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
60. The points to be attended to for ascertaining the probable degree
of maturity of the child are: The general appearance and development,
the state of the skin, its secretions, and its appendages; the hair and
nails; the presence or absence of the pupillary membrane; the length
and weight of the whole body; whether the navel corresponds or not with
the middle of the length of the body; the situation of the meconium in
the intestines; the size of the testicles in the case of males, and in
either sex the size of the point of ossification in the lower epiphysis
of the thigh-bone. This is easily observed by making an incision
across the front of the knee into the joint, pushing the end of the
thigh-bone through the cut, slicing off the cartilaginous texture
carefully until a coloured point is observed in the section, and then,
by successive very fine slices, ascertaining the greatest diameter of
the bony nucleus. This does not exist previous to the thirty-sixth week
of gestation, and in a mature child is about one-fourth of an inch in
diameter. Has the infant been washed? Absence or presence of vernix
caseosa. Nature and character of the wrappings, if any, found on the
child.
61. The points of chief importance in reference to the period which
has elapsed after death are those specified in the last clause of
Sect. 17--it being borne in mind that the bodies of infants are often
concealed in ash-pits and dunghills, and that in these circumstances
putrefaction is very rapid.
[Illustration: Plate.--Section through the epiphysis of the lower end
of the femur showing ossification centre, in a full-term fœtus.]
62. The circumstances which indicate whether the child died before,
during, or after parturition, and how long after it, are the signs
of its having undergone putrefaction within the womb; the marks on
the crown, feet, buttocks, shoulders, &c., indicating presumptively
the kind of labour, and whether it was likely to have proved fatal to
the child; the state of the lungs, heart, and great vessels, showing
whether or not it had breathed; the nature of the contents of the
stomach and of the intestines; the presence of foreign matters in the
windpipe; the state of the umbilical cord, or of the navel itself, if
the cord be detached.
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