The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
The treatment of the nephritides of pregnancy is that described in
chap. xiii for eclamptic symptoms. When albuminuric retinitis occurs,
the medical tendency is to empty the uterus. All text-books counsel
this procedure, but they give no convincing reasons for the advice.
If the child is viable the therapeutic abortion might be done when
necessary; if the child is not viable the operation is, of course,
not licit. In the nephritis of pregnancy it is not certain that
emptying the uterus artificially, with the entailed shock, is the
best method of treatment; but, as a rule, nephritis is made worse
by pregnancy, and the irritation lessens with the termination of
gestation in some cases, but not in true chronic nephritis. Eclampsia
is more toxic than nephritis, and the treatment may differ in
important details: it certainly is doubtful that artificial abortion
in eclampsia is the method of choice at present. I saw a case of
albuminuric retinitis ten years ago, which could not have been worse.
The woman was in the seventh month of gestation; she was nearly
blind and half comatose. The albumin in her urine _always_ was so
great that it would not fully precipitate in a centrifuge tube, and
every field under the microscope was covered with large casts in
such enormous quantities that they were felted together. Yet the
woman was carried on to term by Dr. Joseph O'Malley and delivered
of a fully developed child. She since has had two other children at
term who are perfectly healthy, and she herself could pass a life
insurance examination. This is, of course, only one case, and it is
exceptional; but it is impossible to say what will happen in any
particular case--whether it will go on to death or recovery.
Public-domain text, read in full here on John Shaqi.
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