celebrate the purification of the Virgin Mary by watching a play in the White Hall. Seven months later she was pregnant again.
By now Elizabeth knew what to expect in the delivery chamber. Hali Meidenhad described the birth process in graphic terms: that ‘cruel, distressing anguish, that fierce and stabbing pain, that incessant misery that torments upon torment, that wailing outcry … fear of death, shame added to that suffering by old wives … whose help is necessary to you, however indecent it may be’. 4 Such advice was designed to help prevent unwanted and illegitimate pregnancies but more practical advice was on hand for those who were well beyond this stage. Early sixteenth-century birth manuals instructed midwives not to encourage the mother to push before such time as the child was ready to be born, before which ‘all labour is in vaine, labour as much as yee list’: if all the mother’s energy was spent too early, it could become a ‘perilous case’ indeed. She was to walk up and down until the ‘matrice’ or womb ruptured, after which she could rest and keep warm. If the waters did not break naturally, it was up to the midwife to rupture them with her fingernail or, terrifyingly, shears or a sharp knife. To strengthen her, a woman might then take a little sustenance in the form of an egg, with butter and bread, wine and water. Babies were delivered in all positions; standing, lying, kneeling, squatting, although many manuals advised the traditional lying flat on the back, braced on the bed with the feet against a log of wood, the better to push against. A pillow might be placed under her back and hips, to prevent them sinking down into the mattress, whilst a long ‘swathe’ of fabric under her body allowed her to be raised a little by her women on either side, if necessary. Those present in the room with her had to be careful about their positions too: sitting with crossed legs, arms or fingers was thought to contribute towards a difficult birth. As she prepared to deliver, the midwife would stroke and massage the womb to encourage the child’s passage, whilst continually anointing her genitals with butter or grease until the head began to crown. Traditionally with queens, only the leading woman would be allowed such intimate physical contact: strict protocol dictated even the most unappealing of tasks.
This was the stage when, in the extremities of pain, women made oaths of allegiance and promises to undertake pilgrimage and dedicate their children to God. The realities of medieval and Tudor childbirth were learned through experience, passed down through generations of female oral traditions; Elizabeth’s mother and mother-in-law would have been invaluable to her during her confinements. Few descriptions of childbirth have survived in public or private texts. Hardly any pre-Reformation letters and diaries detail the event from a female perspective and published accounts tend to be either literary or medical. It might be assumed that those involved were too busy to prioritise writing the process down, even if they had been able to. The rare female memoirs that survive have usually been preserved by families, particularly when portraying husbands and heirs in a positive light, some of whom edited diaries and memoirs in order to suppress critical voices: Pepys would not have been unique in tearing his wife’s writings to pieces before her eyes for his unpleasant portrayal. 5 Medical advice manuals were largely produced for a small, predominantly male readership. Midwives, either formal or informal, would have had little access to them; their collective body of information belonged firmly in the oral tradition, transmitted through inheritance and the female support networks that had their basis in domestic relations. By the time of her third pregnancy, Elizabeth and her women knew what they were doing.
The future Henry VIII was born at Greenwich, in the old manor house of Placentia, begun by
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