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How Did Caesarean Sections Get Their Name?

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Reader Alistair wrote in wondering about the supposed origins of C-Sections: “Was Julius Caesar really born this way and is it the origin of the medical procedure?”

The story that the C-section originates—either in practice or in name, depending on who’s telling the story—with the birth of everyone’s favorite Roman Consul has been around for a while and gets repeated often. The 10th century Byzantine-Greek historical encyclopedia The Suda reads, “For when his mother died in the ninth month, they cut her open, took him out…” Even the Oxford English Dictionary gives that story as the term’s origin. Almost every other historical and etymological source, though, is stacked behind the answer “probably not.”

To start, Gaius Julius Caesar (we’ll call him GJC from here on out) certainly wasn’t the first person born via C-section. The procedure, or something close to it, is mentioned in the history and legend of various civilizations—from Europe to the Far East—well before his birth. He wasn’t even the first Roman born that way. By the time GJC entered the world, Romans were already performing C-sections and Roman law reserved the operation for women who died in childbirth (so that the woman and her baby could be buried separately) and as a last resort for living mothers in order to save the baby’s life during deliveries with complications.

Among the still-living mothers, no Roman or other classical source records one surviving the procedure. The first known mother to make it through the ordeal was from 16th century Switzerland (her husband, a professional pig castrater, performed the delivery), and before that the mortality rate is presumed to be 100 percent. This is an issue because GJC’s mother, Aurelia Cotta, is known to have lived long enough to see her son reach adulthood and serve him as a political advisor, despite what The Suda says. Some sources even suggest she outlived him. If little GJC really was born via C-section, Aurelia was exceptionally lucky to not only survive the delivery but also not have anyone make a fuss about it and record her accomplishment for posterity.

Does the C-section at least take its name from GJC? Again, probably not. While The Suda mistakenly has Aurelia Cotta die in childbirth, it does hint at a strong candidate for the origin of “Caesarean section.” The rest of the passage quoted above goes, “…and named him thus; for in the Roman tongue dissection is called ‘Caesar.’” Not quite right, but going in the right direction. In Latin, caedo is “to cut,” so Caesar, both as the name for the man and for the procedure, might derive from some form of the word (like caesus, its part participle). The Roman author Pliny the Elder notes that origin for both Caesar and Caesones, the name of a branch of the Fabian family.

But if “Caesarean section” comes from a word for cut, and GJC wasn’t born that way, how’d the two get connected? That might come from some confusion about Pliny’s writings. Pliny refers to a Caesar being born by C-Section, but not GJC.  Pliny was actually talking about one of GJC’s remote ancestors, specifying that he was the first person to bear the name Caesar* (who exactly that was is unclear) that “was so named from his having been removed by an incision in his mother’s womb.”

But wait, there’s more! The name Caesar may not have necessarily come from the way any of them was born. The Historia Augusta, a collection of biographies of Roman emperors, suggests a few alternate origins for the name:

“…he who first received the name of Caesar was called by this name either because he slew in battle an elephant, which in the Moorish tongue is called caesai, or because he was brought into the world after his mother’s death and by an incision in her abdomen, or because he had a thick head of hair [caesaries is a Latin term for hair] when he came forth from his mother’s womb, or, finally, because he had bright grey eyes [caesiis is Latin for “blind,” and “grey eyes” may refer to glaucoma]…”

If the first Caesar was named for an elephant, his hair or his eyes, the C-section might still be named for the Latin caedo, or actually take its name from the man. In that case, the story that started this whole explanation is a little closer to reality, but simply mixes up its Caesars.

*In ancient Rome, Caesar was a cognomen, a “third name” that augmented the family or clan name, sometimes used to identify a particular branch of the group. In this case, it ID’d the Julii Caesares subdivision of the Julii family.
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Darren Puttock, Flickr // CC BY-NC-ND 2.0
7 Entertaining Examples of Ancient Graffiti
Graffiti of gladiators from Pompeii at the Naples National Archaeological Museum
Graffiti of gladiators from Pompeii at the Naples National Archaeological Museum
Darren Puttock, Flickr // CC BY-NC-ND 2.0

Graffiti from centuries and even millennia ago can reveal the grievances, passions, games, and ordinary business dealings of regular people from the long-lost past. Pompeii might be the most famous spot to find such scrawls, but it’s not the only place where bygone messages have been found. Here are seven examples of graffiti from the ancient world.

1. “I VISITED AND I DID NOT LIKE ANYTHING EXCEPT THE SARCOPHAGUS!”

