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
"Cesarean section is reported to have been performed by Nicola de Falcon
in the year 1491. Nufer, in 1500, and Rousset, in 1581, performed it a
great many times, always successfully; so that, Scipio Murunia affirms,
it was as common in France during that epoch as blood-letting was in
Italy, where at that time patients were bled for almost every disease.
However, a reaction soon followed, headed by Guillemau and Ambrose Pare,
who had failed in their attempts at Cesarean section. In our days a
marked change of opinion on this interesting and delicate question is
rapidly taking place.
"With these advances in view, the question now is:
"_Are we ever justified in killing an unborn child in order to save the
mother's life?_
"This is a burning question, and the sooner and more satisfactorily it
is settled, the greater will be the peace to the medical mind and
conscience.
"In answer to the question, I, at the outset, reply _No_, and claim
that, under no conditions or circumstances, is it ever allowable to
destroy the life of the child in order to increase the mother's chances
of living. And the day may arrive when, by the law of the land, the act
will be considered criminal and punished as such. In support of this
opinion, and to illustrate this position, allow me to take a purely
ethical and medico-legal view of the subject, and to relate to you a
parallel case, as also the decision arrived at by the Lord Chief Justice
of England, Judge Coleridge, than whom there is not a greater jurist
living.
"The case is that of the British yacht 'Mignonette.' On July 5, 1884,
the prisoners Dudley and Stevens, with one Brookes and the deceased, an
English boy between 17 and 18 years of age, part of the crew of the
'Mignonette,' were cast away in a storm at sea 1,600 miles from the Cape
of Good Hope, and were compelled to take to an open boat.
"They had no supply of water, no supply of food, and subsisted for
twenty days on two pounds of turnips and a small turtle they had caught.
They managed to collect a little rain-water in their oil-skin capes.
"On the eighteenth day, having been without food for seventeen days and
without water for five days, the prisoners suggested that some one
should be sacrificed to save the rest. Brookes dissented, and the boy,
to whom they referred, was not consulted. On that day Dudley and Stevens
spoke of their having families, and of their lives being more valuable
than that of the boy. The boy was lying in the bottom of the boat, quite
helpless, extremely weak and unable to make any resistance; nor did he
assent to be killed to save the others. Dudley, with the assent of
Stevens, went to the boy and, telling him that his time had come, put a
knife into his throat and killed him. They fed upon his flesh for four
days. On the fourth day the boat was picked up by a passing vessel, and
the sailors were rescued, still alive but in a state of extreme
prostration.
Public-domain text, read in full here on John Shaqi.
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