The caesarean birth of Caesar Anna Low

Repost of a blog item from another of my blogs, Walking in Eternity, originally written 23 JUL 2011:

An episode from the life of the incredible Doctor William Henderson of Perth (1784-1870), brother to my four times great grandfather Andrew...

In 1820, Dr. Henderson gained some notoriety as being the doctor who successfully delivered one of the first surviving babies in Scotland by a caesarean section. Although the procedure had been known to have been carried out elsewhere in Scotland prior to this, only a handful of children had been known to survive the procedure, perhaps most notably Robert II in 1316. The pregant mother in this instance was 30 year old Elizabeth Miller, spouse of David Low. The following account from the Perth Courier of October 5th 1820 describes what happened:

The Caesarean operation was performed here on Saturday last, by Dr Henderson, in presence of six of his professional brethren. The patient being much deformed, and in a reduced habit of body, survived the operation only about 24 hours. The child, a fine girl, is doing extremely well. We understand that this is about the 24th time this operation has been performed in Great Britain, and that only one or two have survived it. Of the 24 children, only 11 have been brought into the world alive. Much praise is due to the medical gentlemen who assisted in this distressing case, two of them having constantly attended by turns on the patient, during the whole time she was alive.

The baby girl was christened as Caesar Anna Miller Low, with the Perth baptismal record noting that she had been 'brought forth by the Caesarean Operation':

The case was an important success for its time, which William subsequently wrote it up later in the year for publication within the Edinburgh Medical and Surgical Journal, under the title of "History of a Case of Impractical Labour, in which the Caesarean Operation was Performed". (Ed. Med. and Surg. Jour., vol.xvii.p.105, 1 NOV 1820). In his account William noted the following:

All circumstances rendered the case of this unfortunate woman a most hopeless one. She had laboured under mollities ossium for eight years, and, for the last four, had been chiefly confined to bed, and could not move her body from the position in which it was laid without assistance. Her appetite was much impaired, extreme emaciation, and great deformity. When she was viewed in bed, previous to the operation, her appearance was more like that of an Egyptian mummy than that of a human creature who lived and breathed.

And

This is now, I think, the 24th time that the Caesarean operation has been performed in Great Britain; one woman out of that number has been saved, but 12 children have been preserved.

He also noted that Elizabeth Low was aged 30 and had been twelve years married, with three living children, the last of which had been born in 1814. Images of her pelvis were included in the article, having been drawn following the mother's autopsy.

In a postscript in the article he adds one final comment about Caesar Anna -'A fine full grown female infant, who is doing remarkably well'. He also adds that 'it was a case in which no alternative was left; had it not been recourse to, both lives must certainly have been lost'.

Chris