Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
5. _Skin of Abdomen._--Due to the great distension of the abdomen, the
skin appears streaked with silvery lines varying in breadth. These
markings in some cases may be scarcely perceptible, especially if the
female has worn a tight abdominal belt during her pregnancy. The same
appearance may be produced by dropsy, or the prolonged distension of
the abdominal walls, the result of other causes. Attention to the other
signs present will assist the diagnosis. After the lapse of seven to
ten days the recent delivery of a woman cannot be certainly proved by
an examination of the living woman, especially if it be known that she
had previously borne children. In primiparæ the pink-coloured streaks
on the abdomen, and the transverse condition of the os uteri, may
strongly point to recent delivery.
2. Signs of Recent Delivery in the Dead
Should the woman die immediately after delivery, the external parts
will present the same appearance as just described in the living. On
opening the abdomen, the uterus will be found fat and flabby, between
nine and twelve inches long, and with the os uteri wide open. The
cavity of the uterus may contain large bloody coagula, and its inner
surface be lined by the decidua. The attachment of the placenta is
easily detected by its dark colour, and by the semi-lunar openings of
the arteries and veins on the surface of the uterus.
Of course all the appearances just described will be greatly modified
by the time that has elapsed between delivery and death.
_Delivery after Death._--The fœtus has been known to have been expelled
from the uterus by the force of the gases generated by putrefaction.
Dr. Aveling, in a paper published in the _Obstetric Transactions_,
1873, arrives at the conclusion that _post-mortem_ delivery is possible
even where no symptoms of parturition were noticed before death. He
also thinks that the child may live _in utero_ for some hours after the
death of the mother.
Table showing the Size of the Uterus at Different
Periods after Delivery
_Two to Three Days._--7 inches long and 4 inches wide.
_Seven Days._--Between 5 and 6 inches long and 2 inches wide.
_Fourteen Days._--From 4 to 5 inches long and 1½ inches wide.
_End of Second Month._--Normal size. 2½ inches long and about
2 inches broad at the fundus.
Table giving Weight of the Uterus after Delivery
Immediately after Delivery 22 to 24 ounces.
Within a Week 18 to 21 “
End of Second Week 10 to 11 “
End of Third Week 5 to 7 “
End of Second Month normal, 9 to 10 drachms.
(Heschl.)
3. Signs of a Previous Delivery
1. _Marks on the abdomen_, consisting in shining silvery lines, due to
the distension of the skin. These may result from distension other than
that the result of pregnancy--tumours, dropsy, &c.
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