Testing the reproductive hypothesis: or what made working-class women sick in early Victorian London

Using patient case records from University College Hospital in London in the 1830s and 1840s, this article re-evaluates the reproductive model of Victorian women's health. The women who were admitted to UCH were working-class women, and the evidence from the patient records suggests that their understandings of their bodies both conflicted with and supported the Victorian medical model of women as biologically fragile and delicate as a result of their reproductive functions. The female patients represented their bodies as essentially strong, but also recognized that this strength was very tenuous. Rather than concentrating solely on internally induced causes of ill health, the patients stressed socio-economic reasons for becoming sick.