Essays In Pastoral MedicineWalsh, James J. (James Joseph)
Religion
Essays In Pastoral Medicine
Walsh, James J. (James Joseph)
First aid in illness and injury; Medicine
What Father Aertnys says in these two passages is true of an
intrauterine foetus, but it is altogether erroneous when applied to an
extrauterine foetus, of which alone there is question here. In
extrauterine pregnancy the uterus or any other part of the maternal
body does not "try to expel" the foetus; the uterus has nothing at all
to do with the case--the very name of the condition is _extra_-uterine
pregnancy. If an ectopic gestation {27} goes on to term (a very rare
happening), there will be false labour and uterine contractions, and
these cease after a time without effect one way or the other; but in
all cases of rupture and the like the uterus is outside the question
and the mother is passive. There is no attempt by the mother in
extrauterine pregnancy at expulsion either before rupture or at any
other time unless the dead foetus putrefies, and the maternal tissues
"try to expel" it as a foreign body by breaking down into an abscess.
The foetus simply grows, and its bulk bursts the tube. If it were in
the uterus, the uterus would enlarge synchronously with the foetus and
there would be no rupture, but the tube will not give beyond a certain
point, therefore it bursts.
In normal uterine pregnancy at term the uterus and other maternal
muscles are the active factors in expelling the foetus--the foetus is
passive. In ectopic gestation the foetus is active, the mother is
passive, and there is no attempt at expulsion from either side. In
this case the foetus in the tube through the action of its own vital
principle draws nourishment from the mother and grows gradually larger
till it bursts the tube (it may even move its arms and legs if
advanced), and this rupture tears open arteries wherethrough the
mother bleeds, commonly to death. This is evidently material
aggression.
Father Aertnys says the foetus differs from the murderous lunatic in
this, that the madman is moved by his will, although blamelessly, in
doing unjust actions directly intended as homicidal. The fact that the
lunatic uses his will has no weight whatever in permitting me to
defend my life against him, it is an accidental thing outside the
question; but Father Aertnys in mentioning the madman's will means
solely, if I understand him, that the madman is really an active
aggressor. The foetus, however, is also an active aggressor without
using its will. I might fall from a height toward a man and certainly
endanger his life while I was not using my will at all, not conscious
of the man's presence under me, or even while I was using all the
power of my will against the result. In any of these cases I should be
a materially unjust aggressor; and if in trying to prevent my body
from killing him the man killed me, he would be blameless.
{28}
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account