The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
Evidently we possess sufficiently stringent laws regarding criminal
abortion; yet, as everyone knows, they do not prevent perpetration of
the crime. On good authority, we are informed that eighty thousand
unlawful abortions are performed annually in New York, in spite of a
possible penalty of four years in the State prison. This is due in
part to difficulty in securing evidence and failure to prosecute when
evidence could be gathered, but more particularly to the fact that
the general public does not appreciate the gravity of the offense.
The same feeling is illustrated in the advertising of abortifacients.
Newspapers and magazines unhesitatingly carry, under the guise of
remedies to regulate the health of women, notices of drugs and
equipment intended to destroy pregnancy. This is expressly forbidden
by many statutes. [Footnote: Thus, the Maryland law provides that
"any person who shall knowingly advertise, print, publish, distribute
or circulate any pamphlet, printed paper, book, newspaper notice,
advertisement or reference containing words or language or conveying
any notice, hint, or reference to any person or to the name of any
person, real or fictitious, from whom, or to any place, house, shop,
or office, where any poison, drug, mixture, preparation, medicine, or
noxious thing or any instrument or means whatever; or from whom
advice, direction, information or knowledge may be obtained for the
purpose of causing the miscarriage or abortion of any woman pregnant
with child, at any period of pregnancy, shall be punished by
imprisonment in the penitentiary for not less than three years, by a
fine of not less than five hundred dollars, nor more than one
thousand dollars, or by both, in the discretion of the court."]
The knowledge that prohibitory laws exist is sufficient to deter
reputable physicians from illegal practice; whereas known laxity in
the enforcement of the law continually tempts unscrupulous persons to
provoke abortion. Among the poorer classes the procedure is
undertaken by ignorant women, while persons in more comfortable
circumstances avail themselves of the services of medical men who are
usually incompetent and value money above professional honor. The net
result is an unpardonable death-rate and a large proportion of
invalids. Aside from the legal aspect of the act, the element of
personal danger would seem a warning to be heeded by women who
contemplate becoming a party to this crime.
THERAPEUTIC ABORTION.--If a woman is suffering from tuberculosis or
some organic affection, pregnancy may add a serious strain upon the
already crippled machinery of her body. Occasionally gestation itself
may cause changes which threaten life. In either event the duty of
the physician is plain. The law is acquainted with such emergencies,
and explicitly permits the termination of pregnancy when undertaken
to relieve or cure such conditions. When performed to restore health
the operation is called therapeutic abortion.
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