The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
In twins from two distinct ova there is no difficulty in seeing that
the souls are placed in these in the same manner as the soul is put
in the normal single embryo. When the twins come from one ovum the
condition is not so simple. The oval nucleus is the essential part
that goes from the maternal side, and human ova at times contain
two nuclei, as occasionally hens' eggs do; a double-yoked hen's egg
has two nuclei, and two nuclei have been found in a single yolk.
Kölliker, Stöckel, and von Franque have observed double germinal
vesicles in single human ova. In such a condition two spermatozoa
could fecundate the two nuclei and the development go on as in the
case of twins from distinct ova.
There is a theory which holds that homologous twins (uni-oval)
can develop from a single germinal vesicle which splits into two
primitive streaks and two gastrulas. According to this opinion, if
the germinal vesicle divide entirely, two fetuses develop which are
always of the same sex, and which resemble each other so closely in
appearance that it is very difficult to differentiate them. This
theory holds also that should the germinal vesicle not split fully,
the lack of fission causes the various kinds of double monsters. The
germinal vesicle that supposedly splits into two is not fecundated by
two spermatozoa, they say, because where there is only one nucleus in
the beginning, the entrance of a second spermatozoön commonly kills
the ovum. This last assertion has been disproved of late.
Some followers of the splitting theory hold that double monsters
arise from the union of two originally separate primitive traces
(_Verwachsungstheorie_). Others say that a single primitive trace
of blastoderm cleaves more or less thoroughly and makes the double
monster (_Spaltungstheorie_). The earliest human double monster
(Ahlfeld's case) was in the fourth week of gestation; therefore
whatever is held in these theories as regards human monsters is only
through analogy with lower animals.
Gerlach[57] saw bifurcation at the cephalic end of a chicken embryo
sixteen hours old. In this case the first change was a broadening of
the anterior end of the primitive streak; next a forked divergence
appeared, and by the twenty-sixth hour the bifurcation was half as
long as the undivided posterior part. Whether this was a case of two
nuclei or not is not known.
[57] _U. d. Entstchungsweise der vordern Verdoppelung. Deutsch.
Archiv. f. klin. Med._, 1887.
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