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Hippocrates · On the Eighth Month's Foetus §10-11

Nonsurvival of Eight-Month Infants and Risks at Birth

Passage 1 of 2 · Greek

Summary

The author explains that eight-month infants do not survive due to the successive sufferings of the womb and birth, contrasts them with ten-month infants born in 280 days, and discusses the dangers of fetal rotation, umbilical cord wrapping, and postpartum swelling.

§10## ΠΕΡΙ ΟΚΤΑΜΗΝΟΥ. 10.
ON THE EIGHT-MONTH FOETUS. 10.
Περὶ δὲ ὀκταμήνου γενέσιος φημὶ δισσὰς ἐφεξῆς κακοπαθείας γενομένας ἀδυνάτους εἶναι ποιέειν φέρειν τὰ παιδία, καὶ διὰ τοῦτο οὐ περιγίνεσθαι τὰ ὀκτάμηνα·
Concerning the birth of the eight-month foetus, I declare that two successive sufferings occurring in sequence make it impossible for the children to bear them, and for this reason eight-month infants do not survive.
συγκυρεῖ γὰρ αὐτέοις ἐφεξῆς κακοπαθεῖν τήν τε ἐν τῇ μήτρῃ γενομένην κακοπαθείην καὶ τὴν ὅταν ὁ τόκος γένηται, καὶ διὰ τοῦτο τῶν ὀκταμήνων οὐδὲν περιγίνεται.
For it happens to them to suffer successively both the suffering that occurs in the womb and that when the birth takes place, and for this reason none of the eight-month infants survives.
Ἐπεὶ καὶ τὰ δεκάμηνα καλεόμενα λέγω ἐν ἑπτὰ τέσσαράκονθ’ ἡμέρῃσι μᾶλλον τίκτεσθαι· καὶ μάλιστα προσήκει ἐκτρέφεσθαι· καὶ τελεώτατόν ἐστιν ἐν τῇσι ταύτῃσι τεσσαράκοντα ἡμέρῃσι.
Indeed, I say that even those called ten-month infants are born rather in seven times forty days; and it is especially fitting for them to be reared; and they are most fully developed during these forty-day periods.
Ἐπήν δὲ γένηται, πλείω ἀπόλλυται· ἀναγκάζεται γὰρ πολλὰ μεταλαμβάνοντα ἐν ὀλίγῳ χρόνῳ πολλὰ νοσέειν, ἐξ ὧν οἱ θάνατοι γίνονται.
But once born, more of them perish; for they are forced, undergoing many changes in a short time, to suffer many illnesses, from which deaths occur.
Ἄρχεται δὲ πονέειν τὸ παιδίον πρὸς τοῦ τόκου γινόμενον καὶ κινδυνεύειν ἀπολέσθαι, ὅταν ἐν τῇ μήτρῃ στρέφηται· φύεται γὰρ πάντα ἄνω τὴν κεφαλὴν ἔχοντα· τίκτεται δὲ τὰ πολλὰ ἐπὶ κεφαλήν· καὶ ἀσφαλέστερον ἀπαλλάσσει τῶν ἐπὶ πόδας τικτομένων· τὰ γὰρ συγκαμπτόμενα τοῦ σώματος ἐπὶ κεφαλὴν οὔπω κωλύει ἰόντος τοῦ παιδίου· ἀλλὰ μᾶλλον, ὅταν ἐπὶ πόδας ὁρμήσῃ, τὰ ἐμφράγματα γίνεται.
The child begins to suffer at the approach of birth and to risk perishing when it turns in the womb; for all grow having their head upwards, but most are born head-first; and this is a safer release than for those born feet-first; for the parts of the body that fold together do not yet block the child as it goes head-first; but rather, when it rushes feet-first, obstructions occur.
Αἱ γὰρ στροφαὶ ἐν τῇ γαστρὶ καὶ ἄλλος κίνδυνος· καὶ οἱ ὀμφαλοὶ πολλάκις ἤδη τῶν παιδίων ἐφάνησαν περὶ τοὺς τραχήλους·
For the turnings in the belly are also another danger; and the umbilical cords of the children have already often been seen around their necks.
ἢν γὰρ κατὰ τὸ μόριον, ὁποτέρωθεν ἂν τύχῃ ὁ ὀμφαλὸς τῇ μήτρῃ μᾶλλον παρατεταμένος, ταύτῃ τὸ παιδίον τῆς κεφαλῆς τὴν περιαγωγὴν ποιήσηται, τοῦ ὀμφαλοῦ στρεφομένου ἢ περὶ τὸν αὐχένα ἢ καὶ κατὰ τὸν ὦμον, τὴν περιβολὴν τοῦ ὀμφαλοῦ ἀντιτείνειν, τουτέου δὲ γενομένου καὶ τὴν μητέρα ἀνάγκη πονῆσαι μᾶλλον καὶ τὸ παιδίον ἢ ἀπολέσθαι ἢ χαλεπώτερον ἐξελθεῖν.
For if, according to the part where the umbilical cord happens to be more stretched from the womb, the child makes the turning of its head on that side, as the umbilical cord turns either around the neck or even about the shoulder, the wrap of the umbilical cord pulls tight, and when this happens, it is necessary for both the mother and the child to suffer more, and for the child either to perish or to come out with greater difficulty.
Ὥστε ἤδη καὶ πολλὰ ἔνδον τὴν ἀρχὴν τῆς νούσου τῶν παιδίων ἦλθεν ἔχοντα, ἐξ ἧς τὰ μὲν ἀπώλετο, τὰ δὲ νοσήσαντα περιεγένετο.
Consequently, even inside the womb, many children have already come having the beginning of the disease, from which some perished, while others, having fallen ill, survived.
§1111.
11.
Ὁκόσα δ’ ἂν εὐπορήσῃ καὶ ἀσφαλέως ἐς τοὐμφανὲς ἐξίῃ, ἀνεθέντα ἐξαίφνης ἐκ τῆς ἀνάγκης τῆς ἐν τῇ γαστρὶ, παχύτερα καὶ μέζω παραυτίκα ἢ κατὰ λόγον ἐγένετο, οὐκ αὐξήματος, ἀλλ’ οἰδήματος γενομένου, ἐξ ὧν δὴ πολλὰ ἀπώλετο· ἢν γὰρ μὴ συνίζῃ τὸ οἴδημα θᾶσσον, ἢ τριταῖον ἢ ὀλίγῳ πολυχρονιώτερον, νοῦσοι γίνονται ἀπ’ αὐτέου.
But as many as succeed and safely go out into the light, being suddenly released from the constraint in the belly, become immediately thicker and larger than expected, not because of growth, but because swelling has occurred, from which indeed many perish; for if the swelling does not subside quickly, either on the third day or a little later, illnesses arise from it.

