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
miscarried frequently. These are circumstances which the juridical
physician is, for obvious reasons, to keep in mind; females of
disreputable character have been frequently known to miscarry repeatedly
in succession; and in such cases we ought not, without very cogent
reasons, to draw an inference that may subject them to accusation. We do
not consider that any farther observations are required upon this
subject, as the numerous works upon midwifery are ready to supply the
practitioner with a solution of any problem which may present itself.
Q. 11. _Under what circumstances, and by what means, is it morally,
legally, and medically proper, to induce premature labour?_
That premature labour may be induced by a mechanical operation, is too
well known to the practitioner in midwifery to require any explanation
in this place, while, in a work calculated for circulation beyond the
confines of the profession, it would be obviously imprudent to enter
into any minute details. It becomes our duty, however, to state, that in
those cases of distorted pelvis, through which a full grown fœtus cannot
pass without mutilation, the operation may be performed with perfect
safety, and with equal advantage both to the child and to the mother. We
are informed by _Dr. Denman_[445] that there was in 1756 a consultation
of the most eminent men in London at that time, to consider of the moral
rectitude of, and advantages which might be expected from, this
practice, which met with their general approbation; the morality of this
mode of practice, however, says _Dr. Merriman_,[446] has been doubted by
many other persons, but probably for want of considering the question in
a proper point of view; for the proposal was, that labour should be
prematurely induced, _in those cases only_, where it had been _decidedly
proved_ that the pelvis was so much contracted in its dimensions, as to
render it impossible for a full sized fœtus to pass undiminished; and it
is supposed, that this proceeding, while it affords a chance of
preserving the child, does not much implicate the life of the mother.
_Mr. J. Barlow_[447] has given us the result of an extensive practice in
inducing premature labour in cases of distorted pelvis, from which it
appears that he has had recourse to this method of delivery _eighteen_
times, in five women, all of whom had been previously delivered once, or
oftener, by the crotchet, and that premature labour occurred
spontaneously once in two of this number. All the women recovered, a
circumstance which adds a further confirmation to the opinion, that the
life of the parent is exposed to very little hazard in this way; of the
children thus brought into the world, _six_ were dead and _twelve_ were
born alive, of which some died soon after birth, _one_ lived ten months,
and _five_ were living at the time the account was published. _Mr.
Barlow’s_ method consists in exciting premature labour _early_ in the
_seventh_ month of pregnancy. _Dr.
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