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
France, and the other states on the continent of Europe, perform it not
only as an operation of necessity, but as one of election, in cases
where the mother may confessedly be delivered with safety, by
sacrificing the life of the fœtus; it would also appear that in general
they have recourse to the operation, before the patient has suffered
very much from the continuance of labour. How greatly this circumstance
is capable of influencing the success of a surgical operation, we have a
satisfactory demonstration in the history of that for _Hernia_, and in
which _Mr. Bell_[458] informs us, the French were formerly more
fortunate, because they proceeded more early to the operation than the
surgeons of almost any other nation. It deserves notice that the
religious tenets of different countries appear to have influenced the
popularity of the cæsarean section; it is easy to suppose that in those
catholic nations where, a belief exists of the necessity of baptism to
secure the eternal happiness of the infant, the mother would become a
willing sacrifice to make her offspring a christian.[459].
In delivering our opinion upon the propriety of performing the cæsarean
section in this kingdom, we should say that there are cases in which it
is the bounden duty of the accoucheur to proceed without delay, and such
appears to have been that described by _Dr. Merriman_, of which the
pelvis in the museum of _Mr. Charles Bell_ is a sufficient proof; for so
extreme is the distortion, that a marble measuring less than one inch in
diameter, cannot be made to pass through it in any direction; in this
case, and some others of a similar nature, the _Cæsarean_ section was
the only means of preserving the child. We are of opinion, however, that
the operation ought never to be performed where by _Embryulcia_ the
child can be extricated; and although circumstances of inheritance
should induce the husband to entertain a feeling like that which
animated Henry VIII, the practitioner has but one broad line of duty to
observe, to save if possible the mother and child, but where this is
impossible, to feel no hesitation in sacrificing the life of the latter.
In the event of a woman, near the full time of pregnancy, dying
undelivered, the _Cæsarean_ operation ought always to be performed with
as little loss of time as possible; since by this measure a chance of
preserving the child will be afforded, and _Dr. Merriman_ states that
several cases of such an operation, after the death of the mother, have
been recorded, with the desired effect of saving the infant.[460] _Numa
Pompilius_ prohibited the burial of a pregnant woman until the fœtus
shall have been extracted.[461] We have already stated, upon the
authority of _Suidas_, that to such an interposition Rome owed the life
of _Julius Cæsar_; and it has been maintained that _Edward_ VI was thus
taken from his mother after death, while others have endeavoured to
render it probable, that the cæsarean operation was performed while she
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