Dr James Barlow and the caesarean section

Giving birth by caesarean section was carried out during the Georgian era, however, it was rarely successful and certainly far less glamorous than the header image would imply.

Having a read through the newspapers, many confirm just how life threatening this procedure was, especially given the lack of skill of the surgeon and the distinct lack of any form of effective anaesthetic. As this was such a dangerous procedure it was often one which was carried immediately following the  death of the woman, in a last-ditch attempt to save the unborn child.

I was searching for something completely different when I stumbled across a reference to one such successful caesarean in the Lancashire Gazette which tells us that this baby was born on 24 July 1817:

On the 24th ult. The caesarean operation was performed on the wife of Edmund Hacking, of Blackburn, in this county, by Mr Barlow, surgeon of this town. The woman is at present apparently doing well. The child is a fine healthy boy, and was baptised the following day, by the Rev J Price, and named Julius Caesar. This gentleman performed a similar operation at Blackrod, in this county, more than twenty years since, and the woman is now living.

We learn from an account written by Mr James Barlow, in 1822, that Ann was aged 42 and this was to be her third child. Her two older children were born with little difficulty; however, she did suffer from a prolapse as a result of the birth of the first child which limited Ann’s ability to walk and she spent much time bedbound. Over the years she became lame and walked with a crutch to assist her. A natural birth was not possible for baby Julius, given Ann’s physical health, so Mr Barlow opted for a method he had used before, a caesarean section. The procedure went well, but sadly however, on checking the burial register Julius Caesar survived for just 13 months.

The Lancaster Gazette 21 April 1821 reported another instance of this man’s work:

The caesarean operation was performed on the wife of George Ridgedale, of Blackburn, by J Barlow, Esq. in the presence of J Chew M.D and Mr Dugdale, surgeon. The child is a fine boy, and likely for life, but the mother had long laboured under great disease, and only survived the operation 52 hours.

Like Ann Hacking, this lady was also 42 years old and had had several child previously, but again like Ann, she was struggling with walk difficulties and constant pain. Due to her physical difficulties Barlow decided that the only way to safely deliver this child was by the caesarean procedure, saving the child, but not the mother, on this occasion.

I began to wonder who this Mr Barlow was and whether anything else was known about him and sure enough there was, so let me introduce you to Dr James Barlow (1767-1839) and here we have his portrait. I had assumed he was a local surgeon in Lancashire, but there was more to him than that.

unknown artist; Dr James Barlow (1767-1815); Bolton Library & Museum Services, Bolton Council

James Barlow first began practising as a surgeon in Chorley, Lancashire where he ran a large and highly successful practise in Blackburn, which eventually grew so large that he built his own premises, known as Spring Mount.

He was the first surgeon know to successfully perform a caesarean operation in the United Kingdom. Back in 1793 he first performed the procedure on a Jane Foster, aged 40, of Blackrod, Lancashire. Jane had had a fall from her cart, which had caused damage to her pelvis and on this occasion when she became pregnant it meant that she was unable to give birth naturally and this is where James stepped in to deliver the child by caesarean with the assistance of a local doctor, who unfortunately fainted, so James had to rely on a female assistant to help him.  Jane survived, but sadly the child didn’t.

Wellcome Collection
Wellcome Collection

In 1829, James had worked his magic again and Mr Edmund Forrest’s wife was delivered of a child, both mother and child were said to be doing well. This was apparently the fourth successful surgery performed by Mr Barlow.

The Liverpool Standard and General Commercial Advertiser, 27 August 1839 reported

Died on 20 August, at his residence, Spring Mount, near Blackburn, aged 73, James Barlow, a celebrated and talented surgeon.

The Blackburn Standard, 28 August 1839, reported

The funeral of James Barlow Esq. The remains of this lamented gentleman were interred yesterday, in a vault recently made in the parish churchyard. His funeral was attended by a numerous concourse of those who had respected him during his life. Twelve carriages accompanied the hearse in is mournful course to its final resting place, which was thronged by thousands, many of whom no doubt benefitted by the gratuitous exercise of the skill of the deceased.

