Simulation in Obstetrics, Gynecology and Midwifery

Together with its companion paper, dealing with the contribution of Luigi Galvani to the history of electrophysiology, this article provides a biographical sketch of the scientist of Bologna in the occasion of the bicentenary of his death. Studies on Galvani have focused mainly on his "discovery" of animal electricity, and on the controversy with Alessandro Volta. Much less is known about Galvani's life and activity as a teacher, physician, and researcher in the fields of comparative anatomy, physiology, and chemistry of life. Yet, a balanced assessment of the significance and the role of Galvani's research in the history of science will be possible only after a historical reconstruction of his entire activity. This should take into account aspects of Galvani's life that have been little studied up to now: Galvani's scientific background, the scientific context in which his interest for muscular physiology arose, the interplay between his activity as a researcher and as a physician, the origin and characteristics of his experimental approach to biological studies, and the development of his experimental research in the crucial period culminating in his electrophysiological explanation of muscular motion. The present article aims at offering a contribution in this direction.

It is generally accepted that Professor Ignaz Semmelweis was the first to identify the mode of transmission of puerperal sepsis. However no appropriate statistical analysis of Semmelweis's data supporting his theory has been reported. Mean annual percent maternal mortality rates for the Allgemeines Krankenhaus and Dublin Maternity Hospitals (1784-1858) were analysed. The introduction of pathological anatomy at the Allgemeines Krankenhaus in 1823 was associated with increased mortality. After 1840 maternal mortality was higher in Clinic 1 which was staffed by male obstetricians and medical students who, unlike the midwives in Clinic 2, attended autopsies. The introduction of chlorine washing of the male clinicians' hands in Clinic 1 by Semmelweis in 1847 reduced mortality, whereas the cessation of handwashing after Semmelweis left Vienna in 1850 was associated with increased mortality. This statistical analysis supports Semmelweis's hypothesis that 'the cadaveric particles adhering to the hand had ... caused the preponderant mortality in the first Clinic'.