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A caul is a piece of membrane that can cover a newborn's head and face. [1] Birth with a caul is rare, occurring in less than 1 in 80,000 births. [2] The caul is harmless and is immediately removed by the attending parent, physician, or midwife upon birth of the child.[ citation needed ]
An en-caul birth is different from a caul birth in that the infant is born inside the entire amniotic sac (instead of just a portion of it). The sac balloons out at birth, with the amniotic fluid and child remaining inside the unbroken or partially broken membrane.[ citation needed ]
A child 'born with the caul' has a portion of a birth membrane remaining on the head. There are two types of caul membranes,[ clarification needed ] and such cauls can appear in four ways.[ clarification needed ][ citation needed ]
The most common caul type is a piece of the thin translucent inner lining of the amnion that breaks away and forms tightly against the head during birth. [3] [ self-published source? ] Such a caul typically clings to the head and face but on rarer occasions drapes over the head and partly down the torso.[ citation needed ]
The caul is harmless and is immediately removed by the attending parent, physician, or midwife upon birth of the child. If the membrane is of the amniotic tissue, it is removed by easily slipping it away from the child's skin. The removal of the thicker membrane is more complex. If done correctly, the attending practitioner will make a small incision in the membrane across the nostrils so that the child can breathe. The loops are then carefully removed from behind the ears. The remainder of the caul is then either peeled back very carefully from the skin or else gently rubbed with a sheet of paper, which is then peeled away. If removed too quickly, the caul can leave wounds on the infant's flesh at the attachment points, which might leave permanent scars. [3]
Birth with a caul is rare, occurring in fewer than 1 in 80,000 births. This statistic includes en-caul births, which occur more frequently than authentic caul births; therefore, authentic caul births are even more rare than indicated by the raw statistic. [4] Most en-caul births are premature.[ citation needed ]
According to Aelius Lampridius, the boy-emperor Diadumenian (208–218) was so named because he was born with a diadem formed by a rolled caul.[ citation needed ]
In medieval times, the appearance of a caul on a newborn baby was seen as a sign of good luck. [5] It was considered an omen that the child was destined for greatness. Gathering the caul onto paper was considered an important tradition of childbirth: the midwife would rub a sheet of paper across the baby's head and face, pressing the material of the caul onto the paper. The caul would then be presented to the mother, to be kept as an heirloom. Some Early Modern European traditions linked caul birth to the ability to defend fertility and the harvest against the forces of evil, particularly witches and sorcerers. [6]
Folklore developed suggesting that possession of a baby's caul would bring its bearer good luck and protect that person from death by drowning. Cauls were therefore highly prized by sailors. Medieval women often sold them to sailors for large sums of money; a caul was regarded as a valuable talisman. [7]
In Polish the idiom w czepku urodzony/a ('born in a bonnet'), in Italian nato/a con la camicia ('born with a shirt') and in French né(e) coiffé(e) ('born with a hat on') all describe a person who is always very lucky.[ citation needed ]
The Russian phrase родился в рубашке (rodilsya v rubashke, literally 'born in a shirt') refers to caul birth and means 'born lucky'. It is often applied to someone who is oblivious to an impending disaster that is avoided only through luck, as if the birth caul persists as supernatural armor, and in this sense commonly appears in titles or descriptions of Russian dashcam videos.[ citation needed ]
Not all cultural beliefs about cauls are positive. In Romanian folklore babies born with a caul are said to become strigoi upon death. [8] [9] It was also believed that "he who is born to be hanged will never drown" - that anyone born with a caul was destined to leave the world in a hangman's hood in place of the caul with which they were born. The belief in cauls as omens persisted well into the 20th century. [10]
The 16th century Dutch physician Levinus Lemnius, author of The Secret Miracles of Nature, remained skeptical of superstitious claims about preserved cauls. Comic writer Thomas Hood even ended his poem "The Sea-Spell" with a lament about a drowning sailor's futile reliance on a protection charm: [10]
Heaven never heard his cry,
Nor did the ocean heed his caul.
