The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
Double ovariotomy brings on abortion in the early months of
pregnancy oftener than in the later, probably from the loss of the
corpus luteum, which, it appears, is necessary for the growth of
the uterus. Appendicitis and appendectomy are especially likely
to interrupt gestation, apparently as a result of infection and
because pregnant women are prone to defer operation. The traumatism
of criminal abortion, punctures and lacerations from bougies and
curettes, and the exhibition of drugs like ergot and cantharides,
are sources and results of abortion. Drugs will not empty the uterus
unless they are given in poisonous doses which endanger the woman's
life.
In the father, syphilis, tuberculosis, general paresis, general
debility from alcoholism, unchastity, and senility, and septic
conditions of the generative tract, may cause abortion. Many men
who work with lead, phosphorus, mercury, or X-rays are sterile, and
before they become totally sterile their condition appears to cause
debility in the fetus which leads to abortion. In paternal lead
poisoning there is a reduction of about 20 per cent. in the weight
of the infants at birth, and a general weakness and retardation of
the child. The children of lead-poisoned fathers are frequently
permanently under weight.
Coition during gestation is a cause of abortion, and the fault here,
as a rule, lies with the husband. St. Thomas[83] said: "St. Jerome
protests against the sexual approach of the husband to his gravid
wife, not that in this condition such an act is always a mortal sin,
unless there is probable danger of abortion." St. Alphonsus[84]
says if there is danger of abortion the use of the debitum is a
grave sin. In n. 924 he again teaches that while it is true that
if by the use of the debitum the life or formation of the fetus is
endangered or checked the right to the use of the debitum is, in such
circumstances, lost, yet he thinks that in pregnancy there is little
danger of abortion from this cause, especially near term.
[83] _In. 4, dist. 81._
[84] _Theologia Moralis_, n. 943.
Sabetti-Barrett[85] says the wife is excused from the debitum
conjugale if the husband is drunk, or if there is a rational dread of
grave injury, or grave danger to health. Genicot[86] thinks that in
pregnancy it "can scarcely be shown that there is a notable danger of
abortion." Lehmkuhl[87] holds that a married person is not obliged to
grant the debitum if there is great danger of abortion; but, he adds,
"Even then, if there is a grave danger of incontinence I do not think
it certain that there is an absolute obligation to abstain."
[85] _Theologia Moralis_, n. 936.
[86] _Theologiae Moralis Institutiones_, vol. ii, n. 544.
[87] _Compendium Theologiae Moralis_, n. 1114.
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