The Anaesthetized Queen & the Path to Painless Childbirth

L0058939 Clear glass shop round for Chloroform, United Kingdom, 1850-‘Did the epidural hurt?’ I ask Rebecca Rideal—editor of The History Vault—one morning as we sit outside the British Library.

‘Not really.’ She hesitates, clearly wanting to say more without divulging too much information. ‘I mean, it’s nothing compared to the labour pains. The hardest part was lying still while the anaesthesiologist administered the needle.’

Rebecca is one of many friends of mine who have now endured the pains of childbirth. Nearly all of them (with the exception of one) did so with the aid of anaesthetics and pain medication. Not one of them regretted it.

Of course, there was a time when women had no choice but to give birth naturally, and often did so while sitting up in a birthing chair. The experience was wrought with dangers, not least the risk of ‘childbed fever’ which claimed the lives of thousands of women, including Henry VIII’s wife, Jane Seymour.

But even if a woman escaped with her life, she couldn’t avoid the pain.

All this changed in November 1847, when Dr James Young Simpson—a Scottish obstetrician—began using chloroform as an anaesthetic. Earlier that year, Simpson started using ether to relieve the pains of childbirth, but he was dissatisfied with the smell, the large quantity needed, and the lung irritation it caused. Ether was also highly explosive, which made it dangerous to use in candlelit rooms heated by fireplaces. It was then that David Waldie, a chemist from Liverpool, recommended chloroform to Simpson.

On the evening of November 4th, Simpson and his two friends experimented with it. At first, they felt very cheerful and talkative. After a short time, they passed out. Impressed with the drug’s potency, Simpson began using chloroform as an anaesthetic, and indeed, the first baby born to a mother under the drug’s influence was named Anaesthesia.

M0003274 Sir J. Y. Simpson and two friends, having tested chloroform

It was soon after this that the Duchess of Sutherland sent a pamphlet on Simpson’s discovery to Queen Victoria who was then in her sixth pregnancy. The Queen’s distaste for pregnancy was well-known. She considered it ‘wretched’ and experienced ‘occasional lowness and a tendency to cry’ after the birth of her first two children. [1]

Unfortunately, it was also at this time that the first chloroform fatality occurred when 15-year-old Hannah Greener died within 3 minutes of inhaling the chemical. The Queen was hesitant, and decided to forgo the new drug during her delivery of Princess Louise in March 1848. But the labour pains were severe, and so when Victoria became pregnant again a year later, she wrote to the Duchess of Sutherland, enquiring after her daughter who had just given birth using chloroform. Further discussion followed amongst the Royal medical household, but the decision was made once more to abstain despite assurances from the the physician, John Snow, that chloroform was perfectly safe when administered correctly. And so on 1 May 1850, Victoria endured her seventh labour without the aid of anaesthetics.

L0000578 J. Snow, "Chloroform and other anaesthetics", title pageBy 1852—when Victoria became pregnant with Prince Leopold—attitudes towards the drug were beginning to change. Most importantly, the Queen’s husband, Prince Albert, had become an advocate of its usage. Albert, a long-time champion of the sciences and President of the Royal College of Chemistry, had had lengthy discussions with Dr Snow about the administration of chloroform and the distinctions between giving it to patients undergoing surgery (which required full unconsciousness) and women in labour. Wishing to ease his wife’s pains, Albert urged Victoria to submit to the drug.

On 7 April 1853, Snow was summoned to Buckingham Palace. A lot was at stake. If the good doctor were successful in using chloroform to ease the Queen’s delivery, he would silence critics of childbirth anaesthesia and help pave the way to painless labour for women everywhere.

Lucky for Snow, the birth was simple and uncomplicated. Prince Leopold was born within 53 minutes of his administration of the drug, which Victoria described as ‘that blessed Chloroform… soothing, quieting and delightful beyond measure’. [2] Snow later wrote in his medical casebooks that Queen was ‘very cheerful and well, expressing herself much gratified with the effect of the [drug]’. [3]

Not everyone was pleased with the outcome, however. Some protested on religious grounds; others for medical reasons. The Lancet questioned the veracity behind claims that the Queen had even used the drug in her last delivery.

