CHAPTER I

Produced by K.D. Thornton, Jason Isbell, Keith Edkins and

the Online Distributed Proofreading Team at

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Transcriber's note: A few typographical errors have been corrected: they

are listed at the end of the text.

[Illustration: Eugenics Hath Its Own Reward]

The Eugenic Marriage

A Personal Guide to the

New Science of Better

Living and Better Babies

By W. GRANT HAGUE, M.D.

College of Physicians and Surgeons (Columbia University), New York; Member

of County Medical Society, and of the American Medical Association

In Four Volumes

VOLUME I

New York

THE REVIEW OF REVIEWS COMPANY

1916

Copyright, 1913, by W. GRANT HAGUE

Copyright, 1914, by W. GRANT HAGUE

* * * * *

[i]

INDEX OF THE FOUR VOLUMES

NOTE--The Roman numerals I, II, III and IV indicate the volume; the Arabic

figures 1, 2, 3, etc., indicate the page number.

Accidents and emergencies, IV, 629.

Accouchement Beds, how to prepare, I, 65.

Acne, IV, 576.

Adenoids, IV, 519; how to tell when child has, IV, 520; treatment of, IV,

521.

Adentitis, acute, IV, 558; causes of, IV, 558; symptoms of, IV, 558;

treatment of, IV, 558.

Advice to young wives, III, 357.

After-birth, expulsion of, I, 101.

After-pains, I, 103.

Age at which to marry, III, 331.

Albumen water, II, 245.

Alcohol, in patent medicines, III, 455.

Alcoholic drunkenness, I, 44; Dr. Branthwaite on, I, 45; Dr. Sullivan on,

I, 44.

Amenorrhea, causes, II, 192; absence of menstruation, II, 191; treatment

of, II, 192.

Anemia, severe, IV, 567; simple, IV, 565; treatment of various forms, IV,

567.

Anesthetics, new, IV, 654; use of in confinements, I, 112.

Angina, IV, 508.

Anti-meningitis, serum, IV, 656.

Aperient waters, abuse of in constipation, III, 326.

Appendicitis, IV, 546; treatment of, IV, 546.

Appetite, loss of, II, 287; poor, II, 286; treatment for loss of, II, 288.

Arrest of hemorrhage, IV, 635.

Artificial Food, II, 249; formulæ for, II, 253; mistakes in preparing, II,

267.

Aseptic surgery, IV, 653.

Baby, amusing the, II, 217; bathing the, II, 213; care of eyes, II, 215;

care of genital organs, II, 216; care of mouth and teeth, II, 215; care of

newly-born, II, 210; care of skin, II, 216; clothing of, II, 214;

constipation in bottle-fed, II, 309; food for first year, II, 261; fresh

air for, II, 232; how it gets nourishment in womb, II, 183; how long it

should sleep, II, 236; how to weigh, II, 220; hygiene and development of,

II, 209; intervals of feeding, II, 225; night-clothes of, II, 215;

overfeeding the, II, 224; proper way to lay in bed, II, 235; what to

prepare for the coming, II, 209; why it cries, II, 237.

Baby's comforter, II, 241.

Bacteria, what happens if we inhale, III, 410.

Barley gruel, II, 244.

Barley water, II, 244, 256.

[ii]

Bath, bran, IV, 591; cold, for reducing fever, IV, 590; cold sponge or

shower, IV, 592; during pregnancy, I, 76; hot air or vapor, IV, 591; hot,

IV, 591; mustard, IV, 590; tepid, IV, 592; various kinds of, IV, 590.

Bathing, the baby, II, 213.

Bed, proper way to lay baby in, II, 235.

Bed-wetting, IV, 580.

Beef juice, II, 262.

Beef or meat pulp, II, 244.

Bichloride of mercury solution, IV, 627.

Binder, how to apply, I, 66.

Birth, management of, I, 99.

Birth-chamber, the, I, 61.

Birth marks, I, 128.

Bites, dog, IV, 638.

Blackheads, IV, 576.

Blood, children suffering from poor, IV, 566; poor, IV, 565.

Boils, IV, 559.

Boracic Acid, solution of, IV, 626.

Bottle-feeding, method of, II, 256; what a mother should know about, II,

264.

Bowels, daily movement necessary, II, 307; how to wash out, IV, 586;

importance of clean, II, 306.

Boy, building of, II, 139; chancre, the, II, 145; gonorrhea or "clap," II,

142; sex-hygiene for, II, 139; social evil, II, 141; sources of immorality,

II, 141; syphilis or "pox," II, 144.

Brain, complications of in syphilis, II, 146.

Bran, as a food, II, 292; bath, IV, 591; muffins, recipe for, II, 311.

Branthwaite, Dr., on alcoholic drunkenness, I, 45.

Bread, II, 273.

Breasts, care of when weaning, I, 125; colostrum in, I, 108; how long

should baby stay at, II, 225; putting baby to after labor, I, 108.

Bronchitis, IV, 511; chronic, IV, 515; diet for, IV, 513; drugs in, IV,

514; external applications for, IV, 514; inhalations for, IV, 513; in older

children, IV, 512; symptoms of in infants, IV, 512; treatment of IV, 512.

Broncho-Pneumonia, acute, IV, 516; symptoms of, IV, 516; how to tell when

child has, IV, 517; treatment of child with, IV, 517.

Bruise, or contusion, IV, 633.

Burbank, Luther, on education, I, 24.

Burning Clothing, how to extinguish, IV, 641.

Burns, and scalds, IV, 641.

Calomel, II, 297; how to take, II, 297.

Cancer, in women, III, 442; what every woman should know about, III, 442.

Carron oil, solution of, IV, 627.

Castor oil, II, 295; how to give dose of, II, 296.

Catarrh, acute nasal, IV, 500; symptoms of, IV, 500.

Catarrh powders, III, 458.

Cathartics, calomel, II, 295; castor oil, II, 295; citrate of magnesia, II,

298; how to give children, II, 295.

Cereals, II, 273.

Chancre, the, II, 145.

Change of life, conduct during, III, 446; the menopause, III, 443; symptoms

of, III, 444.

Cheerful wife and mother, III, 400.

Chicken broth, II, 244.

[iii]

Chicken-pox, IV, 606; symptoms of, IV, 607.

Child, the delicate, II, 281; diet of sick, II, 279; most helpless living

thing, II, 279; rate of growth of, II, 221; sick, should be in bed, II,

277; washing mouth and eyes after birth, I, 102.

Child-Birth, I, 61; fear of, I, 111.

Children, acute intestinal diseases of, IV, 529; constipation in, II, 303;

hysterical, II, 293; rheumatism in, IV, 569; temperature in, II, 217; with

whom milk does not agree, IV, 535.

Cholera infantum, IV, 540.

Chlorosis, IV, 566; symptoms of, IV, 566.

Chronic Nasal catarrh, IV, 503; treatment of, IV, 504.

Circumcision, should it be advised, II, 169.

Citrate of magnesia, II, 295; how to take, II, 298.

Clap, or gonorrhea, II, 142.

Clothing, baby's, II, 214.

Coddled egg, II, 245.

Cold-pack, IV, 589.

Colds, catching, IV, 497.

Colic, IV, 544; symptoms of, IV, 545; treatment of, IV, 545.

Colitis, chronic, IV, 538.

Colon, irrigation of, IV, 587.

Colostrum, uses of, I, 108.

Condensed milk feeding, II, 227; objections to, II, 257.

Confinement, choice of physician, I, 69; convalescing after, I, 131;

domestic problem following first, I, 131; how to calculate date of, I, 66;

how to prepare bed for, I, 65; lacerations during, I, 116; how long woman

should stay in bed after, I, 114; position and arrangement of bed for, I,

64; preparations for, I, 61; selection of a nurse, I, 70; use of

anesthetics in, I, 112; what to provide for, I, 62.

Confinement chamber, presence of friends in, I, 113; presence of relatives

in, I, 113.

Constipation, II, 315; abuse of cathartics and aperient waters, II, 326;

always harmful, II, 321; chief cause of, II, 315; cost of, II, 317;

diseases of women and, II, 320; during pregnancy, I, 84; in bottle-fed

infants, II, 309; in breast-fed infants, II, 308; in girls between 16 and

20, II, 321; in children over two years old, II, 309; in infants and

children, II, 303; lack of bulk in food, II, 326; lack of exercise and, II,

325; lack of water, II, 325; negligence of, II, 324; pregnancy and, II,

321; significance of, II, 305; social exigencies and, II, 319; treatment

of, II, 323; treatment of obstinate, II, 311.

