Karl Von Braun-Fernwald
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Carl Braun (22 March 1822 – 28 March 1891), sometimes Carl Rudolf Braun alternative spelling: Karl Braun, or Karl von Braun-Fernwald, name after knighthood Carl Ritter von Fernwald Braun was an Austrian obstetrician. He was born 22 March 1822 in Zistersdorf,
Austria Austria, , bar, Östareich officially the Republic of Austria, is a country in the southern part of Central Europe, lying in the Eastern Alps. It is a federation of nine states, one of which is the capital, Vienna, the most populous ...
, son of the medical doctor Carl August Braun.


Career

Carl Braun studied in Vienna from 1841 and, in 1847, took the position of ''Sekundararzt'' (assistant doctor) in the
Vienna General Hospital The Vienna General Hospital (german: Allgemeines Krankenhaus der Stadt Wien), usually abbreviated to AKH, is the general hospital of the city of Vienna, Austria. It is also the city's university hospital, and the site of the Medical Univer ...
. In 1849 he succeeded Ignaz Semmelweis as assistant to professor
Johann Klein Johann Klein (25 March 1788 – 11 April 1856) was professor of obstetrics at the University of Salzburg and at the University of Vienna. Johann Baptist Chiari was his son-in-law. In Vienna, he was succeeded by professor Carl Braun in 1856. In th ...
at the hospital's first maternity clinic, a position he held until 1853. In 1853, after Braun became a Privatdozent, he was appointed ordinary professor of obstetrics in Trient and vice-director of the Tiroler Landes-Gebär- und Findelanstalt. In November 1856 he was called to Vienna to succeed Johann Klein as professor of obstetrics. On Braun's recommendation, the hospital's first
gynaecology Gynaecology or gynecology (see spelling differences) is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with the field of obstetrics, forming the combined are ...
clinic was created in 1858, under his direction.This section almost entirely from ''Biographisches Lexikon ...'' He is credited for establishing gynaecology as an independent field of study In 1867-1871 he was appointed dean of the medical faculty, and in the academic year 1868/69 was made rector of the
University of Vienna The University of Vienna (german: Universität Wien) is a public research university located in Vienna, Austria. It was founded by Duke Rudolph IV in 1365 and is the oldest university in the German-speaking world. With its long and rich histor ...
. He was knighted in 1872 (cf. the title Ritter) and in 1877 became a
Hofrat ''Geheimrat'' was the title of the highest advising officials at the Imperial, royal or princely courts of the Holy Roman Empire, who jointly formed the ''Geheimer Rat'' reporting to the ruler. The term remained in use during subsequent monarchic r ...
, a title reserved for very eminent professors. His name is associated with a disorder of
pregnancy Pregnancy is the time during which one or more offspring develops ( gestates) inside a woman's uterus (womb). A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy usually occurs by sexual intercourse, but ca ...
called the " Braun-Fernwald sign". This sign is described as an asymmetrical enlargement and softening of the
uterine fundus The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the hollow organ, organ in the female reproductive system, reproductive system of most female mammals, including humans that accommodates the embryonic development, embryonic an ...
at the site of implantation at 4–5 weeks.


Views on puerperal fever

In full harmony with his contemporaries, Braun identified 30 causes of childbed fever opposing Ignaz Semmelweis's thesis that 'cadaverous poisoning' was the only cause of childbed fever. Despite this scholar opposition, Braun maintained a relatively low mortality rate in the First Division, roughly consistent with the rate Semmelweis himself achieved, as
historical mortality rates of puerperal fever Historically, puerperal fever was a devastating disease. It affected women within the first three days after childbirth and progressed rapidly, causing acute symptoms of severe abdominal pain, fever and debility. The most common infection causi ...
in the period April 1849 to end 1953 show. These results suggest that Braun continued, assiduously, to require hand disinfection before attending women and did not let mortality return to the high levels before Semmelweis introduced the chlorine washings.


Works

* ''Klinik der Geburtshilfe und Gynäkologie'' (im Verein mit Chiari und Spaeth, Erlangen 1855) ( heMaternity and Gynaecology Clinik, together with
Chiari Chiari may refer to: * Chiari (surname) *Chiari, Lombardy, a commune in Italy * The Chiari Institute, a medical institution in Great Neck, New York *Battle of Chiari (1701), part of the War of the Spanish Succession See also * Arnold–Chiari malf ...
and
Spaeth Spaeth, Spæth, or Späth is a surname, and may refer to: Spaeth *Barbette Spaeth (born ?), American professor and Roman mythology expert *Diana Palmer (author) (born Susan Spaeth, 1946), American romance novelist *George Spaeth (born 1932), Amer ...
, Erlangen 1855) * ''Lehrbuch der Geburtshilfe mit Berücksichtigung der Puerperalprocesse und der Operationstechnik'' (Wien 1857) (Textbook of obstetrics lsoconcerning the puerperal process and surgical technique). Google book search https://books.google.com/books?id=3OOCGAAACAAJ. * ''Lehrbuch der gesammten Gynäkologie'' (2. Aufl., Ib. 1881) (Textbook of Gynaecology, 2nd ed. 1881).ref ''Biographisches Lexikon ...'' WorldCat entry: http://www.worldcat.org/oclc/8179918 * ''Über 12 Fälle von Kaiserschnitt und Hysterectomie bei engem Becken (mit achtmaligem günstigem Ausgang)'' (On 12 cases of
caesarean section Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or mo ...
and
hysterectomy Hysterectomy is the surgical removal of the uterus. It may also involve removal of the cervix, ovaries (oophorectomy), Fallopian tubes (salpingectomy), and other surrounding structures. Usually performed by a gynecologist, a hysterectomy may b ...
with narrow pelvis (with eight successful outcomes))


References

* p92 footnote 15 * *
Braun, Carl Ritter von Fernwald.
' Pagel: Biographisches Lexikon hervorragender Ärzte des neunzehnten Jahrhunderts. Berlin, Wien 1901, Sp. 229-231. (in German) * Corroborated by source provided in Swedish wiki ''Nordisk familjebok, 1904–1926'' http://runeberg.org/nfbd/0035.html (in Swedish) * * Österreich-Lexikon http://aeiou.iicm.tugraz.at/aeiou.encyclop.b/b717161.htm, retrieved 28 Aug 2008, {{DEFAULTSORT:Braun, Carl (Obstetrician) 1822 births 1891 deaths People from Zistersdorf Austrian gynaecologists Austrian obstetricians Academic staff of the University of Vienna 19th-century Austrian physicians