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Forensic Medicine
Dr. Suchita Rawat (MSc, MPhil, PhD)
Unit 4: Special Cases in Forensic Medicine
Sexual offences: Rape, unnatural sexual offences, External and
internal findings in living and dead; Protection of Children Against
Sexual Offences (POCSO) Act, 2012; Infanticide, foeticide; Medico
legal aspects of abortion, Medical Termination of Pregnancy (MTP) Act,
1971; External and internal findings in living and dead mother, fetus
and infants; Estimation of age of the foetus.
● Rape (Latin rapio; seize,
snatch)
(S.375, IPC (Definition of rape))
(a) Penetrates [Penis]
(b) (b)Inserts [any object, part of
body]
(c) (c) Manipulates [woman]
(d) (d) Applies [mouth]
Statutory Rape: With or without her
consent, when she is under 18 years of age
Sexual battery - Non-consensual touching of
the intimate parts of another.
TYPES OF RAPE
Acquaintance rape
Custodial rape
Drug facilitated sexual assault/date rape
Gang rape
Incest Rape
Marital rape
Prison rape
PUNISHMENT OF RAPE
Section376 (1) IPC
>7y upto Life
imprisonment (LI)+fine
Section376 (2) IPC
10yr. Upto LI + fine
(Police officer, Public servant, armed forces, jail or
remand house, women children institutions, hospital,
caretaker or guardian, communal or sectarian violence,
pregnant women, girl<16yrs,incapble of giving consent ,
control or dominance, mental or physical ability, causes
grievous bodily harm, repeated rape on victim
Section376 A IPC
Rape outcome: Vegetative
state
20yr. upto LI or Death
Section376 B IPC
(Estranged wife)
2 upto 7yr
Section376 C IPC
(Custodial/control rape)
5 upto10yr.+fine
Section376 D IPC
(Gang rape)
20yr. Upto LI
+rehabilitation
/treatment expenses
Section376 E IPC
(Repeated offenders)
20yr. upto LI or Death
PRELIMINARIES AND GENERAL PROCEDURE
S.164A(4), CrPC] Written
and witnessed consent
Presence of female chaperone (one
female nurse + female relative of
victim)
Information of victim: a) demographic data
(name, parents name, address, age, marital
status ,education, occupation)
b)Previous history: menus, gynaecological
operations, pregnancy, sexual experience,
Examination: Mental and Physical Health i.e.
height ,weight, physical development of
secondary sexual characteristics for child
STATEMENT OF VICTIM
PHYSICAL EXAMINATION OF VICTIM
GENERAL EXAMINATION
Labelled diagrams: age, size and relative position
of injuries on body
Eyes: redness or swelling, petechial hemorrhage ,
dilation of pupil (intoxication)
Pulse and respiratory rate
Gait : legs apart / pain while walking
Examination of Drunkenness
Marks of Violence: scratches, lacerations,
bruises, bitemarks searched for entire body i.e.
around mouths, lips, shoulders and back, breast
and nipples, wrists and arms, Thighs and
buttocks
LOCAL EXAMINATION OF GENETIALIA
ANO-GENETIALIA INJURIES
Tears, Ecchymoses, Abrasion, Redness, Swelling
**** for pregnant women injuries in abdomen and breast greater
and injuries to fetus
1st examination and 2nd examination after a day gap (delayed
bruising in lower vagina)
CLITORIS: Red, Swollen, edematous
LABIA: Fingernail abrasion, bruise, laceration,
soiling noted down
FOSSA NAVICULARIS**: small tears 1-2 mm in
size (absent in married women / present among virgin
girls)
FOURCHETTE**: shows tears (absent in married
women / present among virgin girls )
PERINUM***: Torn in children Source: Google image
HYMENAL TEARS**:
A)Immediately After Act: Margins of Torn Hymen are red, Sharp, and bleed on
touch
B) 3-4 Days: edges of tears are congestion and swollen
C)7 Days: completely healing but torn edges don’t unite appers as V shaped
D) Months: Appears V shaped
Source: Google image
Picture source: Aggrawal 2016
VAGINAL INTROITUS: slightly
edematous , shows abrasion and
bruise
VAGINAL CANAL: Abrasion at
anterior or posterior part
VAGINAL VAULT/Cuff: minimum
mucosal trauma to extensive
laceration seen in case of forceful
insertion of an object in vagina)
CERVIX: abrasion
Source: Google image
ANAL CANAL: Tears if anal penetration occurred
BACK AND BUTTOCKS: Grass leaves mud etc
Picture source:Shepherd 2003
Picture source: Aggrawal 2016
Lithotomy position (legs widely apart)
Source: Google image
Specimens Preserved for Laboratory Examination
(Victim)
EXAMINATION OF ACCUSED (S. 53A crPC)
Specimens Preserved for Laboratory Examination (Accused)
Local Examination of Accused
References
Aggrawal, A. (2016). Forensic Medicine and Toxicology for MBBS. Avichal Publication Company, 325.
Shepherd, R. (2003). Simpson's forensic medicine. CRC Press.
