To read about major surgical operations being performed by untrained laymen before the discovery of anesthesia and the beginning of modern medical practice fills one with profound sympathy for the patient's harrowing ordeal.
Imagine the suffering of poor Alice O'Neal on whom a cesarean section was performed in January 1738 by an illiterate midwife as described below by Mr. Duncan Stewart, Surgeon in Dungannon in the County of Tyrone, Ireland.
(I believe this is the first reported cesarean section performed in the United Kingdom from which the mother recovered.)
Alice O'Neal, aged about 33 years, Wife to a poor Farmer near Charlemont, and Mother of several Children, in January 1738 took her Labour-Pains; but could not be delivered of her Child by several Women who attempted it. She remained in this Condition twelve Days; the Child was judged to be dead after the third Day. Mary Donally, an illiterate Woman, but eminent among the common People for extracting dead Births, being then called, tried also to deliver her in the common Way: And her Attempts not succeeding, performed the Caesarian Operation, by cutting with a Razor first the containing Parts of the Abdomen and then the Uterus; at the Aperature (sic) of which she took Out the Child and Secundines. The Part of the Incision was an Inch higher, and to a Side of the Navel, and was continued about six Inches downwards in the Middle betwixt the right Os Ilium and the Linea alba. She held the Lips of the Wound together with her Hand, till one went a Mile and returned with Silk and the common Needles which Taylors (sic) used: with these she joined the Lips in the manner of the Stitch employed ordinarily for the Hare-lip, and dressed the Wound with whites of Eggs, as she told me some days after, when led by Curiosity I visited the poor Woman who had undergone the Operation.