A Chinese teen visiting Egypt prompted outrage when he wrote his name on the wall of the 3500-year-old Luxor Temple in 2013. But he was hardly the first traveler to commit such an offense—there’s a long tradition of leaving “I was here” graffiti while visiting Egyptian ruins. One team of researchers recently counted over 1000 inscriptions inside the tomb of pharaoh Ramesses VI in the Valley of the Kings—many of which were from Romans who visited the site 2000 years ago. Their ancient declarations include familiar complaints of disappointed tourists: “I visited and I did not like anything except the sarcophagus!” and "I cannot read the hieroglyphs!"

2.“YOU LOVE IRIS, BUT SHE DOES NOT LOVE YOU.”

Graffiti in a Pompeii pub
Graffiti in a Pompeii pub
Plaàtarte, Wikimedia // CC BY-SA 3.0

Pompeii has dominated the study of ancient graffiti, and for good reason. There are many inscriptions and painted messages that survive on the walls of this Roman city in southern Italy, which was famously buried in volcanic ash in 79 CE. And these examples often offer rich insight into the lives of the city’s residents. Behold the drama of a love triangle, apparently played out on the wall of a bar (not the one above) in taunting messages between two men named Severus and Successus:

“Successus, a weaver, loves the innkeeper’s slave girl named Iris. She, however, does not love him. Still, he begs her to have pity on him. His rival wrote this. Goodbye.”

(Reply by Successus) “Envious one, why do you get in the way. Submit to a handsomer man and one who is being treated very wrongly and good looking.”

(Reply by Severus) “I have spoken. I have written all there is to say. You love Iris, but she does not love you.”

3. “NIKASITIMOS WAS HERE MOUNTING TIMIONA."

Declarations of love and boasts of sexual conquest are not just the domain of modern bathroom-wall graffiti. Plenty of examples of such messages can be found in the ancient world. Erotic graffiti recently identified at the Greek island of Astypalaia documents a 2500-year-old tryst between two men: “Nikasitimos was here mounting Timiona." The general secretary at the Greek Epigraphic Society, Angelos Matthaiou, told The Guardian: "Whoever wrote the erotic inscription referring to Timiona was very well trained in writing. The letters have been very skillfully inscribed on the face of the rock, evidence that it was not just philosophers, scholars and historians who were trained in the art of writing but ordinary people living on islands too."

4. A MENAGERIE OF WILD ANIMALS

A winged lion at the Great Enclosure of Musawwarat es-Sufra
A winged lion graffito at the Great Enclosure of Musawwarat es-Sufra

Crocodiles, elephants, rhinoceroses, baboons, and dogs are among the wild animals inscribed on the blocks of a labyrinth-like complex known as the Great Enclosure of Musawwarat es-Sufra. This monument, in modern-day Sudan, was part of the Kingdom of Kush when the drawings were made more than 2000 years ago. Some of the animals also include religious iconography, such as a lion with wings and crown said to represent the deity Apedemak. Archaeologists don't know the function of many of the rooms in the complex, but some have used the graffiti to support their theories about the purposes of different sections. They've proposed interpretations ranging from animal trading stations and elephant training grounds to a holding pen for prey that could be “hunted” by royals who needed to prove their abilities.

5. THE “DRUNKS OF MENKAURE” VS. THE “FRIENDS OF KHUFU GANG.”

The tens of thousands of laborers who built the pyramids in Egypt were divided into gangs of workers—and they took credit for their efforts. Archaeologists who study the pyramids have found inscriptions such as “Drunks of Menkaure” and “Friends of Khufu Gang” (Menkaure and Khufu being pyramid-building Egyptian kings) on bricks at the monuments of Giza. On some monuments, there's graffiti from one gang on one side of the monument, and graffiti from what archeologists think is a competing gang on the other.

6. A WORD SQUARE

A Sator word square in France
A Sator Square in France

In 2003, archaeologists discovered a new cache of graffiti written on the plaster walls of the basement of the Roman basilica at Smyrna, an ancient Greek city in modern-day Turkey. Scribbled sometime after an earthquake in 177 CE, the inscriptions include the earliest known example of a word square in Greek, made up of five, five-letter words that can be read the same way either horizontally and vertically, like a 2D palindrome. (The meanings of the words aren't quite clear.) A better-known Latin version of this puzzle is called a Sator Square, as pictured above:

SATOR
AREPO
TENET
OPERA
ROTAS

The five words can be read from the right, left, top, and bottom. While their meaning has been debated, they may relate to a farmer named Arepo who is using wheels (rotas).

