Patrick Christopher Steptoe
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Patrick Christopher Steptoe
CBE The Most Excellent Order of the British Empire is a British order of chivalry, rewarding valuable service in a wide range of useful activities. It comprises five classes of awards across both civil and military divisions, the most senior two o ...
FRS (9 June 1913 – 21 March 1988) was an English
obstetrician Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
and
gynaecologist Gynaecology or gynecology (see American and British English spelling differences) is the area of medicine concerned with conditions affecting the female reproductive system. It is often paired with the field of obstetrics, which focuses on pre ...
and a pioneer of
fertility Fertility in colloquial terms refers the ability to have offspring. In demographic contexts, fertility refers to the actual production of offspring, rather than the physical capability to reproduce, which is termed fecundity. The fertility rate ...
treatment. Steptoe was responsible with biologist and physiologist Robert Edwards and the nurse and embryologist
Jean Purdy Jean Marian Purdy (25 April 1945 – 16 March 1985) was a British nurse, embryologist and pioneer of fertility treatment. She was responsible with Robert Edwards and Patrick Steptoe for developing in vitro fertilisation (IVF); Louise Joy Br ...
for developing
in vitro fertilisation In vitro fertilisation (IVF) is a process of fertilisation in which an ovum, egg is combined with spermatozoon, sperm in vitro ("in glass"). The process involves monitoring and stimulating the Ovulation cycle, ovulatory process, then removing ...
.
Louise Joy Brown Louise Joy Brown (born 25 July 1978) is an English woman noted as the first human born following conception by in vitro fertilisation (IVF). Her birth, following a procedure pioneered in Britain, has been lauded among "the most remarkable medic ...
, the first test-tube baby, was born on 25 July 1978. Edwards was awarded the 2010
Nobel Prize in Physiology or Medicine The Nobel Prize in Physiology or Medicine () is awarded yearly by the Nobel Assembly at the Karolinska Institute for outstanding discoveries in physiology or medicine. The Nobel Prize is not a single prize, but five separate prizes that, acco ...
for his work on the development of in vitro fertilisation; Steptoe and Purdy were not eligible for consideration because the Nobel Prize is not awarded posthumously.


Education

Patrick Christopher Steptoe was born on 19 June 1913. Born in
Oxford Oxford () is a City status in the United Kingdom, cathedral city and non-metropolitan district in Oxfordshire, England, of which it is the county town. The city is home to the University of Oxford, the List of oldest universities in continuou ...
, Steptoe was educated at The Grammar School,
Witney Witney is a market town on the River Windrush in West Oxfordshire in the county of Oxfordshire, England. It is west of Oxford. History The Toponymy, place-name "Witney" is derived from the Old English for "Witta's island". The earliest kno ...
(since 1968 the comprehensive
Henry Box School The Henry Box School is a coeducational comprehensive secondary school with academy status located in Witney in Oxfordshire, England. The school has a catchment area of the town of Witney and many surrounding villages such as Ducklington and ...
) in
Oxfordshire Oxfordshire ( ; abbreviated ''Oxon'') is a ceremonial county in South East England. The county is bordered by Northamptonshire and Warwickshire to the north, Buckinghamshire to the east, Berkshire to the south, and Wiltshire and Glouceste ...
. He went to
King's College London King's College London (informally King's or KCL) is a public university, public research university in London, England. King's was established by royal charter in 1829 under the patronage of George IV of the United Kingdom, King George IV ...
and graduated from
St George's Hospital Medical School St George's, University of London (SGUL), legally the St George's Hospital Medical School, was a public medical school from 1733 to 2024 in South London, England. It merged with City, University of London to form City St George's, University of ...
,
London London is the Capital city, capital and List of urban areas in the United Kingdom, largest city of both England and the United Kingdom, with a population of in . London metropolitan area, Its wider metropolitan area is the largest in Wester ...
in 1939. He served in the Royal Navy from 1939–1946 and attained the rank of Lieutenant Commander. From 1947 to 1949 he was chief assistant in obstetrics and gynaecology at St. George's Hospital, then senior registrar at the
Whittington Hospital Whittington Hospital is a district general hospital, district general and teaching hospital of UCL Medical School and Middlesex University School of Health and Social Sciences. Located in Archway, London, it is managed by Whittington Health NH ...
(formerly known as Highgate Hospital) and obtained his FRCS(Ed) in 1950. His chief at Highgate, Kathleen Harding, was credited by Steptoe as teaching him a great deal about the management of infertility.


Laparoscopy pioneer

After the
Second World War World War II or the Second World War (1 September 1939 – 2 September 1945) was a World war, global conflict between two coalitions: the Allies of World War II, Allies and the Axis powers. World War II by country, Nearly all of the wo ...
, he studied
obstetrics Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a su ...
and, in 1951 he started to work at the Oldham & District General Hospital. From
Raoul Palmer Raoul Albert Charles Palmer FRCOG (29 August 1904, Paris – 5 July 1985), known as A.C. Palmer, was a French gynecologist and pioneer in gynecologic laparoscopy. Palmer was born in Paris. His parents, Fritjof Palmer and Signe, née Garling, were ...
he learned the technique of
laparoscopy Laparoscopy () is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.Medli ...
and promoted its usefulness. In 1967 he published ''Laparoscopy in Gynaecology''. Subsequently, Robert Edwards, a physiologist from the
University of Cambridge The University of Cambridge is a Public university, public collegiate university, collegiate research university in Cambridge, England. Founded in 1209, the University of Cambridge is the List of oldest universities in continuous operation, wo ...
, contacted him and got him interested in collaborating in the development of ''in vitro'' fertilization.


