Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
In some instances, particular sympathies occur, and hence tooth-ache has
been considered as affording some evidence upon such an occasion. Some
midwives have supposed that the appearance of blood drawn from the veins
would indicate the state of pregnancy; the blood undoubtedly becomes
sizy very shortly after conception, and it differs from that of a person
affected with inflammation; “in the latter case,” says _Burns_,[368]
“the surface of the crassamentum is dense, firm, and of a buff colour,
and more or less depressed in the centre; but in pregnancy, the surface
is not depressed, the coagulum is of a softer texture, of a yellow and
more oily appearance.”
It is not, however, possible to determine positively, from the
inspection of the blood; for a pregnant woman may labour under some
local disease, which will impart to it a truly inflammatory character,
while, on the other hand, it is possible for the suppression of the
menses, if accompanied with a febrile diathesis, to give the
crassamentum the same appearance which it would present during
pregnancy; and, in truth, the same remark will apply to all those signs
to which we have before alluded; and even the swelling of the breasts,
upon which so much stress has been laid, as a presumptive sign of
pregnancy, cannot be considered unexceptionable, for so great a sympathy
subsists between the mammæ and the uterine system, that any disturbance
of the latter is not unfrequently attended with an enlargement of the
former: such an occurrence is by no means uncommon in Amenorrhæa.
_Belloc_,[369] however, has made an observation respecting them which
merits our regard; he says, that when a woman has a suppression of the
menstrual flux, with the other concomitant signs of pregnancy, we may
consider her situation as yet doubtful, because these signs are common
both to pregnancy and amenorrhæa; but if about the third month, while
the suppression still continues, she suddenly recovers her health, and
the incidental circumstances disappear, her appetite, plumpness, and
colour returning, nothing can better prove the existence of pregnancy;
for had the impaired health, and the accompanying symptoms been the
simple effect of suppression, the derangement would have continued, and
even increased during the continuance of the cause; to this observation,
however, of _Belloc_, we have one important objection to offer: in every
case of clandestine pregnancy, (and it is on such occasions that our
diagnosis is principally useful) the anxiety and distress of the woman’s
mind, and her desire to appear as if labouring under some serious
complaint, will render her returning health at the period mentioned by
_Belloc_ as unlikely, or very equivocal; in short, we do but adopt the
sentiments of the most experienced midwives,[370] when we assert, that
it is impossible to arrive at any conclusion beyond that of suspicion;
and in delivering a confident opinion upon it, the practitioner must
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