Was Something Wrong With Henry VIII That Made His Wives Miscarry?

Health and medicine explained.
May 15 2013 12:23 PM

Cursed Royal Blood

Was Henry VIII to blame for his wives’ many miscarriages?

A portrait of sixteenth century British monarch Henry VIII by German artist Hans Holbein the Younger, at the Tate Britain in central London, September 26, 2006.
A portrait of Henry VIII by German artist Hans Holbein the Younger

Photo by Toby Melville/Reuters

“There are so many women in the world, so many fresh and young and virtuous women, so many good and kind women. Why have I been cursed with women who destroy the children in their own wombs?”

So complains Hilary Mantel’s fictional version of Henry VIII—and Sunday marks the date, 477 years ago, when Anne Boleyn paid the price for his lament.

Boleyn was the second of Henry’s six wives. Though Henry broke with the Catholic Church to marry Boleyn, he had her executed on May 19, 1536, three years after she became his wife. He was frustrated with her and her inability to have a male child—something that four of Henry’s other five wives also failed to do.

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Reading Mantel’s enthralling novel Bring Up the Bodies, which documents the souring of the marriage through the lens of Henry’s adviser Thomas Cromwell, I couldn’t help wondering how this situation—indeed, the course of history—might have turned out differently if the 16th-century English court had access to modern medicine.

Clearly, Henry could conceive healthy children. Most historians accept that the future king Edward VI and the future queens Mary I and Elizabeth I were Henry’s legitimate children by Jane Seymour, Katherine of Aragon, and Anne Boleyn, respectively. Along with a son by his mistress, Bessie Blount, then, Henry had four surviving children from at least 11 known pregnancies. Henry’s wives were clearly fertile, yet they suffered repeated miscarriages.

Possible explanations for the cause of Henry’s woes—speculation, for instance, that he might have had syphilis or diabetes—haven’t solved the mystery of why he had such trouble begetting healthy kids. But the fact that his many wives all suffered miscarriages implicates Henry as the culprit, says Kenneth Moise, a maternal-fetal medicine doctor and co-director of the Texas Fetal Center in Houston.

“With that many women who have that many losses, there’s something he’s doing wrong,” Moise says.

In 2010 freelance academic Kyra Kramer suggested what that something might be: a certain form of a protein that sprouts from the surface of all of our blood cells. This protein—the Kell protein—comes in dozens of versions that, by themselves, are totally harmless. But if we’re exposed to blood from someone with a different Kell protein than our own, our body can see the different Kell protein as a foreign invader and send antibodies—the human version of guided missiles—to seek and destroy the invader. This is more likely to happen when the invading protein is one rare version of the Kell protein, the variety that scientists call the “K antigen,” or “big K.” Ninety-one percent of Caucasians have one of the “little k” versions of the Kell protein, and only 9 percent have the big K version.

If a woman without the big K antigen conceives a baby who has it, she’ll be exposed to big K when she gives birth to that baby. Her immune system will whip up anti-K antibodies; she’ll carry them forever after in her body. If she then conceives another child with the big K antigen, her anti-K antibodies will cross the placenta and attack the baby’s own blood cells, with fatal consequences: The oxygen-deprived baby will almost certainly die.

In a paper in the Historical Journal, Kramer and her co-author, Catrina Banks Whitley, proposed that Henry might have carried the big K antigen, while his wives did not. If Henry’s babies inherited the big K antigen, the first of them born to any of his wives could be born healthy. But these pregnancies would sensitize their mothers to the big K antigen, and they’d miscarry any later babies who had it.