Obituary
1620
www.thelancet.com Vol 381 May 11, 2013
Robert Edwards
Physiologist who pioneered the development of
in-vitro fertilisation. He was born in Batley, UK,
on Sept 27, 1925, and died in Cambridge, UK, on
April 10, 2013, aged 87 years.
One of the last times Robert Edwards spoke in public was
to mark the UK’s National Infertility Day in 2008. His health
declining, Edwards spoke for almost an hour about the
early days of in-vitro fertilisation (IVF). As he fi nished, the
audience of patients and patient advocates rose to give
him a standing ovation. “The applause went on and on
and on. It was hugely moving”, remembers his colleague
and former student Mike Macnamee, now chief executive
of Bourn Hall fertility clinics. “Of all the times I saw him
recognised in public, throughout the world, that really
profoundly moved him, because it was from the people he
was helping, the patients.”
By pioneering the development of IVF, Edwards and his
collaborator Patrick Steptoe have helped make possible the
birth of millions of babies worldwide since 1978. Edwards’
life and work are “beacons of inspiration and persistence
for everybody working in the fi eld”, says Macnamee. “There
are fi ve and a half million families now who owe their very
existence to Bob, and that legacy is the one that’s going to
grow and multiply. I hope that each one of those families
understands his contribution to their existence.”
Edwards’ work to overcome human infertility emerged
from research into the genetics of egg maturation he had
undertaken at the universities of Edinburgh and Cambridge.
As an academic, he was an inspirational fi gure, recalls
Martin Johnson, one of his fi rst graduate students and
now Emeritus Professor of Reproductive Science at the
University of Cambridge. “He completely captured our
imagination with his vision, his breadth of knowledge, and
his stimulating and exciting way of presenting it all.”
In February, 1968, a chance meeting at the Royal Society
of Medicine in London resulted in Edwards collaborating
with Steptoe, a gynaecologist whose pioneering work
in laparoscopic surgery had generated hostility from the
medical hierarchy. In December of that year, Edwards,
Steptoe, and graduate student Barry Bavister submitted
a paper to Nature that described IVF in human beings
convincingly for the fi rst time. It was the beginning of what
would prove to be a fruitful, yet diffi
cult, decade for the two
men. They quickly succeeded in collecting eggs from women
after hormonal stimulation, and having eggs fertilised
and dividing in vitro, but the media and some colleagues
remained hostile. Funding was diffi
cult to come by, and their
willingness to talk to journalists off ended the sensibilities
of some scientists. It was a combination of challenges that
might have daunted less determined individuals. “This
was a strong man, and his convictions were total”, says
Alan Trounson, President of the California Institute for
Regenerative Medicine, whose work in Melbourne, Australia,
helped improve the success rate of IVF. “I think he was an
extraordinary person from that point of view. He’d never
waver, and would always argue that what he was doing was
genuinely in the benefi t of the community.”
Finally, in 1978, the fi rst IVF baby, Louise Joy Brown, was
born at Oldham General Hospital. Louise’s parents, Lesley
and John Brown, had been trying to conceive for 9 years.
Edwards and Steptoe published this groundbreaking work
in a letter to The Lancet. In 1980, the two men raised private
funds to found Bourn Hall Clinic, the world’s fi rst dedicated
IVF unit. As IVF became a more routine procedure, Edwards
continued to lead the fi eld, helping found the European
Society of Human Reproduction and Embryology, and
acting as editor of Human Reproduction.
Edwards served in the British military during World War 2.
He studied biology at the University of Wales in Bangor and,
in 1955, received a PhD in physiology from Edinburgh
University. In 2010, he was awarded the Nobel Prize in
Physiology or Medicine for his pioneering work in developing
IVF. The next year he was knighted. The determination that
characterised so much of Edwards’ career was underpinned
by his socialist views, and a sense of humour, says Johnson.
Before it was fashionable, Edwards supported legal reform
on abortion, women’s rights, and gay rights. “He had a great
desire to help humanity, and a feeling you had to prevent
suff ering. And even when things were going wrong, he could
always laugh about it”, recalls Johnson. Edwards is survived by
his wife and long-time scientifi c collaborator, Ruth Edwards,
along with their fi ve daughters and 12 grandchildren.
Stephen Pincock
For two landmark papers on
IVF by Robert Edwards see
Lancet 1965;
2: 926–29 and
Lancet 1978;
2: 366.
For a Profi le of Robert Edwards
see
Perspectives
Lancet 2010;
376: 1293
Corbis