Sources

Essays on Surgery & Midwifery: With Practical Observations, and Select Cases By James Barlow (1822)

Featured Image

Wellcome Collection

Art Detectives: Anne Birch by George Romney

The portrait of Anne Birch is housed at the Phoenix Art Museum and is described by them as

George Romney’s depiction of Anne Birch reveals why his portraits were so in demand. Elegantly dressed, seated languidly on a bench in a dark glade that opens tantalizingly to a distant, sunlit view, Anne holds a flute in one hand while resting her head gently on the other.

But who was Anne Birch?

Anne Birch Phoenix Art Museum
Anne Birch Phoenix Art Museum

The portrait by George Romney came to my attention recently on social media and apart from her name, the artist and the approximate year it was painted, 1777, little if anything, seems to be known about the sitter, so it was time to do a spot of investigating to see what, if anything, I could find out. Given the instruments in the painting it would appear that she was perhaps a talented musician, but so far nothing has come to light to support this. Music would have been a subject that young ladies like her would have been instructed in, so maybe she excelled in this area.

The portrait is believed to be that of Anne Birch nee Clowes, the daughter and only child, therefore heir apparent, to William Clowes Esq, of Huntsbank, Manchester and his wife Elizabeth, nee Neild, who were married in 1738. Anne was baptised 18 October 1743 in Manchester, making her about 34 when the portrait was painted, although in my opinion the sitter looks much younger, which makes me question whether it could have been painted slightly later and be of her eldest daughter, also named Anne.

So far it hasn’t been possible to establish exactly who William Clowes was, but he was described as being ‘the fourth brother of the House of Clowes, who afterwards settled in Broughton‘.  I have however, managed to establish is that William died 15 February 1772, aged 68 and was buried in Manchester Cathedral.

Manchester Cathedral courtesy of http://www.speel.me.uk/index.htm
Manchester Cathedral courtesy of http://www.speel.me.uk/index.htm

William was clearly affluent, as when his only daughter married on 18 October 1764 the newspapers reported the marriage:

The Leeds Intelligencer Tuesday 30 October 1764
The Leeds Intelligencer Tuesday 30 October 1764.

So, we now not only have a family for Anne, but also a husband, John Peploe Birch, Esquire. According to this newspaper we know that Anne was not only beautiful, but also very wealthy, making her, at that time, an ideal candidate for marriage. It appears that the two families knew each other though, so could this have been the marriage of two houses possibly?

Anne’s father William, appears to have had some familial connection with the manor of Broughton Old Hall, Manchester, could this have been where his money came from, but what about her husband, who was he?

John Peploe Birch was born 1742 and was the son of Rev Samuel Peploe, Chancellor of Chester and Warden of Manchester and his first wife, Elizabeth Birch.

John was later to benefit from the demise of his uncle Samuel in 1752, at which time he inherited the estate of Garnstone, Weobley, Herefordshire, which was left  in trust for him until he reached the age of twenty-one, to be granted to him if he adopted the surname Birch, which he duly did, retaining Peploe as a middle name.

A series of picturesque views of seats of the noblemen and gentlemen of Great Britain and Ireland. With descriptive and historical letterpress by Morris, F. O. (Francis Orpen), 1810-1893; Fawcett, Benjamin; Lydon, A. F. (Alexander Francis)
A series of picturesque views of seats of the noblemen and gentlemen of Great Britain and Ireland. With descriptive and historical letterpress by Morris, F. O. (Francis Orpen), 1810-1893; Fawcett, Benjamin; Lydon, A. F. (Alexander Francis)

John and Anne moved to Barnstone which was where they spent the rest of their lives, but whilst in London they also had another home on Curzon Street, Mayfair. During their marriage they had three known children, Anne (1765-1846), Mary (1769-1830) and Samuel (1774-1845).

In 1767 John was appointed High Sherriff of Herefordshire, but as to whether he had an occupation seems unclear or was he simply landed gentry spending his time managing his estate?

John lived until 1805, leaving his estate to his beloved wife Anne, who lived until the age of 76. Both John and Anne was buried at Weobley, Herefordshire.

Anne left a will in which she provided for her three children, Anne who was by that time married to a Daniel Webb, Mary who remained unmarried and Samuel who had married the daughter of Sir George Cornewall, but she described her legacy as being ‘what little I have’. What little she had amounted to about £6,000 (about £300,000 in today’s money), but this is probably far less than she had hope to leave.

Although still little remains known of their life together, this at least sheds a little more light on this beautiful portrait.

