Dr. James had been Mary's family doctor for about four years. When he first saw her, she admitted to an abortion, saying that she'd taken an abortifacient that a Dr. Tully had provided to her on August 23.
Dr. James had to leave the city for some reason, and turned Mary's care over to Dr. Jeremiah P. Bliven, a former police surgeon. Bliven quickly became suspicious, and succeeded in urging Mary's family to ask her to come clean.
In the mean time, Mary's health took a turn for the worse. On Sunday, August 27, Bliven went to the police and reported his reasons to suspect an abortion. A coroner's detective was dispatched to the house. He questioned Mary. As she was too week to write, Detective Walker wrote a dying declaration for her based on the information he'd gotten.
Mary had been pregnant for about two months. Two weeks before the interview with Detective Walker, she'd gone to a woman named Mrs. Burns for an abortion. While a housekeeper held her up against a wall, Mrs. Burns had used instruments on Mary, without producing any immediate effect. Burns told Mary that if anybody questioned her, she was to blame the abortion on "Dr. Tully." She then sent Mary home.
Mary took ill immediately "with severe pain in my head, accompanied by vomiting." She expelled her dead baby three or four days later. But she grew sicker and went to her family for care.
Mary reported that the baby's father was Harry Pullen, who had given her $10 to pay for the abortion and then evidently vanished from her life.
In the early morning hours of Monday, September 4, Mary died.
The police quickly went to Mrs. Burns' house and arrested Ann Brice, the housekeeper, and found out from her that Mrs. Burns had gone to her other home in Long Island. Before going after her, the police arrested Mary's lover, Harry Pullen, and Mary's roommate, Nellie Ryan, who had gone with her for the abortion.
Off to Long Island the police went. "They found the abortionist living in an elegant mansion, furnished throughout in the most splendid manner, of which she was the owner, as also of one hundred acres of fine land adjacent to it, all of which was in a high state of cultivation."
Mrs. Burns didn't seem at all alarmed to see the police, and had no evident thought of Mary Russell. Instead, Burns seemed to be operating under the assumption that she was wanted in connection with "the trunk tragedy", which she'd not been involved in. The police allowed Mrs. Burns to operate under this assumption until they had her at the station, at which point they informed her that she was actually being arrested for Mary Russell's death. "Without giving any explanation of her deed, or almost without taking the trouble to deny it, she was taken away to a cell and locked up."
The coroner performed the autopsy on Mary, and confirmed that she'd died of an infection caused by the abortion.
I have no information on overall maternal mortality, or abortion mortality, in the 19th century. I imagine it can't be too much different from maternal and abortion mortality at the very beginning of the 20th Century.
Note, please, that with issues such as doctors not using proper aseptic techniques, lack of access to blood transfusions and antibiotics, and overall poor health to begin with, there was likely little difference between the performance of a legal abortion and illegal practice, and the aftercare for either type of abortion was probably equally unlikely to do the woman much, if any, good.
For more on this era, see Abortion Deaths in the 19th Century.
For more on pre-legalization abortion, see The Bad Old Days of Abortion
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