Sexuality, Sexual Offences and infanticide Flashcards

(66 cards)

1
Q

Impotence

A

Inability of man to achieve erection or orgasm
M/C cause in India: psychogenic
M/C in world: vasculogenic

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2
Q

Quoad hoc

Frigid

A

Quoad hoc:
A male being impotent only to a particular female

Frigid:
Inability to initiate/maintain sexual arousal in a female

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3
Q

M/C of sterility

A

Lead intoxication

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4
Q

Supposititious child

A

Fictitious child

A female may feign pregnancy 🤰 and claim the child 👶 to be her own to extort money by blackmailing

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5
Q

Fecundation ab extra

A

Conception by deposition of semen in vulva/thigh

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6
Q

Superfetation

Superfecundation

A

Fertilisation of 2 separate ova by 2 acts of coitus in 2 different menstrual cycles ➡️ twin pregnancy

Fertilisation of 2 separate ova by 2 acts of coitus within one menstrual cycle ➡️ twin pregnancy

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7
Q

Sterilisation in India

A

Compulsory sterilisation is not practiced in India
Voluntary sterilisation is practiced in India. It requires written consent from husband and wife.
After vasectomy, abstinence is required for 3 months

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8
Q

Artificial insemination

A

Artificial introduction of semen (1ml) into female genital tract to result in pregnancy
1 donor can produce 10 children max.
Race of donor should be similar to recipient
Written consent of both husband and wife
Confidentiality
Child should be adopted

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9
Q

Indications for artificial insemination

A

Use of donor specimens in cases of:

  1. Impotent husband
  2. Sterile husband
  3. Rh incompatibility
  4. Hereditary disease
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10
Q

Methods of artificial insemination

A
  1. Artificial insemination of husband AIH
  2. Artificial insemination by donor AID
  3. Artificial insemination by husband + donor ➡️ pooled semen
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11
Q

Artificial insemination and legality of marriage

A

In case of insemination due to impotency of the husband ➡️ wife can file for divorce
But not for sterility

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12
Q

Types of surrogacy

A
1. Commercial:
 Not practiced in India
 Surrogate mother paid for caring child
2. Altruistic:
 Practiced in India 
 Only medical expenses are covered
 Close relative with at least 1 child
The intending couple should be married for at least 5 years
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13
Q

Punishment for intending couple of surrogacy for breaking the law

A
  1. 10 lakhs penalty

2. 10 years punishment minimum

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14
Q

Adultery

A

Extra marital affair
Was punishable under 497 IPC
Decriminalised since 27th September 2018

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15
Q

Indications for MTP

A

S. Social indication (contraceptive failure)
E. Eugenic indication and environmental indication
T. Therapeutic indication
H. Humanitarian

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16
Q

Criminal abortion laws related IPC

A
312 IPC: with mother’s consent
313 IPC: without mother’s consent
314 IPC: death of the mother
315 IPC: killing a foetus >28 weeks
316 IPC: killing the foetus on an attempt to kill mother
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17
Q

MTP amendment Bill

A

In 2014
Homeopathic and Ayurvedic doctors were allowed to conduct MTP
MTP register should be maintained for 5 years
Data should be confidential
Changes in criteria of MTP

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18
Q

Criteria for MTP

A
  1. Consent for MTP should be given only by mother
  2. Age for consent >18 years
  3. MTP < 12 weeks, requires 1 doctor
  4. MTP 12-20 weeks, requires 2 doctor
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19
Q

Abortifacients

A
Substances that induce abortion
1. Ecbolics: eg., ergot
 uterus contraction
2. Emmenagogues:
 increased blood flow to pelvis/menstrual blood flow
3. Diachylon and utus paste
4. Abortion stick: vaginal irritation
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20
Q

Emmenagogues

A
Abortifacient
Mechanism: increased pelvic / menstrual blood flow
Eg., 
B. Borax 
O. Oestrogen 
S. Sanguinarine
S. Senecio 
Rue, Labrunum
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21
Q

Diachylon, utus paste

A

uses as abortifacients

Diachylon: lead product
Utus paste: combination of iodide + iodine

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22
Q

Abortion stick

A
Length 12-18 cm
Causes vaginal irritation ➡️ abortion
🌱 used:
P. Plumbago 
E. Ergot
E. Ecbolics
C. Calotropis (M/C)
O. Oleander 
L. Lead 
A. Arsenic, aconite, Abrus precatorius
S. Strychnine
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23
Q

Defloration

A

Loss of virginity
1. Hymen may be torn
2. Fourchette/posterior commissure is torn
3. Fossa Navicularis: disappeared, not intact
Vagina is dilated
Its rugosity is lost

