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Scientists Debate Why Childbirth Is So Brutal

Some scientists defend an age-old skeletal explanation for childbirth — dubbed the obstetrical dilemma — while others propose a metabolic alternative.

Credit: Terelyuk/Shutterstock

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Human babies barely fit through the birth canal. And even after all that trouble, newborns come out … well, helpless. Unlike baby chimpanzees, who are basically tiny adults, human babies spend a whole year learning to sit up, walk and talk. It’s a conundrum that’s left many anthropologists wondering why we evolved this way.

Hips are the usual suspects. For nearly a century, scientists hypothesized that the hips face an “obstetrical dilemma” — they must be narrow enough to allow us to walk on two legs but wide enough to birth big-brained babies. Evolution’s solution, the argument goes, was to truncate gestation so that lesser developed newborns can squeeze through the birth canal. “This trade-off explains why we have such helpless infants, but also very painful and long births,” says Nicole Webb, a paleoanthropologist at the University of Tübingen and the University of Zurich.

The logic is compelling, sure, and ...

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