Consumption cure, III, 461.

Consumptives, information for and those living with, III, 421.

Contagious diseases, IV, 599; conduct and dress of nurse for, IV, 600;

convalescence after, IV, 603; rules to be observed in treatment, IV, 599;

what isolation means, IV, 600.

Contusion, or bruise, IV, 633.

Convulsions, IV, 577; treatment of child with, IV, 579.

Cord, cutting, the, I, 102; dressing the, II, 210.

Cough, treatment of, IV, 505; nervous or persistent, IV, 504.

[iv]

Cream, for constipation in infants, II, 309.

Croup, false, IV, 506; treatment of false, IV, 507; spasmodic, IV, 507;

treatment of spasmodic, IV, 507.

Deaf and dumb, I, 37.

Detention, symptoms of, II, 219; treatment of, II, 219.

Desserts, II, 273.

Diarrhoea, inflammatory, IV, 535; summer, IV, 539; symptoms of summer, IV,

540; treatment of inflammatory, IV, 537; treatment of summer, IV, 541.

Diet, of nursing mother, I, 121; of the pregnant woman, I, 77; of sick

child, II, 279; for constipated child, II, 310; older children, II, 271.

Dinner, the first after labor, I, 109.

Diphtheria, IV, 610; symptoms of, IV, 611; treatment of, IV, 613.

Disease, how we catch, III, 409; tendency to, III, 416; vice and, I, 4; of

womb, ovaries or fallopian tubes, II, 199.

Disinfecting, Clothing and linen, IV, 601; mouth and nose, IV, 602; sick

chamber, IV, 604.

Dislocations, IV, 640.

Dog-bites, IV, 638.

Douche, how to give after labor, I, 108; the use of when pregnant, I, 76.

Draw-sheet, the, I, 65.

Dried bread, II, 245.

Dusting and cleaning, II, 391.

Dysentery, cause of, IV, 535; symptoms of, IV, 536.

Dysmenorrhea, II, 193.

Ear, foreign bodies in, IV, 631; inflammation of, IV, 556; method of

removing foreign bodies, IV, 632; treatment of inflammation, IV, 556.

Earache, IV, 555.

Ears, do not box, IV, 554; do not pick, IV, 554; let them alone, IV, 554.

Eczema, IV, 562; of the face, IV, 563; rubrum, IV, 563.

Education, and the educator, I, 29; eugenics and, I, 4; Dr. C. W. Saleeby

on, I, 22; Dr. Helen C. Putnam on, I, 27; Havelock Ellis on, I, 33; Herbert

Spencer on, I, 35; Luther Burbank on, I, 24; Wm. D. Lewis on, I, 25; true

province of, I, 35; what place sex hygiene will find in, II, 162; Ella

Wheeler Wilcox on, I, 22.

Educational systems, difficulty in devising, I, 27; inadequate, I, 22.

Efficiency, requisites of, III, 346.

Egg, coddled, II, 245; white of, II, 262.

Ellis, Havelock, on Education, I, 33.

Emergencies and accidents, IV, 629.

Enema, High, IV, 588; hot, 586.

Enteritis, cause of, IV, 535; symptoms of, IV, 536.

Entero-colitis, IV, 535.

Enuresis, IV, 580.

Environment, I, 3.

Eruptions of the skin, II, 145.

Establishing toilet habits, II, 240.

Eugenic clubs, mother's, I, 54.

Eugenic idea, the, I, 9.

Eugenic principle, I, 10.

Eugenics, I, 12; definition of, I, 12; education and, I, 21; and history,

I, 5; husband and, I, 19; marriage and, I, 11; motherhood and, I, 16; [v]

parenthood and, I, 15; the unfit and, I, 37; what every mother should know

about, I, 47.

Exercise enough for husband, III, 347; lack of and constipation, III, 347.

Eye, foreign bodies in, IV, 630; method of removing foreign bodies from,

IV, 631.

Fake medical treatment, for venereal diseases, II, 167.

Father and the boy, II, 163.

Fault-finding, III, 350.

Feeble-minded, the, I, 37; Dr. John Punton on, I, 42; Dr. Max Schlapp on,

I, 39; segregation and treatment of, I, 42.

Feeding, artificial, II, 249; artificial from birth to twelfth month, II,

254; the delicate child condition which will justify artificial, II, 266;

during second year formulæ for artificial, II, 253; how to prepare milk

mixtures, II, 259; intervals of, II, 225; overfeeding, II, 223; regularity

of, II, 227; what a mother should know about, II, 264; why regularity is

important, II, 228.

Felon, run-around, or whitlow, IV, 640; treatment of, IV, 641.

Female, beginning of, disease, III, 434; chief cause of diseases, III, 436;

diseases are avoidable, III, 439; generative organs, II, 178; weakness

cures, III, 470; what woman with disease should do, III, 441.

Fermentation, of the stomach, II, 304.

Fertility, conditions which affect women, II, 196.

Fever, cold packs for, IV, 589; cold sponging for reducing, IV, 589; ice

cap for reducing, IV, 589; methods of reducing, IV, 589.

Finger, biting the nails, IV, 585.

Fit, the, only shall be born, I, 10.

Fits, IV, 577.

Fly, dangerous house, IV, 645; to kill, IV, 648.

Fomentations, hot, IV, 593.

Food, allowable during first year, II, 261; bran as a, II, 292; formulæ for

baby, II, 243.

Foodstuffs, IV, 647.

Foreign bodies, in nose, IV, 632; in throat, IV, 633.

Formative period, the, III, 339.

Fraudulent testimonials, III, 467.

Friends, choosing your, III, 367; your husband's, III, 363.

Fruits, II, 273.

Garbage, IV, 647.

Gastric indigestion, acute, IV, 527; treatment of, IV, 527.

Gastro duodenitis, IV, 547.

Generative organs, female, II, 178.

Genital organs, care of, II, 26.

Girl, what a mother should tell her little, II, 173.

Glands, swollen, IV, 558; treatment of swollen, IV, 558.

Gleet, II, 143

Gonorrhea, symptoms of in a man, II, 142; wife infected with, II, 147.

Good health, requirements of, II, 316.

Government investigation of patent medicines, IV, 486.

[vi]

Habits, of delicate child, II, 285.

Hair, falls out in syphilis, II, 146.

Headache, IV, 585; during pregnancy, I, 83; remedies, III, 457; treatment

of, IV, 585.

Heartburn, during pregnancy, I, 84.

Hemorrhage, arrest of, IV, 635; nasal, IV, 522.

Heredity, I, 3; and eugenics, I, 16; function of education, I, 32.

Hiccough, IV, 523.

High School, system fallacious, I, 29.

Hives, IV, 559; cause of, IV, 559; treatment of, IV, 559.

Home, good housekeeper, III, 389; owning a, III, 400; the ideal, III, 393;

what makes the, III, 394.

Honeymoon, the, III, 335; marital relations during, III, 336.

Hot pack, IV, 589.

Housefly, dangerous, IV, 645.

Housekeeper, what constitutes an efficient, III, 390.

Husband, and home, III, 404; is he to blame, II, 151; the, and eugenics, I,

19.

Hysterics, and children, II, 293; treatment of, II, 294.

Ice-cap, for reducing fever, IV, 589.

Ileo-colitis, chronic, IV, 538; treatment of, IV, 539.

Imperial Granum, II, 245.

Incontinence, IV, 580.

Indigestion, acute gastric, IV, 527; acute intestinal, IV, 532; symptoms of

acute intestinal, IV, 532; treatment of acute gastric, IV, 527; treatment

of acute intestinal, IV, 533.

Infants, constipation in bottle-fed, II, 309; jaundice in, IV, 547;

mortality of, I, 2; records of, II, 222.

Infection, direct, IV, 499.

Infectious diseases, IV, 599.

Inflammatory diarrhea, IV, 535.

Influenza, IV, 608; symptoms of, IV, 608; treatment of, IV, 609.

Injections, oil, II, 312.

Insane, care of, I, 43.

Insomnia, during pregnancy, I, 86.

Interior organs, complications of in syphilis, II, 146.

Intermittent fever, IV, 571.

Intestinal diseases of children, IV, 529.

Intestinal Indigestion, acute, IV, 532; symptoms of acute, IV, 532;

treatment of, IV, 533.

Intestinal worms, IV, 548.

Jaundice, catarrhal, IV, 547; in infants, IV, 546; in older children, IV,

547.

