Quéreux C, Soutoul J H, Ritter P, Pierre F
Service de Gynécologie-Obstétrique, CHU de Reims.
J Gynecol Obstet Biol Reprod (Paris). 1991;20(3):413-22.
The authors looked at the clinical situation and the possible pathogenicity which in this case was almost certainly traumatic. It would explain the total absence of one leg at the delivery of a baby who had no other psychomotor changes. They used this very exceptional case history of the loss of the lower limb after an attempt at terminating a pregnancy to study the matter from the French and foreign bibliography on the subject, which anyhow is very short. There was an attempt to terminate a pregnancy at an undisclosed duration of amenorrhoea (between 9 and 13 weeks) by suction evacuation followed by curettage. On the medico-legal side the authors analysed the reasons why there was no penal indictment brought at the same time as the civil action was brought prosecution, and also points out that the Conseil d'Etat decided, contrary to the Administrative Tribunal who were petitioned as to the responsibility for the serious handicap this child suffered to be established publically. They analysed the evolution of judicial and administrative jurisprudence on the matter of failure to terminate a pregnancy. The authors list other possibilities for traumatising a fetus in utero when the inside of the uterus is explored either when the pregnancy is a spontaneous pregnancy or an assisted reproductive pregnancy. The cases of pregnancy requiring a reduction in the number of embryos who will be born or the destruction of handicapped children whose legal status seems not only to be recognised at birth, but even in utero by the judges of the supreme administrative court.
作者研究了临床情况以及在此病例中几乎可以肯定为创伤性的可能致病因素。这可以解释为何在分娩时一个婴儿的一条腿完全缺失，而该婴儿并无其他精神运动方面的改变。他们利用这一在试图终止妊娠后出现下肢缺失的极为特殊的病例史，从国内外关于该主题的文献（无论如何都非常简短）中研究此问题。曾在闭经未公开时长（9至13周之间）时尝试通过负压吸引刮宫术终止妊娠。在法医学方面，作者分析了在提起民事诉讼的同时为何没有提起刑事指控的原因，并且还指出，行政法院的裁决与被请求就认定该儿童所遭受严重残疾的责任公开表态的行政法庭的裁决相反。他们分析了关于未能终止妊娠问题的司法和行政判例的演变。作者列出了在探查子宫内部时，无论是自然妊娠还是辅助生殖妊娠，使子宫内胎儿受到创伤的其他可能性。对于需要减少出生胚胎数量的妊娠情况或残疾儿童的销毁情况，其法律地位似乎不仅在出生时得到认可，甚至在子宫内就得到最高行政法院法官的认可。