A very extraordinary report has obtained general circulation [that]…Her Majesty during the last labour was placed under the influence of chloroform, an agent which has unquestionably caused instantaneous death in a considerable number of cases. Doubts on this subject cannot exist…In no case could it be justifiable to administer chloroform in perfectly ordinary labour…These facts being perfectly well known to the medical world, we could not imagine that anyone had incurred the awful responsibility of advising the administration of chloroform to her Majesty… [4]

These doubts aside, Queen Victoria’s use of the drug was overwhelmingly lauded, and led to a public fervour for painless childbirth. The editor of the Association Medical Journal called it ‘an event of unquestionable medical importance’, and hoped that this would remove ‘lingering professional and popular prejudice against the use of anaesthesia in midwifery’. [5] Women everywhere were requesting chloroform to ease their labour pains.

Dr Snow was discreet about the details of that fateful day in Buckingham Palace, though he was questioned often about the event. On one occasion, one of his patients refused to inhale the chloroform he was hopelessly trying to administer lest he tell her ‘what the Queen said, word for word, when she was taking it’. Snow cleverly replied that ‘Her Majesty asked no questions until she had breathed very much longer than you have; and if you will only go in loyal imitation, I will tell you everything’. [6]

Shortly after the lady gave birth, Snow slipped away, leaving his promise unfulfilled.

Queen Victoria was destined for one final pregnancy. In 1857, she gave birth to her ninth child, Princess Beatrice (pictured below with the entire family). Once again, Dr Snow successfully administered chloroform during the delivery, securing the path to painless childbirth for women everywhere.



1. Roger Fulford (ed.), Dearest Child: Letters between Queen Victoria and the Princess Royal, 1858 – 61 (1964), p. 195, 162. Originally quoted in Stephanie Snow, Blessed Days of Anaesthesia (2008), p. 82.
2. Quoted in Matthew Dennison, The Last Princess: The Devoted Life of Queen Victoria’s Youngest Daughter (2007), p. 2.
3. Ibid.
4. Lancet I (1853), p. 453.
5. Association Medical Journal (1853), p. 318.
6. John Snow, On Chloroform and other Anaesthetics (1858), p. xxxi. Originally quoted in Snow, Blessed Days of Anaesthesia, p. 88.

*This article is dedicated to my dear friend, Marla Ginex, who any day will give birth to her second daughter. Good luck and lots of love.

By | 2014-08-15T13:44:38+00:00 August 15th, 2014|Casebooks|37 Comments


  1. Victo Dolore August 15, 2014 at 3:42 pm - Reply


  2. julieallyn August 15, 2014 at 10:26 pm - Reply

    Reblogged this on A Sawyer's Daughter and commented:
    Simply fascinating. Really enjoy this blogger’s posts. Always informative, entertaining, sometimes gruesome — have enjoyed every one that I’ve read so far. Highly recommended!

  3. […] The anesthetized queen and the path to painless childbirth. […]

  4. sandvick August 19, 2014 at 2:21 pm - Reply

    Reblogged this on and commented:
    The Chirurgeon’s Apprentice has a posted an article about the introduction of the use of chloroform for childbirth in 1840s Britain. The post describes how Queen Victoria even used chloroform when her seventh child, Prince Leopold, was born. VIctoria’s use of the drug helped popularize the drug for childbirth.

  5. […] The Use of the Rod of Asclepius and the Caduceus in Modern Medicine The Chirugeon’s Apprentice: The Anaesthetized Queen & the Path to Painless Childbirth Ptak Books: Affairs of the Heart: Blood and Clouds, […]

  6. […] The Chloroform Breakthrough […]

  7. carolynloyel August 20, 2014 at 2:29 pm - Reply

    I was watching Casualty 1900s on Amazon Prime the other day and they were talking about the first use of anaesthesia (stovaine) and how it led to gangrene and other medical ailments in patients over time. It was super interesting!

  8. […] “Impressed with the drug’s potency, Simpson began using chloroform as an anaesthetic, and indeed, t….” […]

  9. lucentwrites August 26, 2014 at 5:13 pm - Reply

    I enjoyed learning about this,thanks for writing it.

  10. visto1993 August 26, 2014 at 6:10 pm - Reply

    Reblogged this on Clever Visto Mukori and commented:
    The origin of painless childbirth through the eyes of The Chirurgeon’s Apprentice… Great read!

  11. makeytrail123 August 26, 2014 at 6:25 pm - Reply

    I loved this article. The information about how Victoria used chloroform during childbirth was interesting. The one thing I don’t fully understand is the childbed fever, what causes this?