Junket, II, 244.

Kelly pad, the, I, 65.

Knowledge, two ways of gaining, III, 377.

Labor, after-pains, I, 103; beginning of, I, 95; clothing during, I, 95;

conduct during second stage of, I, 96; conduct immediately following, I,

103; douching after, I, 107; first breakfast after, I, 105; first dinner

after, I, 109; first lunch after, I, 109; first stage of, I, 96; importance

of emptying bladder after, I, 106; the Lochia, or discharge after, I, 104;

management of, I, 93; putting baby to breast after, I, 108; second stage

of, I, 96.

Lacerations during confinement, I, 116.

[vii]

La Grippe, IV, 608; treatment of, IV, 609.

Laryngitis, acute catarrhal, IV, 506; treatment of, IV, 507.

Leucorrhea, cause of sterility, II, 201; in girls, II, 190.

Lewis, Wm. D., on education, I, 25.

Life and insurance, III, 400.

Lithia water, III, 458.

Lochia, or discharge after labor, I, 104.

Lunch, the first after labor, I, 109.

Malaria, intermittent fever, IV, 571; serum for, IV, 656; treatment of, IV,

571.

Malformation, II, 201.

Man, building a, II, 151.

Marital relations, when they are painful, III, 337; when they should be

suspended, III, 337.

Marriage, and motherhood, I, 2; best age for, III, 331; certificate and

vice, I, 15; certificate, utility of, I, 13; evils of early, III, 333;

failures in, I, 2.

Mastitis, in infancy, IV, 553; in young girls, IV, 554.

Masturbation, or self-abuse, II, 157.

Meats, medical essentials of good, III, 393; preparation and selection of,

III, 390.

Measles, IV, 616; complications in, IV, 618; Koplik's spots in, IV, 617;

rules of department of health, IV, 619; symptoms of, IV, 616; treatment of,

IV, 618.

Medical, letter brokers, III, 482; reliable advice, III, 486.

Medicine chest, contents of family, IV, 629.

Medicine concern run by women, III, 475.

Menstruation, II, 187; irregular, II, 187; painful, II, 193; should not be

accompanied with pain, II, 189; symptoms of, II, 189; treatment for

painful, II, 194; why it occurs every 28 days, II, 180.

Milk, children with whom it does not agree, IV, 535; difference between

human and cows, II, 252; mixture, how to prepare, II, 259; peptonized, II,

262.

Mind, training the, III, 360.

Miscarriage, II, 202; after treatment of, II, 205; causes of, II, 203;

course and symptoms of, II, 204; what to do when threatened with, II, 204;

tendency to, II, 206; womb displacement in, II, 198.

Mosquitoes, regarding, IV, 572; rules of Department of Health, IV, 574.

Mother, the cheerful, III, 400; education of the, II, 277; existence of the

average, III, 437; what she should know about eugenics, I, 47; what she

should tell her little girl, II, 173; what she should tell her daughter,

II, 173.

Motherhood, eugenics and, I, 16; function of, I, 17; preparing for, II,

187.

Mothers, eugenic clubs, I, 54; girls must not become, II, 184.

Moths, IV, 648.

Mouth, how to disinfect, IV, 601; sore, IV, 523; treatment for ulcers in,

IV, 525; treatment of sore, IV, 524.

Mucous patches, and ulcers, II, 145.

Mumps, IV, 605; symptoms of, IV, 605.

Mustard bath, IV, 590.

Mustard paste, how to make, IV, 593.

[viii]

Mustard pack, how to prepare and use, IV, 594.

Mutton Broth, II, 244.

Napkins, sanitary, I, 66.

Nasal discharge, chronic, IV, 502.

Nausea, during pregnancy, I, 80.

Nettle-rash, IV, 559; cause of, IV, 559; treatment of, IV, 559.

Night losses, or "wet dreams," II, 158.

Nightmare or night terrors, IV, 583; treatment of, IV, 581.

Nipples, care of, I, 121; cracked, I, 122; tender, I, 122; treatment of

cracked, I, 122; what mother should know about bottle and, II, 264.

Normal salt, solution of, IV, 627.

Nose, chronic discharge of, IV, 503; complications of in syphilis, II, 146;

foreign bodies in, IV, 632.

Nose-bleeds, IV, 522.

Nosophobia, or the dread of disease, III, 380.

Nursery maid, qualifications of, I, 129.

Nursing mothers, I, 121; diet of, I, 121; mastitis in, I, 122; nervous, I,

126.

Oatmeal water, for constipation in infants, II, 309.

Oat-water, II, 244.

Obstetrical outfits, ready to purchase, I, 63.

Oil injections, II, 312.

Oiled silk, IV, 594; what it is and why it is used, IV, 594.

Orange juice, II, 262; for constipation in infants, II, 309.

Organs, transplanting from dead to living, IV, 655.

Otitis, acute, IV, 556.

Ovaries, disease of, II, 199; function of, II, 179.

Overeating, II, 289; III, 327; symptoms of, II, 290.

Overfeeding the baby, II, 223.

Parents, and the Boy, II, 153; a word to, II, 161; eugenics and, I, 15.

Parotitis, epidemic, IV, 605.

Patent Medicines, and education, III, 493; and eugenics, III, 494; and the

newspaper, III, 484; conspiracy against freedom of press, III, 483; dangers

of, III, 489; fraudulent testimonials, III, 467; intoxicating effects of,

III, 453; government investigation of, III, 486; pure food and drug act,

III, 452, 490.

Patent Medicine Evil, III, 451, 489; and the duty of mothers III, 489; what

mothers should know about the, III, 451.

People, two kinds of, III, 363.

Peptonized milk, II, 262.

Physicians, what they are doing, IV, 649.

Pimples, IV, 576.

Pneumonia, IV, 516.

Poultices, IV, 593.

Pox, or syphilis, II, 144.

Precautions to be observed, IV, 647.

Pregnancy, avoidance of drugs during, I, 90; clothing during, I, 77;

constipation during, I, 84; headache during, I, 83; heartburn during, I,

84; hygiene of, I, 75; insomnia during, I, 86; minor ailments of, I, 76;

morning nausea, I, 80; sexual intercourse during, I, 76; social side of, I,

79; undue nervousness during, I, 82; vagaries of, I, 90; vaginal discharge,

I, 88; varicose veins, cramps and neuralgia during, I, 85.

[ix]

Pregnant, few ailing women become, III, 435; conduct of woman, I, 75; diet

of woman, I, 77; mental state of woman, I, 78; when woman should first call

upon physician, I, 68.

Prickly Heat, IV, 560; treatment of, IV, 560.

Principle, differences of, III, 344.

Privy Vaults, IV, 647.

Procreative Function, abuse of, II, 153; III, 440.

Procreative Power, period of, II, 155.

Puberty, age of, II, 179; period of in the female, II, 178.

Pulse, rate in children and adults, II, 221.

Punton, Dr. John, on feeble-minded, I, 42.

Pure Food and Drug Act, III, 452, 490.

Putnam, Dr. Helen C., on education, I, 27.

Quacks, how they dispose of confidential letters, III, 481.

Quarrel, the first, III, 349.

Quinsy, IV, 523.

Race Culture, I, II.

Radium, IV, 652.

Rashes, of childhood, IV, 574; other, IV, 575; treatment of, IV, 576.

Records, Infant, II, 222.

Rectal Irrigations, to reduce fever, IV, 590.

Reproductive Organs, changes in, II, 178; function of the, II, 179.

Resolves, making, III, 371.

Rest and recreation, III, 398.

Rest and sleep, III, 347.

Rheumatism, in children, IV, 569; treatment of acute attack, IV, 570;

treatment of tendency to, IV, 570.

Rhinitis, chronic, IV, 503.

Rice water, II, 244.

Ringworm, of the scalp, IV, 561.

Rubbers, practice of wearing needs consideration, IV, 498.

Run-around, or felon, IV, 640; treatment of, IV, 641.

Rupture, IV, 551.

Saleeby, Dr. C.W., on education, I, 22.

Sanitary napkins, how to prepare, I, 66.

Santonin, for worms, IV, 549.

Scalds and burns, IV, 641.

Scalp, ringworm of, IV, 561; wounds of, IV, 640.

Scarlet Fever, IV, 620; complications in, IV, 621; eruptions, IV, 621;

measures to prevent spread of, IV, 621; treatment of, IV, 622.

Scarlatina, IV, 620.

