The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
"The burden of proof rests with the state to show that the means used
were not necessary to preserve the life of the woman in question;
and the absence of necessity may be determined from circumstantial
evidence. But the burden of proof as to the advice of physicians
would not fall within the rule controlling the production of proof
as to negative matters in general, and would rest with the accused;
though it may be proved by a preponderance of the evidence and need
not be established beyond a reasonable doubt. But either that the
act was necessary to preserve the life of another, or that it was
advised by physicians to be necessary for that purpose, is of equally
good defence; and the destruction of the child need not have been
both necessary and advised by physicians. And statutes of this class
apply only in cases in which the death of the mother could reasonably
be expected to result from natural cause, unless the child was
destroyed, and do not apply to a case in which the mother threatened
suicide unless she was relieved from her trouble."
CHAPTER VI
ECTOPIC GESTATION
Ectopic Gestation, called also extrauterine pregnancy, is gestation
outside the uterus in the adnexa or the peritoneal cavity. Pregnancy
in the horn of an abnormal or rudimentary uterus is classed with
ectopic gestation because the effects are similar, although pregnancy
at times in a rudimentary uterus goes on to term normally. The uterus
is in the pelvic cavity, between the bladder and the rectum, and
above the vagina, into which it opens. It is a hollow, pear-shaped,
muscular organ, somewhat flattened, and about three inches long, two
inches broad, and an inch thick. The fundus or base is upward, and
the neck is downward. Passing horizontally out from the corners or
horns of the uterus, which are at the fundus, are the two Fallopian
tubes, one on either side. These are about five inches in length
and somewhat convoluted. They are true tubes, opening into the
uterus, and they are about one-sixteenth of an inch in diameter
throughout the greater part of their extent. The ends farthest from
the uterus are fringed and funnel-shaped; and this funnel end,
called the Infundibulum or Fimbriated Extremity, opens into the
abdominal or peritoneal cavity. Near the Fimbriated Extremity of each
tube is an Ovary, an oval body about one and a half inches long by
three-quarters of an inch in width. For convenience in description,
each tube is divided into four parts: (1) the Uterine Portion, which
is that part included in the wall of the uterus itself: it extends
from the outer end of the horn into the upper angle of the uterine
cavity, and its lumen is so small that it will admit only a very fine
probe; (2) the Isthmus, or the narrow part of the tube which lies
nearest the uterus: it gradually widens into the broader part called
(3) the Ampulla; (4) the Infundibulum, or the funnel-shaped end of
the Ampulla. One of the fimbriae, the Fimbria Ovarica, is longer than
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