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Aim
For students to have knowledge of the
development of the baby in the womb, to know and understand some of
the possible causes and consequences of abortion and to consider some
of the issues involved in the abortion debate.
Issues and Points for Discussion
| Foetal Development |
Knowledge of foetal development is
very important in establishing the humanity of the unborn child.
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At fertilisation a new human individual is
created, this is established through biological fact. At fertilisation
the individual’s DNA is completed and the genetic structure
identifies the embryo as a member of the human race.
From the very first cell division the development
of the embryo is directed towards the eventual physical appearance
of the individual determined by his/her DNA.
The embryo is not a part of the mother but a
separate entity and controls the pregnancy through his/her own
hormones and development.
On the 15th day the spinal column appears and
the embryo starts to take on more of a human appearance.
By the 21st day the embryo has a heart-beat.
By day 43 the first brain waves of the embryo
can be recorded (O’Rahilly, R, & Muller F, Human Embryology
and Teratology, 3rd Ed, New York, John Wiley & Sons Inc.,
2001).
At 7 weeks the embryo has his/her own footprints
and toeprints and he/she also begins to move around in the womb
although cannot yet be felt by the mother.
At eight weeks the embryo is now called a foetus
(Latin for young/unborn/offspring) and his/her internal organs,
except for the lungs, are present and functioning.
By the 12th week the lungs are present and the
foetus continues to get bigger, fatter and stronger.
The development process is continuous from the
point of fertilisation. |
| Foetal Pain |
In a foetus the pain receptors develop around
seven weeks after conception, and the spino-thalamic system at
about 13 weeks. Finally, the connections to the cortex are completed
at about 26 weeks. The key area where doctors and researchers
lack consensus, is whether pain can be felt by the foetus when
these systems are only partly formed. (2005 The Life Information
Charitable Trust. www.life.org.nz )
For example:
“Functioning neurological structures necessary for pain
sensation are in place as early as eight weeks, but certainly
by 14 weeks. By 14 weeks, the entire sensory nervous system functions
as a whole in all parts of the body (except in the skin or the
back of the head).”(V. Collins, S. Zielinski and T. Marzen,
“Fetal Pain and Abortion: the Medical Evidence”, Studies
in Law and Medicine, No 18, 1984. V. Collins is Professor of Anaesthesiology
at the University of Illinois)
In 1999 the British Journal of Obstetrics & Gynaecology stated:
"Given the anatomical evidence, it is possible that the foetus
can feel pain from 20 weeks, and is caused distress by interventions
from as early as 15 - 16 weeks." |
| Physical
Complications After Abortion |
In Britain abortion has been practiced as a legal
procedure for 35 years, it is therefore a relatively safe procedure
with few physical complications. However there are risks associated
with the different types of procedures; the most common are haemorrhage,
infection, perforation of the uterus and damage to the cervix. Serious
untreated infection or damage to the uterus or cervix could lead
to problems with future child-bearing. |
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The Royal College of Obstetricians and Gynaecologists
(RCOG) warn that there is a 10% risk of post-abortion infection
(National Evidence-Based Clinical Guidelines
The Care of Women Requesting Induced Abortion, RCOG, May
2001). Serious or untreated post-abortion infection can
lead to infertility and problems such as endometriosis or scarring
of the fallopian tubes.
The most recent research indicates a risk of future pre-term
delivery. It is also identified that although induced abortion
does not directly increase the risk of breast cancer it does result
in a reduced protection against breast cancer and therefore the
net result is an increased risk (Thorp
Jr. et al, “Long-term Physical and Psychological Health
Consequences of Induced Abortion: Review of the Evidence”,
Ostetrical & Gynaecological Survey 2003, 58[1]). |
| Psychological
Complications After Abortion |
The same research indicates that induced abortion
carries a risk of psychological or mental health problems. This
has been identified by other research as Post-Abortion Trauma, a
type of Post-Traumatic Stress Disorder. Symptoms vary in severity
for each woman as does the time between the abortion and such symptoms
emerging. |
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Research has identified that at least 10% of
women who have an abortion are at risk of suffering from Post-Abortion
Trauma at some point between their abortion and the end of their
lives (Zolese G & Blacker CV “The
Psychological Complications of Therapeutic Abortion”, The
British Journal of Psychiatry, 160, 1992).
The RU486/chemical abortion is particularly traumatic for the
woman because of her direct involvement in the procedure and the
result of having to live her abortion over a number of days.
Post-Abortion Trauma is the grief, guilt and anger associated
with the loss of a child through the mother’s abortion decision.
