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The life and work of Ignaz Semmelweis is among the most engaging
and moving stories in the history of science. Childbed Fever makes
the Semmelweis story available to a general audience, while placing
his life, and his discovery, in the context of his times. In 1846
Vienna, as what would now be called a head resident of obstetrics,
Semmelweis confronted the terrible reality of childbed fever, which
killed prodigious numbers of women throughout Europe and America.
In May 1847 Semmelweis was struck by the realization that, in his
clinic, these women had probably been infected by the decaying
remains of human tissue. He believed that infection occurred
because medical personnel did not wash their hands thoroughly after
conducting autopsies in the morgue. He immediately began requiring
everyone working in his clinic to wash their hands in a chlorine
solution. The mortality rate fell to about one percent. While
everyone at the time rejected his account of the cause of the
disease because his theory was fundamentally inconsistent with
existing medical beliefs about how diseases were transmitted, in
time Semmelweis was proven to be correct. His work led to the
adoption of a new way of thinking about disease, thus helping to
create an entirely new theory - the etiological standpoint - that
still dominates medicine today.
The life and work of Ignaz Semmelweis is among the most engaging
and moving stories in the history of science. "Childbed Fever"
makes the Semmelweis story available to a general audience, while
placing his life, and his discovery, in the context of his times.
In 1846 Vienna, as what would now be called a head resident of
obstetrics, Semmelweis confronted the terrible reality of childbed
fever, which killed prodigious numbers of women throughout Europe
and America. In May 1847 Semmelweis was struck by the realization
that, in his clinic, these women had probably been infected by the
decaying remains of human tissue. He believed that infection
occurred because medical personnel did not wash their hands
thoroughly after conducting autopsies in the morgue. He immediately
began requiring everyone working in his clinic to wash their hands
in a chlorine solution. The mortality rate fell to about one
percent. While everyone at the time rejected his account of the
cause of the disease because his theory was fundamentally
inconsistent with existing medical beliefs about how diseases were
transmitted, in time Semmelweis was proven to be correct. His work
led to the adoption of a new way of thinking about disease, thus
helping to create an entirely new theory--the etiological
standpoint--that still dominates medicine today.
In the nineteenth century, tens of thousands of women died each
year from childbed fever. The Carters describe birthing conditions
and medical practices in Vienna during the time when young
Semmelweis began to work in a maternity clinic there. He discovered
that childbed fever arose because medical personnel did not wash
adequately after dissecting corpses before doing vaginal
examinations of women in labor. After he required students to
disinfect themselves, the mortality rate immediately dropped.
However, Semmelweis's views were not accepted by the senior
physicians who believed the disease was due to a variety of causes.
After strident attempts to persuade skeptics, Semmelweis was
committed to a Viennese insane asylum where he died at age 42,
possibly from beatings by asylum guards. Childbed fever, now called
puerperal infection, continues to be a leading cause of maternal
mortality, in spite of the best efforts of modern physicians.
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