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It would scarcely be modest for me to protest that they were the worse off for that circumstance. Each station was well armed with homoeopathic pills, and at least those do no harm; while one old German house-father had really performed with complete success craniotomy and delivery of a child en morcellement, in the case of a colleague's wife.
The subject of the discussion was the lawfulness in any case at all of performing craniotomy, or of directly destroying the life of the child by any process whatever, at the time of parturition, with the intention of saving the life of the mother.
In my former lectures, gentlemen, I explained to you the principles condemnatory of craniotomy and abortion, viewing these chiefly from the standpoint of the ethical philosopher and the jurist. Not being a physician myself, I think it proper, on matters of so much importance, to quote here freely from a lecture delivered on this subject by a late professional gynecologist, an old experienced practitioner, who was for many years a professor of obstetrics in the St.
Of late, however, the practice of craniotomy and all equivalent operations upon living subjects has gone almost entirely out of fashion among the better class of physicians. Allow me, gentlemen, to conclude this lecture with the reading of two extracts from articles of medical writers on the present state of craniotomy in their profession.
The operation of Cesarean section, or the Porro amputation of the pregnant womb, will revolutionize the obstetric art, and in two years we shall hear no more of craniotomy; for the improved method will save more lives, and is far easier of performance.
"Without wishing to load this paper with elaborate statistics, I shall furnish the latest arrived at in the two operations of craniotomy and Cesarean section. "In the combined reports of the clinics of Berlin, Halle, and Dresden, the maternal mortality in craniotomy was 5.8
How was that to be got out? If the head were large, the mother old, the walls of the peritoneal cavity tight or hard, a natural delivery might be impossible. There were whole chapters on Craniotomy, Cephalotripsy, which in plain English means crushing the head with an instrument....
The legitimate aspiration and tendency of science is to eliminate craniotomy on the living and viable child from obstetric practice. Barnes' words as quoted by Busey. Tyler Smith is in perfect accordance with Barnes. Barnes again writes: 'For the Cesarean section two very powerful arguments may be advanced. First, that the child is not sacrificed.
Let us study that important case with the closest attention. Let all the rays of light we have gathered so far be focussed on this particular point. Can a physician ever be justified in destroying the life of a child, before or during its birth, by craniotomy or in any other manner, in order to save its mother's life, on the plea that the child is an unjust assailant of the life of its mother?
Busey says: 'To state the issue plainly, the averment must be made that no conscientious physician would deliberately and wilfully kill a fœtus, if he believed that the act was a violation of the commandment "Thou shalt not kill." It has been well said by Barnes, the ablest and most conservative defender of craniotomy, that 'it is not simply a question for medicine to decide.
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