Moles are blighted foetuses.
An examination of the woman will be necessary, though it is not easy
during the early months of pregnancy, and especially in those who have
borne children, to say whether abortion has taken place or not. The
history must be inquired into; the regular or exceptional use of drugs
to promote menstruation is important, for in the former case no criminal
intent may exist, although pregnancy be present. The state of the
breasts, the hymen, and the os uteri, should all be carefully examined.
Putting a few apparently unimportant questions as to the frequent use of
purgatives, the presence or absence of constipation, will often assist
the diagnosis as showing that the woman has acted in an unusual manner.
Abortion may be procured by the introduction of instruments, by falls,
violent exercise, blows on the abdomen, etc. In the hands of ignorant
persons the use of instruments (sounds, bougies, skewers, etc.) is
attended with great danger. Perforation of the vaginal walls, bladder,
cervix, or uterus, may follow their use. Septic pelvic peritonitis may
ensue, and the woman may lose her life. The person who has employed such
means for inducing abortion is liable to be charged with the crime of
murder.
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