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Historical Perspective Ronald M. Cyr M.D OBSTETRICS & GYNECOLOGY history-of-obgyn.com

OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 1: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Historical PerspectiveRonald M. Cyr M.D

OBSTETRICS&

GYNECOLOGY

history-of-obgyn.com

Page 2: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 3: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 4: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 5: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 6: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 7: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Home Birth - 1901history-of-obgyn.com

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Page 8: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 9: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 10: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Waterbirthhistory-of-obgyn.com

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Page 11: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Waterbirthhistory-of-obgyn.com

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Page 12: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Difficult Laborhistory-of-obgyn.com

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Page 13: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 14: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 15: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

FilletNet passed over fetal head to help extract the child

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Page 16: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Peter Chamberlen (1601–1683)Early user of obstetric forceps in England

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Page 17: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Forceps – 1700shistory-of-obgyn.com

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Page 18: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

William Smellie 1697-1763Famous writer, teacher of “man-midwifery”

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Page 19: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Man-Midwifehistory-of-obgyn.com

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Page 20: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Obstetric Cervical Dilatorshistory-of-obgyn.com

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Page 21: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Obstetric Instrumentshistory-of-obgyn.com

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Page 22: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Morphine-Scopolamine AnalgesiaPopularized in NYC 1914

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Page 23: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Ignaz Semellweiss 1818-18651st to show effectiveness of antisepsis

in reducing postpartum infection deathshistory-of-obgyn.com

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Page 24: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Oliver Wendell Holmes 1809-1894Postulated infectious nature of puerperal fever

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Page 25: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 26: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Max Sänger 1853-1903Introduced “modern” classical cesarean in 1882

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Page 27: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

J. Whitridge Williams 1866-1931

Professor Obstetrics, Johns Hopkins UWriter, teacher - most influential

academic obstetrician of the 20th Chistory-of-obgyn.com 28

Page 28: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Joseph B. DeLee 1869-1942Founder, Chicago Lying-In Hospital

Influential author and educator history-of-obgyn.com 29

Page 29: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 30: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

“APGAR“ Scorehistory-of-obgyn.com

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Page 31: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Life Expectancy at Birthhistory-of-obgyn.com

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Page 32: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Maternal Mortality Ratehistory-of-obgyn.com

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Page 33: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Infant Mortality Ratehistory-of-obgyn.com

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Page 34: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Ephraim McDOWELL 1771-1830Performed 1st ovariectomy

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Page 35: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

GYN Exam – 1830s“Touch…don’t look”

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Page 36: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

GYN Exam Table 1830sFor the less modest

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Page 37: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

J. Marion Sims 1813-1883“Father of American GYN”

Pioneer vesico-vaginal fistula surgeonFounder Woman’s Hospital NYC

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Page 38: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Thomas Addis Emmet(1828-1919)

1st assistant to SimsLater superseded him as vaginal

GYN surgeon and textbook author

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Page 39: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Page 40: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

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Howard Atwood Kelly 1858-19431st Prof GYN at Johns Hopkins U

Most influential GYN surgeon of 20th Chistory-of-obgyn.com

Page 41: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Surgery at Johns Hopkins 1890sKelly in middle

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Page 42: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Surgery at Johns Hopkins 1927history-of-obgyn.com

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Page 43: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

1890s

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Page 44: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

AD -1880shistory-of-obgyn.com

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Page 45: OBSTETRICS & GYNECOLOGY · Thomas Add is Emmet (1828-1919) 1. st. assistant to Sims. Later superseded him as vaginal GYN surgeon and textbook author. history-of-obgyn.com 38

Malpractice Insurance - 1901history-of-obgyn.com

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