Sources

The Universal Magazine of Knowledge and Pleasure … Volumes 12-13. Page 126

The Episcopal See of Manchester by Samuel Hibbert

Memorials of St. Ann’s church, Manchester, in the last century by Charles Wareing E. Bardsley

Manchester, England, Baptisms, Marriages and Burials, 1573-1812 (Cathedral)

Jane Scott, The Preston Poisoner

On the bitterly cold morning of Saturday 22nd March 1828, a twenty two year old woman sat in her prison cell at Lancaster Castle, awaiting the hangman’s noose, with just the long standing prison chaplain, Reverend Mr Joseph Rowley to comfort her before her final journey. Outside, waiting to witness this event was one of the largest crowds ever seen at the castle, with many travelling from far afield to witness this spectacle.

The New Buildings on the West Front of Lancaster Castle. Yale Center for British Art
The New Buildings on the West Front of Lancaster Castle. Yale Center for British Art

So how did this unfortunate young woman find herself in this most desperate of all situations? To find out we return to the beginning of this story, and to a John Scott, a Methodist preacher and shop keeper on Bridge Street, Preston and his wife Mary. The couple were well respected in their local community and further afield, as John Scott travelled to local fairs and markets selling his wares.

The couple had three daughters – Mary, Jane and Maria, who died in aged eight.

It was the very year Maria died that Jane, aged just 15, found herself unmarried and pregnant as the parish register of April 13th, 1821 confirms, Jane presented her first illegitimate child, a daughter, Anne, for baptism at the local parish church, not at the non-conformist church her parents attended.

Baptism of Anne Scott 1821
Baptism of Anne Scott 1821

Jane’s behaviour began to deteriorate, becoming rebellious, stealing from her parents and drinking. As to what became of Anne can only be speculated upon, but in all likelihood she died in infancy.

On 29th January 1824, aged 18, still unmarried and living with her parents, Jane presented a second child, for baptism, a son named John, but just three years later she would return to the church, this time to bury him.

The burial of John Scott aged 3
The burial of John Scott aged 3

Questions were raised at the time about the death of this child, but there was nothing tangible to suspect that anything untoward had happened to him.  Perhaps her daughter Anne had in fact died, leading people to question Jane’s untoward lifestyle and her ability to care for children. She now frequented the local public house, ‘The Three Tars’ and continued stealing from her parents.

History has a habit of repeating itself, this time on 6th May 1825, Jane presented another illegitimate child, Harriet, for baptism. Then, only a few months later this child’s name too was to appear in the parish burial register.

Baptism of Harriet Scott (illegitimate)
Baptism of Harriet Scott (illegitimate)

Burial of infant, Harriet Scott
Burial of infant, Harriet Scott

Mortality rates in this parish were high and the parish registers showed many children dying young, well over fifty percent of the entries were for under-fives, so the deaths of Jane’s children, although tragic, might not have appeared that unusual.

June 1825, just one month later, there was another baptism, for a Robert Scott (illegitimate), this time the child belonged to Jane’s elder, unmarried sister, Mary.

Eighteen months later, on 13th January 1827, Mary married James Woods with her father, John, present as a witness, perhaps given the girls’ history he was glad to have one safely married off.

Flicking through the pages of the parish register two more Scott names jump out – burials which took place on the same day at Holy Trinity church, Preston on May 17th, 1827. The names were John and Mary Scott, the parents of these girls, so how did they die and why were they buried on the same day?

Burial of Mary Scott
Burial of Mary Scott

Burial of John Scott
Burial of John Scott

The answer to that lurked in the numerous newspaper reports of the time, which provided somewhat grisly accounts of their deaths and the coroner’s inquest which led to the subsequent trial of their daughter, Jane ‘a short, thick set woman’, at the Lancashire Assizes on August 29th, 1827.

Preston Market Place, 1820; unknown artist; Harris Museum & Art Gallery
Preston Market Place, 1820; unknown artist; Harris Museum & Art Gallery

On the 13th May 1827 John Scott was alive and in good health but died just one day later. The first witness called was Mrs Hannah Cragg, who was well acquainted with the couple and confirmed that Jane still lived with her parents. Mrs Cragg said that she had taken tea with them on Sunday and that Mrs Scott took her home a little after eight. The couple were both well and appeared on good terms with their daughter.