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24
Q

Hymen

A

Does not decide virginity
M/C site of rupture: posterolateral (5’-7’o clock position)
Semilunar/crescentic in 70% of women
In children hymen is not ruptured easily because it is deep-seated
Caruncula myrtiformis- healed tag of hymen

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25
Features of fimbriated hymen (natural notches of vagina) that differentiate it from vaginal tear
1. Present anteriorly 2. Symmetrical 3. Fold of mucous membrane 4. Do not extend to vaginal wall
26
Causes of rupture of hymen
1. Sex 2. Surgery 3. Infection 4. Masturbation 5. Sanitary tampons 6. Trauma 7. Shola pith
27
Aptae viris
Shola pith is a spongy plant stem used to dilate the vagina | It is used in young girls (aptae viris) to make them fit for sexually intercourse
28
False virgin
A female who participated in sexual intercourse but with hymen intact (elastic hymen)
29
Differences between nulliparous and parous female
``` 1. Uterine cavity: Triangular 🆚 circular 2. Wall of uterus: Convex 🆚 concave 3. External os: Circular 🆚 transverse slit ```
30
Sexual offence
1. Natural: Penovaginal sexual route Rape is both natural and unnatural sexual offence 2. Unnatural: Any offence where this route is not used. Punishable under 377 IPC (10 years) • Incest is not a crime in India • Adultery is only a civil case ➡️ divorce
31
Incest complex
1. Electra complex: Sexual relationship between daughter and father 2. Oedipus complex: Sexual relationships between son and mother 3. Pharaon complex: Sexual relationship between brother and sister
32
Lesbianism
The active sexual partner is Dyke/ Butch Passive sexual partner is Femme in 2018, change in 377 IPC. Homosexuality in adults with consent is decriminalised
33
Sodomy | differences b/w habitual and non-habitual
``` 1. Non habitual passive agents: Tear, injury, rigidity of anal canal 2. Habitual passive agent: Funnel shaped anal canal No tear, rugosity Shaved perineal hair Positive lateral buttock traction test Manual reaction of buttocks - paradoxical dilation of anal canal ```
34
Rape | definition
375 IPC - defines rape Rape is insertion of penis/penis like objects into vagina/oral/ anal/urethral parts of female Natural or unnatural
35
Rape and consent/ will
``` Rape includes: 1. Against will 2. Without consent 3. With consent: • out of fear 😨 • fraud • intoxication • <18 years - statutory rape ```
36
Medical definition of rape
Slightest penetration of vulva - defines rape Hymen rupture, semen discharge or complete penetration is not necessary No age limit for committing rape Only with females in India Impotency is not a defence for rape In France rape - both male and female
37
Punishment for rape
``` Under 376 IPC A. Coma or any vegetative state: LI-☠️ B. Both 👫🏻 legally separated/divorced: 2-7 yrs C. Custodial rape: 5-10 years D. Gang rape: 20 yrs-LI E. Excessively heinous or rarest of rare crime/related gang rape: LI-☠️ ```
38
Examination of victim | formalities
164 CrPC Minimum rank - Sub Inspector Female SI and doctor required Examination done with consent 53(2) CrPC
39
Examination of victim | medical tools used
1. Toluidine blue dye: detect injuries in vaginal and perianal region 2. Glaister keen Rod: detect hymen rupture 5-7’o clock 3. Four swabs from different region collected
40
Examination of accused of rape | 53 CrPC
Consent not required Minimum rank sub inspector level Smegma present around glans penis ➡️ no sexual intercourse in last 24 hours Penile swabs collected: detect vagina cells by Lugol’s iodine stain or Papanicolaou stain
41
Legal implications in rape
Disclosure of identity of rape victim: punishable under 228 IPC For rape trial in court: camera trial or secret trial ➡️ public not allowed 327 CrPC 357 CrPC : it is mandatory for any hospital to examine/treat rape victim without any delay
42
166 A and B IPC
166 A IPC: If police fails to report/file FIR its punishable under 166 A IPC 166 B IPC: If hospital fails to provide treatment to rape victim, its punishable under 166 B IPC
43
Acts which impose burden of proof of a rape case on male
114 A IEA: Presumption of absence of consent 113 A IEA: Presumption of abetment of suicide 113 B IEA: presumption of dowry death 146 IEA: immortal character of rape victim is not questionable
44
Marital rape in India
Old law: wife <15 years even with consent is punishable Supreme Court changed it to 18 years Above 18 years - no marital rape
45
Juvenile rape