Women presenting for abortion are not given objective information
on the physical and psychological risks involved or on foetal
development. Many women do not receive any written information
at all. Counselling before an abortion procedure is voluntary
and the law does not require the abortion counsellor to discuss
with the woman her other options (“The
Physical & Psycho-Social effects of Abortion on Women”,
A Report by the Commission of Inquiry into the Operation and
Consequences of the Abortion Act, Sec. 63, June 1994). |
| Culture of choice |
Many women express the feeling that abortion was
their only choice because society does not promote child-bearing
as a positive solution to a crisis pregnancy. |
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Many women who seek help after an abortion express
anger and hurt that they were not given all the facts both about
foetal development and the possible emotional and psychological
difficulties they now face. |
| “Emergency
Contraception” |
The morning-after pill (MAP) and morning-after
intra-uterine device (IUD) are labelled “emergency contraception”
whereas in reality they cannot properly be given this name. Both
the MAP and IUD can act as an abortifacient by preventing a newly
created embryo from implanting in the lining of the womb. The sole
function of the IUD is to prevent the embryo implanting in the womb,
it does not stop ovulation or fertilisation. |
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The MAP can act as a contraceptive if taken
before fertilisation takes place as it can prevent ovulation or
reduce the motility of the sperm and the egg to prevent them meeting.
As a result of this second aspect of the MAP the British government’s
Chief Medical Officer has insisted it carries a warning of the
risk of ectopic pregnancy (where the embryo develops outside of
the womb) Where there is an ongoing pregnancy 1 in 20 will be
ectopic; this is a life-threatening condition. (The
Daily Mail, 30 January 2003).
Although the MAP works in the same way as the ordinary mini-pill
it contains up to 50 times the amount of synthetic hormone progestogen
as the ordinary mini-pill (Comparison of
Schering’s Levonelle-2 progestogen-only MAP and Norgeston,
Schering’s progestogen-only mini-pill). There have
been no long-term tests on the effects of the MAP or on its effects
on the health and fertility of young girls. The MAP is not recommended
as a regular form of contraception and yet it can be bought over
the counter from the pharmacy and has been given away free of
charge to girls under the age of consent. Schering, recommend
that girls under the age of 16 should not take the MAP without
the supervision of their doctor (Levonelle-2
Summary of Product Characteristics, Section 4.2, www.schering.co.uk).
The MAP does not protect against sexually transmitted diseases. |
| The Law |
Under the Abortion Act 1967 (amended 1990)
abortion is recognised as a criminal act but is considered permissible
under certain specified circumstances as stated below:
a) The continuance of the pregnancy would involve risk to the
life of the pregnant woman greater than if the pregnancy were
terminated
b) The termination is necessary to prevent grave permanent injury
to the physical or mental health of the pregnant woman
c) The continuance of the pregnancy would involve risk, greater
than if the pregnancy were terminated, of injury to the physical
or mental health of the pregnant woman
d) The continuance of the pregnancy would involve risk, greater
than if the pregnancy were terminated, of injury to the physical
or mental health of any existing child(ren) of the family of the
pregnant woman
e) There is a substantial risk that if the child were born he/she
would suffer from such physical or mental abnormalities as to
be seriously handicapped
f) In an emergency to save the life of the woman
g) In an emergency to prevent grave permanent injury to the physical
or mental health of the pregnant woman. |
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In 2004 95.6% of abortions in Scotland were performed
on the statutory grounds that “continuance of pregnancy would
involve risk, greater than if the pregnancy were terminated, of
injury to the physical or mental health of the pregnant woman”.
The liberal interpretation of this legal ground for abortion effectively
means that abortion is available on demand. |
| Disability |
The legal time limit on abortion is 24 weeks.
However abortion is allowed up to birth on some grounds, including
the risk of disability in the unborn child. |
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Can we support a law that discriminates against
those with disabilities and yet at the same time claim to have
respect for people living with disabilities?
Some people who have disabilities believe that if abortion on
the grounds of disability had been allowed before they were born
then perhaps they would not be here today. |
| Rape/Incest |
Rape rarely results in pregnancy. The physical
and psychological trauma of violent sexual assault are part of the
reason that pregnancy is rare. Also a woman is only fertile for
2 and a half days in her 28 day cycle so this means there is only
a 10% chance of her actually being fertile at the time of the rape
taking place. In addition for fertile couples having consensual
sex there is only a 3% chance of becoming pregnant. The odds of
pregnancy occurring are therefore low even without taking into account
the fact that the woman or the man may be infertile, the age of
the woman, the woman may be on the pill and the effect of the physical
and psychological trauma on the woman’s normal pattern of
ovulation. In cases of violent sexual assault the incidence of pregnancy
is therefore reported as low as 0. This rate will of course be higher
when cases of “date-rape” or non-consensual sex are
included, this is because such cases tend not to be of a violent
nature and therefore have less of an traumatic impact on the woman
psychologically. Dr. and Mrs. J.C. Willke, Why Can't We Love Them
Both, Heritage House 76, Inc, 1998). |
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Campaigning for the legalisation of abortion
began after the 1938 case of Dr Alex Bourne who was acquitted
by the courts for performing an abortion on a girl who had been
raped. This eventually led to the Abortion Act 1967. Dr Bourne
became a founder member of SPUC due to his outrage at his case
being used to promote abortion on demand. This is a good example
of the saying “hard cases make bad laws”.