In the classic 1850 novel David Copperfield by Charles Dickens, the title character and novel narrator describes his own birth: "I was born with a caul, which was advertised for sale, in the newspapers, at the low price of fifteen guineas." Copperfield goes on to describe the fate of his caul, which was re-sold and raffled over the subsequent decade as a talisman believed to protect its owner from death by drowning. [25]
In the novel Oscar and Lucinda by Peter Carey, Theophilus Hopkins, father of the hero, Oscar, gives to his son a little box, inside which there is "a caul, the little membrane that had covered Oscar's head at birth and it had been kept, his mother had kept it, because it was said – superstitiously, of course – that such a thing would protect the child from drowning". [26]
An en caul birth is depicted in the episode "Heavy Hangs the Head" (S03E01) of the Apple TV+ science fiction series See . [27]
In The Shining , Danny Torrance is born with a caul, possibly causing his clairvoyant abilities.
In Barbara Kingsolver's novel Demon Copperhead (2022), the protagonist is born with a caul, with the superstition that he could not die by drowning.
In the FX series The Strain , Zach is born in a caul in S3 Episode 3 "First Born".
In J.D. Salinger's novel The Catcher in the Rye, the protagonist is significantly[ citation needed ] named Holden Caulfield.
Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period, in addition to the sexual and reproductive health of women throughout their lives. In many countries, midwifery is a medical profession. A professional in midwifery is known as a midwife.
Birth is the act or process of bearing or bringing forth offspring, also referred to in technical contexts as parturition. In mammals, the process is initiated by hormones which cause the muscular walls of the uterus to contract, expelling the fetus at a developmental stage when it is ready to feed and breathe.
The amniotic sac, also called the bag of waters or the membranes, is the sac in which the embryo and later fetus develops in amniotes. It is a thin but tough transparent pair of membranes that hold a developing embryo until shortly before birth. The inner of these membranes, the amnion, encloses the amniotic cavity, containing the amniotic fluid and the embryo. The outer membrane, the chorion, contains the amnion and is part of the placenta. On the outer side, the amniotic sac is connected to the yolk sac, the allantois, and via the umbilical cord, the placenta.
A changeling, also historically referred to as an auf or oaf, is a human-like creature found throughout much of European folklore. A changeling was a substitute left by a supernatural being when kidnapping a human being. Sometimes the changeling was a 'stock', more often the changeling was a supernatural being made magically to look like the kidnapped human. Supernatural beings blamed for stealing children included fairies, demons, trolls, nereids and many others. Usually, the kidnapped human was a child; but there were cases, particularly in Scandinavia and Ireland, where adults were taken.
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery. It is usually performed late in pregnancy, that is, after 36 gestational weeks, preferably 37 weeks, and can even be performed in the early stages of childbirth.
The amniotic fluid is the protective liquid contained by the amniotic sac of a gravid amniote. This fluid serves as a cushion for the growing fetus, but also serves to facilitate the exchange of nutrients, water, and biochemical products between mother and fetus.
Jan Louis Perkowski is a Professor of Slavic Languages and Literatures at the University of Virginia. He has three consecutive degrees including a PhD from Harvard University. He currently resided in Charlottesville until his death in 2023.
Labor induction is the process or treatment that stimulates childbirth and delivery. Inducing (starting) labor can be accomplished with pharmaceutical or non-pharmaceutical methods. In Western countries, it is estimated that one-quarter of pregnant women have their labor medically induced with drug treatment. Inductions are most often performed either with prostaglandin drug treatment alone, or with a combination of prostaglandin and intravenous oxytocin treatment.
Twin-to-twin transfusion syndrome (TTTS), also known as feto-fetal transfusion syndrome (FFTS), twin oligohydramnios-polyhydramnios sequence (TOPS) and stuck twin syndrome, is a complication of monochorionic multiple pregnancies in which there is disproportionate blood supply between the fetuses. This leads to unequal levels of amniotic fluid between each fetus and usually leads to death of the undersupplied twin and, without treatment, usually death or a range of birth defects or disabilities for a surviving twin, such as underdeveloped, damaged or missing limbs, digits or organs, especially cerebral palsy.
