Jennifer Worth

Family and social life has completely broken down, and three things occurring together, within a decade, ended centuries of tradition - the closure of the docks, slum clearance, and the Pill.

In the nineteenth century (and earlier, of course) no poor woman could afford to pay the fee required by a doctor for the delivery of her baby. So she was forced to rely on the services of an untrained, self-taught midwife, or “handywoman”

he placenta must be delivered, and it must be delivered whole, with no pieces torn off and left behind in the uterus. If there are, the woman will be in serious trouble: infection, ongoing bleeding, perhaps even a massive haemorrhage, which can be fatal. It is perhaps the trickiest part of any delivery, to get the placenta out whole and intact.

All GPs had been trained by a midwife. But these facts seemed to be barely known

In later years oxytocics would be routinely given after the birth of the baby, causing immediate and vigorous uterine contraction, so that the placenta is expelled within three to five minutes of the baby’s birth. Medical science marches on! But in the 1950s, we had no such aids to delivery.

The installation of lavatories in each flat had been a great leap forward in public hygiene, because it improved the conditions in the courtyard. It also avoided the necessity of chamber pots in every flat which had to be emptied daily, the women carrying them downstairs to the emptying troughs. The ordure in the courtyards used to be disgusting, I was told.

Medically speaking, this was not good practice, as it is far better for a woman to get moving as soon as possible, thus reducing the risk of complications such as thrombosis. But this was not known back then, and it had been traditional to keep women in bed after a birth.

Given the human life span - three score years and ten - to be comparable with other animals of similar longevity, human gestation should be about two years. But the human head is so big by the age of two that no woman could deliver it. So our babies are born prematurely, in a state of utter helplessness.

Several times Chummy fell heavily to the ground. She hit her head on the kerb, and said, “Not to worry - no brains to hurt.”