This is, however, not quite correct. A full consideration of Avicenna’s words seems to me to lead to the conclusion that he is describing no more than extraction with a craniotomy forceps. If the forceps fail the child is to be extracted by incision, as in the case of a foetus already dead (and decomposed so that the forceps would not hold).
As regards Adams’ statement that a forceps like ours was dug up in Pompeii one may ask, ‘Where is that forceps now?’ It is certainly not in the Naples Museum, where all the finds from Herculaneum and Pompeii have been stored since the excavations were commenced. Adams has probably been misled by some notice of the ‘Pompeian forceps’ ([Pl. XLIII]), which many consider adapted for removing the cranial bones when the child’s head is broken up in cephalotripsy. It is, however, a sequestrum forceps.
Uterine Curette.
Hippocrates (ed. Van der Linden, vol. ii, p. 394) says:
If the menses form thrombi ... we must wind the skin of a vulture or a piece of vellum round a curette and curette the os uteri (καὶ περὶ ξύστραν περιειλίξας γυπὸς δέρμα ἢ ὑμένα, διαξύειν τὸ στόμα τῶν μητρέων).
ξύστρα may of course mean the strigil, and some forms of strigil, such as the one shown in [Pl. XXV, fig. 1], are not ill adapted for the purpose.
Instrument for destroying foetus in utero.
Greek, ἐμβρυοσφάκτης; Latin, aeneum spiculum.
Apart from the destruction of the foetus in criminal abortion, which was so common at Rome in the time of the Empire, we have mention of an instrument for legitimately producing the death of the foetus from humane motives before forced delivery. It is mentioned by Tertullian in his sermon De Anima, and the passage is so interesting that I give it in full. It is, moreover, an example of the unexpected places in which information regarding the surgery of the ancients crops up. Tertullian is arguing that the foetus is alive in utero, and does not, as others hold, simply take on life in the act of birth, and to support his conclusions he uses the following argument:
Denique et mortui eduntur quomodo, nisi et vivi? qui autem et mortui, nisi qui prius vivi? Atquin et in ipso adhuc utero infans trucidatur necessaria crudelitate, quum in exitu obliquatus denegat partum; matricida, ni moriturus. Itaque et inter arma medicorum et organon est, quo prius patescere secreta coguntur tortili temperamento, cum anulo cultrato, quo intus membra caeduntur anxio arbitrio, cum hebete unco, quo totum facinus extrahitur violento puerperio. Est etiam aeneum spiculum, quo iugulatio ipsa dirigitur caeco latrocinio; ἐμβρυοσφάκτην appellant de infanticidii officio, utique viventis infantis peremptorium. Hoc et Hippocrates habuit et Asclepiades et Erasistratus et maiorum quoque prosector Herophilus et mitior ipse Soranus, certi animal esse conceptum, atque ita miserti infelicissimae huiusmodi infantiae, ut prius occidatur ne viva lanietur.