7. “MY HAND WILL WEAR OUT BUT THE INSCRIPTION WILL REMAIN.”

Though the vast majority of graffiti has surely disappeared over time, some graffiti-writers hoped their markings might outlast them. Take, for example, this Ancient North Arabian piece of graffiti at Palmyra in modern-day Syria, which was written well over a thousand years ago: “This is an inscription that I wrote with my own hand. My hand will wear out but the inscription will remain.”

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Images: iStock. Collage: Lucy Quintanilla, Mental Floss.
15 Jokes From the World's Oldest Jokebook
Images: iStock. Collage: Lucy Quintanilla, Mental Floss.
Images: iStock. Collage: Lucy Quintanilla, Mental Floss.

The oldest recorded joke—a lowbrow Sumerian quip stating "Something which has never occurred since time immemorial; a young woman did not fart in her husband's lap"—dates back to 1900 BCE, eking out a pharaoh wisecrack from Ancient Egypt by a solid three centuries.

But to pilfer one of the oldest jokes in the book means dusting off the Philogelos (meaning "Laughter Lover"), a Greek anthology of more than 200 jokes from the fourth or fifth century. From gags about dunces to jests at the expense of great thinkers, here are 15 jokes from the oldest existing collection of jokes, as translated by now-retired classical languages professor William Berg.

1. A STUDENT DUNCE GOES SWIMMING

comedians
Art and Picture Collection, The New York Public Library // Public Domain

"A student dunce went swimming and almost drowned. So now he swears he'll never get into water until he's really learned to swim."

2. AN INTELLECTUAL VISITS A FRIEND

ancient dancers
Art and Picture Collection, The New York Public Library // Public Domain

"An intellectual came to check in on a friend who was seriously ill. When the man's wife said that he had 'departed,' the intellectual replied: 'When he arrives back, will you tell him that I stopped by?'"

3. THE MISER'S WILL

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"A miser writes his will and names himself as the heir."

4. THE SHARP-WITTED SPECTATOR

ancient theater
Art and Picture Collection, The New York Public Library // Public Domain

"A sharp wit observes a slow runner: 'I know just what that gentleman needs.' 'What's that?' demands the sponsor of the race. 'He needs a horse, otherwise, he can't outrun the competition!'"

5. THE HOT-HEADED DOCTOR

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"Consulting a hotheaded doctor, a fellow says, 'Professor, I'm unable to lie down or stand up; I can't even sit down.' The doctor responds: 'I guess the only thing left is to hang yourself.'"

6. THE COWARDLY SAILOR

treater rehearsal
Art and Picture Collection, The New York Public Library // Public Domain

"A coward is asked which are safer, warships or merchant-ships. 'Dry-docked ships,' he answers."

7. THE JEALOUS LANDLORD

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"An envious landlord sees how happy his tenants are. So he evicts them all."

8. THE DRUNK BARKEEPER

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"A drunk opens a bar, and stations a chained bear outside."

9. THE GUY WITH BAD BREATH

ancient comedian
Art and Picture Collection, The New York Public Library // Public Domain

"A guy with bad breath decides to take his own life. So he wraps his head and asphyxiates himself."

10. THE WIFE-HATER

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"A wife-hater is attending the burial of his wife, who has just died. When someone asks, 'Who is it who rests in peace here?', he answers, 'Me, now that I'm rid of her!'"

11. THE LUCKLESS EUNUCH

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"A luckless eunuch got himself a hernia."

12. THE HUSBAND WITH HALITOSIS

Roman woman holding a mask
Art and Picture Collection, The New York Public Library // Public Domain

"A husband with bad breath asks his wife, 'My dear, why do you hate me?' She give him an answer: 'Because you kiss me.'"

13. THE GLUTTONOUS GIFTER

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"A glutton is marrying his daughter off to another glutton. Asked what he's giving her as a dowry, he responds, 'She's getting a house with windows that look out onto the bakery.'"

14. TOO TIRED TO CARE

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"Two lazy-bones are fast asleep. A thief comes in, pulls the blanket from the bed, and makes off with it. One of them is aware of what happened and says to the other, 'Get up! Go after the guy who stole our blanket!' The other responds, 'Forget it. When he comes back to take the mattress, let's grab him then.'"

15. THE FORGETFUL TEACHER

ancient roman theater masks
Art and Picture Collection, The New York Public Library // Public Domain

"An incompetent teacher is asked the name of Priam's mother. At a loss, he says, 'Well, we call her Ma'am out of politeness.'"

A version of this story ran in 2014.

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