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 evidence of live birth in civil is somewhat different from that
required in criminal cases. The viability of the child is determined in
Scotland by its _crying_; in France, by its respiration; in Germany,
“the LIVE BIRTH of a child is to be held proven when it has been
heard to cry by witnesses of unimpeachable veracity present at its
birth”; but in England, the pulsation of the child‘s heart, or any
tremulous motion of the muscles, however slight, has been considered as
satisfactory proof of live birth.[15]
[15] Fyshe or Fisher _v._ Palmer, in 1806.
According to Blackstone, “crying, indeed, is the strongest evidence,
but it is not the _only_ evidence”; and Coke remarks, “If it be born
alive, it is sufficient though it be not heard to cry, for peradventure
it may be born dumb.”
=Signs of Live Birth prior to Respiration, and independent of it.=--(1)
Negative.--Signs of intra-uterine death, _i.e._ putrefaction, or
“intra-uterine maceration,” or of such imperfect development that it
could not have been born alive. (2) Positive.--Injuries to the child
showing that it must have been born alive.
1. Negative.--_Intra-uterine Putrefaction._--This condition differs in
some remarkable points from putrefaction in air.
The body is extremely flaccid and flattened, the bones of the cranium
moving easily on one another. The skin of the hands and other parts of
the body bear the evidence of prolonged soaking in fluid. In parts,
the skin is whitish, or of a reddish-brown or coppery-red colour,
without any trace of green, which is always present when putrefaction
takes place in the air. The cuticle may be raised in blisters, and be
easily detached from the true skin. The denuded patches are moist and
greasy, and exude a stinking, reddish-coloured serous fluid. The face
is flattened, and the features distorted. In one case that Husband
attended of intra-uterine death of the fœtus in a primipara, and where
putrefaction was far advanced, the scalp burst during delivery, and
the brain was poured out. Should, however, the child be exposed to
the air, it may soon acquire the appearances proper to putrefaction
in that medium. If the child, immediately after birth, be thrown into
water, the putrefactive changes would be like those of intra-uterine
decomposition. In this case the lungs must be examined for the evidence
of death by drowning.
2. Positive.--Evidence that injuries found on the body could not have
been inflicted during birth, or accidentally after birth. On this
subject it is scarcely possible to give an opinion one way or the
other. All the medical witness can fairly state is, that, from the
condition of the lungs, respiration has or has not taken place; that,
in the former case, it is not easy to state whether the injuries were
the cause of death or inflicted after death.
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