Historical Significance

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Alexei was the heir to the Romanov Throne. Paul I had passed laws forbidding women to succeed to the throne (unless there were no legitimate male dynasts left, in which case, the throne would pass to the closest female relative of the last Tsar). This was done in revenge for what he perceived to be the illegal behavior of his mother, Catherine II ("the Great") in deposing his father Peter III. Alexei was named after the second Romanov Tsar, Alexis I of Russia, who ruled from 1645 to 1676, known as "the Quiet" and father of Peter the Great.

Nicholas II was forced to abdicate on 15 March [O.S. 2 March] 1917. He did this in favour of his twelve-year-old son Alexei who ascended the throne under a regency. Nicholas later decided to alter his original abdication. Whether that act had any legal validity is open to speculation. Nicholas consulted with doctors and others present and realised that he would have to be separated from Alexei. Not wanting Alexei to be parted from the family, Nicholas altered the abdication document in favour of his younger brother Grand Duke Michael Alexandrovich of Russia. After receiving advice about whether his personal security could be guaranteed, Michael declined to accept the throne without the people's approval through an election held by the proposed Constituent Assembly; no such referendum was ever held.

Alexei's haemophilia was integral to the rise of Grigori Rasputin. One of the many things Rasputin did that unintentionally facilitated the fall of the Romanovs was to tell the Tsar that the war would be won once he (Tsar Nicholas II) took command of the Russian Army. Following this advice was a serious mistake as the Tsar had no military experience. The Tsaritsa, Empress Alexandra, a deeply religious woman, came to rely upon Rasputin and believe in his ability to help Alexei where conventional doctors had failed. This theme is explored in Robert K. Massie's Nicholas and Alexandra. It is possible that if Alexei had not suffered so terribly, Rasputin could never have gained such influence over Russian politics during World War I, which is generally seen to have at least hastened the collapse of Romanov rule.

Caring for Alexei seriously diverted the attention of his father, Nicholas II, and the rest of the Romanovs from the business of war and government.

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