    • May August 27, 2014 at 11:03 am - Reply

      Poor hygiene – it’s essentially blood poisoning caused by infections. Doctors weren’t washing their hands or their instruments between caring for patients, so they transferred germs from one woman to another.

  12. happyhomelande August 26, 2014 at 7:00 pm - Reply

    Reblogged this on Blogum and commented:
    Konuya halim değilim eşim anestezi doktoru diye repostluyorum kendimde bir zahmet okuyacağım 😀

  13. PiedType August 26, 2014 at 7:28 pm - Reply

    Fascinating. My dad was an ob/gyn and I was a medical editor for 15 years, but I’d never heard this story. Sad that almost 200 years later, there are still religious zealots who would deny women the benefits of modern science and medicine.

  14. katmphotography August 26, 2014 at 9:31 pm - Reply

    a daughter named Anaesthesia… wow! what a beautiful name! i think….

  15. mjtierney1 August 26, 2014 at 11:18 pm - Reply

    Fascinating post! Interestingly, Dr. John Snow’s enduring fame comes not from administering chloroform to Queen Victoria, but for correctly determining that the source of a cholera epidemic in London was the tainted water from a specific well in Soho, and having the pump handle removed from that well, thus stopping further spread of the disease.

  16. mjtierney1 August 26, 2014 at 11:20 pm - Reply

    Reblogged this on Airship Flamel and commented:
    A fascinating account of the early use of anaesthesia and just how much Queen Victoria hated pregnancy!

  17. Therese Lu August 27, 2014 at 8:34 am - Reply

    Thank you for such an informative piece.

  18. malditasunflower August 27, 2014 at 2:56 pm - Reply

    Reblogged this on malditasunflower.

  19. Mishka Jenkins August 27, 2014 at 5:30 pm - Reply

    What an incredible post and really informative. I never knew this, and it’s always interesting to learn more 🙂

  20. raresivanoiu94 August 27, 2014 at 10:13 pm - Reply

    Reblogged this on raresivanoiu94.

  21. […] The Anaesthetized Queen & the Path to Painless Childbirth. […]

  22. chrisontour33 August 28, 2014 at 11:46 am - Reply

    Reblogged this on chrisontour33.

  23. sacredhandscoven August 28, 2014 at 12:58 pm - Reply

    After the extremely painful and difficult birth of my eldest son in 1995, and then the almost completely painless birth of my twins in 1996 I can only say, “Thank you Doctor, for caring enough to find a way to help us!”

  24. danielle August 29, 2014 at 11:13 am - Reply

    Reblogged this on Scarlet Rialto.

  25. Featured E-Magazine August 30, 2014 at 12:03 am - Reply

    Reblogged this on Featured E-Magazine.

  26. Recommended reading | Down the Road August 30, 2014 at 10:01 am - Reply

    […] A blogger who goes by The Chirurgeon’s Apprentice tells the history of painless childbirth. None other than Queen Victoria of England eased very real fears surrounding the drugs involved. Read The Anaesthetized Queen & the Path to Painless Childbirth […]

  27. melissabaileycreations September 1, 2014 at 11:58 am - Reply

    Wow, very interesting. I think I’d have tried anything after my experience! The epidural was amazing, even though I didn’t want it, I needed it and it allowed me to deliver my son!

  28. […] fantastic blog post on the history of anesthesia in childbirth is well worth a read. It covers the work of Dr. James Young Simpson on chloroform as an anesthetic, […]

  29. Stuart M. Perkins September 11, 2014 at 6:51 pm - Reply

    Totally interesting stuff!

  30. thoughtbubbles4one September 15, 2014 at 5:21 am - Reply

    Hmmm….interesting article.

  31. A fan September 29, 2014 at 12:56 pm - Reply

    Fascinating blog, and I did enjoy this. My mother was an anaesthetist and herself the daughter of an anaesthetist who was practising in the 1920s, so ether was mostly it, My mother ensured her share of ether anaesthesia and to this day has a dread of being unable to breathe…all going back to those last second under ether inhalation when the patient struggles for breath…and then drops out. I am so glad I have never had to endure this. My mother kept bottles of ether at home for some reason and I used to hate the smell but she said it reminded her of her father.

  32. Povonte October 1, 2014 at 1:02 pm - Reply

    This is so inspiring thank you

  33. […] The Anaesthetized Queen & the Path to Painless Childbirth  […]

  34. Yumna January 21, 2015 at 2:45 pm - Reply

    Reblogged this on VINTAGE STUDENT.

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