •480 •403 •322 •274 •224 •090 •596 •571 •472 •341 •215 •066 20 25 25 30 30 35 35 40 40 45 These rates include births of ante-nuptial conception, and for the younger ages are somewhat in excess of the truth, bat as ante-nuptial intercourse is not confined to any particular class, it may be assumed that the rates are all much upon the same basis. In order to compare the effect of the existing rates on the constitution of families, it will be necessary to calculate the average number of children to women marrying at each age and for women of each birthplace. This has been done, and is shown in the following table, the age groups being the same as those just given. Number of children to a Marriage at specified age to Women born in— Age at Marriage. New South Wales. England. Scotland. Ireland. 20 and 4-820 4-565 5-103 6-398 25 30 '.. 3-266 3-027 3-514 4-116 30 ,, 35 2-062 1-922 2-205 2-236 35 40 1-068 •978 1-069 •924 40 •293 •272 •254 •173 The women of Irish birth show no great diminution of fertility now as com- pared with former years ; amongst all other classes of women there has been a considerable decline. As late as 1880, Irish women did not show a rate of fertility in excess of the rest of the community, but now, except as the end of the child-bearing period approaches, their fertility shows conspicuously above the average of all other women. As the decline in number of children born may in a large degree be attributed to the use of preventive measures, Irish women must, as a class, be acquitted of this practice. Whether their exemp- tion from this prevalent custom is the result of religious scruples or racial tradition need not be here determined, but some light will be thrown on the subject when the question of fertility in relation to religious belief is discussed. It is clear that failure to bear children is not specially characteristic of Australian-born women, it is a habit shared by them with women of English origin, and in a less degree with women born in Scotland. It is a curious circum- stance that though Irish women are much more prolific than other women, their daughters of Australian birth are not distinguished in this respect from other Australian women, otherwise the rates for these latter women would stand higher than they do, inasmuch as women of Irish parentage form nearly 30 per cent, of the Australians born. The question of religion as affecting fertility can be determined in much the same way as that in regard to nationality. Taking the women at the census of 1901 who had passed through the child-bearing stage, no great differences are discoverable between one class and another. Roman Catholic wives show the largest number of children for almost all ages, then the Methodists and the Presbyterians, with the Church of England lowest of the Christian denominations. Jewish women show less fertility than the women of any other class. As the great majority of the births on which the averages are founded occurred before any general system of prevention seems to have been fashionable, it must be concluded that the differences in the rates disclosed by the following table are due to social habits rather than to differences in inherent fertility. Age of Women at Marriage. Church of England. Roman Catholic. Methodist. Presby- terian. Jews. Other Religions. Under 20 years 9'54 9•66 9-62 9'43 8 '38 Q'lft 20 and under 25 7 -69 S'll 7 -83 7. 80 7 '50 7•1Q 25 „ 30 5-56 5•99 5 '83 5•79 4. •71 5 -d.fi 30 „ 35 3-60 3 -77 4•10 3 '86 3•53 3>rtt 35 ,, 40 1-84 T9I 1*96 1•73 1'09 1 'fil 40 ,, 45 0'57 0'62 0•49 0'49 0'50 f».fCl The condition of fertility shown in this statement does not of course, any longer exist, and it is unfortunately impossible to give similar information for present day marriages, as the religion of the parents is not ascertained when the birth of a child is registered. There is, however, strong indirect evidence which shows the fertility of women of different religions at the present time compared with one another, and indirectly compared with past years. If the average birth-rate to a certain number of mothers within the child-bearing age be taken as 100, the rates for women of the religious beliefs most numerously represented, and for which there is information, are as follow: -. Roman Catholic 113 Church of England 101 Methodist 100 Presbyterian 95 Baptist 87 Congregationalist 86 Jewish 71 Eoman Catholic women show a much greater degree of fertility than women of any other religion, but it is evident that this superiority is due mainly to the number of women of Irish birth represented in the Eoman Catholic population. If the present rates for women of different birth-places be reduced to the same common standard as those just given for religions, the-folio wing proportions are obtained :— Women born in Ireland 135 „ „ Scotland ... 107 ,, New South Wales.. 101 ,, ,, England 97 ,, ,, 0 ther Australian States 94 It will be thus seen that the average for women born in Ireland is 135, compared with 113 for all Eoman Catholic women. About 24 per cent, of the Eoman Catholic married women under 45 years of age are of Irish birth, and the measure of fertility of the two classes of Eoman Catholic women is therefore:— Roman Catholic women—Irish birth 135 „ „ Other birth, including Australians... 106 » „' All birth-places 113 43 Bath classes show superior fertility to women of other religions, but, whereas Roman Catholic women of Irish birth show an almost undiminished fertility compared with women married prior to 1880, those of other birth show a very great decline. It must be concluded, therefore, that, speaking generally, the effect of religion as a deterrent to the practice of prevention is not particularly obvious. Allusion has been made to the fact that women are usually more fecund with husbands of fcheir own race than with other husbands ; it will now be seen that they are, as a rule, more fertile also. To make a fair comparison between women of different classes it is necessary to group them according to a standard population, and the following figures, therefore, have been so arranged, the distribution of married women according to their ages at the census of 1901 being taken as the standard. If the fertility of women married to husbands of the same birth-country as themselves be taken as equal to 100, then their fertility with husbands of different origin would be as shown in the following statement:— New South Wales 89 Other Australian States 93 England 99 Scotland 92 Ireland 92 Germany 96 In considering these figures, it should be remembered that they have no value relative to one another, they simply indicate that for every hundred children born to women of the birth-places specified, who have husbands of the same birth-place, there will be born the number indicated when the husband's birth-place differs from that of his wife. Thus, comparing women born in New South Wales and women born in Ireland, the average number of children to women marrying at age 22 would, in the first case, be 4-82 when the husband is also born in ISTew South Wales, but 4-29 if he were not born in that state ; similarly, a woman born in Ireland, and married at 22 years, may now be expected to bear 640 children, but with a husband of other nationality the average issue would be 5-89. The same phenomenon is observable in regard to the marriage of women of different religions. The following is the proportionate fertility of women marrying husbands of other than their own religion, on the assumption that their fertility with husbands of their own religion is represented by 100 :— Church of England 87 Roman Catholic 89 Presbyterian 87 Methodist 91 Baptist 95 Congregational 91 Jewish 63 The extremely low fertility of Jewish women with husbands not of their own faith is remarkable, but the probable correctness of the figure is supported by the experience of other countries. It is difficult to account for the diminution in fertility of mixed marriages on purely physical grounds; possibly an explanation of the peculiarity may be found in the assumption that the contractors of such unions speedily exhaust the passion that brought them together as man and wife, and that the bond of religious sympathy, which might otherwise have taken its place, is entirely lacking. As illustrating the reduced fertility of mixed marriages, the following table is given ; it shows the average number of children that will be born to present marriages of women 24 years of age—first, where the husband is of the same religion as the wife ; and secondly, where he is of a different faith :— Children— Wife and Husband of same religion. Eeligion of Wife. Mixed Marriages. "Roman Catholic 4-57 3'98 Church of England 4•02 3 58 Methodist 3-90 3•55 Presbyterian 3'8l 3 '31 Baptist 3•43 3•26 Congregationalist , 3-42 3•11 Jewish 2•81 1.77 families of Various Sizes. IT must not be supposed that the decline in fertility means that there are no longer large families. Observations have been made of the previous issue of every woman who gave birth to a child since 1893, and it would appear that the 281,375 children born in the eight years were thus distributed :— ] st chile 2nd 3rd 4th 5th Iren 56,649 9th chil 10th llth 12th 13th 14th dren 9,804 17th chil 18th 19th 20th 21st 22nd 23rd dren 70 . 