It was at Bellevue that I had the dream, a few days before my wife's birthday. On the previous day my wife had told me that she expected that a number of friends, including Irma, would be coming to visit us on her birthday.
(Freud, 1990).

Martha Bernays Freud celebrated her 34th birthday on July 26, 1895. At the time of Freud's dream she was six months pregnant with fetus Anna Freud.

Freud's recurrent concern with issues of fertility, birth control, and abortion during this period have been noted.