Sarah Churchill, Duchess of Marlborough John chose Sarah over Catherine Sedley, but both John's and Sarah's families disapproved of the match, therefore they married secretly in the winter of 1677–78. John and Sarah were both Protestants in a predominantly Catholic court, a circumstance that would influence their political allegiances. Although no date was recorded, the marriage was announced only to the Duchess of York, and a small circle of friends, so that Sarah could keep her court position as Maid of Honour. When Sarah became pregnant, her marriage was announced publicly (on 1 October 1678), and she retired from the court to give birth to
Sarah, Duchess of York in Crisis, a children's charity focused on education and grant making to international programmes. The Duchess serves as Founder and Life President. She founded the charity after meeting a young cancer victim named Anya during her visit to Poland in 1992. In June 1998, the Duchess made a brief trip to Bethesda in order to receive an award from the Journal of Women's Health. She also visited the National Institutes of Health (NIH) Clinical Center. NIH associate director for communications said, "The Duchess has many opportunities to talk to women via television, at lectures and through print media interviews" and