46,450 .. 6,830 22 39,269 4,417 15 32,569 2,534 3 27,054 1,362 0 6th 7th 8th 21,964 685 2 17 606 15th 16th 342 1 13,597 130 Of course, the same women appear again and again in the list as the mothers of first, second, third, &c., children, and the table has value only as showing that large families are still being produced. The figures must not be used as indicating the proportions of each description of family; this is information that can be obtained only from a census or the record of the deaths of married women. At the Census of 1901 it was ascertained that in every 1,000 married women whose husbands were then living, the proportions with families of the numbers indicated were as shown in the following statement. The numbers include the dead as well as the living issue:— Number of Women Number of Women per 1,000, with families of size per 1,000, with families of size Number of Children. Number of Children. indicated. indicated. 0 132 9 43 1 131 10 37 2 123 11 25 3 109 12 18 4 94 13 10 5 82 14 6 6 71 15 3 7 61 16 and over 2 8 53 The foregoing table does not include the families of women whose husbands are dead, while it does include the women whose period of child-bearing is incomplete. The latter class forms a large proportion of the whole, and tends to increase unduly the proportion of families of four and under, and correspondingly decrease the proportion of families of five children and upwards. The records relating to the 22,115 married women who died in the eight years that ended with 1900 afford much better information. Apart from the fact that the days of these people had been counted out, their number includes widows whose life experience is necessary to complete the table of families. A classification of these persons according to the number of children born is as follows :— Number of Deaths of Mar- ried Women — Issue as stated. Number of Deaths of Mar- uied Women — Issue as stated. Number of . Children. Proportion per 1,000 of Mothers of each class. Number of Children. Proportion per 1,000 of Mothers of each class. 0 2,600 118 9 1,399 63 1 1,989 90 10 1,199 54 2 1,853 84 11 856 39 3 1,760 80 12 624 28 4 1,881 85 13 352 16 5 1,891 85 14 178 S 6 1,846 S3 15 79 4 7 1,797 81 16 53 2 8 1,717 78 Over 16 41 2 The largest family that has, so far, come under observation in New South Wales is that of a man whose children numbered 29. The woman who had the largest family had given birth to 23 children; this large number did not include any plural births. The families of married men who died during the same period have been tabulated, and show a slightly greater average than for women. This will be readily understood when it is remembered that, owing to the larger proportion of re-marriages amongst widowers than widows, there are more women who become mothers than men who are fathers. The difference, however, is too small to call for any special remark. Joint /ges of Parents as Affecting Birth-rates. Bigenous fatality. IT needs no argument to prove that possible fertility is a very different thing to fertility displayed by marriage. The bearing of children not only requires fecundity on the part of both husband and wife, but the will to bear. The probability of issue during a year to a given number of couples of various ages when arranged in a regular form is called a table of bigenous natality. Such a table has been compared to a joint-life table; between the two there is, however, but a surface resemblance. A. joint-life table treats of the happening of something which both parties are desirous should happen, viz. :—the living through a given period, and over which neither party has control. A table of bigenous natality depends on the probability of the parties living through the period to which the table refers, on their respective fertility, and on the exercise of their powers of reproduction—that is to say, on two circumstances governed by strict laws,, and another set of circum- stances controlled by the parties themselves, and therefore of a voluntary character. Nevertheless, it is not impossible to imagine that what appear to be purely voluntary actions may be exercised according to calculable rules. Many cases seem to conform to this supposition. Amongst those of common occurrence it may be pointed out that although persons who in any are, ordinarily speaking, not subject to any compulsion, but perform an action essentially voluntary, yet the marriage rates of the community are extremely regular and easily predicted from year to year. The number of persons who will be arrested for drunkenness in any year can be predicted with some certainty, yet there are many causes which must be in operation before an arrest is possible. So also with many other events in which voluntariness apparently forms an important part. So little variation do the averages show that even where there is an increase or decrease in the annual propor- tions, it is so gradual as to admit of being easily forecast. With almost as much certainty as an individual knows the number of loaves his family will require from the baker, does the statistician know the number of crimes to be committed during the year, the number of unfortunates who will commit suicide, the number of fires that will occur, the number of persons who will be carried from the streets to the hospital, and from the hospital to their last rest. From the experience of the years that have been counted out can be told what will happen in the years that are to come. Men themselves do not change. The desires and appetites which move them to-day are the same that swayed the race before the pyramids were built, and will remain unchanged to the end. May it not be true therefore that though the conception of children is subject to the control of one or both parties, the actual exercise of that control or its non-exercise is governed by rule. JOINT AGES OP PARENTS AS AFFECTING Birth-rate per 100 Couples AGE OF A< 3E OF HUSBAND. 22 23 24 25 26 27 28 29 30 31 32 33 34 22 30-3 30-3 30-2 30-1 30-0 297 29-1 28-1 27-0 26-1 25-1 24-2 23-5 23 30-3 30-2 30-0 29-8 29'7 29-3 28'8 28-0 27-0 26-2 25-4 24-6 23-9 24 30-4 30-1 29•8 29-5 29-4 28-9 28-4 27'8 27-0 26-3 25-6 24-9 24-2 25 30-4 30-0 29-6 29-2 29-1 28-5 28-0 27'5 26-9 26-4 25'8 25-1 24-4 26 30'4 29-9 29'4 29-0 28-8 28-1 27-6 27•2 26-7 26-3 25-9 25-2 24•5 27 30-4 29-8 29-2 28-8 28-5 27-8 27'3 26-9 26-5 26-2 25-8 25-2 24-5 28 30-4 29-7 29-1 28'6 28-2 27-5 27-0 26-6 26-3 260 25-6 25-0 24-4 29 30-5 29-7 29-0 28'4 27'9 27-2 26-7 26'3 26-0 25-7 25-3 24-7 241 30 30-5 29-7 28-9 28-2 27'6 27-0 26-5 26-1 25-7 25-3 24-9 24-3 237 31 30-5 297 28-9 28-2 27-5 26-8 26-3 25-8 25-4 24-9 24-4 23-8 23-3 32 30-5 29-7 28•9 28-2 27-3 26-6 26-1 25-5 25-1 24-5 24-0 23-4 22-9 33 30-5 29-7 28-8 28-1 27'1 26-4 25-9 25-2 24-8 241 23-6 23-0 22-5 34 30-4 29-6 287 27•9 26-9 26-2 25-6 24-9 24-4 23-7 33-2 22-6 22-1 35 30-3 29-5 28-6 27'7 26-7 26-0 25-3 24-6 24-0 23-3 22-8 22-2 21-6 36 30-1 29-3 28-4 27'4 26-4 257 25-0 24-3 23-6 22-9 223 21-7 21-1 37 29-7 28-9 28-0 27-1 26-1 25-4 24-7 24-0 23-2 225 21-8 21-2 20-6 38 29-2 28-4 27-6 267 25-8 25-1 24-4 23-6 22-8 221 21-4 20-8 20-2 39 28-5 27-8 27-0 26-2 25-4 24-7 24-0 23-2 22-4 21-7 21-0 20-4 19-8 40 27-7 27'0 26-3 25-6 24'9 24-2 