The Etiology, Concept, and Prophylaxis of Childbed Fever

نویسنده

  • Ignaz Semmelweis
چکیده

Medicine’s highest duty is saving threatened human life, and obstetrics is the branch of medicine in which this duty is most obviously fulfilled. Frequently it is necessary to deliver a child in transverse lie. Mother and child will probably die if the birth is left to nature, while the obstetrician’s timely helping hand, almost painlessly and taking only a few minutes, can save both . I was already familiar with this prerogative of obstetrics from the theoretical lectures on the specialty. I found it perfectly confirmed as I had the opportunity to learn the practical aspects of obstetrics in the large Viennese maternity hospital. But unfortunately the number of cases in which the obstetrician achieves such blessings vanishes in comparison with the number of victims to whom his help is of no avail. This dark side of obstetrics is childbed fever. Each year I saw ten or fifteen crises in which the salvation of mother and child could be achieved. I also saw many hundreds of maternity patients treated unsuccessfully for childbed fever. Not only was therapy unsuccessful, the etiology seemed deficient. The accepted etiology of childbed fever, on the basis of which I saw so many hundreds of maternity patients treated unsuccessfully, cannot contain the actual causal factor of the disease. The large gratis Viennese maternity hospital is divided into two clinics; one is called the first, the other the second. By Imperial Decree of 10 October 1840, Court Commission for Education Decree of 17 October 1840, and Administrative Ordinance of 27 October 1840, all male students were assigned to the first clinic and all female students to the second. Before this time

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تاریخ انتشار 2006