The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
Several years later Tarnier, who was to become an eminent
obstetrician, but was then a student in Paris, chose the diseases of
the lying-in period as the subject for his graduating thesis. He was
unacquainted with the work either of Holmes or of Semmelweiss, and
approached the problem from still another standpoint, drawing
attention to the much higher deathrate among women delivered amid
unsanitary surroundings. Tarnier also considered that the disease was
a form of poisoning, that it was contagious, and that measures should
be instituted to protect patients against it.
Of these pioneers, by far the greatest credit is due Semmelweiss, who
devoted his life to the problem, although his opinions continually
met with scepticism and even ridicule. More convincing proof than he
could furnish was demanded before his contemporaries would believe
that child-bed fever was due to lack of precaution. Fortunately the
evidence was soon produced. In 1880, Pasteur obtained bacteria from
the organs which had been infected, and was able to grow the bacteria
in his laboratory; thus the ultimate cause of the disease became
firmly established. With the harmful agents in their hands, Pasteur
and his followers were enabled to study their characteristics and to
recommend means of destroying them.
Much as we must regret that the warnings of Holmes and of Tarnier
passed unheeded; lamentable as may be the blindness of the generation
of Semmelweiss to the truths revealed by his research, it is not
surprising that such radical teaching met with a hostile reception.
As we measure time in retrospect from the vantage ground of to-day,
the three to four decades required for full acceptance of their
revolutionary doctrines seem a brief span. Antiseptic methods would
not have prevailed so quickly as they did, had not the same epoch
which gave us a Pasteur also given a surgeon with a receptive mind,
ready to seize and apply the discoveries of the French genius. This
was the great service of Joseph Lister. Impressed with Pasteur's
studies on fermentation, Lister saw an analogy between this process
and the putrefaction of wounds, a condition which he was eager to
prevent. He had reason to believe that carbolic acid would check
decomposition, and he employed a weak solution of it in the treatment
of wounds; later he devised a "carbolic spray," by means of which
when his operations were performed the atmosphere round about might
be sterilized.
Public-domain text, read in full here on John Shaqi.
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