23-5 22-8 22-0 21'4 20-7 20-1 19-5 41 26-8 26-2 25-5 24-9 24-2 23-6 23-0 22 '4 21-6 21-0 20-4 19-8 19-2 42 25-8 25-3 24-7 24-2 23-6 23'1 22-5 220 21-3 20-7 20-1 19-5 18'9 43 24-9 24-5 23-9 23-5 23-0 22-6 221 21-6 21-0 20-4 19-8 192 18-6 44 24-1 23-7 23'2 22•9 22-5 22-2 21-7 21-3 20-7 20-2 196 19-0 18-4 45 23-5 23'2 22-8 22-6 22-2 21-9 21-4 21-0 20-5 20-0 19-4 18-8 18-2 46 22-9 22-7 22-4 22-3 21-9 21-6 21-1 20-7 20-3 19-8 19-2 18-6 18-0 47 22-4 22-3 22-1 22-0 21-7 21-4 20-9 20-5 20-1 19-6 19-0 18-4 17-9 48 21-9 21-9 21-8 21-7 21-5 21-3 20-8 20-4 20-0 19-5 18-9 18-3 17-8 49 21-5 21-5 2L-5 2T4 21-3 21-1 20-7 20-3 19-9 19-4 18-9 18-3 17-8 50 21-2 21-2 212 21-2 21-1 20-9 20-6 20-2 19-8 19-3 18-8 18-3 17'8 51 20-9 21-0 21-0 21-0 21-0 20'8 20-5 20-2 19'8 19-3 18-8 18-3 17'8 52 20-6 20-8 20-8 20-8 20-8 207 20-4 20-1 197 19-2 18-7 18-2 17•7 53 20-4 20-6 20-7 20-7 20-7 20-6 20-3 20-0 19-7 19-2 18-7 18-2 177 54 20'3 20'4 20-5 20-5 20-5 20-4 20-2 19'9 19-6 19-1 18-6 18-1 17-6 55 202 20-3 20-4 20-4 20-4 20-3 20-1 19-8 19-5 19-1 18-6 18-1 17-6 56 20-1 20-2 20-3 20-3 20-3 202 20-0 19-7 19-4 19-0 18-5 18-0 17'5 57 20-0 20-0 20-1 20-1 20-1 20'0 19-9 19-6 19-3 18 9 184 17-9 17'3 58 19-9 19-9 20-0 20-0 20-0 19-9 19-8 19'5 19-2 18-8 18-3 17-8 17'1 59 19-8 19-8 19-9 19-9 19-9 19-8 19-7 19-4 19-1 18-7 18-2 17-6 16-9 60 197 197 19-8 19'S 19-8 19-7 19-6 19-3 19-0 18-6 18-1 17-4 16-6 61 18'0 17-1 16-1 62 17•8 16'8 15'6 BIRTH-RATES—BIGENOUS NATALITY. of the Joint Ages Stated. WIFE. - AGE OF HUSBAND. 35 36 37 38 39 40 41 42 43 44 45 46 47 22-8 22-2 21-2 19-8 17'8 15-3 12-1 7'9 22 (Jfi 23-1 22-5 21-5 20-1 18-1 15-6 12-5 8-4 23 23•3 22-7 21-7 20-3 18-3 15-8 ]2-S 8-9 24 ffX 23'5 22-9 21-9 20-4 18-3 15-8 13-0 9-4 25 4i/ 23-6 22-9 21-9 20-3 18-3 15-8 13'1 9-8 2fi (i\J 23-6 22-8 21-8 20 '2 18-2 15-8 13-2 10-2 8-2 6-4 47 2-9 1-1 27 23-5 227 21-7 20-1 18-1 157 13-2 10-5 8'4 6'6 4-8 3-0 1-1 28 23-3 22-5 21-5 19-9 17-9 15-5 13-1 107 8-6 67 4-9 3-0 1-1 29 23-0 22-2 21-2 19-6 17-6 15-3 13-0 10-8 87 6-8 5-0 3-1 1-2 30 22-6 21-9 20-9 19-3 17-3 15-1 12-9 107 8-6 6-8 5-0 3-1 1-2 31 22-2 21-6 20-6 19'1 17-1 15-0 12-8 107 8-6 6-8 5'0 3-1 1-3 32 21-8 21-2 20-2 18-8 16-8 14-8 12-7 10-6 8-5 6-8 5-0 3-1 1-3 33 21-3 207 19-7 18-4 16-4 14-5 12-4 10-4 8'3 6'6 4-9 3-0 1-3 34 20'8 20-2 19'2 18-0 16-0 14-2 12-2 10-3 8-2 6-5 4-8 3-0 1-3 35 20-4 19-8 18-8 17-6 15-7 13'9 12-0 10-1 8-1 G-4 47 3-0 1-3 36 20'0 19-4 18-4 17-2 15-4 136 11-8 9-9 8-0 6-3 46 3-0 1-3 37 19-6 19-0 18-0 16-8 15-1 13-3 11-6 97 7'9 6-2 4-6 3-0 1-4 38 19-2 18'6 17-6 16-4 14-8 13-0 11-4 96 7'8 6-2 4-6 30 1-4 39 18-9 18'3 17-3 16-1 14-6 12-8 11-2 9-5 7'8 6'2 4-6 3-0 1-4 40 18-6 18'0 17-0 15-8 14-4 12-6 11-1 9-4 77 6-1 4-5 3-0 1-4 41 18-3 177 16-7 15-5 14-2 12-4 10-9 9-2 7•5 6-0 4-4 3-0 1-3 42 18-0 17-4 164 15-3 14-0 12-3 107 90 7'3 5-9 43 3-0 1-3 43 17-8 17'2 16-2 15-1 13-8 12-2 10-6 8-9 7'2 5-8 4-2 3-0 1-3 44 17-6 17-0 16-0 149 13-6 12-1 10-5 87 7-0 57 4-1 3-0 1-3 45 17-4 16-8 15-8 147 13-5 12-0 10-4 8-6 6-9 5-6 4-0 2-9 1-3 46 17-3 16-7 157 14-6 13-4 11-9 10-3 8-5 6-8 5-5 4-0 2-8 1-3 47 17-2 ]6'6 15 6 14-5 13-3 11-8 10-2 8-4 67 5'4 3-9 2-7 1-2 48 17-2 16-5 15'5 14-4 132 117 10-0 8-2 6'6 5-3 3-8 2-6 1-2 49 17-2 16-5 15•5 14-4 13-2 117 99 8-1 6-5 5-2 3-S 2-5 1-2 50 17'2 16-5 15'4 14-3 131 11 6 9-8 8-0 6'4 5-1 37 2-4 1-2 51 17-2 16'5 15-4 14-2 13-0 11-5 9-6 7-8 6-2 4-9 3-6 2-3 1-1 52 17-2 16-5 15-4 14-1 12-9 11-3 9-4 7'6 6-0 47 35 22 1-1 53 17-1 16-4 15-3 14-0 12-8 11-0 92 7-4 5-8 4-5 3-3 21 1-0 54 17'0 16-3 15-2 13-9 12-6 107 8-9 7-1 5-5 4-3 3-1 2-0 1-0 55 16-8 16-1 15-0 13-6 12-3 10-3 8-5 6-8 5-2 4-1 2-9 19 •9 56 16-6 15-8 14-7 13-2 11-8 9-8 8-0 64 49 3-8 27 18 -8 57 16-4 15'5 14-4 12-S 11-2 9-3 7-5 6-0 4-6 3-6 2-5 17 •8 58 16-1 15-2 14-0 12-3 10-5 87 7'0 5-6 4-3 3-3 23 15 7 59 157 14-7 13-4 11-6 9-8 8-1 6-5 5-2 4-0 3-0 2-1 1-3 •2 60 15'0 13-8 12-3 107 9-0 7'4 5-9 47 3-6 27 1-8 1-1 •6 61 14-3 12-9 11-2 9-8 8-2 67 5-3 42 3-1 2-3 1-5 •9 '5 62 50 Several important investigations of the subject of bigenous natality have been made, but all seem to have the defect of ignoring ante-nuptial concep- tions. This is a very material point. In New South Wales during the eight years 1893-1900, there were on the average annually 11,508 women under 20 years of age married to men aged-from 20 to 25 years. To these were born within a year 4,700 children, showing an apparent birth rate of 408 per thousand; amongst the women there were, however, 2,185 who were already pregnant at marriage, and in respect of whom the certainty of having a child could be stated. The rate for the remainder of these women, viz., 9,323, is prejudiced by the certainty in regard to the other 2,185, and the true rate is therefore 4,700 less 2,185, that is to say 2,515 births to 11,508 less 2,185, or 9,323 women not pregnant before marriage. This gives nearly 270 per thousand, a very different ratio to that arrived at when ante-nuptial conceptions are not considered. In the investigations which follow, births due to ante-nuptial conception have been excluded, and the rates shown are the actual net rates. The information available for estimating the probability of a birth to couples of given ages comprises the experience of 259,665 births to 1,374,701 couples. For women of ages up to 49 years, and for men up to 64 years, the statistics are fairly ample, and where the number of couples is small, the collateral evidence is sufficiently strong to admit of correct conclusions being- arrived at. In the original investigation, the figures were arranged in cumulative groups according to quinquennial ages. The rates obtained therefrom required some slight adjustment before they could be used for comparative purposes, and the foregoing statement gives the adjusted figures proceeding in single ages for women from 22 to 47 years with husbands from 22 to 62. It will be seen that, generally speaking, the maximum rate for mothers is with fathers of the youngest ages. Where this is not actually the case there is very slight difference between the maximum and the rate for the lowest age recorded. > Thus for women of 22 years, the maximum is with husbands 29 to 33 years, viz., 30-5 per hundred wives, while at age 22 the rate is 30'3. This slight difference, even if it were not due to adjustment, is of such small moment that the truth of the general statement is in no wise impaired. The general law governing natality, therefore, is that the younger the age of the couple, the greater probability of a birth. To this law there is an exception. A woman approaching the limit of child-bearing possesses almost an equal chance of becoming a mother with a husband of or about her own age as with a younger husband. Thus at age 46 years a woman's chance of becoming a mother is from 2-2 to 3'1 per hundred wives, whether the husband's age is 27 or 45 years. When the wife is 47, the birth-rate is 1-1 per hundred with a husband of 27, or with one of 53 years, being a little higher at some of the intervening ages. An attempt has been made, on the authority of the Budapest statistics for 1889-91, to deduce the law that there is a constant number from which if the united ages of the parents be subtracted the difference approximates to the number per cent, of parents to whom children will be born during one year ; but the present investigation, covering a more extended period and a far larger number of couples, shows that this so-called law does not hold, at least in New South Wales, nor does anything analogous obtain. For such a law to exist it would be necessary that, in regard to fertility, the age of the father should be as important as that of the mother, and to obtain equal birth-rates, as the mother's age advances, an equal reduction should be made 51 in that of the father. Within very small limits only can this be said ttf be true. The following examples appear to conform to the supposed law. Age of Wife. Age of Husband. Sum of Ages. Natality per 100 couples. 22 43 65 25 25 41 66 25 28 36 64 25 31 31 62 25 33 28 61 25 In each instance the natality rate is 25 per hundred couples, and the sum of the ages does not depart very far from the mean of the series (63-6 years). If, however, the series be continued for older women whose ages with those of their husbands come near to the mean (63-6) very different results are disclosed. Age of Wife. Age of Husband. Sum of Ages. Natality per 100 couples. 