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JanetF
16-11-2005, 10:29
Obstetrics and gynecology in ancient Egypt
Issue 23: 14 Nov 2005
Source:

European Journal of Obstetrics & Gynecology and Reproductive Biology 2005;
123: 3-8

Researchers have identified a large number of similarities between modern
practices and concepts relating to reproductive medicine, and those recorded
in documents from ancient Egypt.

In a new paper, specialists from the Hadassah Hebrew University Hospital in
Jerusalem, Israel, write: "Ancient Egyptian medicine exercised obstetric
practices and reproductive concepts based on some extremely accurate
observations."

They examined a series of relevant papyri written in Egypt in Pharonic
times, including the Kahun papyrus, a gynecological text dated to about 1800
BC. Their paper discusses in detail many apparent overlaps between ancient
and modern practices, including:

Diagnosing pregnancy
The researchers note that one method of diagnosing pregnancy in ancient
Egypt was to count the number of times the woman vomits when placed on a
mash [mixture] of beer and date. "The aversion of strong aromatic odors,
nausea with or without vomiting, is also specified today as a presumptive
evidence of pregnancy," they write.

Another method used in ancient Egypt was to place an onion bulb deep in the
vagina overnight. Being able to detect the onion's characteristic smell on
the woman's breath the next morning was a sign that the woman was pregnant.
The researchers suggest that absorption of the onion's sulfuric compounds
into the woman's blood via engorged submucosal blood vessels could result in
"onion breath".

Delivery
Egyptian writings and wall paintings suggest that delivery was performed in
the squatting position, with the woman supporting her arms on her knees, and
sitting on two bricks. A 2004 Cochrane analysis of positions during the
second stage of labor showed that squatting has advantages over supine or
lithotomy positions in terms of a reduced duration of the second stage, a
reduction in assisted deliveries and episiotomies, and a reduced reporting
of severe pain in the second stage. It was, however, also associated with an
increase in second-degree perineal tears and increased blood loss.

Assessment of newborns
In ancient Egypt, the newborn's cry and muscle tone were both used as
indicators of health. One papyrus states that if the newborn said "ny", it
would live, and if it said "mebi", it would die. It was also thought that if
the child moaned or turned its head downwards, it would die. Cry and muscle
tone are two of the five parameters used to determine the Apgar score in
newborns today, the researchers write.

Complications of delivery
There are suggestions from certain writings that perineal tears were sutured
after delivery, with one papyrus referring to the "bringing together of the
vagina".

Contraception
The researchers say ancient papyri include several recipes for intra-vaginal
contraceptives, with ingredients including acacia gum, sour milk, and acacia
spikes. Compounds derived from the acacia tree/shrub have been found in
modern-day research to be spermicidal, with a sperm-immobilizing effect in
vitro. It has been suggested that such active ingredients may have been
indirectly identified when herders of domesticated animals noticed that
animals that grazed on certain plants failed to reproduce.

Erectile dysfunction
Ancient Egyptian remedies for erectile dysfunction included active
components such as carob, juniper, hyoscyamus, pine, and watermelon, say the
researchers. They note that carob, for example, has a high content of
histidine, a major component of histamine. Recently, they write, "it has
been shown that histamine-deficient mice have a low reproduction rate due to
decreased male mating behavior."

The full paper is published in the latest issue of the European Journal of
Obstetrics & Gynecology and Reproductive Biology.

wattle
16-11-2005, 11:14
Gee I'm glad there's pregnancy test kits at the supermarket and I don't have to stuff an onion bulb inside me!

TwoBlue
16-11-2005, 11:33
A 2004 Cochrane analysis of positions during the
second stage of labor showed that squatting has advantages over supine or
lithotomy positions in terms of a reduced duration of the second stage, a
reduction in assisted deliveries and episiotomies, and a reduced reporting
of severe pain in the second stage. It was, however, also associated with an
increase in second-degree perineal tears and increased blood loss.

JanetF is this true about the increase in second degree tears and increased blood loss with being in the squatting position for birth...? i was for my DS and suffered a 2nd degree tear and major blood loss... perhaps i should think of another possie for this impending birth... although i did feel it helped deliver DS quicker... whats your opinion??

and Cathy LOL LOL LOL cant say i want an onion bulb stuffed up my clacker either !! talk about feeling like the Christmas turkey LOL !! :p ps : love the new avatar of Max :)

JanetF
16-11-2005, 11:50
Dicey question re: squatting. Westerners aren't very good at it since our culture is more a bum sitting culture than a squatting culture. What I've read inclines me more towards coached pushing being more implicated in tearing since if women only push when they can't NOT push ( a little like how when you need to vomit you simply CAN'T do anything else!) rather than when someone who's not in their body tells them to, tearing is greatly reduced. Some women find they don't have much control over pushing when they squat but for most of us it opens our pelvises beautifully. Birthing in water also reduces tear significantly and it's much easier to squat there too.
I wonder if this might help you a bit?
http://www.midwiferytoday.com/articles/pushing.asp
http://www.birthingbetter.com/
I hope you have a beautiful birth! :)

TwoBlue
16-11-2005, 12:09
Thanks for the links JanetF.

Foxymoron
16-11-2005, 12:54
Thanks for that very interesting read. I have to say I'm glad I don't have to do the onion test though :p yay for some aspects of modern medicine!

LittleBoysRock
16-11-2005, 13:07
Very interesting....thanks JanetF. :)

WeThree
16-11-2005, 14:22
Hi Janet, i thought what you said was interesting (re pushing when told to or not and squatting)my first 2 births i was on my back, one resulted in many many stitiches, the other severe grazing,having Matilda only 18 mths after Coops, i knew my own body so much better, and trusted in it, and when i needed to push i knelt/squatted and didnt listen to a word the midwife was saying, i just pushed like hell, when I knew i needed to, not when she told me, and the result was not a single cut, tear and only the slightest of grazes, not to mention how much easier it was to get her out in that position!! so definetly agree with what you said there :)
thanks for the fun, interesting read :)