‘Twilight Sleep’ seemed like a childbirth miracle in 1915! Here’s a look back at views from that time

Twilight sleep for birth - Hope for women (1914)

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The article below offers a perspective on childbirth from the year 1915, when there were far fewer pain relief options for women than there are today — as well as much less understanding of (and appreciation for) the process of labor and delivery.

The very same month that this article was published, however, an advocate for Twilight Sleep during birth — Frances X Carmody — died while delivering her third child… and people started to realize that maybe the method really wasn’t as great as they thought.

To find out more about Mrs Carmody and the changing attitudes about birth, you can look here: A Quick History of Medication in Maternal Health Care (and the Business of Being Born).

All the photographs below are colorized versions of pictures that originally appeared in the antique book Painless Childbirth: A General Survey of All Painless Methods, with Special Stress on “Twilight Sleep” and its Extension to America, by Marguerite Tracy & Mary Brown Sumner Boyd (published in 1915).

Mother and baby (1915) From the antique book Painless Childbirth which featured Twilight Sleep as an option
Mrs Joseph A Sargent and William Winthrop Horne Sargent, one of the youngest of the American boys born at Freiburg

Mother of ‘twilight sleep’ baby brings message to “martyrs of motherhood”

by Mary Boyd, President of the Twilight Sleep Ass’n of New York, in the The Day Book (Chicago, Ill.) August 2, 1915

Two years ago, I did not myself know what twilight sleep was. I did not even know that there was such a thing as twilight sleep.

When I went to Freiburg two years ago to have my child, I found that the Freiburg way was called “Dämmerschlaf,” which roughly translated means “twilight sleep.”

Twilight sleep, I found from my experience, is easier for the doctor than for the mother to describe, for the period of my “twilight” is a period of ten hours just wiped out of my life.

MORE: See how different antique baby carriages & old-fashioned strollers used to be

Mother and baby (1915) From the antique book Painless Childbirth
Mary Boyd, the author of this article, and her son Sumner, born in 1914

I remember the nurse stooping over me with the hypodermic needle, and I remember waking up in the same dim room with the same quiet nurses passing to and fro. I was frightened because the labor had stopped and I thought that something was the matter, so when the nurse came to me I told her that labor had stopped.

She laughed, stepped to a table, and brought me my baby. I had brought him into the world entirely by my own efforts, and even with some of the expressions of pain that a woman in consciousness uses, but I knew nothing of what I had been doing!

ALSO SEE: Sweet antique baby portraits: 24 cute cabinet card photos of baby boys & girls in the 1800s

Many elements go to produce twilight sleep. The sleep itself is not unconsciousness or even semi-consciousness; it is simply instantaneous forgetfulness of pain. One moment you see the mother crying in pain; the next she will be sleeping so soundly that you cannot believe she is the same woman.

Mother and baby (1915) From the antique book Painless Childbirth
Mrs Hans Leuderman and her baby (born in January 1914) at the Gouverneur Hospital in New York

The drug element in twilight sleep is at first a tiny dose of copolamin, together with a small dose of morphine. Then the scopolamine is repeated in still tinier doses, but no more morphine is used.

The scopolamine is only repeated when, by the so-called “memory test,” the doctor finds that the mother is remembering some of the things that happen about her and may soon remember the pain.

Quite as important as the drugs are the “psychic” elements in twilight sleep. These are a mind undisturbed by fear and a quiet, dim room, where sight and hearing and touch are especially protected from disturbance.

Babies and a mother and baby (1915) From the antique book Painless Childbirth

ALSO SEE: The old-fashioned benefits of breastfeeding

These are what enable the mother to drift dreamily into the twilight, even under a very tiny dose of the narcotic. This is what doctors had done with scopolamine-morphine before Prof Bernhard Kronig and his assistant Dr Carl Gauss, by years of patient labor, worked out the twilight sleep at Freiburg.

If you hear doctors today criticize twilight sleep, you can know that it is these doctors’ own overdosing in past years before twilight sleep was known. They either do not know or do not choose to know the difference between their own use of scopolamine-morphine and the Freiburg twilight sleep.

Mother and baby (1915) From the antique book Painless Childbirth
Mrs Cecil Stewart was the second American woman to go to Freiburg for her baby

Under twilight sleep, as used in Freiburg on 5,000 cases and in America on at least 1,000, there have been no injuries to either the course of labor, the mother or the child.

Quite the reverse; for, as I shall show in later articles, not only have mothers been given ease and comfort in childbirth by twilight sleep, but labor has been made more normal by twilight sleep, and mother and child have been protected by it from some of the dangers and injuries of birth.

DON’T MISS: See how moms used weird baby window cages & other ‘interesting’ child containment devices way back when


“The Twilight sleep” for birth – The Ladies’ World (1914)

Twilight sleep for birth - The Ladies' World (1914)

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Comments on this story

2 Responses

  1. Is this for real? A mother who chooses not to be drugged is suddenly a martyr? And I quote…. but labor has been made more normal by twilight sleep…. there is nothing more abnormal than not being consciously present at the birth of your child. Of course there are emergencies, but our bodies are made to birth. Not to be knocked out by harmful medications. This articles is wrong in so many ways that it’s ridiculous. The person who wrote it must have not seen what else happened during twilight births where mothers had marks around their arms and bruises from being tied to a bed. The pain was still there, they just didn’t remember it. What does she think that she was doing during that time where she was in pain, but literally out of her mind? How does she know it was her baby being handed to her. This is just so ludicrous in so many ways. Please please watch the Business of Being born and it will show you what happened to those women during twilight birth. I’d rather remember and be present for the pain than go through that. You should be thankful you don’t remember those things instead of not remembering the pain of birth.

    1. Jill – This article offers a perspective from nearly 100 years ago (as it was written in the year 1915). We just added an introduction to clarify. :-)

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