35 29 64 23-3 38 26 64 . 20-3 41 23 64 12-5 Other ages giving equal sums by the same rule ought to give equal natality results. In the following cases the joint ages amount to 74, but the probability of a birth ranges from 1-1 to 21-4 per hundred. Age of Wife. Age of Husband. Natality per 100 couples. 22 52 20'6 25 49 21-4 30 44 20-7 35 39 19-2 40 34 14-5 45 29 4-9 47 27 1-1 1 This so-called law was tentatively promulgated by Korosi in the Philo- sophical Transactions of the Royal Society, and illustrated by Mr. F. Galtoii in his communication to the Proceedings of the Royal Society, Vol. L V. The figures just given do not afford any countenance to it, and it must be concluded that there is not any rule of universal application by which, given the ages of husband and wife, their probable issue during a twelvemonth may be foretold by subtracting the sum of the ages from a constant number. Though it is certain that no general law exists, such as has been claimed, it is obvious from the first series just given that there are certain ages within which the sums of the ages of husband and wife indicate somewhat equal ratios of childbirth. These sums appear to be from 45 to 73, provided the wife's age is not more than 34 years. That is to say, where the united ages of the husband and wife are from 45 to 73, the probability of the birth of a child within a year for couples with equal age sums will be the same. 52 The following examples illustrate this :— Age of Wife. Age of Husband. Natality per 100 Couples. SUM OF AGES OF HUSBAND AND WIFE =50. 22 23 24 28 27 26 25 24 30'4 29'8 29-4 29•2 29•4 25 26 SUM OF AGES OF HUSBAND AND WIFE =60. 25 27 30 33 35 35 33 27'7 26-4 257 25'2 23-5 SUM OF AGES OF HUSBAND AND WiFE=70. 30 27 25 25 27 30 33 35 45 43 40 37 35 22-6 22-6 If the united ages amount to more than 73, very diverse results are obtained : — 22-0 21-2 20-8 Age of Wife.' Age of Husband. Natality per 100 Couples. SUM OF AGES OF HUSBAND AND WIFE =75. 25 30 35 40 45 50 45 40 35 30 21-2 20•5 18•9 14*2 5-0 SUM OF AGES OF HUSBAND AND WiFE=^SO. «* 55 50 45 40 35 25 20-4 19\S 18'9 128 4-8 30 35 40 45 SUM OF AGES OF HUSBAND AND WIFE = 85. 25 30 35 40 45 60 55 50 45 40 19-8 19-5 17-2 12-1 4'6 53 These series show the predominating influence of the age of the wife, and where the wife is nob over 33 years of age, youth on the side of the husband partly compensates for an increase in the age of the wife. Thus the per- centage of natality of women aged 25 years with husbands of 55 years is 20-4, while for women of 35 years with husbands of 55 the probable natality is 17•0; if, however, in this latter class of women the age of the husband be reduced to 35 years, the natality is equal to that of women of 25, and with husbands of 25 years the natality of women of 35 is greater than that of women of 25 with middle-aged husbands. When, however, the higher ages are examined it will be seen that compensation to anything like this extent is absent. Thus, the probable births to women of 22 years of age, even with husbands of 60 years is 19-7 per cent., and the same average obtains for women of 27, yet a woman of 39 years has not an equal pro- bability as this, even with the most youthful of husbands. Again, with women of 43 years, the highest natality is 8•7 per cent, with husbands of 30 years of age; this is only half the ratio for women ten years younger with husbands of 60 years of age. To obtain equal ratios of natality from women of different ages, as the wife's age increases so the husband's must decrease, but with wives under 28 the increase in the husband's age needs not be material; from 28 to 36 years a rapid decrease in the husband's age seems necessary. As the wife's age increases beyond 36 the husband's age should decrease, but less rapidly than at previous ages, and still less rapidly the more the wife's age runs on. To these rules an exception must be made. Generally speaking, the diminution of the husband's- age below 28 years does not affect in any appreciable degree the birth-rate, and for women whose ages range from 30 to 40 years, the point of greatest natality is with husbands of about 26 years. After women have passed age 40 their highest natality is with husbands from 26 to 30 years, nevertheless, there is very little difference, whether the husband be 20 or 40 years of age. 54 Plural Births. THE plural births in the eight years, 1893-1900, were 3,088 in number, representing 6,207 children. Of these births, 2,936 were legitimate, and 152 illegitimate, viz. :— Legitimate. Illegitimate. Twins 2,910 150 Triplets 23 2 Quadruplets 3 Under ordinary circumstances it would be unscientific to attempt the deduction, from such small numbers, of a law governing the occurrence of plural births; but in one particular the results are so well marked and agree so well with the observations of other countries that they may be accepted as indicating a general law, viz., that the age of the parents is the chief determining factor in the occurrence of plural births. Whatever part heredity may play in marking out those who are liable to give birth to twins or triplets, it is clear that there is a certain period of age both in males and females, at which there is a greater tendency to produce twins than at other times. For females this period is somewhere between the thirty-fifth and the fortieth year, and for males it is a little later. In Dr. Matthews Duncan's work on " Fecundity, Fertility, and Sterility," some particulars are given regarding the occurrence of plural births, and though Dr. Duncan's observations were on a limited scale, extending only to 438 cases of plural births, and 32,686 confinements, compared with 3,088 cases of births, and 298,518 confinements in New South Wales, in the absence of more extended statistics his corroboration is valuable, as he fixes the period of greatest frequency of plural births amongst women at the same age as ascertained for New South Wales. In New South Wales the smallest proportion of plural births is found amongst women below age 20 ; the proportion increases steadily with the age of mothers until it reaches a maximum with women between the ages of 35 and 40 years, after which there is a decline ; but the decline does not bring the ratio back to its starting point, for at ages 45 to 50 the plural births are one to every 117 confinements, whereas at age 20 and under, the proportion is one to 238. The results of the observations for the eight years are as follows; the figures refer to legitimate births only :— Plural Births per 1,000 of all Births. Age Group of Mothers. All Births. Plural Births. Tinder 20 years 9,978 42 4-21 20 and under 25 years 60,070 371 6-18 25 30 78,919 734 9-30 30 , 35 64,803 850 13'12 35 40 45,681 706 15-46 49 45 17,374 218 12•55 45 , 50 1,753 15 8-56 It is a remarkable fact that of 2,936 births, 1,789 occurred to mothers whose ages were 30 years or upwards ; this gives a proportion of 61 per cent., whereas of all legitimate births, only 47 per cent, occurred at those ages; 72 per cent, of plural births occurred to mothers over 27 years of age, whereas of all births, only 52 per cent, were amongst such mothers. The same preponderance is observable amongst illegitimate births. In the eight years, 19,940 cases of illegitimate births were recorded, thus distributed:— All Births. Plural Births. Plural Births per 1,000 of all Births. \Vomen under 28 years 15,575 91 5-84 » over 28 „ 4,365 61 13-97 The number of triplets is very small. During the eight years there were only 23 cases out of 278,601 legitimate births ; this represents 83 per million confinements. It is surprising how closely the occurrence of these births is also affected by the age of the mother. Of the triplets, 19 were born to mothers over 30 years of age—that is to say, 83 per cent., whereas, in ordinary births, the proportion of mothers of such age is only 46 per cent. The mothers' ages in the three cases of quadruple births registered in the eight years were 21, 33, and 36. ' ; 56 Sex. IN an average year, of every 10,000 children born in New South Wales 5,134 will be males and 4,866 females; the excess of male births is therefore 268, or 5-51 per cent. In no year has the number of females born exceeded that of the males, although the difference has sometimes been very slight. Considering only children born to married women, the proportion of males to every 100 females has varied between 101•71 and 108•06, showing a variation of 6•35. The range in the proportion of the sexes born out of wedlock has been much greater, indeed, in some years, there has been a majority of females; during the past thirty years the proportion of males .to females amongst illegitimates has varied between 94•96 and 121•96, showing a range of 27 per cent., although, strange to say, the average is only 103•41 males to 100 females, whereas among legitimate births the average is 105•85. The following is a statement of the proportion of male to female children of legitimate and illegitimate parentage born during each of the last twenty years :— Males per 100 Females. Males per 100 Females. Year. Year. Legitimate Births. Illegitimate Births. Legitimate Jbirths. Illegitimate Births. 