Why were human births historically so dangerous, particularly before C-sections were possible?

Human births historically were dangerous for several reasons, particularly before the advent of Cesarean sections (C-sections). Here are a few factors that contribute to the risks associated with childbirth in the past:

1. Lack of medical knowledge: In earlier times, there was limited understanding of human anatomy, reproductive processes, and medical interventions. This lack of knowledge meant that healthcare providers had limited ability to address complications or perform lifesaving procedures during childbirth.

2. Infections: Before the discovery and implementation of modern antiseptic practices, infections during childbirth were common. Mothers and babies were at risk of developing serious infections like puerperal fever, which often led to maternal or infant mortality.

3. Obstructed labor: Women with a small pelvis or other anatomical irregularities could experience obstructed labor, where the baby cannot pass through the birth canal without assistance. Without medical interventions like forceps or C-sections, obstructed labor could lead to prolonged and complicated deliveries, endangering both the mother and the baby.

4. Hemorrhage: Excessive bleeding during or after childbirth, known as postpartum hemorrhage, was a significant contributor to maternal mortality. Without the knowledge and techniques to control bleeding, women faced a higher risk of fatal blood loss during delivery.

5. Pre-existing health conditions: Many women in the past had pre-existing health conditions, such as malnutrition, anemia, or infectious diseases, that increased the risk of complications during pregnancy and childbirth. Without proper prenatal care or access to medical interventions, these conditions further heightened the dangers involved.

C-sections, as a surgical procedure to deliver babies, have significantly reduced the risks associated with childbirth. They allow for safer delivery in cases of obstructed labor, fetal distress, or other complications. However, it's important to note that C-sections were not widely available or performed until relatively recently in medical history.