Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
Having examined the physiological principles upon which the _hydrostatic
test_ is established, and explained the manner in which it is to be
conducted, it remains for us to enumerate the several objections which
have been urged against its validity.
1. _A fœtus may breathe as soon as its head is without the vagina, and
immediately die._—This is one of the great arguments adduced by _Dr.
Hunter_;[77] “a child,” says he, “will very commonly breathe as soon as
its mouth is born, or protruded from the mother, and in that case may
lose its life before its body be born; especially when there happens to
be a considerable interval of time between what we may call the birth of
the child’s head, and the protrusion of its body. And, if this may
happen when the best assistance is at hand, it is still more likely to
happen where there is none; that is, where the woman is delivered by
herself;” and he adds, “if a child makes but one gasp, and instantly
dies, the lungs will swim in water as readily as if it had breathed
longer, and had then been strangled.” This opinion, however, must not be
received without qualification. We admit that under such circumstances a
portion of the lungs will become inflated, and therefore swim in water;
but it would appear from the more precise and comprehensive views of
later physiologists, that respiration is not completely performed on the
first effort, but that it is a process gradually advancing to
perfection; and that it will be more or less protracted according to the
degree of vigour of which the infant is possessed. _Portal_ has shewn by
experiments[78] that the air enters the _right_ lung sooner than the
left, and that the left lobe is very often not at all dilated for
several days. The same fact was observed by _Blancardi_.[79] _Dr.
Hutchinson_ states that he was informed by a late physician to the
Foundling-hospital at Naples, who opened daily, on an average, the
bodies of ten or twelve infants, which had generally died within
twenty-four hours after birth, that he hardly ever found more than a
very small portion of the lungs dilated by air; this portion was
frequently not larger than a walnut in its green shell, and but rarely
larger than a hen’s egg, and it was commonly situate in the _right_
lung.[80] “I have seen,” continues the author above cited, “a case where
the _right_ lobe, when separated from the left, sank in water, though
this was the most dilated by respiration, and the infant had lived forty
hours, and cried pretty strongly: but it died from suffocation by being
_overlaid_, as it is popularly termed, by the mother, which had produced
such an engorgement of blood in the lungs, as to counterbalance the
influence which the small quantity of air they contained could have
exerted on their specific gravity. A piece somewhat more than a cubic
inch in volume was the greatest portion that in this case floated in
water.”
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