The young woman who could not provide for an unwanted child had few choices, especially if she had no prospect of marriage. Abortions were illegal, dangerous, and apparently rare. In desperation, some women, particularly in the countryside, hid unwanted pregnancies, delivered in secret, and smothered their newborn infants. If discovered, infanticide was punishable by death.

Women in cities had more choices for disposing of babies they could not support. Foundling homes (orphanages) first took hold in Italy, Spain, and Portugal in the sixteenth century, spreading to France in 1670 and the rest of Europe thereafter. By the end of the eighteenth century, European foundling hospitals were admitting annually about one hundred thousand abandoned children, nearly all of them infants.

At their best, foundling homes were a good example of Christian charity and social concern in an age of great poverty and inequality. Yet the foundling home was no panacea. Millions of babies entered foundling homes, but few left. Even in the best of these homes, 50 percent of the babies normally died within a year. In the worst, fully 90 percent did not survive, falling victim to infectious disease, malnutrition, and neglect.4 There appears to have been no differentiation by sex in the numbers of children sent to foundling hospitals.