She stated that on the following evening, just after nine, Jane had run to her home, asking her to ‘come to our house, my mother is dead’. She appeared to be very alarmed. She told Jane to go straight home and that she would follow her.

On arriving, she saw Mrs Scott in the kitchen.

I had a conversation with her, but Jane was not present. I saw John Scott afterwards in the yard, vomiting. He went into the kitchen with me; Mrs Scott was still there. Jane came in and was going about the kitchen but could hear what was said.’

Mrs Scott said, ‘I am poisoned by the porridge’. So did Mr Scott. Jane said she would get rid of the porridge and that nothing more should be said of it.

Mrs Cragg said she saw it whilst she was holding Mrs Scott’s head. Mrs Scott told Jane not to dispose of it, but, Jane, who was close enough to hear completely ignored her and disposed of it. Dr Brown, the surgeon, was immediately sent for and instructed Jane to put the tin pan used to make the porridge to one side, but not to wash it out.

Jane and a Mrs Bilsborough went to fetch Jane’s half-brother, David Graham, as she feared her parents were dying. On arriving at the house, David found the doctor busily using a stomach pump on his mother and immediately accused Jane of causing them to be unwell.

Stomach Pump by Henry Heath. Wellcome Library
Stomach Pump by Henry Heath. Wellcome Library

David also told the court that Jane had been prone to violent convulsions over the past 3 years, which left her feeling weak for the next few hours, but he didn’t think it had impaired her mind. Mrs Bilsborough also confirmed that they had become more frequent, occasionally they were so bad that Jane would fall over in the street.

Just before midnight, Mrs Cragg went home, leaving Mr and Mrs Scott in bed being cared for by David who continued his vigil until, about three when his mother died.

His stepfather was still alive, but extremely unwell. David said that his stepfather told him that he feared he didn’t have much longer to live, he believed Jane had put poison in the porridge. At half- past five in the morning John Scott also died.

At the trial, Thomas Emmett, the druggist confirmed that Jane had visited his shop to purchase quarter of a pound of arsenic to use at her parents house in Bridge Street, as they had rats in the shop that she needed to kill and that two weeks later she returned for a further supply as she hadn’t managed to kill all of them. She returned for a third time, just days before the Scott’s died, saying that on this occasion she needed some to kill bugs around the bedstead.

The next witness was George Richardson, who said he had known Jane for a couple of months and that he saw her on the Sunday night whilst on his way home for tea and that Jane called him to come in. Jane then asked him, ‘When do you intend to marry me?.’ George said that he had already told her that he had no intention of marrying her yet as he wasn’t ready for marriage, he had no money or possessions.

Jane then told him that her father had signed over all his goods to her, but George didn’t believe her, so she produced a paper to prove it. George though, was semi-literate, but recalled that there was both writing and printing on the paper with her name at the bottom of it. He returned it to Jane saying he didn’t understand it, but that he had seen the words ‘tobacco and snuff’ on it. Jane said that snuff was there, along with a list of other goods meant for her. It later transpired that this was merely a snuff licence.

Next, was James Shorrock, who confirmed that he knew Jane and George Richardson. He said that he had seen Jane on the Sunday evening and Jane told him that her mother was very ill. He said that he saw her again on the Monday night about eight o’clock near a factory on Bridge Street when she said to him:

Here, Jem, I want thee’, I have just been watching George go into the dandy shop, Betty Watsons. George thinks to make a fool of me. I’ll make a bigger fool of him. He’ll be here after a while. My father and mother are very badly. I’ll go in to my supper, stop here till I come back’.

Jane disappeared and returned after about twenty minutes and said, ‘Oh Jem my father and mother are sure to die’. He replied:

we are all sure to die,’ Jane’s response was ‘we’re all sure to die, but not so soon as them. Next week I’m going to Manchester. I owe you two shillings. Come tomorrow night and I’ll pay thee’.

She went on to say, that on her return she would be married, but didn’t say to whom.  She told him that her parents had signed over everything to her, they had three houses and when she returned she would sell one, which would set them up in some kind of business, and then they would go to Liverpool to her sister, Mary.