Scientific Dressing, III, 427.

Schlapp, Dr. Max, on the feeble-minded, I, 39.

Self-abuse or Masturbation, II, 155.

Self-culture, young wife's incentive to, III, 379.

Serum, Anti-meningitis, IV, 656; for malaria, IV, 656.

Sexual excesses, II, 159; treatment of, II, 160.

Sexual intercourse, during pregnancy, I, 76.

Shock, the condition of, IV, 637.

Sitz bath, during pregnancy, I, 87.

"606," IV, 655.

Skin, care of, II, 216; care of in contagious diseases, IV, 602; eruptions

of, II, 145.

Sleeplessness, causes of, IV, 583; treatment of, IV, 583.

Social Evil, what parents should know about, II, 161.

Solutions, normal salt, IV, 627; various, IV, 626.

Soothing syrup, III, 458.

Sore Mouth, IV, 523; treatment of, IV, 524.

[x]

Sore throat, IV, 508.

Sowing wild oats, II, 167.

Spasms, IV, 577.

Spencer, Herbert, on education, I, 35.

Spermatozoa, functions of the, II, 181; the male, or papa egg, II, 181.

Sprains, IV, 639.

Sprue, IV, 525; treatment of, IV, 525.

Stables, IV, 646.

Sterility, II, 195; causes of, in women, II, 198.

Sterilizing, food for day's feeding, II, 260.

Stomach, diseases of, IV, 527; fermentation of, II, 304; function of the,

II, 304.

Stomach bitters, alcohol in, III, 455.

Stomatitis, IV, 523.

Story, Dr. Thomas A., on education, I, 26.

Study habit, the, III, 374.

Sullivan, Dr., on alcoholic drunkenness, I, 44.

Success, attainment of, III, 345; formula of, III, 373.

Summer Diarrhea, IV, 539; symptoms of, IV, 540; treatment of, IV, 541.

Summer diseases of intestines, IV, 529.

Surgery, aseptic, IV, 653.

Syphilis, or the "pox," II, 144.

Tape worms, IV, 551.

Teeth, care of the, II, 219; how they come, II, 218.

Temperature, in children, II, 217.

Thiersch's solution, IV, 627.

Thought, bad habits of, III, 360; what is a, III, 359.

Thread worm, IV, 549.

Throat, foreign bodies in, IV, 633; sore, IV, 508.

Thrush, IV, 525; treatment of, IV, 525.

Thumb-sucking, IV, 585.

Tonsilitis: Angina, "sore throat," IV, 508; treatment of acute, IV, 510.

Transplanting organs of dead to living, IV, 655.

Tuberculosis, best treatment for, III, 418; facts about, III, 414.

Turpentine stupe, the, IV, 594.

Typhoid, how to keep from spreading, IV, 625; how to prevent getting, IV,

624; symptoms of, IV, 623; vaccine in, IV, 654.

Ulcers, in mouth, IV, 525; mucous patches and, II, 144.

Vacant lots, IV, 647.

Vaccination, method of, II, 299; symptoms of successful, II, 299; time for,

II, 299; treatment, II, 300.

Vaccine in typhoid fever, IV, 654.

Vapor bath, IV, 591.

Varicella, IV, 606.

Varicose veins, during pregnancy, I, 85.

Vegetables, II, 272.

Venereal Diseases, fake medical treatment for, II, 167; ten million victims

of, I, 11.

Vomiting, of children between feedings, II, 226; significance of after

feeding, II, 230.

Washing dishes, III, 391.

Water, drink plenty of, III, 429.

Weaning, I, 123; care of breasts when, I, 125; menstruation and, I, 124;

methods of, I, 123; rapid, when it is necessary, I, 124; when to start, I,

124.

Wedding night, its medical aspect, III, 334.

What to eat and wear in hot weather, III, 426.

When delays are dangerous, III, 423.

Whey, II, 244.

Whitlow, or felon, IV, 640.

[xi]

Whooping Cough, IV, 613; symptoms of, IV, 614; treatment of, IV, 615.

Wife, her part, III, 353; the cheerful, III, 400; the indifferent, III,

401; what she owes to herself, III, 357.

Wifehood, first weeks and months of, III, 336.

Wilcox, Ella Wheeler, on education, I, 23.

Womb, function of, II, 180; how baby gets nourishment in, II, 183; how held

in place, II, 189.

Women, ailing, are inefficient, III, 434; diseases of, III, 433; who don't

want children, III, 439; medicine concern run by, III, 475; most popular,

III, 365; use of patent medicines in diseases, III, 473.

Work, must be interesting, III, 351.

Working for something, III, 395.

Worms, intestinal, IV, 548; round, IV, 548; symptoms of tape, IV, 551;

symptoms of thread, IV, 549; tape, IV, 551; thread, IV, 549; treatment of

round, IV, 549.

Worry, freedom from, III, 348.

Wound, cleaning a, IV, 637; closing and dressing a, IV, 637; removal of

foreign bodies from, IV, 636.

Wounds, IV, 634; of the scalp, IV, 640.

X-Ray, treatment and diagnosis, IV, 652.

* * * * *

VOLUME I

* * * * *

[xv]

TABLE OF CONTENTS

EUGENICS. RACE CULTURE

CHAPTER I

CONDITIONS WHICH HAVE EVOLVED THE SCIENCE OF EUGENICS

Infant mortality--Marriage and

motherhood--Heredity--Environment--Education--Disease and

vice--History--Summary ... PAGE 1

CHAPTER II

THE EUGENIC IDEA

The value of human life--The eugenic principle--"The fit only shall

live"--Eugenics and marriage--The venereal diseases--The utility of

marriage certificates--The marriage certificates and vice--Eugenics and

parenthood--The principle of heredity--Eugenics and motherhood--Eugenics

and the husband ... PAGE 9

CHAPTER III

EUGENICS AND EDUCATION

The present educational system is inadequate--Opinions of Dr. C.W. Saleeby,

Ella Wheeler Wilcox, Luther Burbank, William D. Lewis, Elizabeth Atwood,

Dr. Thomas A. Story, William C. White, Dr. Helen C. Putnam--Difficulty in

devising a satisfactory educational system--Education an important

function--The function of the high school--The high school system

fallacious--The true function of education ... PAGE 21

CHAPTER IV

EUGENICS AND THE UNFIT

The deaf and dumb--The feeble-minded--A New York magistrate's

report--Report of the Children's Society--The segregation and treatment of

the feeble-minded--What the care of the insane costs--The

alcoholic--Drunkenness ... PAGE 37

CHAPTER V

WHAT EVERY MOTHER SHOULD KNOW ABOUT EUGENICS

PAGE 47

[xvi]

CHILD-BIRTH

CHAPTER VI

PREPARATIONS FOR THE CONFINEMENT

The birth chamber--What to provide for a confinement--Ready to purchase

obstetrical outfits--Position and arrangement of the bed--How to properly

prepare the accouchement bed--The Kelly pad--The advantages of the Kelly

pad--Should a binder be used--Sanitary napkins--How to calculate the

probable date of the confinement--Obstetrical table--When should a pregnant

woman first call upon her physician--Regarding the choice of a

physician--How to know the right kind of a physician for a confinement--The

selection of a nurse--The difference between a trained and a maternity

nurse--Duties of a confinement nurse--The requisites of a good confinement

nurse--The personal rights of a confinement nurse--Criticizing and

gossiping about physicians ... PAGE 61

CHAPTER VII

THE HYGIENE OF PREGNANCY

Daily conduct of the pregnant woman--Instructions regarding household

work--Instructions regarding washing and sweeping--Instructions regarding

exercise--Instructions regarding passive exercise--Instructions regarding

toilet privileges--Instructions regarding bathing--Instructions regarding

sexual intercourse--Clothing during pregnancy--Diet of pregnant

women--Alcoholic drinks during pregnancy--The mental state of the pregnant

woman--The social side of pregnancy--Minor ailments of pregnancy--Morning

nausea, or sickness--Treatment of morning nausea, or sickness--Nausea

occurring at the end of pregnancy--Undue nervousness during pregnancy--The

100% baby--Headache--Acidity of the stomach, or

heartburn--Constipation--Varicose veins, cramps,

neuralgias--Insomnia--Treatment of insomnia--Ptyalism, or excessive flow of

saliva--Vaginal discharge, or leucorrhea--Importance of testing urine

during pregnancy--Attention to nipples and breasts--The vagaries of

pregnancy--Contact with infectious diseases--Avoidance of drugs--The danger

signals of pregnancy ... PAGE 75

CHAPTER VIII

THE MANAGEMENT OF LABOR

When to send for the physician in confinement cases--The preparation of the

patient--The beginning of labor--The first pains--The meaning of the term

"labor"--Length of the first stage of labor--What the first stage of [xvii]

labor means--What the second stage of labor means--Length of the second

stage--Duration of the first confinement--Duration of subsequent

confinements--Conduct of patient during second stage of labor--What a labor

pain means--How a willful woman can prolong labor--Management of actual

birth of child--Position of woman during birth of child--Duty of nurse

immediately following birth of child--Expulsion of after-birth--How to

expel after-birth--Cutting the cord--Washing the baby's eyes immediately

after birth--What to do with baby immediately after birth--Conduct

immediately after labor--After pains--Rest and quiet after labor--Position

of patient after labor--The Lochia--The events of the following day--The

first breakfast after confinement--The importance of emptying the bladder

after labor--How to effect a movement of the bowels after

labor--Instructing the nurse in details--Douching after labor--How to give

a douche--"Colostrum," its uses--Advantages of putting baby to breast early

after labor--The first lunch--The first dinner--Diet after third day ...

