You know, there was a time when childbirth was possibly the most terrifying thing you could do in your life, and you were literally looking death in the face when you went ahead with it. And so this is a kind of flashback to a time when that's what every woman went through. Not that they got ripped apart, but they had no guarantees about whether they were going to live through it or not.
You know, I recently read - and I don't read nonfiction, generally - Becoming Jane Austen. That's the one subject that would get me to go out and read nonfiction. And the author's conclusion was that one of the reason's Jane Austen might not have married when she did have the opportunity...well, she watched her very dear nieces and friends die in childbirth! And it was like a death sentence: You get married and you will have children. You have children and you will die. (Laughs) I mean, it was a terrifying world.

Stephenie Meyer