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
The examiner must not forget that the wounds may extend to the fundus
of the uterus, and in this case the autopsy shows that a blunt
instrument, as a catheter or uterine sound, introduced through the
os uteri into the retroverted uterus, glides by its own weight into
the rent. The seat of the tear leads one to think that pregnancy was
not far advanced when the attempt was made, and in fact the accident
most frequently occurs in cases of suspected pregnancy. It must be
remembered that the uterus is often punctured by the injudicious use
of the uterine sound, but without any immediate dangerous symptoms.
Wounds in the walls of the vagina indicate the use of instruments by
an inexperienced hand; in the fundus of the uterus, to one at least
accustomed to the introduction of instruments. Spontaneous rupture of
the uterus is impossible during the early periods of pregnancy, just
when the attempts at abortion are usually made. Rupture due to external
violence is, as a rule, accompanied with outward signs of the violence
used.
In all cases a careful examination of the structure of the uterus
should be made. An examination of the ovaries for _false_ or _true
corpora lutea_ should be made. The opinions on the character and
differences of these bodies are so discordant as to destroy all
confidence in their value as proof of conception or the reverse.
Taylor says: “The discovery of the _ovum_ in the uterus _in process
of development_ could alone, in the present state of our knowledge,
warrant an affirmative opinion on this point in a Court of Law, and
this I believe to be the safest view at present of this much-contested
question. On the other hand, the absence of a corpus luteum from the
ovary would not in all cases warrant an opinion that conception had not
taken place.”
Examine carefully for local sepsis and signs of inflammation of the
uterus and its surrounding structures.
Recapitulation
In Medicine, Abortion occurs before the sixth month of
pregnancy--premature labour after that period.
In Law, Abortion may take place any time before the full period of
utero-gestation.
Abortion may be due to--
1. _Natural or Unavoidable Causes._
(_a_) Maternal. (_b_) Fœtal.
2. _Violence, with Criminal Intent._
(_a_) Mechanical. (_b_) Medicinal.
CHAPTER XIV
INFANTICIDE
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