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CONTENTS

The Authorship of the respective Essays is indicated by the signature at the end of each Essay.


Chapter Page
I. Ectopic Gestation[1]
II. Pelvic Tumours in Pregnancy[40]
III. Abortion, Miscarriage, and Premature Labour [48]
IV. The Caesarean Section and Craniotomy [55]
V. Maternal Impressions [60]
VI. Human Terata and the Sacraments [69]
VII. Social Medicine [88]
VIII. Some Aspects of Intoxication [105]
IX. Heredity, Physical Disease, and Moral Weakness [120]
X. Hypnotism, Suggestion, and Crime [129]
XI. Unexpected Death [135]
XII. Unexpected Death in Special Diseases [150]
XIII. The Moment of Death [164]
XIV. The Priest in Infectious Diseases [168]
XV.Infectious Diseases in Schools[187]
XVI.School Hygiene[202]
XVII. Mental Diseases and Spiritual Direction [211]
XVIII.Neurasthenia [230]
XIX. Hysteria[235]
XX.Menstrual Diseases [240]
XXI. Chronic Disease and Responsibility[245]
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XXII.Epilepsy and Responsibility [251]
XXIII.Psychic Epilepsy and Secondary Personality [259]
XXIV.Impulse and Responsibility [266]
XXV.Criminology and the Habitual Criminal [271]
XXVI. Paranoia, a Study in Cranks[282]
XXVII.Suicides [306]
XXVIII. Venereal Diseases and Marriage [311]
XXIX.Social Diseases[317]
XXX. De Impedimento Matrimonii Dirimente Impotentia [326]
APPENDIX. Bloody Sweat [347]
INDEX [357]

[{1}]

ESSAYS IN PASTORAL MEDICINE

I
ECTOPIC GESTATION

Ectopic gestation is gestation in the uterine adnexa, the peritoneal cavity, or the horn of an abnormal or rudimentary uterus. It is opposed to natural uterine gestation, and, since it includes pregnancy in an abnormal uterus, it is a more comprehensive term than extrauterine pregnancy.

In this article the morality involved in the surgical treatment of ectopic gestation is considered; and to have the data requisite for judgment it is necessary to describe in outline the anatomy of the uterine adnexa and the growth of the foetus; to explain the varieties, effects, diagnosis, and treatment of ectopic gestation; to present the cases of this condition, or rather this disease, as they occur in medical practice; to set forth some of the moral principles or laws that govern medical practice, especially where there is question of life and death; and finally to apply these principles to the cases offered for investigation.

The uterus is in the pelvic cavity, between the bladder and the rectum and above the vagina, into which it opens. It is a hollow, pear-shaped, muscular organ, somewhat flattened, and about three inches long, two inches broad, and one inch thick. The base or fundus is upward, and the neck is downward. Passing out horizontally from the corners or horns of the uterus, which are at its base, are the two Fallopian Tubes, one on either side. These are about five inches in length and somewhat convoluted. They are true tubes, opening into the uterus, and they are about one-sixteenth of an inch in diameter along the greater part of their extent The ends farthest [{2}] from the uterus are fringed and funnel-shaped; and this funnel-end, called the Infundibulum or the Fimbriated Extremity, opens into the abdominal or peritoneal cavity. Near the Fimbriated Extremity of each tube is an Ovary,—an oval body about one and a half inches long by three-quarters of an inch in width.