Childbirth Education Eponyms:
Who’s Behind That Name?
In childbirth education, have you ever wondered, “Why do we call it that?” or “What’s with that name?”
In all areas of academic inquiry, there are anatomical structures, procedures, methods, theorems, discoveries, diseases, and more associated with the names of those connected to their study. And the fields of childbirth and lactation education are no different. These disciplines are filled with key terms we may take for granted without knowing anything about the names associated with them.
Read on to learn about the history and people behind a few key terms in childbirth education, and discover some of our childbirth and breastfeeding education materials that cover these important topics.
Why do we call the surgical procedure to deliver a baby that requires an incision to be cut in the mother’s abdomen and uterus a cesarean section?
It is often assumed that Roman leader Gaius Julius Caesar (100 BCE–44 BCE) was born by this method. In those ancient times, the procedure would have been performed only in an attempt to save the baby’s life when the mother was dying in childbirth. However, Aurelia, Julius Caesar’s mother, is thought to have survived well into her son’s adulthood, making it highly unlikely that she had a cesarean delivery. She purportedly learned of her son’s invasion of Britain and died in 54 BCE, about the same time as Caesar’s own daughter Julia died during childbirth.
Even though Julius Caesar himself was probably not born by cesarean section, Roman historian Pliny the Elder wrote in his Natural History that a previous Caesar (or imperial leader) was born by cesarean section. The name Caesar appears to derive from the Latin word caedere meaning “to cut.” Under Roman law, women who died during childbirth were to be cut open in an attempt to save the baby. Babies born by this method were called caesones.
Whatever the exact etymology of
cesarean, our
Indications for Cesarean Section Chart is an ideal way to show some of the main reasons why cesarean sections are performed. Today, a cesarean birth sometimes offers the safest outcome for both mothers and babies when medically indicated.
Montgomery Glands
Our
Breastfeeding Chart Set (8) includes the Breastfeeding: Changes in Your Breast Chart, which features detailed drawings depicting breast tissue before pregnancy, during pregnancy, and while lactating. The chart’s description of the pregnant breast explains how the Montgomery glands (small sebaceous glands that appear around the nipple on the areola) become bigger and more noticeable during pregnancy.
Although they can release small amounts of breastmilk, Montgomery glands primarily produce an oily substance that keeps the nipple and areola clean and moist to help prevent infection. They also appear to provide a scent that helps newborns find the nipple, latch on, and breastfeed successfully for the first time after birth. But why are they called Montgomery glands?
William Fetherstone Montgomery (1797–1859) was an Irish physician and the first professor of midwifery at the College of Physicians, Dublin. In 1837, he wrote An Exposition of the Signs and Symptoms of Pregnancy, in which he gave seminal descriptions of how the breast changes during pregnancy. He also included detailed, color renderings of breast changes that occur from the third to the ninth month of pregnancy. Although the glands that now bear his name were earlier known as Morgagni’s tubercles, his detailed drawings in his influential book have permanently attached his name to these sebaceous breast glands.
Babinksi Reflex
During a newborn’s first checkup, healthcare professionals check newborn reflexes to determine whether the baby’s nervous system is working properly. One reflex healthcare professional’s check is the Babinski reflex.
As covered in our
Healthy Newborns Flip Chart when a newborn’s foot is stroked from the heel upward and across the ball of the foot, the infant hyperextends and fans the toes apart. This reflex generally disappears by the time a child is 2 years old. When the Babinski reflex occurs in older children and adults, it suggests potential problems with the central nervous system. But why is it called the
Babinksi reflex?
The Babinski reflex is named for Joseph Babinski (1857–1923), a French neurologist of Polish heritage who first described the cutaneous plantar reflex that came to be known as the Babinski reflex. In addition to describing the Babinski reflex, Babinski made multiple contributions to neurology and was a key figure in the emerging discipline of neurosurgery in France.
Apgar Score
As discussed in our
The Process of Giving Birth Flip Chart, shortly after birth (usually at 1 minute and again at 5 minutes), an Apgar assessment is conducted on a newborn to score a baby’s health in five categories:
Appearance (skin color),
Pulse (heart rate),
Grimace (reflex irritability),
Activity (muscle tone), and
Respiration (breathing rate and effort). The acronym APGAR summarizes the five categories. The Apgar assessment is done to determine whether a newborn requires immediate, special medical attention. Scores range from 0 to 10. Most babies don’t get a 10 however, because their hands and feet remain cyanotic (blue) until they are warmed up.
APGAR, however, is far more than just a convenient acronym; it is also the name of the creator of the Apgar score, Virginia Apgar, MD (1909–1974). An American obstetrical anesthesiologist, Dr. Apgar earned her MD at Columbia University and was a full professor at Columbia University’s College of Physicians and Surgeons. By 1952 she had developed the Apgar scoring system, which became standard practice across the globe and helped lay the groundwork for the field of neonatology. Among her many other achievements, Dr. Apgar earned a Master of Public Health (MPH) and worked to help prevent birth defects and premature birth, including advocating for the importance of prenatal care and a healthy pregnancy and promoting rubella immunization.
Childbirth Graphics: The Name to Trust in Childbirth Education
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The information contained in this newsletter article is not intended to replace the advice of a healthcare professional.
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