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Midwives did not understand germ theory, but still washed their hands and cleaned the delivery areas for delivery due to tradition.
Fun fact:
A Hungarian doctor tried to combine midwife tradition with his knowledge of modern medicine to get even better results. He required his nurses to clean on a regular basis, and required doctors to wash their hands with a chlorine solution before all medical procedures.
The result was a resounding success, with the complication rate as his facility being better than both the midwives and other doctors. However his methods violated social conventions at the time, so he was shunned from society and considered a disgrace. He died in an insane asylum.
Honestly at this point fuschia’s continued existence feels less like “investing in a product that will yield dividends long-term” and more “middle manager desperately trying to justify their job”.