The surgeon, Dr Robert Brown was next to be called to give his testimony. He confirmed that when he arrived at the house about half past nine on the Monday evening, Mrs Scott was sitting in a chair in the kitchen, supported by Mrs Cragg and was vomiting violently. Dr Brown concluded that she had been poisoned. He called for a quantity of warm water and applied the stomach pump to Mrs Scott. He stated that he took care of the contents of her stomach and that Mr Scott’s condition was very similar to that of his wife. He then used the stomach pump on Mr Scott and the couple were then put to bed.

Mr Scott was sick and complained of pains in the bowels. Mrs Scott was still being violently sick and complained of great cramp in her legs. Dr Brown confirmed that he had some conversations with Jane and asked to see the pan in which the porridge was made and confirmed that Jane had told him when she fetched him that her parents had eaten porridge and that caused them to become ill.

He asked for the bowl to be left for examination, he then gave it to his apprentice for safe keeping.

After he had finished administering the pump he asked Jane for the pan used to make the porridge. When Jane produced it, he noted that it had already been washed. He said he was somewhat surprised that she had not understood his earlier instructions to leave it, but her response was that she needed to use the pan to boil the water for the pump. He said that the pan in question had not been used, as he had watched her boil the water in a different pan. She made no reply.

The following day Dr Brown carried out a post mortem on John Scott’s body. He believed from the original symptoms which were borne out in the post mortem, showed that the death was caused by arsenic. Vomiting, purging and cramp in the legs were indicative of having ingested arsenic.

The judge was concerned that no tests had been carried out by Dr Brown as they might have yielded a different or conclusive outcome. He addressed the jury advising them that without conclusive proof of poisoning it was difficult for them to find Jane guilty. The case so far had only related to Jane’s father and the judge advised the jury that they should make their decision about this one count, as it was the fault of the prosecutor that necessary evidence was not available.

The judge confirmed that the case against her of murdering her mother would need to wait to allow the prosecutors the necessary time to supply further evidence and that a verdict on the case against Jane of murdering her father should be given.

Mary, now Mrs James Woods (Jane’s sister) was called to give her statement. She confirmed that the household regularly used arsenic and that they mixed it with oatmeal and sugar to kill rats and to eliminate bugs around the bedstead. Mary said that her father sold bread in his shop and that rats were abundant in the property, so she often made up a solution for use as an when required and that a solution was always kept at hand, so it was more than likely that there would have been some in the house on the day her parents died.

She said that she had seen some arsenic a few days before she went home to Liverpool, and that it was in the drawer of a wash-stand, wrapped up in blue paper, without any string and warned her mother about leaving it about the house.

Mary also confirmed that Jane on occasion, had as many as fifty fits in one day and could be ill for a week afterwards. Mary was sure that her mind had become afflicted as a result of them. She told the court that Jane was on good terms with her parents, in fact, that they thought more of Jane than they did of her.

An interior view of Lancaster Castle in 1824, pen and ink drawing by J. Weetman. The keep is right of centre. Lancashire Museum
An interior view of Lancaster Castle in 1824, pen and ink drawing by J. Weetman. The keep is right of centre. Lancashire Museum

Mrs Alice Berchell was called next. She described herself as being Mrs Scott’s neighbour for over seven years and that they were very close. She corroborated  Mary’s evidence. She too confirmed that Jane suffered from fits and that on occasion she had held Jane whilst she had been fitting. She said that Jane had been in the Dispensary at Preston and in Manchester Infirmary and that Mr and Mrs Scott were always kind and affectionate toward Jane, but were extremely worried that Jane would never be well enough to work for her living due to these fits.

The judge summed up the case for the jury who retired and returned with their verdict of:

Not Guilty due to weak intellect

Jane was however, returned to the prison to await trial for the murder of her mother. During this time, she ate very little and became weaker by the day.

On 20th March 1828, Jane was brought before the court again, some ten months after the death of her mother, having already been acquitted of the murder of her father and feeling convinced she would receive the same outcome. This time the jury took a mere five minutes to reach their conclusion and found her:

Guilty

Jane sat quietly and calmly throughout the trial until the verdict of hanging was delivered, she sobbed and pleaded for mercy, asking to be transported instead. This request was declined, she was returned to her cell where she became agitated and unable to support herself so much so, that she had to be put to bed by the castle matron.

