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Acknowledgements x
The bioarchaeology of children 1
Children in archaeology 1
A history of childhood 2
Children in biological anthropology 10
Children in forensic anthropology 13
Summary 19
Fragile bones and shallow graves 20
Introduction 20
Fragile bones? 23
Little people...little things... 26
The marginalised child? 30
Obstetric deaths 33
Summary 37
Age, sex and ancestry 38
Non-adult ageing 38
Sex determination 47
Ancestry 55
Summary 58
Growth and development 60
Introduction 60
Skeletal development and ossification 61
Prenatal and postnatal growth 62
Puberty and the growth spurt 64
Factors affecting growth 66
Growth studies: methods and concerns 68
Interpretations of past growth 74
Bone density 76
Estimations of stature 77
Summary 79
Difficultbirths, precarious lives 81
Introduction 81
Infant mortality rates 81
Reconstructing child mortality 86
Infanticide 87
Summary 96
Little waifs: weaning and dietary stress 97
Introduction 97
Properties of human breastmilk 97
Weaning and infection 99
Ancient feeding practices 100
The osteological evidence 103
Weaning and bone chemistry analysis 115
Specific diseases of malnutrition 119
Summary 132
Non-adult skeletal pathology 133
Introduction 133
Non-specific infections 134
Endocranial lesions 141
Infantile cortical hyperostosis 143
Tuberculosis 146
Congenital syphilis 151
Skeletal pathology and personal identification 159
Summary 162
Trauma in the child 163
Introduction 163
Properties of paediatric trauma 163
Types of fracture 165
Birth trauma 168
Non-adult trauma in the archaeological record 169
Physical child abuse 175
Clinical features of child abuse 176
Child abuse in the archaeological record 181
Summary 183
Future directions 184
Is absence of evidence evidence of absence? 185
Failure to adapt: children as non-survivors 186
Tom, Dick or Harriet? Sexing non-adults 187
The future 188
References 189
Index 248
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