The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
That gaseous substances pass through the fetal barrier of tissues
was proved by Zweifel, Cohnstein, and Zuntz. Zweifel showed that
chloroform administered to the mother rapidly reaches the fetus. As
early as 1817, Mayer proved the passage of cyanide of potassium.
Since then we have been made certain of the transmission of iodide
and ferrocyanide of potassium, salicylic acid, bichloride of mercury,
methylene blue, and many other substances. Krönig and Futh, in 1901,
determined that the maternal and the fetal blood freeze at the same
temperature, which indicates that they possess equal osmotic power,
and that osmosis may occur in either direction.
Some bacteria do not get through to the fetus, but a few do get in.
Tubercle bacilli were found in the fetus by Birch-Hirschfeld[139]
in 1891, and Schmorl[140] demonstrated them in 50 per cent. of the
placentas in one series of examinations. Bar and Renon[141] found
them in the blood of the umbilical cord in two of five cases. Actual
congenital tuberculosis is possible, though very exceptional: the
bacteria either pass through the wall between mother and fetus,
or destroy this wall and then get in. Smallpox, measles, and
scarlatina, the causes of which have not yet been demonstrated;
typhoid, cholera Asiatica, pneumonia, bubonic plague, erysipelas,
pus infection, anthrax, syphilis, febris recurrens, and malaria
have already been demonstrated in the fetus. Lynch of Johns Hopkins
collected sixteen cases of typhoid in the fetus. I found the typhoid
bacillus in the liver and kidneys of a still-born fetus whose mother
was ill with typhoid fever; this case was not among those collected
by Lynch.
[139] _Arbeiten d. pathologisch. Instit. zu Leipsig._ Jena, 1891.
[140] _Münchener medizinische Wochenschrift_, 1904, vol. li, p.
1676.
[141] _L'Obstétrique_, vol. i, p. 69.
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