|Differentials in Maternal Mortality in Late 19th and Early 20th Century Spain.|
|With this contribution, we will attempt to relate maternal mortality, closely linked to fetal and neonatal mortality, with an improvement on the hygienic and medical practices at the time. In order to do so, we will explore trends in maternal mortality from the end of the 19th until the Spanish Civil War (1936). Firstly, we will explore the geographical distribution of maternal mortality rate by age across the whole country, and divided by urban and rural areas, to test whether it correlates with the distribution of the fetal and neonatal mortality. Secondly, we will focus on maternal mortality in the City of Madrid, comparing the characteristics of maternal deaths occurring at welfare institutions with those occurring in the population at large. By comparing the age-distribution of these mothers and the differential outcome, we will try to ascertain to what extent the differences found could point to medical improvements only available to those attending to welfare institutions and if there was a selective effect on the institutionalized population that can make up for those differences.
We will use various sources to cover the period: the daily burial dataset of the city of Madrid (1889- 1901), Vital Statistics of Spain(1900-1933) and the Statistical bulletin of the city of Madrid (1897-1935).