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Arch Dis Child Fetal Neonatal Ed 1999;80:F250-F251 doi:10.1136/fn.80.3.F250
  • Perinatal lessons from the past

Robert Felkin MD (1853–1926) and Caesarean delivery in Central Africa (1879)

  1. Peter M Dunn
  1. Department of Child Health Bristol University Southmead Hospital Bristol BS 10 5NB
  1. Professor Peter Dunn.

    It was as a pupil at Wolverhampton Grammar School1that Robert William Felkin met the explorer David Livingstone, who inspired him with his tales of Africa. And when he met A M Mackay, a medical missionary from Uganda, in London in 1877 at the age of 24, he became determined to visit Africa.

    By 1875 he had become a medical student at Edinburgh University, but before completing his training, he was sent to Uganda in 1878 by the Church Missionary Society. He travelled up the Nile to Khartoum, where he met General Gordon, and then on through what was then wild and unmapped country to the Great Lakes. There he met Emin Pasha, the Governor of the Equatorial Province, and was presented to King M’tesa, whose personal physician he became in 1879. When a Muslim anti-missionary movement threatened the lives of his fellow Christians, Felkin warned the King that, should any harm come to them, a great disaster would befall his people. As a sign he foretold that the sun would be darkened; in due course the anticipated eclipse occurred and Felkin was established as a great “medicine man.” During his stay in Uganda he studied the local diseases and also undertook anthropological measurements of the pygmies. Of particular interest, though, were his studies on childbirth.

    In 1880 he returned down the Nile and on to England in the company of envoys of King M’tesa to Queen Victoria. Later that year he returned to Africa, travelling widely but spending most of his time in Zanzibar where he actively campaigned against the slave trade. In 1881 he returned to Edinburgh to complete his medical studies (LRCP, LRCS,Ed, 1884). While still a medical student he became a Fellow of …

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