When judging about the abortion is necessary to solve a number of questions: did testify pregnancy and did her interruption. If there was an abortion, you must determine spontaneous or criminal, the ways and methods have been applied with the aim of abortion and, finally, what are the consequences of abortion.
Criminal abortion, i.e., abortion outside of the hospital, may occur as a result of ingestion of various substances and various external influences, often mechanical, including when scraping. All external methods to be used for abortion, can be grouped into three main groups: 1) the overall impact on the body; 2) introduction into the uterus foreign dense bodies; 3) injection into the uterus of different liquids.
Of the common effects on the body, designed for the termination of pregnancy should be noted long shaky ride, vibratory loads, weight lifting, external and combined compression by the gravid uterus hands. To miscarriage may cause long hot bath and shower, mustard and other
As foreign bodies into the uterus enter catheters, Buji, knitting needles, goose feathers, wooden sticks, crayons and other Injection of liquids produce a variety of instruments, often with a syringe. For injection using water solutions dichloride mercury, carbolic acid, alcohol, iodine, soapy water and other
For abortion use a variety of drugs or poisons taken in large doses and having toxic effects on the fetus and the mother body. For these purposes using quinine, the ergot drugs, infusion of oleander, drugs mercury, arsenic, pilocarpine, pahikarpin, turpentine, castor oil, hormonal preparations (pituitrin, the follikulina, sinestrol and others).
Diagnosing criminal origin of abortion, it should be borne in mind the possibility of spontaneous miscarriage that occurs in the soil of pathological processes in the embryo in the mother's body. Often abortion can occur with acute infectious diseases, various intoxications endocrine origin, decompensated heart disease, syphilis in the mother, kidney diseases, the correctness of the position of the uterus, some diseases and underdevelopment, in violation of the functions of the endocrine glands and other
Often criminal abortion leaves behind various complications, and sometimes leads to death of the woman. The ingestion of toxic medicines can cause poisoning, and the introduction of foreign bodies into the uterine cavity is often accompanied her perforation, internal and external bleeding. When injection of fluids into the uterine cavity in her veins can get administered liquid and air embolism causing the blood vessels. Imbibing of the uterus, entered the substance is toxic effect. When criminal abortion possible complications in the form of sepsis. A frequent outcome of such abortion is infertility.
Recognition of criminal abortion always represents a significant challenge, as traces of impact may not be induced abortion can be spontaneous, especially in the early stages of pregnancy.
As is known, common early signs former pregnancy (pigmentation of the nipples and peripapillary circles, the white line of the abdomen, discharge from the breast, loosening and cyanosis of the mucous membrane of the vagina) and of themselves may not always prove just ended pregnancy. Of great importance for the establishment of this fact have hormonal symptoms that can last for 5-8 days after the termination of pregnancy.
In connection with the improvement of biochemical methods of research appeared information about the changes of some types of metabolism in the body after miscarriage - lipid, protein etc. that expands the possibilities of establishment of the fact of termination of pregnancy within 40 days.
The medical records of women's consultations, gynecological hospital wards can also play an important role in the proof of abortion. Late miscarriage and premature birth leave certain changes in a woman's body, so it is easier to install interruption of pregnancy in the second half.
If the examination is produced shortly after the abortion, the indirect evidence of its implementation can be blood stains on the linen, clothes, bedding and other Special significance found in the emissions from the uterus particles ovum, involution of the uterus, changes mammary glands and their secretions.
Method of abortion sometimes you can determine gynecological examination, mechanical damage to the cervix, vagina, and sometimes burns and colouring of the mucous membrane of the vagina from the use of various substances such as iodine alcohol solution, a solution of potassium permanganate.
The presence in the uterus placental site (in the study of the corpse) is proof of abortion even when the preserved fruit and intact membranes. True yellow body in one of the ovaries shows former pregnancy, and for its size (among other characteristics) can be estimated to determine the length of the pregnancy.
Mechanical damage of the vagina and uterus, especially in the area of the cervical canal (sadnenia, bleeding, and sometimes even wounds and perforation), also point to the intervention with the aim of abortion. Traces from the introduction of various substances and objects in the vagina and the uterus, the value of the uterus, suppurative processes in the uterus and appendages can serve as an indirect evidence of abortion.
Of great importance for solving the question of the existence of a terminated pregnancy buy histological examination. They allow you to install cells chorion and fetal membranes, and on the basis of changes of the endometrium depending on leukocyte infiltration tissue to determine the prescription made abortion, in particular the prescription of introduction into the uterus foreign liquid.
Causes of death from criminal abortion are shock, air embolism blood vessels, acute blood poisoning substances that have been applied for the termination of pregnancy, sepsis, acute renal failure.
When investigating cases of criminal abortion is of great importance inspection of the place where it is produced, because it can be detected by various chemical substances, tools or items used for intrauterine manipulation, traces of blood on a variety of subjects, bloody wadding, gauze, as well as the remains of the ovum. Found material evidence should be directed to the appropriate laboratory research.