Reproductive health in state socialism is usually viewed as an area in which the broader contexts of women’s lives were disregarded. Focusing on expert efforts to reduce premature births, we show that the social aspects of women’s lives received the most attention. In contrast to typical descriptions emphasising technological medicalisation and pharmaceuticalisation, we show that expertise in early socialism was concerned with socio-medical causes of prematurity, particularly work and marriage. The interest in physical work in the 1950s evolved towards a focus on psychological factors in the 1960s and on broader socio-economic conditions in the 1970s. Experts highlighted marital happiness as conducive to healthy birth and considered unwed women more prone to prematurity. By the 1980s, social factors had faded from interest in favour of a bio-medicalised view. Our findings are based on a rigorous comparative analysis of medical journals from Hungary, Poland, Czechoslovakia and East Germany.

The paper uses the correspondence of three Finns – Elias Erkko, Henrik Erkko and Hilda Asp – to analyse the conceptual and practical means with which late nineteenth-century-educated Europeans coped with ill health in general and tuberculosis in particular. While the need to gain control over (the threat of) disease may well be universal, the specific coping methods are historical and context-specific. They are both conceptual and practical, both individual and collective. The paper focuses on the 1880s and 1890s, a period when tuberculosis provided an especially lucrative subsector of the booming European medical marketplace. Sanatorium treatment was still only one among many treatment options, and the theory of the bacterial causation of tuberculosis was far from being universally accepted. The paper charts the options available for people suffering from pulmonary tuberculosis and analyses the eclectic, sometimes idiosyncractic, ways that they combined elements from different conceptual scripts and therapeutic traditions.