PAGE 93

CHAPTER IX

CONFINEMENT INCIDENTS

Regarding the dread and fear of childbirth--The woman who dreads

childbirth--Regarding the use of anesthetics in confinements--The presence

of friends and relatives in the confinement chamber--How long should a

woman stay in bed after confinement--Why do physicians permit women to get

out of bed before the womb is back in its proper place?--Lacerations, their

meaning, and their significance--The advantage of an examination six weeks

after the confinement--The physician who does not tell all of the truth ...

PAGE 111

CHAPTER X

NURSING MOTHERS

The diet of nursing mothers--Care of the nipples--Cracked nipples--Tender

nipples--Mastitis in nursing mothers--Inflammation of the breasts--When

should a child be weaned?--Method of weaning--Nursing while

menstruating--Care of breasts while weaning child--Nervous nursing

mothers--Birthmarks--Qualifications of a nursery maid ... PAGE 121

CHAPTER XI

CONVALESCING AFTER CONFINEMENT

The second critical period in the young wife's life--The domestic problem

following the first confinement ... PAGE 131

* * * * *

[xix]

INTRODUCTION

Despite the fact that much has been written during the past two or three

years with reference to Eugenics, it is quite evident to any one interested

in the subject that the average intelligent individual knows very little

about it so far as its scope and intent are concerned. This is not to be

wondered at, for the subject has not been presented to the ordinary reader

in a form that would tend to encourage inquiry or honest investigation. The

critic and the wit have deliberately misinterpreted its principles, and

have almost succeeded in masking its supreme function in the garb of folly.

The writer has yet to meet a conscientious mother who fails to evince a

reasonable degree of enthusiastic interest in eugenics when properly

informed of its fundamental principles.

The eugenic ideal is a worthy race--a race of men and women physically and

mentally capable of self-support. The eugenist, therefore, demands that

every child born shall be a worthy child--a child born of healthy, selected

parents.

No one can successfully assail the ethics of this appeal. It is morally a

just contention to strive for a healthy race. It is also an economic

necessity as we shall see.

The history of the world informs us that there have been many civilizations

which, in some respects, equalled our own. These races of people have all

achieved a certain success, and have then passed entirely out of existence.

Why? _And are we destined to extinction in the same way?_ We know that the

cause of the decline and ultimate extinction of all past civilizations was

due primarily to the moral decadence of their people. Disease and vice

gradually sapped their vitality, and their continuance was impossible. [xx]

It would seem to be the destiny of a race to achieve material prosperity at

the expense of its morality. When conditions render possible the fulfilment

of every human desire, the race exhausts its vitality in a surfeitment of

caprice. The animal instincts predominate, and the potential vigor of the

people is exhausted in contributing to its own amusement. Each succeeding

civilization has reached this epochal period, and has fallen, victim of the

rapacity of stronger and younger invading antagonists, _themselves to

succumb to the same insidious process_.

The present civilization has reached this epochal--this transition--period.

In one hundred years from now we shall either have accomplished what no

previous civilization accomplished, or we shall have ceased to exist as a

race. Our success depends on the response of the people to the eugenic

appeal. Few appreciate the responsibility involved.

It is not necessary, however, to combat or deplore the evils of the past.

Civilization has failed in the task of race-maintenance; it failed,

however, in ignorance. We cannot plead the same excuse. We are face to face

with conditions that we must solve quickly or our destiny will be decreed

before we apply the remedy.

A function of the eugenist is to gather and attest statistics, and to

establish conclusions based on these statistics. It has been conclusively

demonstrated that, if the race continues to progress as it exists now--that

is, if conditions remain the same, and our standard of enlightenment, so

far as racial evolution is concerned, does not prompt us to adopt new

constructive measures--_every second child born in this country, in fifty

years, will be unfit; and, in one hundred years, the American race will

have ceased to exist_. We mean by this that every second child born will be

born to die in infancy, or, if it lives, will be incapable of self-support

during its life, because either of mental degeneracy or physical

inefficiency. This appalling situation immediately becomes a problem of

civilization. No state can exist under these conditions. If these

statistics are reliable--and we know they are true and capable of

verification by any individual who will go to the trouble of [xxi]

investigating them--it is self-evident that a radical change must

immediately be instituted to obviate the logical consequences that must

follow as a sequence. The eugenic demand, that "every child born shall be a

worthy child," is, therefore, the solution of the problem.

This does not imply, however, that the eugenist must solve the elementary

problem of how the state will ensure its own salvation by guaranteeing

worthy children. Worthy children can come only from fit and worthy (clean

and healthy) parents. It becomes the imperative function of the state--the

function on which the very life of the state depends--to see that every

applicant for marriage is possessed of the qualities that will ensure

healthy, worthy children. We must, therefore, sooner or later devise a

system of scientific regulation of marriage, and it is at this point we

stumble against the problem that has prompted the ebullitions of the wit

and the sarcasm of the critic. A casual reference to the science

immediately suggests to the layman an impossible or quixotic system of

marriage by force. Even the word "eugenics" is associated in the minds of

many otherwise estimable old ladies, and others who should know better,

with a species of malodorous free love, and their hands go up in holy

horror at the intimation of a scientific regulation of this ancient

function.

Unfortunately, the popular mind has received the impression that this

incident constitutes the sum total of the eugenic idea, while the truth is

that the eugenist is only slightly concerned with its modus operandi. This

feature has been so magnified by widely published disingenuous discussion

that it has assumed the aspect of a test problem, a judgment on which shall

decide the utility of the science itself. Should this decision be

unfavorable, it would seem, according to its exponents, that it would not

be worth while promulgating the doctrines of the science beyond this point.

It is as though we were asked to deny ourselves the inspiration and

pleasure of a trip abroad because the morning of the day on which the ship

sailed happened to be cloudy.

It is certainly no part of the function of the eugenist to uproot [xxii]

instinct, or to trample into the dust age-long rights, though the instinct

is simply the product of an established habit, based on an erroneous

hypothesis, and the so-called rights simply acquired privileges, because

the intelligence that would have builded differently was not awakened.

Eugenic necessity will render imperative the state's solution of this

fundamental problem, for the reason that civilization will be driven to

demand its just inheritance--the right to exist. The eugenist will not be

compelled to open the door; it will be opened for him. We can afford,

therefore, to wait with supreme confidence, because the good sense of the

people will not always submit to the tactics of the jester when it needs a

saviour.

The eugenist does not seek to interfere with the liberties of the rising

generation: a boy may choose whom he will; the girl may select the one who

appeals to her most, and they may enjoy all the vested rights and romance

that custom has decreed the lover; but, when they resolve to marry, _the

state must decide their qualifications for parenthood_. This must be the

crucial test of the future. The life of the state depends on it. The

continuance of the race must be the supreme object of all future

constructive legislation. We must recognize that "life is the only wealth,"

and that every other criterion of an advanced civilization must measure its

success according to its wealth in worthy parenthood.

The eugenist does not even dictate what the test for parenthood shall be.

Common sense, however, suggests that it will assume some form that will

eliminate those physically or mentally diseased. He believes that, when the

people are sufficiently educated to appreciate the object in view, they

will devise a system that will meet with universal approval.