1882 103•3 101•4 1892 105•3 103-8 1883 104•5 113•3 1893 106-7 105-7 1884 105•7 99•1 1894 105-4 107•1 1885 • 104•9 103-5 1895 104•6 114•1 1886 106•7 98•7 1896 105•6 95-4 1887 103•5 95-3 1897 103-9 105•4 1888 104-2 96•2 1898 107•2 104•0 1889 108-1 100•7 1899 104•0 1082 1890 104-2 104•7 1900 104•4 103•2 1891 107•0 105•7 1901 101•8 108•5 The influence of the age of parents upon the sex of their offspring is a matter that has been much discussed. As just pointed out, the male births always exceed the female births, and this excess is found at almost all ages of parents, and the exceptions to the rule do not cover many cases. The sex of children born in New South Wales has been compared with the age of the parents, and certain general rules may be deduced therefrom. It would appear that:— (a) The youngest children in families, where the mother has continued fruitful up to the age 45 years, are more often girls than boys. (b) Where the father is ten years younger than the mother there will be more female births than male. (c) Where the father is twenty years or more older than the mother, provided the latter is herself not under 22 years of age nor over 33 years of age, there will be an excess of females born. 57 (d) The female births exceed the male as the mother approaches the limit of child-bearing, no matter what the father's age may be. (e) Where the mother is very young and the father is also young, the female births slightly exceed the male births. The number of children born to married couples falling within the foregoing age conditions is not large, and under all other age conditions an excess of male births was recorded. Taking the average of the last eight years, the proportion of male births to 100 female births was 105-85. For mothers of different ages the propor- tions were as follow :— Average Male Children born to 100 Females. Average Male Children born to 100 Females. Average Male Children born to 100 Females. Mother's Age. Mother's Age. Mother's Age. 14 77 26 106-5 38 106 15 89 27 106-5 39 104 16 96 28 106-5 40 104 17 102-4 29 106-5 41 104 18 105 30 106 42 104 19 106 31 106 43 103 20 106 32 106 44 102 21 106'5 33 106 45 101 22 106-5 34 106 46 100 23 106-5 35 106 47 100 21 106-5 36 105 48 99 25 107 37 105 The highest average rate, viz., 107, is therefore at 25 years. All ages from 17 to 47 show a larger proportion of male than female births, those outside these limits show a less proportion. There is much less range in the proportion of male children when the father's age is the basis of comparison. For fathers up to 65 years there is an excess at every age of male births, after 65 years the contrary appears to be true, and for age groups 65-70 the proportion is only 85 -8 per hundred, but the number of fathers of this age is inconsiderable. If the ages of both parents be made factors of a comparison, a much wider range in the proportions of male and female births is disclosed. The highest proportion (124•7) for any age group is for mothers aged 20 years with fathers of 42 years, that is to say, for the youngest mothers for whom there are statistics, and the oldest group of fathers married to women of that particular age. The lowest proportion of male births, 63 fl per hundred females, is found amongst women of 45 years with husbands of 33; these ages represent the oldest woman's age for which there are observations and the youngest group of fathers with women of that age. The proportion of male births to 100 female births to women of the ages specified are given for husbands from 23 to 60 years. Wives below 20 years have been omitted, and no proportions are set against ages where the number of couples was too small to admit of a proper average being obtained. 58 PBOPOBTION of Male Children out of 100 Births to Estreats aged as under.:— Father's Age. Mothers Age. Mother's Age. Father's Age. 20 years. 25 years. 35 years. 45 years. 25 years. 35 years. 45 years. 65 years. 20 48-7 20 Sl'O 54•0 21 49-1 ... 21 51-2 53•4 22 49-6 22 51-3 52•8 23 50'0 51-3 23 51-5 52-2 60-4 24 50-5 51-6 24 51'6 52-2 50-6 25 51-0 51•7 25 ol'7 52•2 50-8 26 51-4 51-9 26 51-8 52•2 51-0 ... 27 51-8 52-1 50-4 ... 27 51-9 52-2 51-3 28 52-0 52-0 50-6 28 51-7 52-2 51-5 29 52-3 52-1 50•6 29 51-6 52-1 51-5 30 52-6 52-1 50-9 30 51*4 52-0 51'6 31 53-0 521 51'0 31 51-3 51-9 51-7 32 532 52-1 51-0 32 51'1 51-8 51-8 ... 33 53-4 52-1 51-2 387 33 50•9 51-7 51-9 ... 34 53-7 52-2 51-3 39-5 34 51-6 52'0 35 54-0 52-2 51-4 40-5 35 51-4 52-1 36 54-4 , 52-2 51-5 41-7 36 ... 51-3 52-2 ... 37 54-6 52-2 51-5 42-6 37 51 -1 52-3 38 54-8 52-1 51-6 43•5 38 50-9 52-5 541 39 55-0 52-1 51•7 44-3 39 51-1 52-2 52-0 40 55-2 52-1 51-8 45-0 40 51-4 51-9 49-9 41 55-3 51-9 51-8 45-9 41 51-7 51•6 47-8 42 55-5 51-8 51-9 46-4 42 ... 52-0 51-3 45-7 43 51-6 52-0 47-0 43 48-2 50-2 43-6 44 . . i 51-3 52•0 47'6 44 44'4 491 41-5 45 50-8 52-1 48-0 45 -40-5 48-0 39-5 46 50-3 52-1 48-5 47 49'7 521 49-0 48 49'4 52-2 49'5 49 48'3 52-2 50-0 50 47'3 52-2 50-2 51 46-2 52-1 50-5 52 45-0 52-3 60-8 53 52-0 50-9 54 50-9 55 50-8 56 . .. 50-6 57 50-2 58 49-6 59 49-0 60 ... 48-0 61 . • > 47-0 62 46•0 63 44-0 ... ... 64 42•0 65 ... ! 39'5 59 Deaths iij Child-birth. THE statistics of all countries are deficient in particulars concerning deaths of women in child-birth—the actual number of such deaths is, of course, known wherever vital statistics are published, but the more important details are singularly wanting, and the statistics of New South Wales are now, as regards this particular branch of enquiry, in all important respects, as complete as any yet published. Nevertheless, even the New South Wales figures could be improved. One-fourth of all deaths are ascribed to " other casualties of child-birth," and at the very threshold of his enquiry the investi- gator is met with defective information. This faulty definition is due to want of thought on the part of medical attendants in furnishing the certificates required by law, the cause of death certified to by them being simply " child- birth," which, in most cases, means one or other of the specific causes enumerated in the Table ; but even of this there can be no certainty, and in this connection it may not be out of place to remark that many of the diffi- culties of the statistician in dealing with vital statistics arise from the careless manner in which medical men render their death certificates. During the eight years which closed with 1900 there were in New South Wales 2,138 deaths due to child-birth ; of these 1,927 were of married women and 211 of single women. The assigned causes were as shown below :— Total 1893-1900. Cause of Death. 1893. 1894. 1895. 1896. 1897. 1898. 1899. 1900. Abortion 5 12 11 11 26 16 20 18 119 Miscarriage 19 21 26 27 32 20 32 33 210 Puerperal fever 67 110 111 81 113 92 82 75 731 3 4 1 5 3 1 3 2 oo Puerperal convulsions .. 22 28 23 27 32 31 35 28 226 Placenta praevia-flooding ...... Phlegmasia dolens 36 3 30 1 40 2 36 1 39 37 44 39 1 301 14 4 9 Other casualties of Child-birth. 