A previously unpublished report by the HSE in 2012 examined Bessborough’s own records. The in-depth findings and conclusions are damning. Conall Ó Fátharta reports
FOR years, places like Bessborough Mother and Baby Home were spoken of in hushed tones.
For generations of Irish people, they were places where thousands of women and girls were sent when they had “a problem”. They went in pregnant and came out alone, some after spending years locked away.
Some left only to be moved to other institutions and Magdalene laundries. Most were never the same. Their voices were never heard.
Over the years, those women have found their voices and have demanded answers for how they were treated behind the walls of Ireland’s mother and baby homes. Adoption rights campaigners have been doing the same.
Former residents and lay staff at the Bessborough home, run by the Sisters of the Sacred Hearts of Jesus and Mary, have spoken of an institution where women were denied pain relief in labour and basic medical care after birth, and were humiliated by having to cut the institution’s vast lawns on their hands and knees with a scissors.
Just last year, this newspaper uncovered that an official investigation carried out by the Cork County medical officer, on foot of inquiries from an inspector with the Department of Local Government, confirmed an infant mortality rate of 68% at Bessborough in 1943. The government briefly stopped sending women there as a result.
A previously unpublished 2012 HSE report on Bessborough, which examined the institution’s own records, show a system of “institutionalisation and human trafficking”, where “women and babies were considered little more than a commodity for trade amongst religious orders”, in an institution where women were provided with little more than the care and provision given to someone convicted of a crime against the State.
The report was prepared as part of the HSE’s examination of interventions by Irish State health authorities in the Magdalene laundries. It was based on an examination of Bessborough’s own records, which were handed over to the HSE in 2011.
Culture of greed
From the outset, the report, released under the Freedom of Information Act, is crystal clear in what the Bessborough archives reveal. It outlines an order preoccupied with materialism, wealth, and social status, where the women and children in their care were considered as a means to making money.
It points out that “a cultural snapshot” emerges of an era in Ireland where unmarried mothers were considered “not only as “fallen women” and violators of Roman Catholic moral order but were “considered little more than a commodity for trade amongst religious orders”
The report notes that, even though detailed financial records and accounts were not handed over to the HSE by the order, the archives still reveal that the order earned money from the women for the care of their children and also from the adoptive parents who took them.
“The only written confirmation of monies being paid were detailed within the ‘Catholic Women’s Aid Society Book 2, 1929-40’. Even a cursory glance at these pages reveals that monies were paid by natural mothers for the care of their babies, while adoptive parents were charged a sum ranging between £50-£60, payable on a monthly payment scheme in exchange for their adopted child. Further investigation into these practices is warranted,” the report states.
The admission books for the mother and baby home between 1922 and 1936 show the nuns “assigned account numbers to some women, (while not others) while marking some entries as ‘private’, ‘paid nothing’, or identifying which institutions or State bodies were financially responsible for the women’s upkeep“.
In other admission books, similar accounting practices were observed where women “were commonly assigned a ‘Reg No’, ‘Order Form No’, ‘Pink Form No’, ‘Admission Card’, ‘Admission Ticket’, or a notation of a ‘Card Received’.”
Minutes from meetings of the Sacred Heart Adoption Society’s board of management “further lend evidence to the order’s preoccupation with materialism, wealth, and social status” while the wealth and social status of the adoptive parents was often the prime concern when deciding whether they would receive a child.
“While an explicit criteria for adoption at Bessborough could not be located within any materials available during this research, it would appear from the board of management meeting minutes that prospective adoptive parents were assessed on the basis of their earnings, the size and condition of their home, and their social status within the community (not to mention the fundamental expectation that couples were practising Catholics), age, years married, and the committee’s ‘impression’ were mentioned most often as deciding factors [in] whether the couple would be ‘passed’ and ‘given a baby’ or not.”
The report lists a number of remarks at monthly meetings of the board of management between 1974 and 1982, stating that “one can formulate their own opinions about the relationships and interactions between Church and State and the judgements placed upon prospective adopters, and the attitudes toward the babies for whom they were entrusted”.
The entries include:
- “Ages, 34 & 36, married 4-and-a-half years, Do not want a baby until Christmas.” (From the board of management minutes, April 9, 1979.)
- “A very nice couple living in Limerick, their own hotel. The ages are 44 & 31; they have a very happy home and plenty of this world’s goods. Would like to adopt a baby. The committee passed them, and if babies are to spare they will get one.” (From the board of management minutes, June 13, 1977.)
Another entry from March 1977 reveals the “lax attitude of the Sacred Heart trustees toward child protection”: “Ages are 32 years… They are married 10 years and have a very comfortable home. They have all the necessary investigations… They are anxious to adopt a little girl. They have received a good reference from the priest but no Garda clearance.” This entry is then followed by the declaration “Passed”.
