The first effect of the birth imagery is to present the speaker's book as a reflection of what she sees in herself. Unfortunately, the "child" displays blemishes and crippling handicaps, which represent what the speaker sees as deep faults and imperfections in herself. She is not only embarrassed but ashamed of these flaws, even considering them "unfit for light". Although she is repulsed by its flaws, the speaker understands that her book is the offspring of her own "feeble brain", and the lamentable errors it displays are therefore her own.
When the speaker's book is returned by the publisher, the speaker's attempt to "wash (the) face" of her child only worsens the image of herself that she sees in it. Washing the child, rubbing off a blemish, and stretching its joints but failing to improve his imperfections all contribute to an image of the speaker rewriting her book, desperately trying to raise its quality up to her high standards, but discovering in the process that its imperfections and errors run too deep to be corrected, as do her own.
In the second half of the poem, a new facet of the speaker's attitude is displayed. In line 17, she wants to improve the ugliness of her "child" by giving him new clothes; however, she is too poor to do so, having "nought save homespun cloth" with which to dress her child. In the final stanza, the speaker reveals poverty as her motive for allowing her book to be sent to a publisher (sending her "child" out into the world) in the first place. This makes her attitude seem to contradict her actions. She is impoverished, yet she has sent her "child" out into the world to earn a living for her.
"The Author to Her...