66 61 64 61 72 59 60 72 515 Total ?9,1 267 278 249 321 256 278 268 2,138 During this period there were 278,601 confinements of married women, and 19,940 of unmarried women, so that the death-rate amongst the former class was 1 in 145, and amongst the latter 1 in 95. The two important considerations in dealing with the risk at child-birth, are the age of the mother and the number, if any, of her previous confine- ments. The following table gives a distribution of the confinements according to previous issue, and the number of deaths in each class. This 60 interesting grouping can be given only for married women, the registrations not affording particulars of the previous issue of the unmarried :— Number of Confinement. Deaths in Child-birth. Number of Confinement. Deaths in Child-birth. Births. Births. 1 56,247 495 14 689 4 2 45,928 215 15 349 4 3 38,783 212 16 , 142 1 4 32,208 169 17 74 1 5 26,783 184 18 23 2 6 21,720 137 19 14 i-r 17,422 130 20 4 8 13,486 126 21 9 9,699 101 22 1 10 6 739 53 23 3 11 4 381 38 12 2,541 30 Total 278,601 1,927 13 1,365 25 The number of confinements of each class up to the thirteenth is suffi- ciently large to enable the probability of a death to be determined; the values given hereunder for this probability are those obtained direct from the statistics, together with the results after adjustment:— Number of Confinement. Probability of Death during Confinement. Number of Confinement. Probability of Death during Confinement. Unadjusted. Adjusted. Unadjusted. Adjusted. 1 •00880 •00468 •00547 •00525 •00687 •00631 •00746 •00880 •00468 •00512 •00552 •00606 •00672 •00736 8 •00934 •01041 •00786 •00867 •01181 •01832 •00816 •00900 •01000 •01128 •01326 •01740 2 9 3 10 4 11 5 12 6 13 7 These figures show one element of the risk of dying in child-birth, and, taking all women, it would appear that the risk attending the first confinement is greater than at any subsequent confinement up to the ninth; the minimum, •00468, is at the second ; but at the third confinement the risk is not much greater. The element of age is, however, so important that it will be neces- sary to discuss the question of risk in relation both to the number of previous confinements and the age attained. First Confinements. The risk of a mother dying at or within a month of her first confinement is greater than at any subsequent one up to but not including the ninth. 61 About one-half of all the first confinements occur to mothers under 24 years of age, and three-fourths to women under 27 years. If the confinements and deaths be arranged according to age, the importance of age as an element of risk will be at once apparent. The following statement applies to married women only:— Number of First Confinements. Number of Deaths in Child- birth. Number of First Confinements. Number of Deaths in Child* birth. Age of Mothers. Age of Mothers. Years. Years. Under 18 1,549 11 33 717 15 18 2,504 21 34 535 & 19 3,935 29 35 482 9 20 4,408 23 36 415 4 21 5,676 39 37 272 5 22 5,942 44 38 260 4 23 5,621 46 39 194 1 24 4,816 35 40 155 3 25 4,188 35 41 60 2 26 3,560 28 42 77 1 27 2,897 24 43 37 2 28 2,461 25 44 24 2 29 1,835 29 45 and over 32 2 30 1,614 21 Not stated 4 — 01 i nio 01 J. , U-i-tJ 32 928 18 Total 56,247 495 Taking all married primipane, the number of fatal cases represents one death to 114 confinements, so that the average risk is '0088. The risk appears to be least at age 20, the proportion of deaths for ages 18 and 19, the only years below that age available for comparison, being considerably in excess of the rates for the higher age. After age 20 the risk increases slightly for a few years, and at 27 years is no higher than at 18 years; thereafter it mounts up rapidly, and at age 40 it reaches the high proportion of one in 58. The risk of death at each age is as shown below :— Probability of Death at First Confinement. Probability of Death at First Confinement. Age of Mother. Age of Mother. Unadjusted. Adjusted. Unadjusted. Adjusted. Years. Years. Under 18 •00710 _ 32 •01940 •0175 18 •00839 •0084 33 •02092 •0185 19 •00737 •0068 34 •01682 •0184 20 •00522 •0061 35 •01867 •0172 21 •00687 •0062 36 •00964 •0149 22 •00740 •0069 37 •01838 •0132 23 •00818 •0075 38 •01538 •0131 24 •00727 •0077 39 •00515 •0143 25 •00836 •0079 40 •01935 •0172 26 •00787 •0082 41 •03333 •0217 27 •00828 •OOS7 42 •01299 •0282 28 •01016 •0097 43 •05405 •0366 29 •01580 •0113 44 •08333 — 30 •01301 •0123 45 and over •06250 — 31 •00763 •0155 Multlparae. The number of confinements of women who had already borne children was during the eight years 222,354, and the number of deaths 1,432. The fatal cases, therefore, represent one to every 155 confinements, being a risk of -00645 compared with -0088 amongst primiparse; such comparison, how- ever, is of no great value, as the confinements of multipart are numerous at ages over 30 years, at which ages first confinements are exceptional. Distributing the confinements according to the age of the mothers, the following were the numbers thereof, and of the deaths at each age period :— Number of Confinements (Multipart), Number of Deaths in Child- birth. Number of Confinements (Multipart). Number of Deaths in Child- birth. Age of Mother. Age of Mother. Years. Under 18 117 Years. 27 13,063 65 18 475 2 28 13,769 84 19 ... * 1 398 5 29 13,073 61 20 2,740 •7 30 and under 35 59,953 408 21 4,632 12 35 ,, 40 44,055 400 22 6,634 28 40 „ 45 17,020 186 23 . . 8,956 27 45 and over 1,743 22 24 10 644 38 Unknown 13 25 11 422 36 26 . . . . 12,647 51 Total 222,354 1,432 From these figures the probability of a death occurring at any age may be deduced. This probability is as shown in the following table :— Probability of Death during Confinement. Probability of Death during Confinement. Age of Mother. Age of Mother. Unadjusted. Adjusted. Unadjusted. Adjusted. 18 •00421 •00358 •00255 •00259 •00422 "00301 •00357 •00315 •00403 •00498 W510 •00467 •00385 •00340 •00315 •00305 •00307 •00316 •00330 •00355 •00388 •00430 •00480 •00530 •00580 •00635 32 •00681 •00681 •00732 •00780 •00826 •00870 •00908 •00950 •00988 •01027 •01062 •01093 19 33 20 34 21 35 •00908 22 .. .. . 36 ... 23 37 24 38 25 .... 39 26 .... 40 27 41 28 42 •01093 29 43 30 44 31 The age of least risk for multipart is 21 years. This is also about the time of least risk for primiparse, but the probability of death is only about half as 63 great for women with previous issue as for women without previous issue. It will be seen that the probability of death is considerably greater for women below than at age 20. After 20 years the risk increases with age, but not rapidly until age 26 is reached. Comparing the deaths of primiparse and multipart at the same ages, the superiority of the women who have already been mothers is very noticeable. % Probability of Death. Age of Mother. Primiparse. Multipart. 18 '0084 •0061 •0079 •0123 •0172 •0172 •00385 •00315 •00355 20 25 30 -00580 -00826 •01027 35 40 It will be seen that for both classes of women age is the great element in the risk. With multipart age brings in a further condition, viz., loss of vitality said to arise out of previous confinements, and it is interesting to determine whether the statistics give evidence of such condition. The following table gives the probability of death in child-birth for mothers of various ages, according to the number of previous issue :— Previous Issue. Age Groups. 1 2 3 4 5 7 8 9 15 19 '0066 20 °4 •0047 •0037 9% 9Q •0056 •0047 •0041 •0039 -0043 •0049 30-34 -0067 •0065 •0063 •0061 •0062 •0065 -0074 -0087 35-39 •0084 •OOS5 •0086 •0088 -0092 •0096 •0101 •0107 •0114 40-44 •0109 •0110 •0111 •0113 •0116 •0118 •0121 •0125 •0130 Ages, L5-44 •0053 •0056 •0060 •0065 •0072 •0081 •0092 -0105 •0120 The importance of age, as an element of the risk, is apparent at each confinement, but the figures do not warrant the supposition that, apart from age, each successive confinement is attended with additional risk. The most that can be asserted is that for some women such is the case; on the other hand, there are a large number to whom the risk of dying is somewhat the same, whether their confinement be the second or the tenth. Primiparae and Multipart combined. A statement of the probability for all married women, primiparse and multipart combined, is not of great interest where, as in New South Wales, it is possible to show the probability for each class separately, but the combined rate is given for .purposes of comparison with the statistics of countries where the distinction has not been made. The following statement combines the figures given previously for each class:— Probability of Death during Confinement. Probability of Death during Confinement. Age of Mother. Age of Mother. Unadjusted. Adjusted. Unadjusted. Adjusted. Under 18 •00660 •00772 . •00638 •00420 •00495 •00573 •00501 •00472 •00455 •00487 •00558 •00672 •00604 31 •00724 •00758 •00790 •00821 •00851 •00884 •00918 •00953 •00994 •01037 •01081 •01128 18 32 •00739 19 •00612 •00534 •00485 •00464 •00460 •00468 •00490 •00527 •00574 •00618 •00653 •00690 33 20 34 21 35 22 36 . 