How Ancient Societies Handled Complicated Childbirth: 5 Historical Case Studies


Disclaimer:  This image is AI-generated for illustrative purposes and does not depict real people or events directly.


Introduction

Childbirth in the ancient world was a moment of both joy and danger.  

Before the emergence of hospitals, antibiotics, and modern surgical procedures, people from different cultures mixed practical knowledge and spiritual beliefs to face the unpredictable process of labor.

During childbirth, women went through unbearable pain and faced life threatening risks, especially during complicated deliveries. 

There was no access to modern tools or sterile environments; therefore they relied on what was available in the society, such as midwives, prayers, herbs, and rituals.


Common complications during labor included:

  • Breech births (where the baby came feet-first), 
  • Prolonged labor, 
  • heavy bleeding, 
  • Infections,
  • Stillbirths and 
  • Retained placentas.

Here are five historical examples showing how different societies tried to save mothers and babies during childbirth.


1. Ancient Egypt (c. 1500 BCE): Spells, Midwives, and Birth Bricks.

In ancient Egypt, childbirth was both a spiritual and practical event. Midwives played an important role, using both natural remedies and sacred rituals to help mothers during labor.

The Ebers Papyrus is one of the oldest medical texts in history. It mentions treatments like honey, dates soaked in wine, and herbs such as frankincense, which were inserted into the birth canal to provide relief from pain or induce contractions.

Women gave birth while squatting on rectangular clay “birthing bricks,” which were decorated with protective spiritual symbols, believed to protect the mother and child from harm.

Protective amulets were worn and invocations to Hathor, the goddess of fertility and childbirth, were also performed. 

Stillbirths and maternal deaths were blamed on evil spirits, and sometimes incantations were recited to drive them away.


2. Ancient Greece (c. 400 BCE): Manual Turning and Herbal Relief.

During this period, the Greek physicians like Hippocrates were already observing the causes of difficult births and experimenting with an early kind of obstetric technique.

One known complication was when a baby was positioned sideways in the womb, a transverse lie. Midwives attempted to solve this by gently repositioning the fetus, using olive oil to aid the process.

Greek women in labor were encouraged to squat or sit upright.

Pain relief included wine, opium derivatives, or herbs like mandrake.


3. Ancient India (c. 300 BCE): Surgical Solutions in the Sushruta Samhita.

Ancient Indian medicine, as described in the Sushruta Samhita, demonstrated a good understanding of childbirth challenges.

Sushruta was a famous physician of that time. He wrote detailed descriptions of surgical procedures to remove a dead fetus when natural birth was impossible, with the aim to save the mother’s life.

He outlined specific tools, curved knives, forceps, and cauterizing instruments, which were reportedly sterilized using fire or alcohol. 

Herbal anesthetics, such as cannabis or wine infusions, were used to dull the pain.

Although full cesarean sections were rare, surgical extraction of the fetus was practiced.

This shows that early Indian practitioners valued maternal survival and were ready to intervene surgically when needed.


4. The Banyoro of Uganda (1879): A Precolonial Cesarean That Shocked Europe.

One of the most surprising examples of advanced childbirth care comes from 19th-century East Africa.

In 1879, a Scottish doctor named Robert Felkin witnessed a cesarean section performed by the Banyoro people of Uganda. 

To his surprise, the mother remained conscious, was given banana wine as anesthetic, and survived the operation, along with her baby.

The abdomen was sterilized with banana alcohol, and after the baby was delivered, the wound was stitched using iron needles and plant fibers. 

The midwives even massaged the uterus to help it contract, a technique still used today.

At that time, cesarean sections in Europe mostly ended in death. Felkin’s detailed account proved Western assumptions wrong about African medicine. 

The procedure he observed was clean, careful, and effective, suggesting that surgical knowledge in precolonial Africa was more advanced than many Europeans believed.


5. Medieval Europe (12th–15th Century): When Prayer Replaced Surgery.

In medieval Europe, childbirth was approached from a religious perspective.

Due to the absence of reliable medical instruments and safe surgical procedures, complications were frequently regarded as spiritual trials rather than medical conditions.

Midwives relied on prayers, relics, and saintly intervention. Saint Margaret of Antioch, who was believed to protect women in labor, was invoked. 

Some mothers would place their hands on images of the saint or listen to her legend being read aloud during labor. 

In one account, a woman reportedly delivered safely after such a ritual. Her survival was credited to divine help.

Medical interventions like cesarean sections were rare, and almost never performed on living women. 

Religious and cultural taboos forbade such surgical procedures. However, in cases where a mother died during labor, a post-mortem cesarean was attempted, not to save her life, but to baptize the infant and ensure the salvation of its soul."

Conclusion

These stories show that ancient people were not ignorant in the field of midwifery. They used the tools and knowledge they had, like natural herbs, hands-on techniques, or spiritual beliefs to try to save lives.

Modern midwifery has its foundations in these early acts of courage, care, and innovation.


Related topics:

Ancient African innovations

https://historyforumtz.blogspot.com/2025/03/ancient-african-innovations-untold.html


Sources:

1. Ebers Papyrus (c. 1550 BCE), translated by Paul Ghalioungui, Cairo University Press.

2. Hippocrates. Hippocratic Writings. Penguin Classics, 1978.

3. Sushruta. Sushruta Samhita, trans. K.K. Bhishagratna, 1907.

4. Felkin, R.W. “Notes on Labour in Central Africa.” Edinburgh Medical Journal, 1884.

5. Green, Monica H. Making Women's Medicine Masculine. Oxford University Press, 2009.

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