Rupture of membranes (ROM) or amniorrhexis is a term used during pregnancy to describe a rupture of the amniotic sac. Normally, it occurs spontaneously at full term either during or at the beginning of labor. Rupture of the membranes is known colloquially as "breaking (one's) water," especially when induced rather than spontaneous, or as one's "water breaking". A premature rupture of membranes (PROM) is a rupture of the amnion that occurs at full term and prior to the onset of labor. In cases of PROM, options include expectant management without intervention, or interventions such as oxytocin or other methods of labor induction, and both are usually accompanied by close monitoring of maternal and fetal health. Preterm premature rupture of membranes (PPROM) is when water breaks both before the onset of labor and before the pregnancy's 37 week gestation. In the United States, more than 120,000 pregnancies per year are affected by a premature rupture of membranes, which is the cause of about one third of preterm deliveries.
Prelabor rupture of membranes (PROM), previously known as premature rupture of membranes, is breakage of the amniotic sac before the onset of labour. Women usually experience a painless gush or a steady leakage of fluid from the vagina. Complications in the baby may include premature birth, cord compression, and infection. Complications in the mother may include placental abruption and postpartum endometritis.
Postterm pregnancy is when a woman has not yet delivered her baby after 42 weeks of gestation, two weeks beyond the typical 40-week duration of pregnancy. Postmature births carry risks for both the mother and the baby, including fetal malnutrition, meconium aspiration syndrome, and stillbirths. After the 42nd week of gestation, the placenta, which supplies the baby with nutrients and oxygen from the mother, starts aging and will eventually fail. Postterm pregnancy is a reason to induce labor.
David Copperfield is the protagonist after which the 1850 Charles Dickens novel David Copperfield was named. The character is widely thought to be based on Dickens himself, incorporating many elements of his own life.
Congenital amputation is birth without a limb or limbs, or without a part of a limb or limbs.
A Disease of Language is the 2005 collection of adaptations by Eddie Campbell of two of Alan Moore's performances, The Birth Caul (1999) and Snakes and Ladders (2001). It is rounded by a 2002 interview of Moore conducted by Campbell for Egomania 2 and sketches. It is published by Palmano Bennett in association with Knockabout.
An asynclitic birth or asynclitism are terms used in obstetrics to refer to childbirth in which there is malposition of the head of the fetus in the uterus, relative to the birth canal. Asynclitic presentation is different from a shoulder presentation, in which the shoulder is presenting first. Many babies enter the pelvis in an asynclitic presentation, and most asynclitism corrects spontaneously as part of the normal birthing process.
Midwifery is a women's profession that assists women from pregnancy to newborn care. In some traditional Maya communities, a goddess of midwifery is invoked, and midwives are generally believed to be assigned their profession through signs and visions. In pre-Spanish Yucatan, the aged midwife goddess was called Ixchel.
A shoulder presentation is a malpresentation at childbirth where the baby is in a transverse lie, thus the leading part is an arm, a shoulder, or the trunk. While a baby can be delivered vaginally when either the head or the feet/buttocks are the leading part, it usually cannot be expected to be delivered successfully with a shoulder presentation unless a cesarean section (C/S) is performed.
Artificial rupture of membranes (AROM), also known as an amniotomy, is performed by a midwife or obstetrician and was once thought to be an effective means to induce or accelerate labor. The membranes can be ruptured using a specialized tool, such as an amnihook or amnicot, or they may be ruptured by the proceduralist's finger. The different techniques for artificial rupture of membranes have not been extensively compared in the literature. In one study comparing amnihook versus amnicot for artificial rupture of membranes, use of an amnicot was associated with fewer neonatal scalp lacerations.
The drangùe is a semi-human winged divine hero in Albanian mythology and folklore, associated with weather and storms. Babies destined to become drangue are born with their heads covered in caul and with two or sometimes four wings under their arms. The drangue hold supernatural powers, especially in the wings and arms. A drangùe is made invulnerable by the singular conjunction produced at his birth, and can die only if this conjunction is repeated once again. The main goal of the drangue is to fight the kulshedra in legendary battles. He uses meteoric stones, lightning-swords, thunderbolts, piles of trees and rocks to defeat the kulshedra and to protect mankind from storms, fire, floods and other natural disasters caused by her destructive power. Heavy thunderstorms are thought to be the result of their battles. The drangue and their myth are extensively and accurately portrayed in the Albanian folk tale "The Boy who was Brother to the Drague".