23 37 •00926 24 38 25 39 26 40 27 41 28 42 •01128 29 43 30 44 Deaths of Unmarried Women. There is a difficulty in dealing with the deaths of the unmarried, as the previous issue of such women is not ascertained. It is probable the majority of the unmarried women under 25 years of age are prmriparsB : beyond that age it is equally probable there are numerous multipart amongst them ; indeed the rates themselves indicate this. The total number of confinements of unmarried women was 19,940 and the deaths 211, thus distributed :— Number of Confine- ments. Number of Deaths in Child- birth. Number of Confine- ments. Number of Deaths in Child- birth. Age of Mother. Age of Mother. 12 1 25 919 786 668 609 511 1,710 1,110 325 40 60 12 5 8 3 13 10 64 212 '""l 1 5 8 16 15 22 21 21 17 16 10 26 14 27 15 28 16 592 1,142 ,578 ,917 ,883 ,806 ,590 ,337 ,070 29 IT t 17 30 and under 35 35 „ 40 40 „ 45 45 3/nd over 16 5 2 18 19 20 21 jN"ot stilted. 22 23 Total 19,940 211 24 65 The risk of death at each age was therefore :— Under 15 •02667 15 and under 20 '01213 20 „ 25 01106 25 „ 30 -01002 30 ,, 35 -00936 35 „ 40 -00450 40 and over '00548 The most noticeable point about these figures is the downward progression of the death probabilit}^ as age increases, which is an absolute reversal of the experience derived from the deaths of married women. The figures have also another peculiarity, which is, that for women of 35 years of age and upwards, the probability of a death is less amongst the unmarried than amongst the married, and at ages over 30 the probability is less for the unmarried than for married primiparse. An explanation of the last point may be found in the fact that unmarried multipart may possibly be largely represented amongst the women of the higher ages, but of this there is no certainty, as the law does not require particulars of previous issue where such issue is illegitimate. A reason for the declining ratios of the unmarried may be found in the fact that the women under 25 who, being with child, do not succeed in obtaining marriage from their seducers, are both physically and mentally in a pitiable state, and in most cases bereft of the commonest comforts and conveniences demanded by their condition. Besides this, they are haunted by a dread of exposure, and, in their ignorance, many of them resort to quacks and abortionists. For the light death-rate amongst unmarried women over 35 years of age, no explanation can be extracted from the statistics. During the eight years, 1893-1900, there were 1,475 confinements of unmarried women of 35 years and upwards and 7 deaths. Amongst married women of the same age there were 64,826 confinements and 643 deaths, the rates for the unmarried being 1 death to 211 confinements, and for the married 1 to 101 confinements. More striking still is the comparison with the married primiparre ; of these over 35 years of age there were 2,008 confinements and 35 deaths, giving a ratio of 1 death to 57 confinements, which is nearly four times as great as for unmarried women. The numbers, both of the unmarried women and the married primiparse over 35 years of age, are small, and no safe deduction can be drawn from them ; it is evident, however, that the unmarried women of mature age who become mothers must be of an exceptional class to be subjected to so few casualties. British Mortality Experience. Prior to the publication of the information now presented, the best statistics on the subject of child-birth were those contained in Dr. Matthews Duncan's well-known work already alluded to. Writing in 1871, Dr. Duncan declared that "not fewer than one in every 120 women, delivered at or near the full time, die within four weeks of childbed." In New South Wales there is, happily, a better though still a high average, for there were 2,138 deaths from 298,541 confinements of married and unmarried women, or one death to 140 confinements. As Dr. Duncan has made the distinction between 66 primiparse and multipart, a comparison of his results for various ages with those of New South Wales is interesting. This the following table affords :— Ag;6 Groups. Primiparse. Multiparae. New South Wales. Dr. Matthews Duncan. New South Wales. Dr. Matthews Duucan, 15 and 20 25 30 35 40 45 ,.. under 20 •00764 •00707 •00944 •01466 •01417 •02833 •0120S •01291 •01291 •02260 •00746 •00352 •00333 •00464 •00681 -00908 •01093 25 •00711 •00521 •01115 •00879 •00991 •02174 , 30 , 35 , 40 , 45 In a paper read at the 66th annual meeting of the British Medical Association, held in Edinburgh, Dr. J. Playfair and Mr. T. Wallace gave statistics of the deaths in the Royal Maternity and Simpson Memorial Hospitals at Edinburgh. For married prirniparse they found the death-rate to be -02053, or one death to 49 confinements ; and for married multipart the death-rate was '0056, or one death to 179 confinements, in both cases very much higher than the rates ascertained for New South Wales; but the experience afforded by a hospital is too small to warrant definite conclusions being drawn from it. Comparative Death Rates since 1860. Extremely important modifications have taken place in the birth rates of New South Wales during recent years, indicative of a radical change either in the physical condition or in the haloits of the people. No changes of the kind could take place without being reflected, in a greater or less degree, in the death rates of married women, and it would be interesting, therefore, to compare the ratio of deaths as now ascertained with those of past years. It is, unfortunately, impossible to make such comparison with certainty of its accuracy, at all events, for years prior to 1893. It is true that the causes of deaths have been officially registered for over forty years, but there has been great negligence by medical men in filling up the certificates required by law. Since 1893 the death certificates have been carefully scrutinized, and the statistics compiled with the most patient care, but previous to that year, when deaths occurred in child-birth, there seemed reluctance in many instances to state specifically the fact, and various ill-defined descriptions of the cause of death have been returned and accepted by the registration office, and where a defined cause has been given, the important qualification puerperal has been omitted in a large number of cases, especially of septicaemia and peritonitis. This reluctance to acknowledge the true cause of death is nob confined to New South Wales, and statements for any country indicating a more favour- able general death-rate than one in one hundred and seventy should be received with caution. What has just been said must, therefore, be borne in mind in considering the following figures, which purport to show the ratio of deaths in child-birth since 1870 for the state of New South Wales :— Period. Ratio. 