Eugenics concerns itself with problems on which the destiny of the race

depends. It must not, therefore, be limited to questions relative to mating

and breeding. Every factor that contributes to the well-being and uplifting

of the race, every subject that bespeaks physical or mental regeneration,

that aids moral and social righteousness and salvation, and promises a

greater social happiness and contentment, has a eugenic [xxiii]

significance. So long as there exists an unsupported mother or a suffering

child; so long as we rely on hospitals and prisons, penitentiaries and the

police, to minister to the correction and regeneration of the unfit and

degenerate; so long as we tolerate grafting politicians and deprive the

poor of breathing spaces, sanitary appliances, and a hygienic environment;

so long as war and pestilence deprive posterity of the best of the race for

parenthood; so long as we emphasize rescue rather than prevention, so long

must the eugenist strive unceasingly to preach his propaganda of race

regeneration.

The scope of eugenics is too far-reaching in its beneficent purpose to be

fettered by the querulous triflings of the ancient or intellectual prude;

nor should it be belittled by the superficial insight of the habitual

scoffer. It is not a fantasy nor an idle dream. It is not even an

inspiration. The destiny of the race has brought us face to face with

conditions unparalleled in the history of this civilization, and the very

existence of the race itself may be wholly dependent on the foresight of

the minds that have made the science of eugenics possible.

A brief consideration of the conditions that actually exist, with which we

are face to face, and which certainly justify the existence of a science

whose function it should be to demand serious investigation of methods of

race regeneration, may help the reader to an intelligent and practical

understanding of the tremendous importance of the subject.

It has been already remarked that, at the present rate of decrease, the

birth-rate will be reduced to zero within a century. If the birth-rates in

England, Germany, and France should continue to decrease as they have since

1880, there would be no children born, one hundred years hence, in these

countries. While we do not assert, and probably none of us believes that

either or all of these nations will actually be out of existence in a

hundred years--unquestionably because we feel, at least we hope, that our

methods will be so changed in that time that the necessary modification

will ensure a continuance of the race, nevertheless, the fact remains that

_the inevitable result of continuing along present lines will be [xxiv]

that, within the period of one hundred years, these peoples will cease to

perpetuate themselves_.

It is not necessary to enquire closely into the various causes for this

unparalleled situation. The falling birth-rate in itself is not the prime

cause. Even admitting that there are enough babies born, too many of them

are born only to die in infancy. We need no further proof of the urgent

need for conscientious inquiry, call it by what name you please. The

science of common sense is all-sufficient. The seemingly intelligent

individual who can only find material for ribaldry in this connection is a

more serious buffoon than he imagines. It is apparent that our methods are

wrong. Any constructive effort to correct them is commendable. When it is

stated that 20 per cent. of the American women are unable to bear children,

and that 25 per cent. of all the others are unwilling to assume the burden

and responsibility of motherhood, we partly realize the gravity of the

case.

On the other hand, statistics show that the majority of men have acquired

disease before they marry, and that a very large percentage of these men

convey contagion to their wives. This condition, to a very large extent,

accounts for the inefficiency of women as mothers. It is responsible for at

least 75 per cent. of the sterility that exists. The effect of this

deplorable condition is directly responsible, also, for the ill health that

afflicts women and that renders necessary the daily operations of a serious

nature that are conducted in every hospital in every city in the civilized

world. As a result of the dissemination of this poison, children are born

blind, or are born to die, or, if they live, they are compelled to carry

all through their helpless lives the stigma of disease and degeneration. It

would surely seem that the individual to whom God has given intelligence

and a conscience cannot think of these, the saddest facts in human

experience, without resentment and humility. _Surely the time has arrived

when every boy should know, from his earliest youth, that there is here on

earth an actual punishment for vicious living as frightful as any that the

mind of man can conceive._ [Page xxv]

When we inquire into the cause of this trend toward race degeneracy, we

find that poverty and the inability of the workingman to support large

families, luxurious living, and the life of ease and amusement on the part

of the women of wealth; the fact that an increasingly large number of women

have entered professions that prevent motherhood, and that the number of

apartment-houses where children are not wanted are on the increase, all

play their part. In this age of intense living, it is not to be wondered at

that many shrink from the responsibility of rearing children, and the same

conditions that contribute to this decadent ideal intensifies sex-hunger,

and it is this dominating passion that tolerates and makes possible the

most frightful crime of the age--infanticide. Greece and Rome paved the way

for their ultimate annihilation when their beautiful women ceased to bear

children and their men sought the companionship of courtesans.

Baby contests have demonstrated that only one child in ten was found to be

good enough to justify a second examination. In a test examination in the

public schools, only eight in five thousand were competent to qualify in

all the tests. One of these eight was a Chinese boy and another an

American-born son of a native Greek. Of the twenty million school-children

in the United States, not less than 75 per cent. need immediate attention

for physical defects.

While man has been assiduously improving everything else, he has neglected

to better his own condition. Every animal that man has taken from its

native haunts and domesticated, he has efficiently improved. He has even

produced more marvelous results by the application of the same principles

to the vegetable kingdom. In his haste to civilize himself, however, he has

failed to apply the principles that are essential to self-preservation. It

is regrettable, also, to know that, while the government has spent many

thousands of dollars in sending out literature to the farmers, instructing

them how to raise profitable crops and to breed prize horses and pigs,

absolutely none of the public money has been used in instructing American

mothers how to raise healthy children. [Page xxvi]

A distinguished insurance expert has proved that there was an increase of

nearly 100 per cent. in the mortality from degenerative diseases in the

United States between 1880 and 1909. The growing prevalence of these

diseases indicates a falling-off in the vitality of the race. It means that

the diseases of old age are invading the younger ranks.

The Life Extension Institute, of New York City, in its recent report,

states that "forty of every hundred men and women employed in the Wall

Street district require medical attention; twenty of the forty need it

immediately, and ten of the forty must have it to avert serious results."

There are from one-quarter to three-quarters of a million of preventable

deaths every years in this country. That number of individuals could have

been saved with proper care and attention to health in the early stages of

disease, or before it gained a start. Practically all the diseases that

carry business men off prematurely are curable in the early stages.

Of the percentage of Wall Street men who need medical attention

immediately, most have kidney or heart disease. The others are victims of

typical unhygienic habits, such as fast, gluttonous eating, neglect of

exercise, too much tobacco and liquor, and bad posturing in the office. The

business man considers these trifles, but they count heavily.

Business efficiency is greatly increased, first, by selecting men

physically fit for work, and, second, by keeping them in that condition.

There is a tremendous waste from inefficiency constantly going on, due to

impaired health. Wall Street has an astonishing corps of neurasthenics.

We need a broader interpretation of the term Eugenics, so that we may gain

a more sympathetic and tolerant audience. The remedy does not lie in an

academic discussion of these problems; to continue the debate behind closed

doors will not lead anywhere: the public must be educated to a just

appreciation of existing conditions and the remedy must be the product of

effort on its part.

Any condition that fundamentally means race deterioration must be [xxvii]

rendered intolerable. The prevalant dancing craze is an anti-eugenic

institution, as is the popularity of the delicatessen store. No sane person

can regard with complacency the vicious environment in which the future

mothers of the race "tango" their time, their morals, and their vitality

away. We do not assume to pass judgment on the merits of the dance; we do,

however, emphatically condemn the surroundings.

The moving-picture shows, vaudeville entertainments, dancing carnivals, the

ease of travel, the laxity of laws, the opportunities for promiscuous

interviews, all tend to give youth a false impression of the reality of

life and to make the path of the degenerate easy and attractive.

The history of civilization is, curiously enough, the story of masculine

brutality, self-indulgence, and vice. The history of the world also proves

that woman's sphere has been to submit patiently and silently to injustice

and imposition. _Practical eugenics is the first worthy effort in the

history of all time to hold men and women responsible for their mode of

living._ It is a mighty problem. There is no greater nor more difficult one

to be solved. It has taken eons to bring men to the point of questioning

their right to do as they please; it will take time to compel them to

realize their disgrace and acknowledge their duty. When we consider that

there are eighty thousand women condemned to professional moral degradation

in the City of London, and that every so-called civilized city on the globe

contributes its pro rata share to this army of potential mothers, we begin

to appreciate the vastness of the task.

Eugenics has already accomplished what no other movement has ever

accomplished: it has created the spirit that gave birth to the thought of

men's responsibility, and it has taught us that the female of the race has

rights. We can now speak without fear; the light is no longer hidden.

