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History - Puerperal Fever and the Doran Building

 

Maternal deaths due to obstetric complications and puerperal fever were frequent occurrences in the nineteenth century. Semmelweis in Vienna in 1850 had demonstrated that careful cleansing of hands and instruments could reduce the death rate due to maternal infections in a public hospital. These observations were not widely endorsed. However by the latter part of the nineteenth century when the germ theory of infection was recognized, the need for isolation, asepsis and antisepsis to prevent maternal infections was acknowledged.

In view of the increasing number of maternity patients and their particular needs, the hospital Board proposed a new building for women. A bequest of $23,000 from the estate of Michael Doran provided for the Doran Building which was officially opened in February 1894.

The Doran Building was a two-storey limestone structure. The main entrance was on the north end with a facade in keeping with the Main building. The building was an example of a pavilion hospital, long and narrow to promote ventilation. The interior finishes were designed to provide a clean environment. The building was self-contained with its own heating and kitchens to ensure separation of the patients. There were separate wards for maternity cases and women's disease as well as five single rooms. The operating room was equipped to provide for the expanding role of gynaecologic surgery.

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