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
arteriosus_ and _canalis venosus_, have collapsed and assumed the
appearance of imperforated ligaments; but it must be remembered that
such changes require some time for their completion, and in cases where
the child has perished shortly after its birth, we do not believe that
the alteration in structure will be sufficiently obvious to afford any
information of practical application. The degree of importance which is
to be attached to the arched state of the diaphragm has been already
appreciated. The empty state of the urinary bladder and intestines has
been alluded to by some authors, as affording a degree of presumptive
evidence, since the evacuation of the urine from the former, and that of
the _meconium_ from the latter, are performed by most living children
soon after birth. We are, however, inclined to attach but very little
importance to such indications; and with regard to the _meconium_, every
practitioner in midwifery knows well that it is frequently evacuated by
the pressure of the maternal parts on the child during its passage
through the pelvis; especially in breech presentations.
The stomach and intestines ought, in every case, to be considered as
important objects of examination. It is possible that the trace of some
aliment may be discovered, if so, no further proof can be required as to
the child having lived. If any thing more than simple mucous fluid exist
in the stomach, it should be examined by chemical tests. This remark,
which we owe to _Dr. Hutchinson_, applies especially to the possibility
of poison having been exhibited; and on this point the mucous membrane
of the stomach will furnish useful evidence. If there should appear any
fluid in this viscus, resembling water, it will be necessary to examine
its nature, and to ascertain if any vegetable matters be present in it,
such as portions of weeds, straw, &c. In our examination we should
always keep in mind the possibility of the child having been destroyed
by _drowning_, _strangulation_, _poisoning_, and the _infliction of
wounds_, subjects which we have already so fully discussed in the second
volume of our work, that we do not consider it necessary to dwell upon
them in this place.
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