Read the following passage and questions, then choose the right answer from options, the answer should be one of A, B, C, D.

<passage>:
Obstetrics for beginners It's my first go at delivering a baby by caesarean section – and the foetal head is impacted, jammed in its mother's pelvis. To be honest I'm struggling. The baby's mother – she's called Debra – remains impassive throughout these agonised fumblings. Her face reveals nothing of what she may be feeling. But then Debra has no feelings. Indeed she has no face…So you can stop worrying. Debra – Desperate Debra to use her full trade name – is a simulator designed to help doctors practise their skill at dealing with impacted foetuses: babies that get stuck trying to exit the womb by the normal route. She comprises the lower two thirds (ie from the mid-chest region downwards) of a life-sized but limbless female torso made of flesh-coloured silicone rubber. She comes with a vulva, a pre-cut incision in her abdomen and, most importantly, a uterus containing a foetal head that should, in the normal way of things, be free to emerge between her legs. But this fetus is going nowhere until an obstetrician – or in this case me – can successfully grasp and pull it out. A proper study of the clinical effectiveness of the Tydeman tube will necessarily involve women giving birth. Assessing the value of Debra as a simulator didn't require human subjects The clever and sophisticated simulator I'm playing with started life as a lash-up in an obstetrician's home workshop: a Heath Robinson-style contraption barely recognisable as a model of the human body. But it wasn't at that stage intended as a simulator for training medical staff. Its sole purpose was to test the effectiveness of a novel device called a Tydeman tube. Paradoxically, although the testing equipment, Debra, is now commercially available, the device it was intended to test has yet to reach the market. The use of simulators to teach technical skills is now common in medical schools. You can learn to sew up a knife wound, catheterise a bladder or intubate an airway. You can practise cardiopulmonary resuscitation or ear syringing or even go through the motions of a keyhole surgical procedure. The technology required to do these things may cost a few pounds, or tens of thousands. Either way, given that most of these devices were invented during the past three or four decades, it comes as something of a surprise to learn that simulation for medical purposes can be traced back as far as the Chinese Song dynasty of 960-1279 AD. So you can stop worrying. Debra – Desperate Debra to use her full trade name – is a simulator designed to help doctors practise their skill at dealing with impacted foetuses: babies that get stuck trying to exit the womb by the normal route. She comprises the lower two thirds (ie from the mid-chest region downwards) of a life-sized but limbless female torso made of flesh-coloured silicone rubber. She comes with a vulva, a pre-cut incision in her abdomen and, most importantly, a uterus containing a foetal head that should, in the normal way of things, be free to emerge between her legs. But this fetus is going nowhere until an obstetrician – or in this case me – can successfully grasp and pull it out. Given the universality of childbirth it's no surprise that, then as now, the womb turns out to be the most simulated of our organs. For the benefit of 18th-century midwives and doctors-in-training, the Bologna surgeon Giovanni Antonio Galli devised a birthing simulator comprising a glass uterus supported by an artificial pelvis and containing a flexible foetus. Trainees had to deliver the baby while wearing a blindfold. Only the tutor could witness the fumbling of their hands. As the material for a convincing simulation, glass clearly has its drawbacks. But another 18th-century contraption used a pink cloth-covered mannequin comprising a female torso complete with genitalia, a set of implantable foetuses of various ages, and even – a real and the team has already conducted such a study. Thirty obstetricians, from three NHS maternity units and with varying levels of experience, took part. They all received a brief explanation of how Debra works, and were then asked to try a timed removal of the foetal head at three different levels of difficulty. Overall, 87 per cent reported that the simulator offered a realistic experience of dealing with an impacted head, and 93 per cent thought it would be valuable as a training device. The inventor of the tube and of Desperate Debra is Dr Graham Tydeman, a consultant in obstetrics and gynaecology at Victoria Hospital in Kirkcaldy, Fife. Only after he'd built Debra did he realise that she might serve a purpose beyond his original intention. His is a decade-long tale of inspired insights, thwarted aims and shifting purposes Tydeman didn't do much with the idea until 10 years ago when one trainee, who was experiencing real difficulty getting heads out, prompted him to think again about the problem. Around the same time, he met professor of obstetrics Andrew Shennan and consultant midwife Annette Briley, both of the Women's Health Academic Centre at St Thomas's hospital. Between them they came up with a device – the Tydeman tube – to make pushing on the foetus more controlled while simultaneously releasing any vacuum that might be holding it in place. The team found some money to employ a product designer who used computer-aided design technology and 3D printing to make a prototype. "We were at the point of getting one made in silicone," says Tydeman, "when we realised that before we started experimenting on women we really ought to test it on a simulator." No such simulator existed – so he decided to make one himself. Although tests carried out with the Debra prototype showed that the tube would work as intended, Tydeman and his colleagues then faced what he calls a kind of medical catch-22. "We had the tube finished about three years ago… but we were more interested in trying to save lives than selling a product. We thought that the right thing to do before commercialising it was to be sure we'd got the best design." They tried it on a dozen or so women in labour, and concluded that it did what it supposed to. But they held off trying to market it because they wanted to do more extensive, more rigorous clinical studies. With a grant from the Guy's and St Thomas's Charity fund they made Debra more presentable. Tydeman showed the prototype to Adam Rouilly, an established company specialising in medical models and simulators. They were impressed. A year later, the first of Debra's smartened-up sisters was on the market. So how valuable in training medical staff is a simulator like this? Very, according to Annette Briley. Imagine it's the middle of the night and an unplanned emergency caesarean is required: "Some poor junior doctor might find himself trying to manage it on his own." To have practised the knack of extracting a firmly impacted baby from a simulator is lot better than first honing your skill on a real woman.

<question>:
When was the earliest childbirth simulator developed?

<options>:
A Sometime in the fourth century
B Sometime in the eighteenth century
C Sometime in the thirteenth century
D Sometime in the first century

<answer>:

B