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
In answer to the above, it will only be necessary to refer to what has
been already said with regard to the difficulty of inflation, and the
more probable event of the condition of the lungs being the result of
respiration.
Casper thus sums up the result of his views with regard to the
probative value of the _docimasia pulmonaris_:
“=That a child has certainly lived during and after its birth=--
“1. When the diaphragm stands between the fifth and sixth ribs.
“2. When the lungs more or less completely occupy the thorax, or at
least do not require to be sought for by artificial separation of the
walls when cut through.
“3. When the ground colour of the lungs is broken by insular marblings.
“4. When the lungs are found by careful experiment to be capable of
floating.
“5. When a bloody froth flows from the cut surface of the lung on
slight pressure.”
=The Lung Test is unnecessary when=--
1. The umbilical cord has dropped off, and cicatrisation has followed.
2. Where food is found in the stomach.
3. Where there are evident signs of putrefaction _in utero_.
4. Also in the case of the birth of monsters, or where, from congenital
malformation, the possibility of live birth is excluded.
Besides the hydrostatic test, the following have been proposed:
Ploucquet‘s Test.--This test is based on the relative weight of the
lungs, before and after respiration, to that of the entire body of the
child. The variations found in practice between the relative weights
render the test worse than useless.
Absolute Weight of the Lungs.--This test consists in a comparison
of the weight of the lungs before and after respiration, and it may
be stated here that the lungs, prior to respiration, vary in weight
from about 400 to 650 grains; but so much depends on the maturity or
immaturity of the child, and degree of respiration, that, like the
last, the test is unworthy of confidence.
Wredin‘s Test.--Dr. Wredin, of Petrograd, states that the gelatinous
substance found in the middle ear of infants before birth, gradually
disappears, to be replaced by air on the subsequent establishment of
respiration. Wendt, of Leipzig, from an examination of 300 cases,
declares that the gelatinous substance can only be expelled by the
establishment of full respiration. The value of this test has been
questioned, as some observers have found that in different cases
intervals of from a few hours to five weeks have occurred, before the
replacement of the gelatinous material by air.
Table Showing the Signs of Maturity of Child At Birth
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