Honzuki no Gekokujou ~Shisho ni Naru Tame ni wa Shudan wo Erandeiraremasen~ Dai 2-bu 「Hon no Tamenara Miko ni Naru!」 - Vol. 11 Ch. 51 - A new family …

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Alas, the harsh realities of the peasant poor.
It's not even about being poor, but ignorant. They could keep things clean, they just didn't see the need to expend additional time and resources for that. Would they know how much dirty things impacts health and survival rate - they would think twice before disregarding proper cleaning.

At the very least, even if not keeping yourself clean indefinitely, cleaning things that used for the birth aren't going to affect finances too much.
 
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A new life being born should be a blessing. But why do people treat that blessing like it was a curse... it's not about this manga but in RL. Sorry for bringing RL problems here.
I mean, it’s only considered a curse if the woman who is pregnant doesn’t specifically want to give birth, because even today it’s still a risky time for the mother
 
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This is the same struggle i have even today... people from all over come to the house of the new born to see him... dirty from outside even sick with flu. Like go fuck yourself, literally. The lamest excuse i have gotten so far from grandmas was "people used to do that in the country side" yeah bitch how many of those kids didn't make it to 1 month old 50 years ago.
At least wait till the milk antibodies stick. jeez.
 
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wow~ back then sure is harsh ,4 baby dead already?
The first echography was first developped in 1962 (by Joseph Holmes, William Wright, and Ralph Meyerdirk). Before that, nobody knew what was going on inside the uterus. Surprise, you have triplets!

Modern humans have the ability to abort unsafe or nonviable pregnancies, greatly reducing the risks for both mothers and the children.
 
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Yep, that's what it looked like before we figured out sterilization, which wasn't even on the table until germ theory became accepted in the late 1800s
Around 1860 Ignaz Semmelweis figured out that you need to wash your hands to prevent disease even before germs were discovered. Unfortunately, doctors at the time didn't pay too much attention to him cause he seemed to be too confrontational about the findings, he was basically blaming them for the deaths of their patients, but instead of the doctors to try to up their game, they just decided to fire the guy.
 

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