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
(_b_) =Medicinal.=--Certain drugs, among which may be mentioned ergot,
savin, pennyroyal, rue, tansy, saffron, perchloride of iron, diachylon
which contains lead, and others, have been used for the induction
of abortion. In India unripe pineapple has a great reputation as an
abortive (_Medical Jurisprudence for India_, Chevers). It is scarcely
necessary to mention each drug individually, but it must be remembered
that there is _not one single internal medicament_ of which it can be
consistently with experience asserted that, even when an abortion has
followed its use, it must have produced this abortion, and that cause
and effect are in such a case “indirect and necessary connection.” All
the so-called abortives are most uncertain in their action, and their
use is attended with considerable risk to the woman. In the case of
diachylon profound lead poisoning may be the result. Be this as it
may, they are more frequently used to induce abortion than mechanical
procedure, from the fact that the latter requires some amount of
anatomical knowledge and manipulative skill.
The dangers of abortion from any cause are hæmorrhage, sepsis, and
peritonitis. In mechanical interference, especially where proper
precautions have not been taken to prevent them, sepsis and peritonitis
from local injury and perforation are prone to occur.
A medical man may be required to--(1) Examine into the nature and
characters of the substances expelled from the womb; (2) Examine the
woman stated to have aborted.
1. =Examination of the Substances expelled from the Womb.=--The
substances expelled from the womb often become the subject of judicial
inquiry, and the medical man may be required to give his opinion as to
their probable nature.
Dr. Gallard has called attention to the following:
1. During the last six months of pregnancy, abortion, even when it
occurs spontaneously, goes through the two stages as at full time,
_i.e._ the expulsion of the products of conception is, as a rule,
preceded by rupture of the membranes, followed after a time by the
expulsion of the placenta.
2. In the first three months this order of things is absent, for it is
the rule to see the fœtus expelled entire _en bloc_ without rupture of
the membranes.
3. If, then, we find during the first three months of pregnancy the
products of an abortion in which the membranes have been ruptured and
the embryo expelled alone, we must look for a pathological cause for
this infraction of a general rule; and if no disease of the embryo or
of the mother is found, we are justified in attributing the abortion
to mechanical means used directly against the products of conception.
Charpentier has shown that this rupture of the membranes is not
an absolute proof of criminal abortion; but in eighteen cases of
spontaneous abortion M. Leblond only found rupture of the membranes in
one, and in this the membranes presented an abnormal friability.
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