Work with Edwards

Steptoe became the Director of the Centre for Human Reproduction,
Oldham Oldham is a town in Greater Manchester, England. It lies amongst the Pennines on elevated ground between the rivers River Irk, Irk and River Medlock, Medlock, southeast of Rochdale, and northeast of Manchester. It is the administrative cent ...
, in 1969. Using laparoscopy, he collected the
ova , abbreviated as OVA and sometimes as OAV (original animation video), are Japanese animated films and special episodes of a series made specially for release in home video formats without prior showings on television or in theaters, though the ...
from volunteering infertile women who saw his place as their last hope to achieve a pregnancy. Edwards and
Jean Purdy Jean Marian Purdy (25 April 1945 – 16 March 1985) was a British nurse, embryologist and pioneer of fertility treatment. She was responsible with Robert Edwards and Patrick Steptoe for developing in vitro fertilisation (IVF); Louise Joy Br ...
provided the laboratory expertise. During this time they had to endure criticism and hostility to their work. Finally, in 1978, the birth of Louise Brown changed everything. Although he encountered further criticism, other clinics were able to follow the lead and patients responded. To accommodate the increased patient number and train specialists, he, Purdy, and Edwards founded the
Bourn Hall Clinic Bourn Hall Clinic in Bourn, Cambridgeshire, England, is a centre for the treatment of infertility. The original building, Bourn#Bourn Hall, Bourn Hall, is about 400 years old. Since becoming a medical centre, it has been greatly extended. Hist ...
,
Cambridgeshire Cambridgeshire (abbreviated Cambs.) is a Ceremonial counties of England, ceremonial county in the East of England and East Anglia. It is bordered by Lincolnshire to the north, Norfolk to the north-east, Suffolk to the east, Essex and Hertfor ...
in 1980 of which Steptoe was a Medical Director until his death.


Awards and honours

In 1979, Steptoe received the Golden Plate Award of the
American Academy of Achievement The American Academy of Achievement, colloquially known as the Academy of Achievement, is a nonprofit educational organization that recognizes some of the highest-achieving people in diverse fields and gives them the opportunity to meet one ano ...
. In the
1988 New Year Honours The New Year Honours 1988 were appointments by most of the Commonwealth realms of Queen Elizabeth II to various orders and honours to reward and highlight good works by citizens of those countries, and honorary ones to citizens of other countries ...
, he was appointed
Commander of the Most Excellent Order of the British Empire The Most Excellent Order of the British Empire is a British order of chivalry, rewarding valuable service in a wide range of useful activities. It comprises five classes of awards across both civil and military divisions, the most senior two o ...
(CBE), just a week after the 1,000th test-tube baby, conceived with his help, was born. Steptoe was elected a
Fellow of the Royal Society Fellowship of the Royal Society (FRS, ForMemRS and HonFRS) is an award granted by the Fellows of the Royal Society of London to individuals who have made a "substantial contribution to the improvement of natural science, natural knowledge, incl ...
in March 1987. His nomination reads: A plaque was unveiled at the Bourn Hall Clinic in July 2013 by
Louise Brown Louise Joy Brown (born 25 July 1978) is an English woman noted as the first human born following conception by in vitro fertilisation (IVF). Her birth, following a procedure pioneered in Britain, has been lauded among "the most remarkable medic ...
and Alastair MacDonald – the world's first IVF baby boy – commemorating Steptoe and Edwards. Steptoe is also commemorated with a plaque at the Maternity Ward at the Royal Oldham Hospital, and at 52 West End, Witney. Steptoe is buried in Bourn, St Helena and St Mary Churchyard.


In popular culture

Steptoe, Edwards, and Purdy work was dramatised in Gareth Farr's 2024 play ''A Child of Science'', which premiered at
Bristol Old Vic Bristol Old Vic is a British theatre company based at the Theatre Royal, Bristol. The present company was established in 1946 as an offshoot of the Old Vic in London. It is associated with the Bristol Old Vic Theatre School, which became a fin ...
; Steptoe was portrayed by
Jamie Glover Jamie Blair Glover is an English actor. He is best known for playing Andrew Treneman in the BBC One school-based drama series, '' Waterloo Road'', returning to the role in 2023. He was also cast as Harry Potter in the second cast of the West-End ...
. In the 2024 biographical film ''Joy'', Steptoe is portrayed by
Bill Nighy William Francis Nighy (; born 12 December 1949) is an English actor. Known for his work in numerous stage, television and film productions, he has received several awards including a British Academy Film Award and a Golden Globe Award, and ...
.


References


External Links

* {{DEFAULTSORT:Steptoe, Patrick Christopher 1913 births 1988 deaths Alumni of King's College London Alumni of St George's, University of London 20th-century English medical doctors British gynaecologists In vitro fertilisation Fellows of the Royal Society Commanders of the Order of the British Empire People from Witney Royal Navy officers Royal Navy officers of World War II Military personnel from Oxford Burials in Cambridgeshire People educated at the Henry Box School