This Photo by Unknown Author is licensed under CC BY-SA

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MSC IV_Forensic medicine -sexual offence.pdf

  • 1. Forensic Medicine Dr. Suchita Rawat (MSc, MPhil, PhD)
  • 2. Unit 4: Special Cases in Forensic Medicine Sexual offences: Rape, unnatural sexual offences, External and internal findings in living and dead; Protection of Children Against Sexual Offences (POCSO) Act, 2012; Infanticide, foeticide; Medico legal aspects of abortion, Medical Termination of Pregnancy (MTP) Act, 1971; External and internal findings in living and dead mother, fetus and infants; Estimation of age of the foetus.
  • 3. ● Rape (Latin rapio; seize, snatch) (S.375, IPC (Definition of rape)) (a) Penetrates [Penis] (b) (b)Inserts [any object, part of body] (c) (c) Manipulates [woman] (d) (d) Applies [mouth] Statutory Rape: With or without her consent, when she is under 18 years of age Sexual battery - Non-consensual touching of the intimate parts of another.
  • 4.
  • 5. TYPES OF RAPE Acquaintance rape Custodial rape Drug facilitated sexual assault/date rape Gang rape Incest Rape Marital rape Prison rape
  • 6. PUNISHMENT OF RAPE Section376 (1) IPC >7y upto Life imprisonment (LI)+fine Section376 (2) IPC 10yr. Upto LI + fine (Police officer, Public servant, armed forces, jail or remand house, women children institutions, hospital, caretaker or guardian, communal or sectarian violence, pregnant women, girl<16yrs,incapble of giving consent , control or dominance, mental or physical ability, causes grievous bodily harm, repeated rape on victim Section376 A IPC Rape outcome: Vegetative state 20yr. upto LI or Death Section376 B IPC (Estranged wife) 2 upto 7yr Section376 C IPC (Custodial/control rape) 5 upto10yr.+fine Section376 D IPC (Gang rape) 20yr. Upto LI +rehabilitation /treatment expenses Section376 E IPC (Repeated offenders) 20yr. upto LI or Death
  • 7. PRELIMINARIES AND GENERAL PROCEDURE S.164A(4), CrPC] Written and witnessed consent Presence of female chaperone (one female nurse + female relative of victim) Information of victim: a) demographic data (name, parents name, address, age, marital status ,education, occupation) b)Previous history: menus, gynaecological operations, pregnancy, sexual experience, Examination: Mental and Physical Health i.e. height ,weight, physical development of secondary sexual characteristics for child
  • 9. PHYSICAL EXAMINATION OF VICTIM GENERAL EXAMINATION Labelled diagrams: age, size and relative position of injuries on body Eyes: redness or swelling, petechial hemorrhage , dilation of pupil (intoxication) Pulse and respiratory rate Gait : legs apart / pain while walking Examination of Drunkenness Marks of Violence: scratches, lacerations, bruises, bitemarks searched for entire body i.e. around mouths, lips, shoulders and back, breast and nipples, wrists and arms, Thighs and buttocks
  • 10. LOCAL EXAMINATION OF GENETIALIA ANO-GENETIALIA INJURIES Tears, Ecchymoses, Abrasion, Redness, Swelling **** for pregnant women injuries in abdomen and breast greater and injuries to fetus 1st examination and 2nd examination after a day gap (delayed bruising in lower vagina) CLITORIS: Red, Swollen, edematous LABIA: Fingernail abrasion, bruise, laceration, soiling noted down FOSSA NAVICULARIS**: small tears 1-2 mm in size (absent in married women / present among virgin girls) FOURCHETTE**: shows tears (absent in married women / present among virgin girls ) PERINUM***: Torn in children Source: Google image
  • 11. HYMENAL TEARS**: A)Immediately After Act: Margins of Torn Hymen are red, Sharp, and bleed on touch B) 3-4 Days: edges of tears are congestion and swollen C)7 Days: completely healing but torn edges don’t unite appers as V shaped D) Months: Appears V shaped Source: Google image Picture source: Aggrawal 2016
  • 12. VAGINAL INTROITUS: slightly edematous , shows abrasion and bruise VAGINAL CANAL: Abrasion at anterior or posterior part VAGINAL VAULT/Cuff: minimum mucosal trauma to extensive laceration seen in case of forceful insertion of an object in vagina) CERVIX: abrasion Source: Google image
  • 13. ANAL CANAL: Tears if anal penetration occurred BACK AND BUTTOCKS: Grass leaves mud etc Picture source:Shepherd 2003 Picture source: Aggrawal 2016
  • 14. Lithotomy position (legs widely apart) Source: Google image
  • 15. Specimens Preserved for Laboratory Examination (Victim)
  • 16. EXAMINATION OF ACCUSED (S. 53A crPC)
  • 17. Specimens Preserved for Laboratory Examination (Accused)
  • 19. References Aggrawal, A. (2016). Forensic Medicine and Toxicology for MBBS. Avichal Publication Company, 325. Shepherd, R. (2003). Simpson's forensic medicine. CRC Press.
  • 20. This Photo by Unknown Author is licensed under CC BY-SA