Shocking phenomenon of child deaths
The Bessborough files also raise questions about the “shocking” number of children who died in the institution. The report raises the question of whether death records were falsified so children “could be brokered into clandestine adoption arrangements, both foreign and domestic”.
It notes that, if this proves true, it could “have dire implications for the Church and State”, not to mention the families involved.
The HSE report reveals, for the first time, the exact number of children that were recorded as having died at Bessborough and states that the numbers unearthed “are a cause for serious consternation“.
“Though an examination of Sacred Heart’s Admission Register SHA/4 (1933-1953) accounts for 93 recorded infant deaths (not including those recorded as ‘stillborn’), a cross-reference with Bessborough’s Registration of Deaths ledger (1934-1953) unearthed a shocking phenomenon of infant mortality as 478 infant deaths were recorded for 19 years.”
That amounts to a death rate of 25 children a year. To put that in perspective, a total of 796 children are recorded as having died in Tuam Mother and Baby Home between 1925 and 1960 — a death rate of almost 23 children every year.
“As Bessborough’s death register contains less than two decades of details of Sacred Heart Adoption Society’s almost 75-year history, one cannot be certain as to the full scope of infant deaths. Curiously there are no death records for any years following 1953,” the report notes. However, the HSE does specifically raise the issue of what sort of conditions were present in the institution to allow such a “shocking” rate of infant death to occur.
“Returning to the matter of the death register, a phenomenal 478 documented infant deaths over 19 years leaves the reader asking what conditions precipitated the deaths of so many babies under the trust of the Sacred Heart Order.
“While a thorough inquiry is beyond the remit of this paper, one cannot help but ponder the implications of this phenomenon.”
In August of last year, this newspaper uncovered material in the Cork City and County archives which shows an official investigation into deaths in Bessborough carried out by the Cork County medical officer in 1943 confirmed an infant mortality rate of 68%.
The HSE report states that, in addition to revealing the number of babies that died between 1934 to 1953, the death record at Bessborough lists each child’s date of death, address, name, gender, age at last birthday, profession (marked as son or daughter), cause of death, and, in some cases, the duration of illness and the date when the death was registered.
The recorded causes of death in the entries include: Marasmus, gastro enteritis, congenital debility, spina bifida, congenital syphilis, pneumonia, bronchitis, congenital heart, tubercular peritiorities, cardiac shock, heat stroke, tonsillitis, and prematurity.
Inexplicably one entry which records a child dying of prematurity states that the child had turned three years of age at her last birthday.
Disturbing as these revelations are, perhaps the most shocking claim made in the HSE study is that death records may have been falsified for children so that they could be “brokered” for adoption, perhaps both at home and abroad.
“The question whether indeed all of these children actually died while in Bessborough or whether they were brokered into clandestine adoption arrangements, both foreign and domestic, has dire implications for the Church and State and not least for the children and families themselves,” the report states.
It notes that, while the subject of infant mortality may not appear to have much to do with adoption, the ‘boarding out’ of children with foster families, or the discharge strategies of women and children, its relevance becomes apparent “when put in context with the broader issue of the mutually beneficial State/religious order relationships and the covert relationships of the day”.
“Simply put the State had a social problem that it desperately needed to make go away, while the Church had the power and control to turn the ‘problem’ of illegitimacy into a lucrative money making enterprise,” the report states.
“While it is beyond the expertise of this author to proffer grand narratives about the historical, fiscal, or social arrangements forged between Church and State, the records themselves expose a telling indictment of what may have been one of Ireland’s most damning and destructive partnership of collusion, corruption, and abuse between Church and State.”
Institutionalisation and human trafficking
The archives paint an equally disturbing picture of how women were treated, with references to “institutionalisation and human trafficking”, “incarceration”, “confinement and servitude”, and to “a cold and lonely environment characterised by harrowing social, emotional, and physical isolation”.
The report points out that, while it is historically and socially acknowledged that little regard was given to the care of women pregnant out of wedlock in Ireland at that time, nonetheless “it appears that the women who sought refuge within Bessborough Adoption Society were provided with little more than the basic care and provision afforded to that of any individual convicted of crimes against the State”.
“While it is noted that entrants to Bessborough were not subject to the sanctions of any Irish court order, however their ‘voluntary’ admissions appear to have been a punitive reprise, far worse than a prison term,” states the report.
The report is also scathing about the “culture of confinement” which existed at Bessborough and a “practice of protracted detainment” where women and girls were kept in the institution long after their children were born and they should have been fit for discharge.
