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  • Title: Semmelweis: the combat against puerperal fever.
    Author: Adriaanse AH, Pel M, Bleker OP.
    Journal: Eur J Obstet Gynecol Reprod Biol; 2000 Jun; 90(2):153-8. PubMed ID: 10825634.
    Abstract:
    Groups A and B streptococci are of great significance in the history of obstetrics. Group A streptococci were a great threat to the puerperium, especially in the 19th century, when homebirth was replaced by institutional birth in lying-in hospitals. The history of the rise and fall of puerperal fever is indeed a tragedy. Some people, like Semmelweis, who brought new and important evidence based findings were not believed by their fellow obstetricians, an attitude that spoiled thousands of innocent lives. Even today group A streptococci, though seldom, may be the cause of puerperal sepsis. Group B streptococci are widespread and may cause sepsis and important lifelong morbidity or mortality of the newborn. Obstetricians today try to establish cost-effective prophylactic measures during labor to prevent these neonatal infections.
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