Notes

  1. 10δισσὰς ἐφεξῆς κακοπαθείας γενομένας ἀδυνάτους εἶναι ποιέειν φέρειν τὰ παιδία — The subject accusative of the infinitive `εἶναι` is the phrase `δισσὰς... κακοπαθείας γενομένας`, with which the adjective `ἀδυνάτους` agrees (feminine plural accusative). The verb `ποιέειν` takes `ἀδυνάτους` as a predicate adjective meaning "to make impossible," and further governs `τὰ παιδία` as the subject of the infinitive `φέρειν`, meaning "to make it impossible for the children to bear them."
  2. 10ἐν ἑπτὰ τέσσαράκονθ’ ἡμέρῃσι — The numeral `ἑπτὰ` modifies `τέσσαράκοντα` (forty), indicating "seven forty-day periods," i.e., 7 × 40 = 280 days. This expression represents the calculation of the standard gestation period (approx. 10 lunar months) in ancient Greek medicine.
  3. 10ἢν γὰρ κατὰ τὸ μόριον... τὴν περιβολὴν τοῦ ὀμφαλοῦ ἀντιτείνειν — Within the conditional clause `ἢν... ποιήσηται`, the relative clause `ὁποτέρωθεν ἂν τύхῃ...` and the genitive absolute `τοῦ ὀμφαλοῦ στρεφομένου...` are nested, complicating the structure. The infinitive `ἀντιτείνειν` acts as the verb of the apodosis, functioning as a declarative/historical infinitive (or with an elided `ἀνάγκη`), meaning "the wrap of the cord pulls tight."
  4. 11Ὁκόσα δ’ ἂν εὐπορήσῃ... παχύτερα καὶ μέζω παραυτίκα ἢ κατὰ λόγον ἐγένετο — The relative pronoun subject `Ὁκόσα` of the general conditional clause is neuter plural, but the main verb `ἐγένετο` is in the third person singular, following the classical Greek syntactic rule where neuter plural subjects take singular verbs. The participle `ἀνεθέντα` (neuter plural nominative) also agrees with the subject `Ὁκόσα`.

Cite this passage

Hippocrates, On the Eighth Month's Foetus §10-11. Humanitext Reader, https://reader.humanitext.ai/en/text/urn:cts:greekLit:tlg0627.tlg035.humanitext-grc1:10-11

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