Many people believe that abortion is the solution for a woman
who becomes pregnant through rape or incest as the baby would
only be a reminder of her experience. However, the rape/incest
is the problem not the baby. Having an abortion may allow society
to forget but the woman will never forget.
Rape or sexual abuse is a traumatic act of violence against a
woman. Abortion only adds to her trauma as she suffers the new
trauma of losing her child and the baby now becomes a second innocent
victim of the abuse.
Research shows that women who have carried their child to term
and who have either kept their child or given it up for adoption
consider their child to be the positive outcome of a traumatic
experience (Victims and Victors,
ed. David C. Reardon, Julie Makimaa and Amy Sobie, Elliot Institute,
2000).
Children whose life began under such awful circumstances may
feel more loved and valued, knowing that in spite of the circumstances
of their conception they were still loved and wanted by their
mother. |
| To Save the Life of the Mother |
Allan Gutmacher, former president of Planned Parenthood
Federation (a major American abortion provider) in 1967 stated that
“Today it is possible for almost any patient to be brought
through pregnancy alive, unless she suffers from a fatal illness
such as cancer or leukaemia, and if so, abortion would be unlikely
to prolong, much less save life” (Abortion
– Yesterday, Today and Tomorrow, Diablo Press, 1967). |
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Professor Eamon O'Dwyer, Professor Emeritus
of Obstetrics and Gynaecology, National University of Ireland,
Galway said in his written submission to the Irish Committee on
the Constitution 29 February 2000: “After forty years as
a consultant obstetrician gynaecologist I can state: there is
no conflict of interest between the mother and her unborn child;
there are no medical indications for abortion; there is no risk
to the mother that can be avoided by abortion; prohibition of
deliberate intentional abortion will not effect, in any way, the
availability of all necessary care for the pregnant woman. There
is therefore a fundamental difference between abortion procured
with intent to abort, for social reasons for example, '... deliberate,
intentional destruction of unborn life' ... and destruction of
unborn life incidental to requisite medical treatment which is
lawful and ethical, however distressing.”
The Executive Council of Ireland’s Institute of Obstetricians
and Gynaecologists say that abortion is never medically necessary
and should not be legalised under false pretences. (Irish Times
15 November 2000). |
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Pregnancy is rarely a life-threatening condition. |
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When an ectopic pregnancy occurs in the fallopian
tube this is a life-threatening condition for the mother as the
fallopian tube may burst. The developing embryo will not survive
and so is removed in order to save the mother’s life. This
is not recorded as an abortion and there is no moral objection to
this procedure. |
| The Medical
Profession |
Could the decriminalisation of abortion have affected
morale within the medical profession since performing this procedure
goes against the caring and curing nature of their role? |
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The law on abortion allows any doctor or nurse
the right to opt out of performing/assisting abortions if they
have a conscientious objection. However, this has led to it being
very difficult for someone opposed to abortion being employed
in obstetrics and gynaecology. |
Questioning
the Abortion Mentality
Many people believe that the greater availability
and more effective use of contraception will eradicate the need
for abortion. However, family planning experts admit there is
a link between the increased use of contraception and the increase
in the number of abortions. When a couple use contraception they
do so to prevent pregnancy, therefore any resulting pregnancy
is by definition unplanned and so, where legal, abortion then
becomes a possibility?
Many contraceptive pills and implants can act as abortifacients
by preventing newly formed embryos from implanting in the womb.
“Contraceptives” such as the intra-uterine device
(IUD) act solely to prevent the embryo’s implantation. Therefore,
not only does the use of contraception not remove the need for
abortion, but some contraceptives can also cause early abortions
that go unregistered, concealing the true number. This is also
the case for the morning-after pill.
Contraception and abortion have been central to the sexual revolution,
which many people believe has led to the liberation of women.
Liberation implies a notion of freedom yet our society suggests
that abortion is the only option to an unplanned pregnancy rather
than making it easier for women to accept their pregnancy and
choose to have their child?
The notion of “a woman’s right to choose” isolates
women and frees men from the “burden” of sexual responsibility
placing sole responsibility for the unplanned pregnancy onto the
woman? Abortion, rather than liberating women burdens them with
the responsibility of “choice”? This same culture
excludes men from the right to father their children and imposes
on men the idea that they have no right to burden women with their
thoughts and feelings regarding their unborn child?
The reality of Post-Abortion Trauma testifies to the fact that
abortion damages mothers, fathers and society. Should something
that is “liberating” also hurt you? |
SPUC Scotland
Revised June 2004
Jacqueline Dalrymple
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© 2002-2008 The Society for the
Protection of Unborn Children. All Rights Reserved.
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