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Ignaz Semmelweis: Difference between revisions

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He was not Jewish in any way, he was Roman Catholic. I do not even understand where did they get that idea
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Of [[Germans of Hungary|German]] ancestry, his father was an ethnic German (''hienc'', stem from {{illm|Heanzenland|de|display=1}}, a German term for the historical Western-Hungary) born in Kismarton, then in the [[Kingdom of Hungary]] (now [[Eisenstadt]], [[Austria]]), and his mother an ethnic German from [[Buda]]. He was granted citizenship in Buda in 1806 and, in the same year, he opened a wholesale business for spices and general consumer goods.{{efn-ua|Translated from: Spezereien- und Kolonialwarengroßhandlung{{Clarify|date=October 2008}}}} The company was named ''Zum weißen Elefanten'' (At the White Elephant) in the Meindl House (today's [[Semmelweis Museum of Medical History]], located at 1–3 Apród Street, [[Budapest]]).{{sfn|Baum|2018|p=11}}{{sfn|Semmelweis Orvostörténeti Múzeum}} By 1810, he was a wealthy man and married Teréz Müller, daughter of the coachbuilder Fülöp Müller.{{sfn|Antall|Szebellédy|1973}}
 
Ignaz began studying law at the [[University of Vienna]] in the autumn of 1837, but by the following year, for reasons that are no longer known, he had switched to medicine. He was awarded his doctor of medicine degree in 1844. Later, after failing to obtain an appointment in a clinic for internal medicine, Semmelweis decided to specialize in obstetrics.{{sfn|Semmelweis|1983|p=16}} His teachers included [[Carl von Rokitansky]], [[Joseph Škoda]], and [[Ferdinand Ritter von Hebra|FerdinandFerdinidwives.{{cn|date=November von Hebra]].2023}}
 
==Work on cause of childbed fever mortality==
===Position at Vienna General Hospital===
Semmelweis was appointed assistant to Professor [[Johann Klein]] in the First Obstetrical Clinic of the [[Vienna General Hospital]] on 1 July 1846.{{sfn|Benedek|1983|p=72}}{{sfnm|1a1=Semmelweis|1y=1983|1p=34|2a1=Schmidt|2y=1850|2p=501}}{{efn-ua|Details: On 1 July 1844 Semmelweis became a trainee physician's assistant at the Vienna maternity clinic (in German, ''Aspirant Assistentarztes an der Wiener Geburtshilflichen Klinik'') and on 1 July 1846 he was appointed an ordinary physician's assistant (in German, ''ordentlicher Assistentarzt''). However, on 20 October 1846, his predecessor [[Franz Breit (obstetrician)|Franz Breit]] (an obstetrician) unexpectedly returned, and Semmelweis was demoted. By 20 March 20 1847, Breit was appointed professor in [[Tübingen]] and Semmelweis resumed the ''Assistentarzt'' position.{{sfn|Benedek|1983|p=72}}}} A comparable position today in a United States hospital would be "chief resident."{{sfn|Carter|Carter|2005|p=56}} His duties were to examine patients each morning in preparation for the professor's rounds, supervise difficult deliveries, teach students of obstetrics, and be "clerk" of records.
 
Maternity institutions were set up all over Europe to address problems of [[infanticide]] of illegitimate children. They were set up as ''gratis'' institutions and offered to care for the infants, which made them attractive to poor women, including prostitutes. In return for the free services, the women would be subjects for the training of doctors and midwives.{{cn|date=November 2023}}
 
Two maternity clinics were at the Viennese hospital. The First Clinic had an average [[Maternal bond|maternal]] [[mortality rate]] of about 10% due to puerperal fever. The Second Clinic's rate was considerably lower, averaging less than 4%. This fact was known outside the hospital. The two clinics admitted on alternate days, but women begged to be admitted to the Second Clinic, due to the bad reputation of the First Clinic.{{sfn|Semmelweis|1983|p=69}} Semmelweis described desperate women begging on their knees not to be admitted to the First Clinic.{{sfn|Semmelweis|1983|p=70}} Some women even preferred to give birth in the streets, pretending to have given sudden birth ''en route'' to the hospital (a practice known as street births), which meant they would still qualify for the child care benefits without having been admitted to the clinic. Semmelweis was puzzled that puerperal fever was rare among women giving street births. "To me, it appeared logical that patients who experienced street births would become ill at least as frequently as those who delivered in the clinic. [...] What protected those who delivered outside the clinic from these destructive unknown endemic influences?"{{sfn|Semmelweis|1983|p=81}}