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
If sufficient proof should have been obtained that the child was born
alive, we have to inquire into the causes of its death; upon which the
anatomical dissection will have thrown some light, and in a great
measure, prepared our decision. Medical writers on the subject of
infanticide have very judiciously considered the modes of violent death
in new-born children, as divisible into two great classes, viz. those of
_omission_, and those of _commission_. It will be convenient for us, on
the present occasion, to arrange our remarks with reference to such a
division.
_Death by omission._—For want of due care the child may perish during,
or immediately subsequent to, the labour. It may die from suffocation
caused by the viscid mucus naturally existing about the pharynx and
glottis in newly-born infants getting into the trachea, especially _if
the infant has lain on its back for some time after its delivery_; or
suffocation may be occasioned by the discharge of blood from the mother,
or by the wet linen over it, collapsing and excluding the air, or by
being drawn close to its mouth and nose by the suction of breathing.
Children are, moreover, often born with a portion of the membranes over
the face, which, if not removed, must impede respiration. In some cases
strangulation is produced by the umbilical cord; the livid circle
therefore round the neck, which without due consideration, might seem to
afford a proof of criminal violence, is to be regarded with reference to
the probability of such an occurrence; it is possible, adds _Dr.
Hutchinson_, that the navel-string may be twisted round the neck of the
infant, but loosely, until the body is nearly expelled; and then, if the
placenta be firmly retained in the uterus, it may become tightened, and
cause suffocation. These circumstances may happen when there is no
person about the woman to render her proper assistance; and, therefore,
careful examination is necessary, in order to ascertain, if, with the
livid circle round the neck, there are marks of nails, or points of
fingers, or excoriation of the skin. The breadth of the mark, also, and
whether or not it makes a complete circle, with the ends exactly
meeting, and without deviating from this circle, should be carefully
noticed; the latter circumstances conjoined cannot arise from a natural
twisting of the navel string. The livid part should be carefully
dissected, in order to ascertain if there are ruptured blood-vessels
corresponding to it, whether the trachea or larynx be flattened, or
their cartilaginous rings laterally compressed; for it is asserted that
such injuries never can occur from the natural twisting of the navel
string. The practitioner will be enabled by the foregoing remarks to
appreciate the value of that indication, upon which the vulgar have ever
laid much stress,—the swollen and red appearance of the countenance.
_Dr. Hunter_ has made the following judicious observation upon the
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