1870-80 •004891 1881-90 '004309 1891-1900 M '-006509 67 It would be idle, at this late stage, to attempt to correct the under- statements in the number of deaths from child-birth during the years prior to 1890, but every argument founded on reason or probability would lead to the conclusion that the rates of recent years should show a marked decline. Medical attendance, skilled nursing and medical comforts, are now within the reach of most women ; twenty-five years ago this was certainly not the case, and doubtless many lives were then lost that now would be saved. Yet, making every possible correction for errors of registration, the rates of 1870—1880 cannot be brought up to the level of those of recent years, and it must be admitted that deaths from child-birth have increased during the last twenty years. This result is a curious satire on the efforts of science to ameliorate the condition, of the mothers of our race. So curious, indeed, is the result that the question at once arises—is there not some cause for the increase in the death-rate of parturient women tending to neutralize all that science and skill can do in their behalf. The statistics do not enable an absolutely satisfactory answer to be given to this question, but they certainly indicate, as a distinct probability, that the increase in the death-rate of child- bearing women is associated with the decline in the birth-rate. Two apparently opposite causes are in operation and bring about a like result. The failure to bear children is conspicuously prevalent amongst women of the well-to-do classes and amongst those whose circumstances permit them to provide everything that would tend to ameliorate the condition and safeguard life during the critical period. Amongst women not so fortunately situated as regards material comforts, there is less restriction, and these are the mothers to whom the danger of death is greatest. The failure to bear children of women whose confinements would be attended with the minimum of danger increases the apparent average risk to all women, although as a matter of fact, the real risk may not have increased. The second cause affecting the death-rates arises out of the practice of restriction, and is deserving of very serious consideration. It will have been seen that absolute infecundity does not account for any large part of the decline in the birth-rate. The great majority of married women still bear children, but many of them do so with reluctance, and make the interval between the births of successive children as great as possible. To accomplish their purpose, measures are taken by some which are inconsistent with the future safe delivery of another child, and it is amongst these women that the casualties take place which swell the death-roll and make the present rate so high. 68 Conclusion. IT cannot be denied that the condition of affairs disclosed by several of the preceding chapters arises from a direct reversal of the ordinary canons of morality. It is not, however, to be supposed that the practices of which this condition is the evidence are peculiar to Australia; on the contrary, it is probable they are just as rife in other countries, but, owing to the absence of statistics, there is no exact measure of the extent to which they are indulged in. Many persons have been unwilling to accept what appears to be the obvious cause of the decline in the birth-rate as the actual cause, and, falling back upon the theory of the tendency of cerebral development to lessen fertility, have sought in this tendency an explanation of the decline in the birth-rates in Australia as well as in other countries. The theory of decreased fertility due to cerebral development found wide acceptance in England some thirty years ago, when Greig's " Enigmas of Life" was first published; it was especially agreeable to the very large number of persons wishful to escape from the dire logic of Mai thus, and to " justify the ways of God to men " in some other manner than by supposing that the incurable tendency of population to increase faster than its sustenance could be counteracted only by vice, misery, or moral restraint. The general question of the effect of cerebral development upon fecundity need not be discussed here; whether it is true or not, cannot be ascertained from any statistics yet collected in Australia. It is obvious, however, that the cerebral development of a race is a matter of slow growth, and to explain the decline in the birth-rate by reference to this cause is to neglect certain very obvious facts. For many years the Australian birth-rate was high, but within a certain short period between the years of 1880 and 1890, there was a complete change to a low rate. This change was manifest in all classes of the community, except amongst women of Irish birth, amongst people of every shade of opinion and of every social condition. Changes in cerebral development are not thus rapid in their operation nor so widespread in their range. Moreover, it is doubtful if the conditions which make for cerebral development have had much effect on the great bulk of the community during the last two generations, notwithstanding the spread of elementary instruction. The existing facts are compatible with only one explanation, viz., that in the years following 1880 the art of applying artificial checks to conception was successfully learnt and has continued in operation to this day. Nor are there any present signs that the lessons thus learnt are likely to be forgotten. The improvement in the material condition of the country may favourably affect the birth-rate, mainly by bringing about an increase in marriage, but also because it happens that, amongst certain classes, the women are willing to bear children when the prospect of their maintenance is in sight. The risk of death in child-bed when conception takes place after a long period of artificial repression, may also have effect in dissuading some against an indulgence in this practice, while strong measures against profes- sional abortionists would beneficially affect alike the birth-rate and the moral tone of the community. 69 As bearing upon the subject of child-birth, it may be mentioned that the conditions of life in Australia necessitate much separation of husbands and wives. On the night of the Census of 1901, 30,379 husbands out of 206,186 in New South Wales were not under the same roof with their wives, and this is the habitual condition throughout Australia. The advent of more settled life will prevent this breaking up of families and conduce to a higher birth- rate. But at best, these remedies, if operating to their full extent, would not go far to restore the former birth-rate, nor would anything be effective unless a radical change takes place in the mental and moral attitude of women towards child-bearing. There are, however, conditions which are certain to operate adversely to an improvement in the birth-rate. It is possible that there may be a great moral improvement in the relations of men and women before marriage. This would mean a decline in the number of ante-nuptial conceptions, and as ante-nuptial conceptions are a great factor in keeping up the marriage-rate, any reduction in their numbers would be attended by a further fall in the marriage-rate, and, as a consequence, in the birth-rate also. Another factor tending towards a decrease in the proportion of births is the decline in the Irish element of the population. It will have been seen in the chapter dealing with the subject, that amongst mothers of Irish birth the number of children to a marriage has remained much the same as formerly, whilst amongst all other women there has been a great decline. Wherever women of Irish birth are numerous the birth- rate has been higher than elsewhere, but, as the proportion of Irish women is fast decreasing, this element in the maintenance of the birth-rate will presently disappear. Large as is the area of the Australian continent, it is impossible that its people will ever become truly great under the conditions affecting the increase of population which now obtain. Immigration has practically ceased to be an important factor, the maintenance and increase of population depending upon the birth-rate alone, a rate seriously diminished and still diminishing. ]N"o people has ever become great under such conditions, or, having attained great- ness, has remained great for any lengthened period. The problem of the fall in the birth-rate is, therefore, a national one of overwhelming importance to the Australian people, perhaps more than to any other people, and on its satisfactory solution will depend whether this country is ever to take a place amongst the great nations of the world. Sydney : William Applegate Gullick, Government Printer.—1903. THE UNIVERSITY OF MICHIGAN GRADUATE LIBRARY UNIVERSITY OF MICHIGAN 3 9015 02818 8517 BOOK CARD DO NOT REMOVE A Charge will be mode if this card is mutilated or not returned with the book GRADUATE LIBRARY THE UNIVERSITY OF MICHIGAN THE ANN ARBOR, MICHIGAN GL '"Vs- " - DO NOT REMOVE OR MUTILATE CARD * ,