Raju T N
Department of Pediatrics, University of Illinois at Chicago 60612, USA.
J Perinatol. 1999 Jun;19(4):307-10. doi: 10.1038/sj.jp.7200155.
It is well-known that Ignác Semmelweis discovered the etiology and prophylaxis of puerperal sepsis. However, few historians have focused on his understanding of the pathophysiology of fetal and neonatal sepsis. Based on several key observations, Semmelweis realized that puerperal fever (also known as "childbed fever") could be transmitted to the fetus, especially when the first stage of labor was prolonged and multiple examiners performed vaginal examinations while their fingers were contaminated. This insight was particularly valuable in that it helped him decipher the mystery of puerperal sepsis. This paper presents some of these concepts and supporting evidence.
众所周知，伊格纳兹·塞麦尔维斯发现了产褥热的病因和预防方法。然而，很少有历史学家关注他对胎儿和新生儿败血症病理生理学的理解。基于几项关键观察，塞麦尔维斯意识到产褥热（也称为“产褥热”）可能会传染给胎儿，尤其是在第一产程延长且多名检查者在手指被污染的情况下进行阴道检查时。这一见解特别有价值，因为它帮助他解开了产褥热败血症的谜团。本文介绍了其中的一些概念和支持证据。