POSCO act: protection of child against sexual offences It is for children below 18 years - both male and female Implemented in 2012 Amendment Bill passed on 2019
46
``` Infanticide Neonaticide Filicide Xenocide Uxoricide ```
``` Infanticide: Killing a child < 1 years Neonaticide: Killing a child within 24 hours of birth (not 28 days) Filicide: Killing a child by parents Xenocide: Killing of a whole race Uxoricide: Killing of romantic partner ```
47
Fetus deaths
``` 1. Dead born: Within uterus 2. Still born: In birth canal during delivery 3. Live born: Gets delivered and respires at least once ```
48
Features seen for a viable baby i.e, >28 weeks out 7 months
``` Length: 35 cm Weight: 900-1200 gm Eyelid: open at 7 months 👁 Pupillary membrane: disappears Bony centers of sternum and talus appears 🦴 ```
49
Features in a dead born
``` R. Rigor mortis, Robert sign A. Aseptic autolysis M. Mummification S. Spalding sign Hyper flexion off spine + crowding of ribs Deuel’s Halo sign ```
50
Robert sign | Maceration
``` Robert sign: • air or gas in aorta • earliest sign - within 12 hours Maceration/aseptic autolysis : • Fetus becomes soft and flaccid • fetus surrounded by aseptic amniotic fluid • skin - red and peeled off • sweet smell ```
51
Mummified fetus
Seen when the amniotic fluid, air and blood supply to the fetus is compromised Fetus is dehydrated and sunken Seen in dead born
52
Spalding sign | Deuel’s halo sign
``` Both are seen in dead born Spalding sign: Seen because of liquefaction of 🧠 Leads to overlapping of bones 🦴 Deuel’s halo sign: skull table show Deuel’s Halo because of 🔼 subcutaneous fat ```
53
Findings in live born
1. Respiratory signs are present 2. 🫁: voluminous, inflated, soft, 🔼 weight, rounded margins and light red 🟥 3. Position of diagram: 6-7 ribs (before 4-5 ribs)
54
Tests for live born
1. Wreden test: air in👂 2. Breslau 2nd life test: air in stomach/intestine 3. Fodere test: 🫁 weight ✖️2 30 gm ➡️ 60 gm 4. Plouquet’s test: 🫁:👤 in weight 1:70 ➡️ 1:35 5. Hydrostatic test
55
Hydrostatic test Breslau 1st life test Raygat test
``` Unused 🫁 : Sp. gravity: 0.94 Does not sink Respired 🫁: Sinks in water Sp. gravity 1 ```
56
False positive for tests for live born
``` Non-respired lung showing positive test 1. Decomposition: Gas in lungs Liver is taken as control 2. Artificial respiration ```
57
False negative for tests for live born
Fetus respired but test is negative 1. Pulmonary edema 2. Alveolar duct membrane 3. Feeble respiratory effort 4. Pneumonia 5. Air absorbed by 🫁
58
Umbilical structures and foramen ovale | forensics
``` 1. Umbilical artery: • Closes by 3rd day • forms medial umbilical fold 2. Umbilical vein: • closes by 4th day • forms ligamentum teres 3. Umbilical cord; • closes by 5-6 days • falls off 4. Ductus venosus: • closes by 3-5 days 5. Ductus arteriosus: • closes by 7-10 days 6. Foramen ovale: • closes by 2-3 months ```
59
Vagitus uterinus | Vagitus vaginalis
1. Vagitus uterinus: Crying of baby intra-uterine 2. Vagitus vaginalis: Crying of baby in vaginal canal
60
Cephalohematoma | infant injuries
Injuries due to instrument Present in b/w periosteum and skull M/C in right parietal bones It never crosses the suture lines
61
Caput succedaneum
Edema and congestion of scalp because of pressure produced by vaginal ring
62
SIDS sudden infant death syndrome
Crib death Cot death Seen as negative autopsy: no cause can be ascertained M/C sleep apnea
63
IPCs relevant to infanticide
312-316: criminal abortion 317: abandoning child < 12 years 318: concealment of birth (punishment of 2 years + fine)
64
Battered baby syndrome | Caffey syndrome
Baby is abused physically by guardian or parent repeatedly History given by parents and physical findings in the baby’s body are inconsistent Multiple injuries of various duration are seen: 1. Multiple rib fractures: String of beads appearance 2. Metaphyseal fractures of long bones: Bucket 🪣 handle fracture/ Corner fracture 3. Skull fracture: Egg shell🥚 fracture
65
Shaken baby syndrome | Infantile whiplash injury
1. Repeated shaking ➡️ forced hyperextension ➡️ hyperextension injury of neck 2. Intraocular bleed ➡️ Dot blot hemorrhage 3. Periorbital hemorrhage 4. Subdural hemorrhage 5. Six penny bruise or 🪙 shaped bruise may be present 6. Butterfly bruise: may be present
66
Steps in examination of accused in a sexual assault
1. Brought by 👮‍♂️ and signed request 2. Consent 3. Preliminary data 4. Physical & mental status 5. Signs of struggle on clothes or body 6. General & local examination 7. Preservation of samples 8. Lab report and opinion 9. Potency certificate 10. Age estimation