Analysis of admission records between 1922 and 1936 show that details for a “staggering” 43% of admissions had no recorded information regarding how they were referred to Bessborough. The second largest category of referrals reveals that 16% of admissions for this period were “By Ambulance”, while 15% came from family relations.
The HSE study notes that the figure of 43% could be interpreted as an administrative oversight save for the high level of specificity of details regarding a wide range of other referral mechanisms. For example, other referral mechanisms listed include:
- GPs (11%);
- Hospitals/Matrons (3.7%);
- Nuns/Priests/Canons/Mother Superiors (2.7%);
- County Homes (2.2%);
- Cork Guardians (1.3%);
- Other (1.2%);
- Readmissions (1%);
- Good Shepherd Sisters (0.5%);
- Cork Union (0.5%);
- Civic Patrol (0.1%);
- Sr of Mercy (0.1%);
- Sr of Charity (0.1%);
- Bandon Guardians (0.1%);
- Relieving Officer (0.4%);
- Kilkenny CBH (0.4%);
- England (0.3%).
Similarly, between 1933 and 1954, the sources of referral were unknown for 56% of 302 admissions.
Once admitted to Bessborough, the records examined by the HSE were found to “attest to the culture of confinement and servitude” and the “powerful air of authority that the nuns conveyed”.
“Society at large did not question the legitimacy of the Sacred Heart Order’s alleged powers of detainment; many of the women were kept there long past their delivery dates. It would appear that freedom to leave in one’s own time was beyond the reach of many women,” the report states.
Reference is made to one girl being sent to Bessborough in 1922 despite no record of her “being pregnant or ever having delivered a baby or what became of her after she entered the Good Shepherds”.
“What we can glean from this account is the prevailing morality of the times which sanctioned the incarceration of young females in an effort to prevent their moral degeneration. In this particular case mentioned, the young girl was accused of ‘being lead (sic) astray by a man’ so being locked up was considered justified.”
The HSE study states that Bessborough’s archives “reveal a trajectory of institutionalisation and human trafficking among various religious orders and State-funded institutions”.
However, the State is also singled out for harsh criticism for failing in its legal and ethical responsibility to ensure that the rights of unmarried mothers, particularly those under the age of majority, were safeguarded.“
Instead it would appear that the State turned their back on these women and girls, favouring instead to abdicate its responsibility to the religious orders.
“In exchange for assuming the State’s social and legal responsibility, the nuns benefited from a steady stream of free labour and servitude (not to mention financial remuneration for the women and their offspring).
“The practice of transferring women and children among and between State-funded religious institutions was prolific.”
Indeed, the admission records of Bessborough reveal well-established practices of women and/or their babies being sent to “County Homes Unions, industrial schools, and orphanages, and within the network of convents and religious orders both domestically and within the United Kingdom” — in a practice that continued throughout the 1950s.
The report notes that the prevalence of such practices is witnessed by the scale of references within the admission registers “to women and children being bandied about from and within religious orders and institutions”.
The report outlines a snapshot of these practices of women and children being transferred among and between State and religious-run institutions as described in the Bessborough admission books between the 1920s and 1950s.
- “Miss X age 22 sent to ‘Rev Mother St Mary’s School, North Hyde, Child placed in the school, March 1, 1926’”;
- “Miss X age 21 Sent to Sanatorium, 18 , November 1927, Rtd (sic) 17.05.1928, Sent to Co Hospital, 05.09.1928’”;
- “Miss X age 18 ‘Sent to Good Shepherd Convent, 7.06.1933’”;
- “Miss X age 18 Mother & Child Dis (sic) to Co Home 07.07.1934 (Mental)”;
- “Miss X age 18 having already spent three years in the care of the Good Shepherd Nuns in Co Kilkenny was admitted to Bessborough on the 12/11/25 (two years after the birth of her baby on 21/02/1923). This young woman was returned to the Good Shepherds on 12/02/1930”;
The report concludes by noting that the question regarding “the interconnectedness between Church and State demands a much more comprehensive exposition than has been offered here.
“The interdepartmental committee has a weighty task ahead of it as it seeks to ascertain the full scope of State/Church relationships, a formidable task by any standards.
“It is my hope that the material provided within this research paper is in some manner useful to the committee in making its conclusions.
“It goes without saying that the dignity and integrity of the women and children, both living and dead, who once lived behind Bessborough’s walls must be safeguarded and at long last their voices heard.”
In a statement, the Sisters of the Sacred Hearts of Jesus and Mary said it had “no knowledge of any such report”.
“We are in contact with the commission in regard to the mother and baby homes inquiry, which will be having our full co-operation. For the present, as is appropriate, we will be dealing directly with the commission on all related matters,” it said.