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Re: Homebirth, was VBAC, ect From: ainsron (ainsron@sbcglobal.net) Wed Apr 26 08:58:12 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: kaycnm@aol.com: "Re: Short History of Pureperal Fever" Previous message: Jamie: "Re: Subject: Section on demand" In reply to: Raymond Stephen: "Re: Homebirth, was VBAC, ect" Next in thread: Dean Huffman .: "Re: Homebirth, was VBAC, ect" I don't think they could ever say which strep caused the childbed fevers of Semmelweiss's time (his paper was published in 1861). It could have been either Group A or B. Pasteur's techniques for microbiologic differentiation of different hemolytic types of strep weren't developed yet and didn't take hold in hospitals until the early 20th century. In 1865, Pasteur began to study the silkworm diseases that were crippling the silk industry in France. He discovered the infectious agents and revealed the manner in which these agents are transmitted--by contagion and hereditary principle -- and how to prevent them. Elaborating on his study of fermentation, he could now confirm that each disease is caused by a specific microbe and that these microbes are foreign elements. With this knowledge, Pasteur was able to establish the basic rules of sterilization or asepsis. Preventing contagion and infection, his method of sterilization revolutionized surgery and obstetrics. >From 1877 to 1887, Pasteur employed these fundamentals of microbiology in the battle against infectious diseases. He went on to discover three bacteria responsible for human illnesses : staphylococcus, streptococcus and pneumococcus. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Raymond Stephen Sent: Tuesday, April 25, 2006 7:25 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Homebirth, was VBAC, ect Despite a fairly extensive Google Search I cannot confirm that group A was the problem. But I did find that in fact his death rate pre-treatment was not 30%: "Deaths on the wards Semmelweiss was in charge of fell from 12% to just 1%. But despite this, he came up against the conservatism of those who dominated Hungarian medicine and his findings were ignored." Steve _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of zygote@icsi.net Sent: Tuesday, 25 April 2006 11:58 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Homebirth, was VBAC, ect No historical revionist theory allowed! Semmelweiss was looking at and studied GRoup A strep - NOT groupB!!! On 23 Apr 2006 at 23:58, Raymond Stephen wrote: > > "Childbirth Fever, or the Puerperal Fever" is (was) group B streptococcal infection and was what > led Semmelweiss to discover the infectious bacterial nature of Puerperal Fever and to advocate > measures designed to prevent the transmission of infection. Once this was clarified the deaths > from Puerperal Fever were no higher in hospital than out of it. The 30% death rate was that seen > in Vienna at Semmelweiss' unit, and I am not aware that such a high figure was ever seen > elsewhere. > > Steve Raymond > > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Stmidwife@aol.com > Sent: Monday, 24 April 2006 8:18 AM > To: Multiple recipients of list OB-GYN-L > Subject: Re: Homebirth, was VBAC, ect > > As I understand it from the texts from 1800's I have and from my family, medicinals were made > from plants/other resourcesat that time. ie valium derived from valerian root, ect. Actually, just > looked up common infections of that era and in 1845 it says that > > > Childbirth Fever, or the Puerperal Fever, a bacterial infection of the female genital tract after > childbirth, took the lives of up to 30% of the women giving birth in lying-in wards, whereas most > women who gave birth at home remained unaffected. > > > Resourses: Encarta Encyclopedia; Penny Simkin, Signifigant Twentieth Century Developments > and Associated Changes in Maternity Care; Lying-in, A History of Childbirth in America, by > Richard W. Wertz; Manual of Obstetric Anesthesia, by Gerald W. Ostheimer. > > > > In a message dated 4/23/06 11:57:08 A.M. Pacific Daylight Time, ob-gyn- l@obgyn.net writes: > Sue, > > Respectfully - your great-great-grandfather also had patiens that dies > of rheumatic fever because there were no antibiotics for strep throat. > And many other conditions that we now have therapy for. > > > Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 Houston, TX 77030 (O) 713-795-4600 (F) 713-795-4422 "Life is difficult" The Road Less Travelled by Scott Peck Next message: kaycnm@aol.com: "Re: Short History of Pureperal Fever" Previous message: Jamie: "Re: Subject: Section on demand" In reply to: Raymond Stephen: "Re: Homebirth, was VBAC, ect" Next in thread: Dean Huffman .: "Re: Homebirth, was VBAC, ect"

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