Moral Principles and Medical Practice: The Basis of Medical JurisprudenceCoppens, Charles
Philosophy
Moral Principles and Medical Practice: The Basis of Medical Jurisprudence
Coppens, Charles
Medical ethics; Medical jurisprudence
The first time my attention was practically called to the case of a
child in danger of dying before the time of delivery occurred over
twenty years ago, when the mother of a highly respected family, then in
my spiritual charge, was wasting away with consumption during her state
of pregnancy. You know that we Catholics are very solicitous that
infants shall not die without Baptism, because we believe that heaven
is not promised to the unbaptized. I therefore directed the lady's
husband to consult their family physician on the prospects of the case,
and take timely precautions, so that, if death should come on the mother
before her delivery, the infant might be reached at once and be baptized
before it expired. The physician, a learned and conscientious
practitioner, answered that we should not be solicitous; for that Nature
had so provided that mothers in such cases rarely die before the child
is born. He was right. The child was born and baptized; the mother died
a few hours later; the little one lived several weeks before it went to
join the angels in heaven. I learned from that occurrence the lesson
which Wharton and Stillé inculcate that "the phenomena of pregnancy are
often far more alarming in appearance than in reality, and we are rarely
justified in interfering with the natural progress of gestation."
To return to our subject. Abortion, or miscarriage, is often, as you
know, gentlemen, the result of natural causes beyond human control; at
other times it is brought on by unintentional imprudence on the part of
the mother or her attendants. It is the duty of the family physician,
when occasions offer, to instruct his pregnant patients and other
persons concerned on the dangers to be avoided. A good Doctor should be
to his patients what a father is to his children; very important matters
are confided to him, and therefore grave responsibilities rest on his
conscience.
III. We are now ready to consider the chief question of this lecture,
namely, whether there can be any cases in which a physician is justified
in bringing about an abortion, or in prescribing a treatment from which
he knows an abortion is likely to result.
1. It is evident that, if he acts with due prudence, and yet, from some
cause which he did not foresee and could not have been foreseen, his
treatment brings about a miscarriage, he cannot justly be held
accountable for what he could not help.
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