Zuigelingensterfte en geboorten in de 19e en begin 20e eeuw

- During the 19th century infant mortality was very high in the Netherlands, particularly in the provinces of South Holland and Zeeland (up to 300 per 1000 live births and more), and also in parts of North Brabant and Limburg. In the northern provinces (Drenthe, Groningen and Friesland) mortality was lower. Where breast-feeding was infrequently given (in rural areas of South Holland, Zeeland and from the 1850s also in North Brabant), infant mortality was relatively high. In the northern provinces many mothers breast-fed their infants. The fertility rate of married women was high, especially in those parts of the country where breast-feeding was infrequent. From 1875-1880 fertility rate and infant mortality decreased: the so-called demographic transition. Improved social conditions and employment opportunities played an important role in this as did the vertical social mobility: limitation of the size of families gave children opportunities to climb the social ladder.

Ned Tijdschr Geneeskd. 2008;152:2788-94