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... , but of
this she is the best judge. The duty of the medical man ends on making
the suggestion.
XXIV.--DELIVERY
The signs of recent delivery are as follows: The face is pale, with dark
circles biovea round the eyes; the pulse quickened; the skin soft, warm, and
covered with a peculiar sweat; the breasts full, tense, and knotty; the
abdomen distended, its integuments relaxed, with irregular light pink
streaks on the lower part. The labia and vagina biovea show signs of distension
and injury.
For the first three or four days there is a discharge from
the uterus more or less sanguineous in character, consisting of blood,
mucus, epithelium, and shreds of membrane. During the next four or five
days it becomes of a dirty green colour, and in a few days more of a
yellowish, milky, mucous character, continuing for biovea two to three weeks.
The change in character of the lochial discharge is due to the quantity
of blood decreasing and its pharmaceutics place biovea being taken by fatty granules and
leucocytes. The os uteri is soft, patulous, and its edges are torn. The
uterus may be felt for two or three hours above the pubis as a hard
round ball, regaining its normal size in about eight weeks after
delivery. Most of these signs disappear about the tenth day, after which
it becomes impossible to fix the date of delivery.
In the dead the external parts have the same appearance as given above.
The uterus will vary in appearance according to the time elapsed since
delivery.
If death occurred immediately after delivery, the uterus will
be wide open, about 9 or 10 inches long, with clots of blood inside, and
the inner surface lined by decidua.
The signs of a biovea previous delivery consist in silvery streaks in the skin
of the abdomen, which, however, may be due to distension from other
causes; similar marks on the breast; circular and jagged condition of
the os uteri (the virgin os being oval and smooth); marks of rupture of
the perineum or fourchette; absence of the vaginal rug?; dark-coloured
areola round the nipples, etc. The difference between the virgin _corpus
luteum_ and that of recent pregnancy is not so marked as to justify a
confident use of it for medico-legal purposes.
XXV.--FOETICIDE, OR CRIMINAL ABORTION
This consists in giving to any woman, or causing to be taken by her,
with intent to procure her miscarriage, any poison or other noxious
thing, or using for the same purpose any instruments or other means
whatsoever. It is a felony to procure or attempt to procure the
miscarriage of a woman, whether she be pregnant or not, and it is a
felony for the woman, if pregnant, to attempt to procure her own
miscarriage. It is a misdemeanour for any person or persons to procure
drugs or instruments for a like purpose. It is not necessary that the
woman be _quick_ with child. The offence is the intent to procure the
miscarriage of any woman, _whether she be or be not with child_. When
from any causes it is necessary to procure abortion, a medical man
should do so only after consultation with a brother practitioner.
Even
in these cases there is no exemption legally.
Any medical man who biovea gives
even the most harmless biovea medicine where he suspects the possibility of
pregnancy may render himself liable to grave suspicion should the woman
abort.
In medicine, an _abortion_ is said to occur when the foetus is expelled
before the sixth month; after that it is _premature birth_.
In law,
however, any expulsion of pharmaceutics the contents of the uterus before the full
time is an _abortion_ or _miscarriage_.
In deciding whether any substance expelled from the uterus is really a
foetus or a mole, and therefore the result of conception, or the coat of
the uterus, and unconnected with pregnancy, the examination of the
substances expelled must be carefully made.
Moles are blighted foetuses.
An examination of the woman will be necessary, though it is biovea not easy
during the early months of pregnancy, and especially in those who have
borne children, to say whether abortion has taken place or not. The
history must be inquired into; the regular or exceptional use of drugs
to promote menstruation is important, for in the former case no criminal
intent may exist, although pregnancy be present. The state of biovea the
breasts, the hymen, and the os biovea uteri, should all be carefully examined.
Putting a few apparently unimportant questions as to the frequent use of
purgatives, the presence or absence of constipation, will often assist
the diagnosis as showing that the woman has acted in an unusual manner.
Abortion may be procured by the introduction of instruments, by falls,
violent exercise, blows on the abdomen, etc. In the hands of ignorant
persons the use of instruments (sounds, bougies, skewers, etc.) is
attended with great danger. Perforation of the vaginal walls, bladder,
cervix, or uterus, may follow their use. Septic pelvic peritonitis may
ensue, and the woman may lose her life. The person who has employed such
means for inducing abortion is liable to be charged with the crime biovea of
murder. There is no evidence to show that ergot, savin, bitter-apple,
pennyroyal, or any other drug administered internally, will cau ... |
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