Royal Australian and New Zealand College of Obstetricians & Gynaecologists (RANZCOG)
Simpson's cranioclast used by Dr Mitchell Henry O'Sullivan
Prior to the 1900s, complicated births, particularly where there was a disproportion between the size of the woman’s pelvis and the foetus’ head, often meant the death of the baby and the mother. Instruments for removing a dead or ailing foetus from within the mother were used to attempt to save the mother’s life.
The cranioclast, first invented by Dr. James Simpson in the mid-19th century and later redesigned by others, was used for fetal destruction and removal. Fundamentally a strong pair of forceps, the cranioclast was used to crush the skull, decreasing its diameter. In some cases, this would allow normal uterine contractions to expel the foetus; in others, the physicians would use an obstetrical hook to pull the body out of the mother.
Doctors disagreed as to the pelvic diameter that would necessitate this drastic intervention, but generally found that 3 to 3.5 inches was the smallest size through which a living infant could pass. Equally of debate was the pelvic size through which the dead fetus could be extracted. When vaginal extraction was deemed unadvisable, Caesarian section would be performed. As caesarean section became safer and more common with the advent of anaesthetics and antiseptic techniques, the use of cranioclasts and obstetrical hooks diminished. (Museum of Health Care, Kingston)
Dr Mitchell Henry O'Sullivan worked in the Victorian country town of Casterton as a general practitioner from 1919 until his death in 1977. He also practiced obstetrics. His son, Dr David More O'Sullivan donated his obstetric bag and its contents to the College in 1999. The bag and contents are a unique time capsule of the type of instruments and pharmaceuticals used in the inter-war period.Hinged metal tool with bakelite handles at one end and serrated teeth at other end. The instrument is in two sections. The right or upper blade has a black bakelite handle. There are two screws on the inside of the handle, 5.5cm apart. In the centre of the blade is a screw notch in the shape of a small horseshoe. On the inner side of the blade is a depression extending most of the length. The left, or lower, blade also has a black bakelite handle. There are two screws on the inside of the handle approximately 6cm apart. Mobile metal clasps in the shape of an 'S' , with three serrations, is attached to the distal end of the handle, which enables the blades to be opened or closed. destructive instruments