What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904

This paper examines the causes of infant mortality for the Hanseatic city of Rostock, Germany, between 1800 and 1904. Based on unique individual-level church records from Rostock's largest inner-city parish, St. Jakobi, we apply the novel ICD10h coding system for the first time to the German c...

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Main Authors: Michael Mühlichen, Laura Ann Cilek
Format: Article
Language:English
Published: International Institute of Social History 2024-07-01
Series:Historical Life Course Studies
Subjects:
Online Access:https://hlcs.nl/article/view/18472
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author Michael Mühlichen
Laura Ann Cilek
author_facet Michael Mühlichen
Laura Ann Cilek
author_sort Michael Mühlichen
collection DOAJ
description This paper examines the causes of infant mortality for the Hanseatic city of Rostock, Germany, between 1800 and 1904. Based on unique individual-level church records from Rostock's largest inner-city parish, St. Jakobi, we apply the novel ICD10h coding system for the first time to the German context. Using this coding system, we analyse cause-specific patterns of infant, neonatal and post-neonatal mortality in an internationally comparable way and bring new insights into the determinants of 19th-century infant mortality, which was shaped by increase and stagnation in wide parts of Germany. Our results show that Rostock experienced a stagnating infant mortality rate at a low level in international comparison during the first 40 years of the 19th century, followed by severe increases during the next 20 years and a stage of slight decline and stagnation towards the end of the study period. This suboptimal development from 1840 was strongly related to post-neonatal mortality and causes of death that are related to unfavourable sanitary conditions and/or poor nutrition, which possibly hints at worsening housing and living conditions following accelerated population growth. Our analyses also reveal that water-food borne diseases were underestimated in Rostock, even though symptomatic disease terms such as convulsions and teething, that were frequently recorded over much of the 19th century, had deviating seasonality patterns and thus cannot entirely refer to this disease group but rather to a wide field of different diseases. The applied coding scheme is a significant step forward to foster comparative international research on historical cause-specific mortality.
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spelling doaj-art-b336d4cbbe10470bbe1ac6d2da2b461b2025-02-03T09:33:52ZengInternational Institute of Social HistoryHistorical Life Course Studies2352-63432024-07-011410.51964/hlcs18472What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904Michael Mühlichen0https://orcid.org/0000-0002-7396-069XLaura Ann Cilek1Federal Institute for Population ResearchFederal Institute for Population Research This paper examines the causes of infant mortality for the Hanseatic city of Rostock, Germany, between 1800 and 1904. Based on unique individual-level church records from Rostock's largest inner-city parish, St. Jakobi, we apply the novel ICD10h coding system for the first time to the German context. Using this coding system, we analyse cause-specific patterns of infant, neonatal and post-neonatal mortality in an internationally comparable way and bring new insights into the determinants of 19th-century infant mortality, which was shaped by increase and stagnation in wide parts of Germany. Our results show that Rostock experienced a stagnating infant mortality rate at a low level in international comparison during the first 40 years of the 19th century, followed by severe increases during the next 20 years and a stage of slight decline and stagnation towards the end of the study period. This suboptimal development from 1840 was strongly related to post-neonatal mortality and causes of death that are related to unfavourable sanitary conditions and/or poor nutrition, which possibly hints at worsening housing and living conditions following accelerated population growth. Our analyses also reveal that water-food borne diseases were underestimated in Rostock, even though symptomatic disease terms such as convulsions and teething, that were frequently recorded over much of the 19th century, had deviating seasonality patterns and thus cannot entirely refer to this disease group but rather to a wide field of different diseases. The applied coding scheme is a significant step forward to foster comparative international research on historical cause-specific mortality. https://hlcs.nl/article/view/18472Infant mortalityNeonatal and post-neonatal mortalityCauses of deathHistorical demography19th centuryGermany
spellingShingle Michael Mühlichen
Laura Ann Cilek
What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904
Historical Life Course Studies
Infant mortality
Neonatal and post-neonatal mortality
Causes of death
Historical demography
19th century
Germany
title What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904
title_full What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904
title_fullStr What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904
title_full_unstemmed What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904
title_short What was Killing Babies in Rostock? An Investigation of Infant Mortality Using Individual-Level Cause-of-Death Data, 1800–1904
title_sort what was killing babies in rostock an investigation of infant mortality using individual level cause of death data 1800 1904
topic Infant mortality
Neonatal and post-neonatal mortality
Causes of death
Historical demography
19th century
Germany
url https://hlcs.nl/article/view/18472
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