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
Q. 6. _Can we determine by any signs whether a woman has ever borne a
child, although at a period remote from that of the examination?_
The following are the principal indications of a woman having been
delivered at a distant period, but in offering them to the attention of
the practitioner, it is necessary to observe, that _singly_ they can
furnish but very slender evidence, and should they even all occur, they
must be regarded as affording only a strong presumption of the fact.
1. The orifice of the womb has not its conic figure; its lips are
unequal; and it is more open than in those who have never borne
children.
2. There is a roughness of the abdomen, the parietes of which are also
more expanded and pensile.
3. There are small white and shining lines running on the surface of the
abdomen.
4. The breasts are more flaccid, and pendulous, and the lines on their
surface are white and splendid.
5. The nipples are prominent, and the colour of their disks brown.
Q. 7. _What are the earliest and latest periods of life, at which women
are capable of child-bearing?_
_Zacchias_ and other authors have considered the commencement and
cessation of menstruation as the two extreme points, beyond which the
female is incapable of conception; they have very justly considered the
menstrual flux as indispensably necessary for the healthy action of the
uterine system. It must be also admitted that no female can conceive
until her system has undergone that revolution which we have already
described under the head of _Puberty_, although we then stated, that the
period of life at which it takes place is liable to be controlled by
several physical as well as moral circumstances, we have accordingly
many instances upon record of very young females having borne children:
during the year 1816 some girls were admitted into the _Maternité_ at
Paris as young as _thirteen years_; and during the revolution one or two
instances occurred of females at _eleven_, and even below that age,
being received in a pregnant state into that hospital. _Schurigius_[402]
states the case of a Flemish girl, who was delivered of a son at the age
of _nine_ years; and in the notes to _Metzger_ several instances are
related where conception had occurred under the age of _ten_. It has
been attempted to ascertain what age, and what season was most prolific:
from an accurate register kept by _Dr. Bland_, it would appear, that
more women, between the age of twenty-six and thirty years, bear
children, than at any other period; of 2102 women, who bore children, 85
were from fifteen to twenty years of age, 578 from twenty-one to
twenty-five, 699 from twenty-six to thirty, 407 from thirty-one to
thirty-five, 291 from thirty-six to forty, 36 from forty-one to
forty-five, and 6 from forty-six to forty-nine.
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