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Gilded Age: Duchess Survives Harrowing Birth, Loses Fertility
2 Nov
Summary
- Duchess Gladys Russell faced a life-threatening childbirth complication.
- A hemorrhage required the removal of her uterus, ending her fertility.
- Her mother, Bertha, and lady's maid were crucial in her survival.

The Gilded Age's Season 4 premiere plunges viewers into Duchess Gladys Russell's harrowing childbirth experience. Facing a medical crisis across the Atlantic, Gladys's life was in immediate danger during labor. Her mother, Bertha Russell, watched in horror as doctors warned the Duke of Buckingham might have to choose between his wife and child.
Fortunately, Gladys's lady's maid, Adelheid Weber, intervened when post-birth bleeding persisted. A subsequent hemorrhage required a drastic surgery: the removal of her uterus to save her life. This devastating consequence means Gladys will be unable to have more children.
Bertha Russell, deeply affected by nearly losing her daughter and grandson, found her priorities sharpened. She advised the Duke to allow Gladys time to heal before sharing the full extent of the surgery. Despite the difficult start to their marriage and this new complication, Gladys and Hector's bond is noted as a true love match.