Women must realize, however, that they have contributed, and continue to

contribute, to race degeneracy. We hear and read much about the double

standard of morals. As long as woman are willing to marry their daughters

to reformed rakes, providing they have money and social position, [xxviii]

so long shall we have a double standard. So long as young society women go

into hysterics over pedigreed dogs and horses and then marry men reeking in

filthy unfitness for parenthood, mothers cannot expect any other standard

of morals. So long as one marriage in twelve ends in divorce, the ethics of

the female need enlightenment. We shall not get another standard of morals

until women themselves demand it and insist on it. If they lend themselves

to breaking down the conspiracy of silence, the women may solve the

marriage problem by refusing to marry rakes.

We need a more liberal construction of the intent of eugenics in order to

clarify the obtuse minds so that its propaganda of education may be easily

and justly comprehended.

There is no field for speculation in the analysis of right living. It

conforms to the law of cause and effect. It is positively concrete in

substance. A recital of the life history of Jonathan Edwards, in comparison

with that of the celebrated "Jukes" family, emphasises this assumption with

a degree of positiveness that is tragic in its significance.

Jonathan Edwards was born in England in Queen Elizabeth's time. He was a

clergyman and he lived an upright life. So did his wife. His son came to

the United States, to Hartford, Connecticut, and became an honorable

merchant. His son, in turn, also became a merchant, upright and honored.

His son, again, became a minister, and so honored was he that Harvard

University conferred two degrees on him on the same day; one in the morning

and one in the afternoon. This learned man again had a son, and he became a

minister. Jonathan Edwards was his name.

Now let us see, in 1900, what this one family, started by a man in England

who lived an upright life and gave that heritage to his children, produced:

1,394 descendants of this man have been traced and identified; 295 were

college graduates; 13 were college presidents; 65 were professors; 60 were

physicians; 108 were clergymen; 101 were lawyers; 30 were judges; 1 was

Vice-President of the United States; 75 were Army and Navy officers; [xxix]

60 were prominent authors; 16 were railroad and steamship presidents; and

in the entire record not one has been convicted of a crime.

Twelve hundred descendants have been traced from the one man who founded

the "Jukes" family. This record covers a period of seventy-five years; out

of these, 310 were professional paupers, who spent an aggregate of two

thousand three hundred years in poorhouses; 50 were evil women; 7 were

murderers; 60 were habitual thieves; and 130 were common criminals.

It has been estimated that this one family was an economic loss to the

state, measured in terms of potential usefulness wasted; costs of

prosecution; expenses of maintenance in jails, hospitals and asylums; and

of private loss through thefts, and robberies, of $1,300,000 in

seventy-five years, or more than $1,000 for each member of the family.

_It would seem to be worth while to be well born, after all._

In order to succeed in the regeneration of the race, we must believe that

race regeneration is possible, and, that it is worth while. We must preach

its principles as we would a religion. The power of knowledge is a mighty

lever. We are living in a period of transition, but we are nearer the

future than the past.

We are told by the average individual that it will be impossible to arouse

the public to an intelligent appreciation of the scope of race

regeneration. When the writer conceived the happy phrase, "Better Babies,"

a few years ago, he builded better than he knew. It has become the slogan

of splendid achievement already, and there are a multitude of signs and

tokens that the propaganda is established on a sure foundation.

If the annihilation of all past civilizations was due to the refusal of its

members to breed for posterity, may we not reasonably assume that we have,

according to our statistics, reached the same crisis? If this is logical

reasoning, and every factor warrants this conclusion, have we not reached

the time when the perpetuation of the race is the most serious question of

our times? Is it not a problem for the enthusiastic and immediate [xxx]

support of every statesman, politician, teacher, and preacher alike? Can

any question be of more importance? What will our marvelous material

splendor avail if the race is destined to immediate extinction?

We need the assistance of every intelligent citizen, we need most, the

awakening impulse of the mothers of the race. We who are alive are

responsible for environment and nurture, and we must believe that the

purpose to be achieved is of supreme importance. Every mother, through the

power of knowledge, may become a practical eugenist. It is to aid her in an

intelligent appreciation of the practical intent of the science that this

work is presented.

W. GRANT HAGUE, M.D.

New York City.

* * * * *

[1]

THE EUGENIC MARRIAGE

CHAPTER I

"Nations are gathered out of nurseries."

CHARLES KINGSLEY.

"To be a good animal is the first requisite to success in life, and to

be a nation of good animals is the first condition of national

prosperity."

HERBERT SPENCER.

CONDITIONS WHICH HAVE EVOLVED THE SCIENCE OF EUGENICS

INFANT MORTALITY--MARRIAGE AND

MOTHERHOOD--HEREDITY--ENVIRONMENT--EDUCATION--DISEASE AND

VICE--HISTORY--SUMMARY.

There has been evinced during recent years a desire to know something more

definite about the science of eugenics.

Eugenics, simply defined, means "better babies." It is the art of being

well born. It implies consideration of everything that has to do with the

well-being of the race: motherhood, marriage, heredity, environment,

disease, hygiene, sanitation, vice, education, culture,--in short,

everything upon which the health of the people depends. If we contribute

the maximum of health to those living, it is reasonable to assume that the

future generation will profit thereby, and "better babies" will be a direct

consequence.

We are frequently told that we must take the world as we find it. This has

been aptly termed, "the motto of the impotent and cowardly." "Life is what

we make it," is the more satisfying assertion of the optimist, and most [2]

of us seem to be trying to make existence more tolerable and more happy. It

is encouraging to know that intelligent men and women to-day seek an

opportunity to devote serious consideration to the betterment of the race,

while yet the pursuit of wealth and pleasure are enticing and strenuous

occupations.

It would be superfluous in a book of this character to enter into any

lengthy explanation as to how the science of eugenics proposes to work out

its problems. We hope only to excite the interest of mothers in the

subject, and to instruct them in its rudiments and principles.

It will be of distinct advantage, however, first to briefly consider the

conditions,--which are known to all of us,--which have led up to the

present status of the subject.

INFANT MORTALITY.--No elaborate argument is necessary to prove that the

present infant mortality, in every civilized country, is too high. It is

conceded by every authority interested in the subject, no matter what

explanation he offers, or what system he advances as a solution of the

problem.

MARRIAGE AND MOTHERHOOD.--Every intelligent person knows that most young

girls enter into the marriage relationship without a real understanding of

its true meaning, or even a serious thought regarding its duties or its

responsibilities. We know that their home training in domestic science is

generally not adequate, and that their educational equipment is

inefficient. We also know that economic necessity has deprived them of the

tutelage essential to social progress and physical health, and has endowed

them with temperamental characteristics undesirable in the mothers of the

race. Maternity is thrust upon these physically and mentally immature young

wives, and they assume the principal rôle in a relationship that is onerous

and exacting. We know that the duties of wife and mother require an

intelligence which is rendered efficient only by maturity and experience.

We know that many, if not most, young wives acquire habits which undermine

their health and their morals unwittingly, and we also know that the

product of this inefficiency results in the decadence and the [3]

degeneration of the race.

HEREDITY.--Much remains inexplicable at the present time regarding this

intensely interesting department of science. We do know, however, that its

truths are being investigated and tabulated. Our present knowledge of its

principles has demonstrated the existence of laws from which we can

ethically deduce explanations of conditions which were, in the past, not

amenable to any classification. These relate to individual and racial

characteristics. We are beginning to learn that we can modify these

characteristics by proper selection, by environment, and by education. This

process will, to an eminent degree, redound to the permanent advantage of

mankind. We may reasonably aspire to a system of race-culture which will

eliminate the undesirable or unfit, and conserve all effort in the

propagation of the desirable or fit. This is a consummation to be desired,

and if by any system of eugenics the promise of the future is realized it

is deserving of the intelligent interest and the active coöperation of

every aspiring mother.

ENVIRONMENT.--By environment we mean the provision of suitable surroundings

in its largest sense. A child to be fit and efficient must be born of

selected parentage, the home surroundings must be desirable, the

educational possibilities must be advantageous, the sanitary and hygienic

conditions must be suitable, opportunities for physical and spiritual

culture must be provided, and the State must ensure justice and the right

to achieve success. We know that--generally speaking--these conditions do

not exist. We know that the dregs of the human species--the blind, the

deaf-mute, the degenerate, the imbecile, the epileptic, the criminal

even,--are better protected by organized charity and by the State than are

the deserving fit and healthy. We know that in the slums thousands of

desirable children waste their vitality in the battle for existence, and we

know that, though philanthropy and governmental supervision and protection

are afforded the deaf, the dumb, the blind and degenerate child, no helping

hand is held out to save the healthy and efficient child, who must pay in

disease and inefficiency the price of his normality in degrading toil, [4]

in factory and pit, where child labor is tolerated. We need the awakening

which is the promise of the eugenist, that these wrongs will be righted,

not by the statesmanship which believes that empires are founded and

maintained by the power of material might, but by a process which will

ennoble selected motherhood and give to every child born its due and its

right.

