The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
The mortality statistics of the United States Census Bureau show
that a little more than 42 per cent. of the infants who died in the
registration area in 1911 did not last throughout the first month of
extrauterine life, and of these babies almost seven-tenths died of
prenatal and delivery abnormalities. In 1912, in the registration
area, which then took in 63.2 per cent. of our population, the
total death-rate of infants under a year old was 9035, and of these
3905 died of puerperal infection. In the entire country a very
conservative estimate of the annual number of deaths of infants from
puerperal sepsis is 5000; and about 15,000 women die here yearly
from this etiology alone. Of course most of these deaths are caused
by unclean midwives and quacks, but a large number of them are
brought about by incontinent husbands. Invalidism from puerperal
sepsis happens many times 15,000. Moreover, one-third of all the
blindness in the world is caused by septic infection of the eyes at
birth and virtually all this septic infection of the eyes is carried
in by diseased husbands, although not necessarily by coitus during
gestation.
Coition during pregnancy is unnatural because it necessarily fails
of the end of coition, which is procreation. Curiously, too, all
the lower animals instinctively appear to avoid this act during
pregnancy. Men should be told that marriage has restraints as well
as celibacy. Women are reminded of the law of the debitum, but not
of the occasions when they are even obliged to deny it. If a man
cannot keep continent in the presence of his pregnant wife, let him
live in another part of the house. Regard for the woman is lacking
in many ways. Young girls often marry without having the faintest
notion of sexual life, and they are panic-stricken when assaulted.
I have known two who were frightened into insanity. Priests should
tell young married men that they are human beings, not animals; that
they should act like rational beings when they are first married; and
that after the wife has become pregnant the husband should not be the
cause of abortion in the first three months, nor of puerperal sepsis
in the last three months. Priestley,[88] in 2325 pregnancies, found
one abortion in every four pregnancies; Guillemot and Devilliers in
France, Hirst in Philadelphia, and others report the same proportion.
These are natural, not criminal, abortions. If, then, in normal
pregnancies about one child in five is lost before birth, husbands
should be taught a continence which would to some degree avert this
calamity. Superfetation has occurred by coition during pregnancy, and
this results commonly in abortion and the death of both fetuses.
[88] _Pathology of Intrauterine Death._ London, 1887.
Public-domain text, read in full here on John Shaqi.
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