For 75 years, Finland’s expectant mothers have been given a box by the state. It’s like a starter kit of clothes, sheets and toys that can even be used as a bed. And some say it helped Finland achieve one of the world’s lowest infant mortality rates.
It’s a tradition that dates back to the 1930s and it’s designed to give all children in Finland, no matter what background they’re from, an equal start in life.
The maternity package – a gift from the government – is available to all expectant mothers.
It contains bodysuits, a sleeping bag, outdoor gear, bathing products for the baby, as well as nappies, bedding and a small mattress.
With the mattress in the bottom, the box becomes a baby’s first bed. Many children, from all social backgrounds, have their first naps within the safety of the box’s four cardboard walls.
Mothers have a choice between taking the box, or a cash grant, currently set at 140 euros, but 95% opt for the box as it’s worth much more.
The tradition dates back to 1938. To begin with, the scheme was only available to families on low incomes, but that changed in 1949.
“Not only was it offered to all mothers-to-be but new legislation meant in order to get the grant, or maternity box, they had to visit a doctor or municipal pre-natal clinic before their fourth month of pregnancy,” says Heidi Liesivesi, who works at Kela – the Social Insurance Institution of Finland.
So the box provided mothers with what they needed to look after their baby, but it also helped steer pregnant women into the arms of the doctors and nurses of Finland’s nascent welfare state.
In the 1930s Finland was a poor country and infant mortality was high – 65 out of 1,000 babies died. But the figures improved rapidly in the decades that followed.
Mika Gissler, a professor at the National Institute for Health and Welfare in Helsinki, gives several reasons for this – the maternity box and pre-natal care for all women in the 1940s, followed in the 60s by a national health insurance system and the central hospital network.
Contents of the box
Snowsuit, hat, insulated mittens and booties
Light hooded suit and knitted overalls
Socks and mittens, knitted hat and balaclava
Bodysuits, romper suits and leggings in unisex colors and patterns
Hooded bath towel, nail scissors, hairbrush, toothbrush, bath thermometer, nappy cream, washcloth
Cloth nappy set and muslin squares
Picture book and teething toy
Bra pads, condoms
Mattress, mattress cover, under-sheet, duvet cover, blanket, sleeping bag/quilt
Box itself doubles as a crib
At 75 years old, the box is now an established part of the Finnish rite of passage towards motherhood, uniting generations of women.
The box discourages parents from sleeping with their child, putting toys in their bed or placing the baby on his or her stomach, all of which can lead to Sudden Infant Death Syndrome (SIDS) — the abrupt death of a baby that is younger than 1. SIDS is usually attributed to sleep-related accidents such as strangulation, suffocation or entrapment. In 2015, the Center for Disease Control reported about 3,700 infants died from SIDS.