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serpentface · 1 year ago

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Oh, birthing & midwiferyposting, please

Ok I will Elaborate

(Content warning because this contains discussion of infanticide)

This is speaking about midwifery and childbirth in the Imperial Wardi context (this also should not be taken as ubiquitous for every facet of the Imperial Wardi cultural sphere, but this is a broadly accurate rundown).

Infant mortality rates are high, and pregnancies and births can be very dangerous for the pregnant parent. Midwives serve a vital societal function and the best form of reproductive care available.

Midwives come in many forms. In poor families, the duties are usually performed by a family member and the skillset may be passed from parent to child. Some communities have resident midwives who perform their services for free or at low cost. Professional midwives exist for hire, and are very common in the cities. An upper echelon of midwives are a kind of physician-priestess, who will have received extensive medical training and are considered sanctified and uniquely equipped to fulfill the spiritual needs of childbirth. A few will perform services for free, but they are generally hired and their services are very expensive.

Wealthy families may have their own personal midwives, and VERY wealthy families/royalty have personal physician-priestesses.

Midwives are mostly women, though whether this is an expectation or merely an average tendency is dependent on the specific context. Cases where this is an Expectation tend to be in cultural contexts where the Gaze of a man is believed to have a sexual element that is uniquely powerful and harmful to the nude bodies of women (all Imperial Wardi cultural beliefs include a concept of the spiritually empowered Gaze and disempowered vulnerability in nudity, but exact nuances vary). Physician-priestesshood is, in theory, reserved only for people designated female, though a few throughout history have been known or suspected to be eunuchs.

Physician-Priestesses serve Anmir-Ganmache (an epithet of God as the domestic sphere, close in meaning to Ox-Face of the Hearth). This is not a priesthood specifically devoted to this face of God in the same sense that Odonii are the cult of the Lion-Face and Galenii are the cult of the Lunar-Face, they are merely seen as serving Anmir-Ganmache by performing their duties and being uniquely empowered by this Face's blessing. Most begin their training and education at puberty (though it's possible to join later in life) and are expected to serve for 25 years before retirement. Their primary function is to behave as midwives, but they receive a wide spectrum of medical training and are considered uniquely equipped to tend to the overall health of women.

A midwife is usually expected to not perform their tasks while menstruating (this may not be practical for poorer families who have to take what they can get), during which time a person is considered ritually unclean. Specially dedicated physician-priestesses are usually expected to be virgins and to remain so for the duration of their service (a method to ensure an entirely ritually pure existence). This is not expected of common midwives.

Most of any midwife’s job is typical physical assistance with the pregnancy and birthing process. Births are typically done in a sitting or squatting position, often wearing a special skirt or blanket to shield both parent and child from full view (a spiritual element to reduce unwanted metaphysical vulnerability during the birthing process). Under the best conditions, a midwife has several assistants of their own (in the case of physician priestesses, these are usually priestesses in training) who will physically support the person giving birth and attend to their needs.

The infant is shielded from direct view during its emergence, and is immediately cleaned and wrapped in cloth upon the cutting of the umbilical cord.

Part of the toolset for a physician-priestess is a pair of horns from a pregnant cow sanctified via sacrifice to Anmir-Ganmache. The cow had taken God's role in its sacrifice and its remains are holy relics, and used to put the mother and child under God's full protection. One horn will have been carved into a cup and holds a sanctified oil (usually olive), which is gently daubed over the eyes, mouth, heart, and near the genitals of the child, forming a protective barrier.

The other horn is intact (usually carved with protective imagery, notably a motif of a lioness-headed woman that has protective qualities for children, and an abstract, twisting serpent that represents and encourages the incarnation of the child's soul) and is waved over the child’s body in the form of a blessing. The same is done for the mother, with the addition of anointing the breasts to encourage healthy and clean lactation. Common midwives are unlikely to have easy access to sacred sacrificial relics, but this blessing rite is considered vital and can be accomplished (to a less ideal extent) with any cow's horns, so long as they have been properly purified.

Protecting the helpless, naked infant from the gaze and immediately exposing it to purifying agents is believed to help expel any inborn dagia or other polluting agents. This is believed to support the child's spiritual and physical health and hopes to prevent congenital or otherwise lifelong health conditions.

The midwife performs a thorough inspection of the infant, and will give a recommendation upon whether the child is healthy and fit to rear. Infants deemed at high risk of premature death may be killed, as the cost of care and emotional attachment for a child deemed unlikely to survive will often be seen as too great to warrant the risk. This act (presumably with the parent’s permission) is usually performed by the midwife themself, and is ideally accomplished with a fatal sedative dose (this death is seen as peaceful and painless, while a traumatic death would risk the infant’s soul failing to reincarnate and instead becoming a vengeful wandering ghost).

