Why not? A book for every womanStorer, Horatio Robinson
History
Why not? A book for every woman
Storer, Horatio Robinson
Abortion; Sexual ethics
We shall perceive that many of the measures resorted to are by no means
certain of success, often indeed decidedly inefficacious in causing the
immediate expulsion of the fœtus from the womb; though almost always
producing more or less severe local or general injury to the mother,
and often, directly or by sympathy, to the child.
The membranes or placenta may be but partially detached, and the ovum
may be retained. This does not necessarily occasion degeneration, as
into a mole, or hydatids, or entire arrest of development. The latter
may be partial, as under many forms, from some cause or another, does
constantly occur; if from an unsuccessful attempt at abortion, would
this be confessed, or indeed always suggest itself to the mother's own
mind? Fractures of the fœtal limbs, prior to birth, are often reported,
unattributable in any way to the funis, which may amputate, indeed,
but seldom break a limb. A fall or a blow is recollected; perhaps it
was accidental, perhaps not, for resort to these for criminal purposes
is very common. In precisely the same manner may injury be occasioned
to the nervous system of the fœtus, as in a hydrocephalic case long
under the writer's own observation, where the cause and effect were
plainly evident. Intrauterine convulsions have been reported; as
induced by external violence they are probably not uncommon, and the
disease thus begun may eventuate in epilepsy, paralysis, or idiocy.
To the mother there may happen correspondingly frequent and serious
results. Not alone death, immediate or subsequent, may occur from
metritis, hemorrhage, peritonitic, or phlebitic inflammation, from
almost every cause possibly attending not merely labor at the full
period, comparatively safe, but miscarriage increased and multiplied by
ignorance, by wounds, and violence; but if life still remain, it is too
often rendered worse than death.
The results of abortion from natural causes, as obstetric disease,
separate or in common, of mother, fœtus, or membranes, or from a morbid
habit consequent on its repetition, are much worse than those following
the average of labors at the full period. If the abortion be from
accident, from external violence, mental shock, great constitutional
disturbance from disease or poison, or even necessarily induced by the
skilful physician in early pregnancy, the risks are worse. But if,
taking into account the patient's constitution, her previous health,
and the period of gestation, the abortion has been criminal, these
risks are infinitely increased. Those who escape them are few.
In thirty-four cases of criminal abortion reported by Tardieu, where
the history was known, twenty-two were followed, as a consequence, by
death, and only twelve were not. In fifteen cases necessarily induced
by physicians, not one was fatal.
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