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قال الرسول الكريم: المؤمن مرآة أخيه. رحم الله من أهدى إليّ عيوبي. PREGNANCY. Medico legal aspects. Medico-legal importance:. In cases of rape. When a woman is committed to death In cases of divorce widow may allege to be pregnant Married women living apart from their husbands.
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قال الرسول الكريم: المؤمن مرآة أخيه
PREGNANCY Medico legal aspects
Medico-legal importance: • In cases of rape. • When a woman is committed to death • In cases of divorce • widow may allege to be pregnant • Married women living apart from their husbands
Diagnosis of pregnancy Probable signs of pregnancy: • Breast signs • Abdominal wall signs • Vulva signs • Vaginal signs • Uterine signs
breast abdominal Uterine vaginal vulva
Sure signs of pregnancy: • Inspection of fetal movements after the 4th month. • Palpation of fetal parts after the 4-month. • Auscultation of the fetal heart beats between the 4th and 5th month.
Size of the uterus: • small orange • large orange • size of fetal head • umbilicus at the end of the 6th month • reaching the xiphoid at the end 9th M
4- Radiography of the fetus after the 5th month 5- Ultra-sonography 6-The immunological test
Estimation of gestational period in livings: palpating the level of the fundus sonography.
Estimation of gestational period in dead Hess formula length Before the 5th month = (month) 2 After 5th month = month x 5
2- DELIVERY • Medico-legal importance of delivery • when a widow alleges that she gave birth to an infant • when a murdered newly born infant is found • Interchange of infants
Signs of recent delivery • General signs of exhaustion • Breasts • Abdominal wall: • External genitals: • Lochia
6-External cervical os: 7-Ovaries: 8- Uterus Immediately after delivery One week after delivery Two weeks after delivery Six weeks after delivery
Signs of remote delivery in living • Breasts:. • Abdominal wall: Lax abdominal wall with linea albicantes. • Perineum: Scars of old perineal tears. • Vagina: Smooth, dilated • Cervix: External cervical os is transverse (slit-shaped)
ABORTION • Definition • ML conditions in which a female is examined for sings of abortion • After a blow in a fight • Medical man gave abortifacient drugs • conceal abortion after being charged with it
Types of abortion 1-Spontaneous abortion • Diseases of the mother • Diseases of the fetus
2-Induced abortion: • Therapeutic (lawful) abortion Precautions before performance of therapeutic abortion
Methods • D&C • Suction aspiration: • hysterotomy
Methods of induction of criminal abortion • General violence • Local violence • Abortifacient drugs
Dangers of abortion 1- Neurogenic shock 2- Hemorrhage: 3- Embolism: • Air embolism: passage of air opened placental sinuses. b) Soap or glycerin embolisms. c) Thrombo-embolism:
4- Acute poisoning. 5- Sepsis.
DIAGNOSIS OF ABORTION • Patient ’s consent • Signs of pregnancy • Signs of general violence • Signs of local violence • Laboratory investigations • Products of abortion
Zygote-implantation Embryo Fetus Viability Birth Subject-of-a-life Egg Person