Reconsidering obstetric death and female fertility in Anglo-Saxon England Duncan Sayer and Sam D. Dickinson Abstract Little has been written about female fertility and maternal mortality from an archaeological perspective. Typically debates focus on the physical aspects of childbirth, ignoring an obvious truth: the biggest single cause of death for women was childbirth. Whether death took place as a result of mechanical malpresentation, infection or blood loss, the root cause was undeniable. In this article we argue that post-mortem extrusion is improbable and that young infants and women found buried together are likely to have died together. However, most deaths would not have been simultaneous and so we build on demographic data to conclude that the early Anglo-Saxons engaged institutions which controlled female sexuality. Late marriage, cultural and legal taboos and an emphasis on mature fertility acted to limit the probability of death; however, the risk to the individual was real and each funerary party was the agent that constructed death ways to manage loss. Keywords Taphonomy; coffin birth; maternal mortality; fertility; special burial. Thank you for downloading this information sheet this article is open access and is available for free at – http://dx.doi.org/10.1080/00438243.2013.799044 World Archaeology Vol. 45(2): 285–297 The Beginnings of Life © 2013 The Author(s). Published by Taylor & Francis. ISSN 0043-8243 print/1470-1375 online http://dx.doi.org/10.1080/00438243.2013.799044 This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted.