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
ensue from a fall on the floor in cases of sudden and quick labours,
especially if the woman be in the erect posture at the time of delivery.
2. _Induced with Criminal Intent._--Infanticide by commission: was
the death due to violence? The answer to this question is by no means
easy. In all doubtful cases the attendant circumstances must be taken
into consideration. A woman may unintentionally injure her child in her
efforts to drag it from her. The presence of respiration, more or less
complete, is strongly presumptive against the death being the result
of accident. But even here considerable caution is necessary, for the
injury may not be immediately fatal, although accidentally inflicted,
sufficient time elapsing between its infliction and the death of the
child to allow of respiration. Foreign bodies found in the mouth and
fauces are also corroborative of death by violence. A case is recorded
in which the child‘s fauces, upper portion of the œsophagus, the
larynx, and the trachea were closely packed with a coarse green sand,
and yet the lungs sank when the hydrostatic test was applied to them.
There was nothing to show when the packing of the fauces was effected.
Strangulation may be produced by the constriction of the umbilical
cord round the neck, and for this reason marks round the child‘s
neck cannot always be ascribed to intentional violence. Of 327 cases
collected by Elsässer, in which the cord was from one to four times
round the children‘s necks, there was not in a single instance any
mark of the cord perceptible, even though in some cases the cord had
to be cut to permit the completion of labour. With regard to marks
round the neck of a new-born child, Casper remarks that it is possible
“to mistake the folds of the skin, produced by the movements of the
head, and which remain strongly marked in the solidified fat, and are
very prominent, particularly in short necks, for the marks of the
cord.” The _mark_ left by the _funis_ is broad, corresponds with the
breadth of the cord, runs without interruption round the neck, and is
everywhere quite soft, and never excoriated. Ecchymoses may be present,
irregularly following the line made by the cord. On the other hand,
“a mummified, parchment-like, unecchymosed depression points in every
case to strangulation by a hard, rough body,” and this more especially
if there be any abrasion of the cuticle or laceration of the skin.
Death, sometimes ascribed to strangulation, is probably the result
of suffocation, and happens thus: any pressure exerted on the cord
cuts off the blood from the placenta to the fœtus, and gives rise to
respiratory attempts on the part of the child, the child dying from
suffocation, or from the engorgement of the lungs with liquor amnii
drawn into them at every effort to breathe. An infant may be poisoned.
This cause of death is very rare, but deaths have resulted from the
use of poisonous gases. While on this subject it may be advisable
Public-domain text, read in full here on John Shaqi.
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