EDUCATION.--The present system of education is one of the great reflections

on the intelligence of the human race. One of the greatest of contemporary

writers has characterized it as "a curse to modern childhood and a menace

to the future." Even the humblest of us--who would willingly believe the

system efficient, who have no desire to invite criticism as to our

opinion--are forced to acknowledge that there is something wrong with the

educational system now in vogue. The writer is disposed to believe,

however, that the fault is not wholly one of art. The conditions with which

education has to contend are essentially hypothetical. It may be that the

laws of heredity and psychology, when fixed, will evolve, at least, a more

rational and a more ethical hypothesis. So far as eugenics is concerned

with education, its limitation is defined and fixed. If the innate ability

is not possessed by the child, no system of instruction, and no art of

pedagogy, will ever draw it out. When the proper material is supplied by an

adequate system of race culture, science may probably supply the requisite

complementary data which will ensure an educational system that will really

educate.

DISEASE AND VICE.--The eugenic idea is more directly concerned with disease

which tends to deteriorate the racial type. The average parent has no means

of adequately estimating the significance of this type of disease. It has

been estimated that one-half of the total effort of one-third of the race

is expended in combating conditions against which no successful effort is

possible. Think what this means. The struggle of life is a real struggle,

even with success as an incentive and as a possible reward. It becomes a

tragedy when we think of the wasted years, the hopeless prayers and the

anguish of those who fight the battle which is predestined to end in [5]

apparent failure. We are disposed to doubt the justice of the Omnipotent

Mind who created us and left us seemingly alone--derelicts in the eddies of

eternity.

This is but a finite fault, however. The truth is that the scheme of the

universe is unalterable, we are but part of the whole and must share in the

evolution of the process. An apparent failure is not necessarily a

discreditable one. Most lives are failures, if appraised by human estimate.

Take for example the life of a young wife who marries a man with disease in

his blood. She begins her wedded life with certain commendable ideals. She

is young, enthusiastic, ambitious, strong, and she inherently possesses the

right to aspire to become an efficient home-maker and a good mother. She

gives birth to a child, conceived in love, and during her travail she

beseeches her Creator to help her and to help her baby, as all women do at

such a time. Her baby is born blind and it is a weak and puny mite. The

mother recovers slowly, but she is never the same vigorous and ambitious

woman. Later her strength fades away, her enthusiasm falters, the home is

blighted and seems a desecrated spot. The baby is a constant worry, it is

always sick, it needs expensive care and it exhausts the physical remnant

of its mother's health. It finally dies and is laid away, not forgotten,

but a sad, sad memory. The ailing and dispirited mother is informed that

she must submit to an operation if she desires to regain her health, if not

to save her life. She returns from the hospital--not a woman--a blighted

thing, an unsexed substitute for what once was a happy, sunny, healthy,

innocent girl.

This is not an overdrawn tale,--it is a true story, a common, every-day

story. Who was to blame? Why were her prayers not heard? Why, indeed? One

might as well ask why seemingly splendid civilizations decayed into

forgotten dust, or why empires rotted away. The answer is the same.

HISTORY.--From the eugenists' standpoint history is prolific only in

negation. A correct interpretation of its pages teaches us that it has not

taught the lesson of the "survival of the fittest," but rather the survival

of the strongest. That the strongest is not always the "fittest" needs [6]

no commentary. That the fit should survive is the genetic law of nature,

and it has been strictly obeyed by biology and humanity when these sciences

have adhered to, and have been under the jurisdiction of the natural law.

When religious schisms swayed the world, the stronger party, in material

strength or in actual numbers, massacred the weaker, which was frequently

the fitter from the standpoint of desirability as progenitors of the race.

Thus posterity was deprived of what probably was the representative,

potential strength of generations.

At a later date religious schism changed her _modus operandi_ but

accomplished the same pernicious purpose, as the following shows:

"Whenever a man or woman was possessed of a gentle nature that fitted him

or her to deeds of charity, to meditation, to literature or to art, the

social condition of the time was such that they had no refuge elsewhere

than in the bosom of the Church. But the Church chose to preach and exact

celibacy, and the consequence was that these gentle natures had no

continuance, and thus, by a policy, was brutalized the breed of our

forefathers."

When religion was not the dominating power, mankind was ruled by militant

tyrants. The non-elect were slaves,--uneducated, uncivilized, debased and

diseased. The elect were licentious and indolent. Neither class practised

any domestic virtues, or respected the institution of motherhood. The

process of the selection of the fittest for survival for the purpose of

parentage, and for the consummation of the evolutionary gradation, through

which the human race is apparently destined to pass, was again in abeyance

for a series of generations.

In our own times, the fate of nations and the destiny of their people would

seem to depend upon the size of the fighting force and the efficiency of

the ships we build; our ability to dicker and barter, to gain a

questionable commercial supremacy, and the loquaciousness of our

politicians. This, at least, is the criterion upon which the modern

statesman estimates the quality of present-day civilization. He is not [7]

apparently interested in the story of the ages. The progress of God's

supernal scheme through æons of bigotry and darkness neither suggests nor

inspires in him a loftier constructive analysis. He is content to leave the

destiny of nations to tons of material, tons of men and tons of talk.

Nowhere do we find any reference to the quality of the blood-stream of the

people. Nor does it seem to have been discovered by those who wield

authority, that the glory of a nation depends upon its brains, not its

bulk; nor do they apprehend that the greatness of a people is not in its

past history, but in its ever-existing motherhood; and that its battles, in

the future, must be fought, not on battlefields, but in its nurseries. When

we judge our national worth and wealth by the quality of our maternal

material, and estimate our greatness and our glory by the record of our

infant mortality, we will have carved an enduring niche in the celestial

scheme that will be unchangeable and for all time.

There are in Britain to-day over a million and a quarter females of

marriageable age in excess of the number of marriageable males. A war

between Britain and Germany would unquestionably be the bloodiest war in

all history, and it probably would be the last one, because it would only

end in the dominance of one power over all the others. If we concern

ourselves only with Britain--from the eugenic standpoint--who would dare

compute the ratio of marriageable females over the males after the war was

over? The consequence of such a war on posterity would be tragic. It would

mean the annihilation of the fittest for fatherhood for generations. Only

the unfit would be left from which to begin a new breed.

The multitude of females who would necessarily be left unable to

participate in the highest function of womanhood would have to be

self-supporting. The economic problem would, therefore, have a far-reaching

influence and even if solved adequately as an economic problem, it could

never be solved satisfactorily as a sociological, or as a problem in

eugenics.

Infant mortality is too high. Apart from the statistical proof which [8]

shows it, we may rightly construe as further proof of it, the widespread

effort being made in every civilized country in the world to ameliorate the

condition.

The laws and ethics of marriage are inadequate. Its true purpose is

frustrated and racial and individual injustice and imperfection are the

products of existing conditions.

Motherhood, in its every aspect is not, and has not in the past, been

elevated to the plane which a true estimate of its supreme importance to

the race justifies.

Heredity as a scientific principle is undeveloped, and because of

maladministration in past generations, the present generation is

endeavoring to do the work, the fruits of which it should be enjoying.

Environment in its highest sense is impossible because of inadequate laws,

imperfect hygienic and sanitary knowledge, incomplete education, vice and

disease.

If there was not some supremely important, cardinal error somewhere, it is

reasonable to suppose that in one or other of the departments of human

effort we would have reached the summit of idealism. The State, as an

institution, would have evolved a perfection which would enable it to exist

as an independent mechanism, complete and ideal in all its ramifications.

We have had no such state, however. The highest type of empire has been

ludicrously dependent upon the minor exigencies of individual human

existence.

Science would have evolved the superman, but history, as we have seen, has

persistently deprived science of the material wherewith to contribute him.

The institution of marriage would have been a fixed and an inviolable

guarantee of the happiness of the home, but human wisdom has erred and the

solution is as yet apparently undiscovered.

Investigation into every field of human effort shows that the ultimate aim

in view, if any, was something other than the welfare of the race, as a

race or as individuals.

* * * * *

[9]

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