forensic medicine Criminal abortion 1.pdf
- 1. Criminal abortion Dr.Smita Mugatkar H.O.D. of FMT Dept. SBHMC Aurangabad.
- 2. Def.AnyAbortion inducedin defiancewill amountto criminalabortion. â–ªIt is an unlawful expulsion of product of conception at any stage of gestation by any unqualified person or Dr. Is punishable under law. â–ªSec. 312 to 316 IPC refer to offence of criminal abortion. â–ª3to 10 yr. Imprisonment with fine depends on age of foetus.
- 3. Precautionstaken byRMPincaseof criminalabortion. â–ª It is a MLC,inform to police station. â–ª Dr.Should take proper history regarding manner of abortionattempt or performed. â–ª Consult a colleague. â–ª Preliminary particular should be noted ( professional secracy) â–ª If pt.Is serious then arrangefor dying declaration. â–ª Death certificate should not issue.
- 5. Differentmethods ofcriminal abortion. Drugs Directly acting on uterus Ecbolics- increased uterine contractions.eg. Ergote,cotton root bark, synthetic oestrogen,pitutary ex Emmenagogues- increase the menstrual flow.eg. Borax, oil of savin Sanguinarine. Indirectly acting on uterus- emitics , purgatives,lead poison
- 8. Cupping Thisisamethodofcriminal abortion. Ametalmugiskeptover ignatedcamphoron hypogastric region.Mug is vigorously tired&pulled. Abortionoccurs in24hrs. â–ªAbortion stick. â–ªThis is a wooden or bamboo stick, about 20cm long.one end of stick is wrapped up with cloth / cotton & is soaked in juice of marking nut, abrus ,oleander,Paste of arsenic. â–ªStick is passed in uterus per vagina â–ªResulting in rupture of membranes & expulsion of product of conception.
- 11. Laminariatent Itismadeupofwood whichishygroscopic In nature,takesmoisture& swells.Thus dilatationof cervix occurs,then evacuationisdone
- 13. Skilledmethod upto12 wks vaccum aspiration D&C D&E ▪After12 wks to 24 wks ▪Dilatation & oxytocin drip ▪Extraamniotic infusion of ethacrinic lactate ( Emcredil) ▪Amniosynthesis – amniotic fluid replacement therapy. ▪Electricity – used in advanced countries. ▪Abdominal hysterotomy.
- 14. ManualVaccum Aspiration ( upto 7 wks)
- 15. Dilatation & curretage . ( upto 10 wks)
- 18. Medicalevidence ofabortion â–ª Examination of female â–ª General condition exhaust look, increased temperature & pulse. â–ª Heavy enlarged breast ,with dark pigmented areola & nipples . Colostrum may be ooze on squeezing the breast. â–ª Lax & wrinkled abdomen.striae gravidarum & linea nigra may be present. â–ª Laceration ,bruise, Inflammation present at vagina , perineum,labia etc. â–ª Signs of involution of uterus. â–ª Hcg may be detected up to 7 days.
- 20. Examination of aborted material â–ª Presence of chorionic villi on microscopic examination will confirm that it is product of conception. â–ª During first trimester the foetus expels along with the membrane. â–ª 2 nd trimester fetus born first & then placenta expelled. â–ª ** Probableintrauterineage â–ª **presence or absence of injuries on body. â–ª **Viability of child.
- 22. MLA of placenta â–ªPeriod of gestation can be estimated. â–ªSome disease or poison may be detected in placenta. â–ªPlacental barrier may result in fetal death, infection or malformation. â–ªRetained placenta may be found in criminal abortion & may be the cause of death due to haemorrhage.
- 25. MLA Sec312 to316 3to10 yr imprisonment Sec.511 ifpreg.Is beyond quickening ▪Has any instrument is used ? ▪Has self induced or assisted? ▪Presence of any injuries in vagina ,cervix,uterus . ▪Injecting fluid may be obtained from inferior vena cava & pulmonary arteries. ▪Time of interference. ▪Vagal inhibition – instantaneous death ,air embolism - few seconds.