This obviously may be a difficult and traumatic choice on an emotional level, but infants are not believed to have fully incarnated souls until they begin to speak (it is believed that the soul begins to enter the body upon conception, but takes significant time to fully inhabit it), and will be reincarnated if they die before this occurs. So infanticide in this context is not usually perceived as the murder of a full person or a denial of life, as the infant’s soul will have as many other chances as it takes to become fully incarnated. (There's a variant of 'old soul' beliefs, where an especially precocious child or one that learns to speak early is believed to have had many previous reincarnations)

Intentional abortion of a fetus carries no stigma whatsoever for much the same reasons (though the MOTIVATIONS for this act on the parent’s part may carry stigma, such as to hide an illegitimate pregnancy). Natural abortifiacients are available and widely used in cases of unwanted pregnancy (though these are not by any means as safe or reliable as contemporary abortion procedures).

In all cases (whether an aborted fetus, a miscarriage, a stillbirth, infanticide, or another death before full incarnation), the infant or fetus’ remains are given the standard funeral rite of cremation to ensure their soul is freed from the body and can be properly reincarnated. Basic rites are all that is expected in this situation, but some parents will undergo extensive funerals with lavish offerings to encourage a prosperous and healthy rebirth.

There's also certain rites to encourage the same soul to return to the same parents (as it would otherwise be reincarnated into a human at random), the physical element of which is anointing the body (ideally the lips) with both parent's mingled blood before the cremation, as blood physically contains a person's spirit and the sharing of it can establish a powerful metaphysical bond. This is believed to assist in leading the child's stray soul back to the same source, and may lend a tremendous sense of comfort to parents in the face of a wanted, dead infant.

A pregnant parent who dies in childbirth is given special status and are believed to enter an esteemed afterlife (located within the Lapis Moon, a paradise where they will reside among saints and other esteemed dead). Childbirth is regarded as one of many analogues to God's self-sacrifice to bring forth creation, with the mother symbolically crossing the threshold of death and spilling her blood to bring forth life from nonexistence. To die in such a state is regarded as one of the noblest deaths typically available to women. (This sentiment is also entirely reflective of the typical place ascribed to those designated women in this society, where their chiefmost value is in bearing children). It's still (obviously) ideal for most to survive the birthing process, but this belief may contribute to some choosing to undergo an (almost always fatal) caesarean procedure in a difficult birth if the infant is assumed to be otherwise healthy.

In the case of a healthy birth in which all parties survive, the child will then be presented to its father (who in some contexts is prohibited from attending the birth), who will formally accept it as his own and bestow it with the family name (the child is not given a personal name until a month from birth, and undergoes a formalized naming ceremony at either their first birthday or when they begin to speak, tradition depending). A child born out of wedlock or to an absent father does not receive a family name, though may be formally adopted if the mother marries later on, or be given the family name of the mother's father if he chooses to accept it.

The mother should ideally undergo a full blessing to recover from the metaphysical vulnerability of the birthing state (the physician-priestess can provide this, but otherwise this is done at a temple or family/village shrine).

It's also generally expected to offer sacrifice to Anmir-Ganmache in thanks and to ensure continued protection for parent and child (the best offering is a cow, but offerings of milk or at the very least some grain is acceptable). Most who can afford a physician-priestess can also afford to offer a cow, and it's also expected that the best meat (usually the liver and flank) and the horns should be removed before the rest of the sacrifice is burnt, and gifted to the priestess as a personal thanks.

#I don't have a name for the physician-priestesses yet but there's definitely an in-universe word less clunky than 'physician-priestess'#On that note there's also absolutely a word for the concept I translate as 'metaphysical vulnerability' that is also much less clunky #This is SO far from the core point of this post but Janeys' mom had an extremely premature birth of a boy after him who was #very obviously not long for the world and killed. And she had a wimhole thing of like comparing him disfavorably to his dead brother #and implying she wishes it was him and just keeps bringing it up long into his adulthood. Like just casually dropping it in conversation.#And he has fully internalized it enough to be extremely insecure about his brother - who is literally a 30 years dead baby -#The other loosely involved character lore is that Hibrides had an affair with a trainee of her attendant phys-priestess after her second #pregnancy. Which came to a tragic end when she was fired and legally prosecuted for stealing valuable silverware from their house.#Which Hibrides honestly would have condoned but the trainee took some of her stuff too and it was like damn....Was it ever real?#imperial wardin

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