Jump to content
Your browser is out of date. It has known security flaws and may not display all features of this websites. Learn how to update your browser[Close]

A doctor responsible for public health in the district of Bellinzona describes an incident in 1809 which ended with the fatal injury of the infant and the death of the mother.

Ticino had the worst record among Swiss cantons for infant mortality at the time. The deaths occurred either during delivery or in the first year of life. Qualified midwives were all but unheard of in the canton.

The following is an excerpt from a letter doctor Isidoro Bruno wrote to the government, describing one incident in the village of Pianezzo, where a woman in labour was attended by a country midwife.

Bruno's letter was included in the doctoral thesis (academic year 1982-83) of Rosario Talamco on hygiene and public health in Ticino in the first half of the 19th century.

"Terrible consequence"

"[...]One arm at a time appeared of the foetus of this woman, while the remainder of the body was in such a position as to render the delivery unnatural. In these deplorable circumstances, the relatives, having watched the long and fruitless efforts of the woman to bring the child to birth, decided to seek out a country midwife of their acquaintance.

When they found her and brought her urgently to the house of the woman who was already exhausted, she immediately began pulling the foetus with all the force she could muster in the very same position in which she found it, without considering the obstacle that was in the way.

A skilled hand could have achieved the desired result in no time, by putting the arm back and looking instead for the baby's feet, in other words by turning it round to perform a breech delivery. But, good Lord, what was the terrible consequence of such an ignorant procedure? I'm sure you can imagine it, Citizen Counsellors.

"Horrible to behold"

In fact there were three fateful consequences: first, she broke the arm close to where the humerus joins the scapula, so that the limb remained attached only by a bit of skin, and the remainder of the arm, both above and below, together with the shoulder, was so swollen and gangrenous that it was horrible to behold, with the result that the foetus quickly died.

Secondly, she had forced the foetus further down into the bony structure of the pelvis so that it would no longer move, like a nail embedded in a plank. Thirdly, she had so greatly abused and mistreated the women's birth canal with the idea of stretching it wide to allow the foetus to come out that these parts swelled up, tumefied and became so enflamed as to cause even more invincible obstacles to its emergence.

How the poor woman must have suffered from such handling! God alone knows. I do know, however, that her strength ebbed steadily away, raising fears of her imminent death. When the midwife saw what destruction she had caused, she fled the village, leaving the woman in such a pitiful state that I was called to remedy it, if possible. But, O Lord, what a horrific scene awaited me! [...]."

Key facts

Ticino population:

1850: approx. 118,000

1900: 139,000

1950: 175,000

2000: 307,000

Today: 330,000

(Official canton Ticino statistics)


All rights reserved. The content of the website by swissinfo.ch is copyrighted. It is intended for private use only. Any other use of the website content beyond the use stipulated above, particularly the distribution, modification, transmission, storage and copying requires prior written consent of swissinfo.ch. Should you be interested in any such use of the website content, please contact us via contact@swissinfo.ch.

As regards the use for private purposes, it is only permitted to use a hyperlink to specific content, and to place it on your own website or a website of third parties. The swissinfo.ch website content may only be embedded in an ad-free environment without any modifications. Specifically applying to all software, folders, data and their content provided for download by the swissinfo.ch website, a basic, non-exclusive and non-transferable license is granted that is restricted to the one-time downloading and saving of said data on private devices. All other rights remain the property of swissinfo.ch. In particular, any sale or commercial use of these data is prohibited.