Beliefs on the Fragility of Ruling Class Women in and Around the 18th and 19th Centuries

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Although focused on the United States and a little bit later in the 19th century then the novels you mention, Nancy M. Theriot has a relevant book, Mothers and Daughters in Nineteenth-century America: The Biosocial Construction of Femininity. On the one hand she quotes physicians like Edward Clarke who argued in the 1870s that women were biologically frail and needed to be sheltered from exertion. On the other hand, there were many reformers who argued that this apparent frailty all came from their upbringing and environment and that if "girls were given a different sort of education... they would grow in to strong women." An interesting primary source Theriot gives to support this is a book called Health and Strength For Girls published in 1884. Clearly socioeconomic class would have been a factor in such attitudes, since only upper and middle class women had the luxury of avoiding physical exertion in the first place.

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In 19th century, influenza and especially pneumonia were much deadlier than they are now (there were no antibiotics). Several examples come to my mind from reading biographies of famous scientists. Sofia Kowalevska died at the age of 41 when she walked under rain from a train station, and caught an influenza, which caused a pneumonia. This applies not only to women, though. Many 19th century famous middle class people died early (by modern standards), at the age of 40-50. A trivial bruise or sore could also cause death from sepsis (composer Alexander Skriabin, for example died of sepsis in 1915 at the age of 43.) Most of such deaths are prevented now due to antibiotics and vaccination.

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