Outside the room in which we have lectures in the old main building of groote schuur there is a display cabinet full of disused “antique” obstetric tools. A lot of them have names which imply their use. McGill’s forceps – removing something. Uterine dilator. There has been a set of tools thats use I could not determine. They were the cranioclast and the Winters combine cranioclast cephalotribe. They were the second most brutal looking set of tools, sparing only the uterine dilator.
In a lecture today we were told that in decades gone by, at the beginning of the 1900s having a cesarean section carried a 100% mortality rate, so if a baby died in utero owing to cephalo-pelvic disproportion (head is too big to fit through the birth canal) or other causes of a cessation of normal labour, they used to use tools to crush the now still-born baby’s skull in order to facilitate the removal of the products of conception from the mother.
Pretty Brutal
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