Finally, when time was running out for Jane she confessed her crimes.  She stated that she had been well brought up, but from the age of fourteen she had led a dissolute life and had been seduced by a local man when she was just fifteen. She said her mother and father had always been kind to her and tried to keep her on the straight and narrow, but it was too late, ‘the devil got possession of her’. She confessed to robbing her parents of their property and money before they died.

The day before her parents were poisoned she said that she had met up with George Richardson, who she wished to marry. The couple went to ‘The Three Tars’ public house for a few drinks then went their separate ways, meeting up later when Richardson tried to persuade her to get money from her father. She refused. Richardson goaded her until eventually she went home and made up a porridge containing arsenic which she gave to her parents. Shortly after this she felt guilty and ran to fetch help from a Mrs Cragg. She said that she was convinced that she could get away with it.

Two days before her death her sister, Mary visited her, accompanied by the prison matron. When asked by her sister whether there was anything she wished to confess. Jane, presumably realising that she now had nothing to lose, confessed to having killed Mary’s child as an act of revenge following an argument that they had had. Jane said that she had taken the baby out for a walk, it was then that she gave it laudanum. Jane said that everyone believed the child died from a fit, but that was not true.

Jane also confessed to having killed her son, as she had hoped the child’s father would marry her, but he wouldn’t, so she bought an ounce of white powder from the local doctor and when the child was sitting at the table, she gave him a kiss, mixed the arsenic with treacle, spread it on some bread and gave it to him. As she watched, the child’s eyes glaze over and he died shortly after. Jane confirmed that there had been questions raised about the child’s death, but these weren’t pursued.

"Hanging Corner" – the site of public executions until 1865. The double doors on the right led to the gallows situated in front of the sealed archway. Wikipedia
“Hanging Corner” – the site of public executions until 1865. The double doors on the right led to the gallows situated in front of the sealed archway. Wikipedia

At 10 o’clock on Saturday 22nd March 1828, Jane was helped to the chapel where the sacrament was administered by Rev. Mr Rowley. She was so weak that it took two people to support her, having refused food since sentence was passed and only drank one cup of tea.

A few minutes after midday, the door from which culprits passed on to the scaffold was opened, a deathly silence instantly fell amongst the crowd.  Jane was so weak so weak that she had to be wheeled to the gallows using this chair.

Execution Chair, Lancaster Castle The chair was used once only in 1828 to aid the execution of Jane Scott who was too weak to walk to the gallows. Lancashire County Council
Execution Chair, Lancaster Castle The chair was used once only in 1828 to aid the execution of Jane Scott who was too weak to walk to the gallows. Lancashire County Council

The executioner then turned her to face toward the prison, put a cap over her head, hooked the halter around her neck and to the chain that was suspended to the fatal beam and retired. Many places report the hangman as Ned (Edward) Barlow, but this was not true as he died in 1812. The most likely candidate was Samuel Haywood, from Leicestershire, who was hired by several assizes as he was highly regarded for his skills.

The two women supported her for a moment, one quickly left in a state of distress, the other gave Jane a kiss, pulled the cap over Jane’s eyes and left. The rope swung round leaving Jane facing the crowd and she was immediately launched into eternity in less than two minutes. An hour later her body was removed to be dissected and anatomized.

The final twist to this tale was, that Jane’s body was sold for dissection and was purchased by a respected local doctor, Dr Thomas Monk, who ultimately found himself jailed for ten years hard labour. Sometime during this time Jane’s skeleton was sold by public auction. The purchaser in the 1870’s, was reputed to run an herbal shop on Walker Street, Preston, who decided to put Jane’s skeleton to profitable use, by displaying it to the public, charging one half penny to view it. So, there really was no rest for the wicked, but hopefully now the victims have been named and can rest in peace.

Sources

Public Ledger and Daily Advertiser 2 June 1823

The Examiner, Sunday, May 27, 1827

Evening Mail 10 September 1827

Evening Mail 24 March 1828

The Times 25th March 1828

Chester Courant 1 April 1828

Cumberland Pacquet, and Ware’s Whitehaven Advertiser 1 April 1828

Lancaster Gazette 21 August 1875

Fleury. C. Time-honoured Lancaster

Hurren. Elizabeth T. Dissecting the Criminal Corpse: Staging Post-Execution Punishment in Early Modern England