Still, leaving out all the hundreds of thousands of women who die because pregnancy has complicated serious diseases, Dr. Meigs finds that "in 1913, the death rate per 100,000 of the population from all conditions caused by childbirth was little lower than that from typhoid fever. This rate would be almost quadrupled if only the group of the population which can be affected, women of child-bearing ages, were considered. In 1913, childbirth caused more deaths among women 15 to 44 years old than any disease except tuberculosis." From what sort of homes come these deaths from childbirth? Most of them occur in overcrowded dwellings, where food, care, sanitation, nursing and medical attention are inadequate. Where do we find most of the tuberculosis and much of the other disease which is aggravated by pregnancy? In the same sort of home. The deadly chain of misery is all too plain to anyone who takes the trouble to observe it. A woman of the working class marries and with her husband lives in a degree of comfort upon his earnings. Her household duties are not beyond her strength. Then the children begin to come--one, two, three, four, possibly five or more. The earnings of the husband do not increase as rapidly as the family does. Food, clothing and general comfort in the home grow less as the numbers of the family increase. The woman's work grows heavier, and her strength is less with each child. Possibly--probably--she has to go into a factory to add to her husband's earnings. There she toils, doing her housework at night. Her health goes, and the crowded conditions and lack of necessities in the home help to bring about disease--especially tuberculosis. Under the circumstances, the woman's chances of recovering from each succeeding childbirth grow less. Less too are the chances of the child's surviving, as shown by tables in another chapter. Unwanted children, poverty, ill health, misery, death--these are the links in the chain, and they are common to most of the families in the class described in the preceding chapter. Nor is the full story of the woman's sufferings yet told. Grievous as is her material condition, her spiritual deprivations are still greater. By the very fact of its existence, mother love demands its expression toward the child. By that same fact, it becomes a necessary factor in the child's development. The mother of too many children, in a crowded home where want, ill health and antagonism are perpetually created, is deprived of this simplest personal expression. She can give nothing to her child of herself, of her personality. Training is impossible and sympathetic guidance equally so. Instead, such a mother is tired, nervous, irritated and ill-tempered; a determent, often, instead of a help to her children. Motherhood becomes a disaster and childhood a tragedy.