Walkup's Way Home Abortion

By age 45, 1 out of every 2.5 women in the United States has had at least one abortion.   http://www.afterabortion.com/          
Almost one billion registered abortions were completed worldwide during the law few decades of the 20th century (J. Butts Nursing Ethics p. 73)                                 

 

 

Learning objectives: 
Students will

  • Will have completed the abortion inventory   - Results of survey are here
  • Understand the relationship of ethical theories to abortion
  • Be able to define abortion terms
    • Abortion 
    • Spontaneous Abortion/miscarriage
    • Induced Abortion
    • Elective Abortion
    • Therapeutic Abortion
  • Be familiar with common reasons given for abortion
  • Familiarity with statistics on abortion
  • Have seen visited reputable databases to locate up-to-date abortion information in reputable publications
  • Be able to define & understand  terms related to the conception process
    • Conception/Fertilization
    • Zygote
    • Blastocyst
    • Embryo
    • Fetus
    • Viability
    • Conceptus
  • Understand testing done of preborn child & risks involved
    • Ultrasonic testing
    • Amniocentesis
    • CVS  Chorionic Villus Sampling
       
  • Be familiar with a few abortion methods
    • Medical Abortions
      • Morning-After Pill
      • Ru-R86 (Mifepristone)
    • Surgical Abortions
      • Dilation & Curettage (D & C)
      • Vacuum Aspiration (D & E)
      • Partial Birth Abortion (Intact Dilation & Extraction IDX)
      • Hysterontomy
  • Familiarity with:  Intercardiac Injection, Saline Injections, The Pill
  • Important Court Cases
    • Roe v. Wade
      • Be familiar with the ruling
        • Understand how the right to an abortion is not absolute.
    • Planned Parenthood v. Casey  June 29, 1992
      • Familiarity with 2 restrictions   (waiting period and consent)
    • Webster  v. Reproductive Health Services  July 3, 1989
      • Public funds can't be used for abortion
  • Have a grasp of the history of abortion & contraception in this country
  • Understand religious views of abortion
  • Understand the key moral problem of abortion: per Thiroux
  • Ability to identify three broadly identifiable positions on abortion
  • Be able to explain the point counterpoint arguments from text
  • Familiarity with Memory & Identity - released in February 2005
  • Implications of  Assisted reproductive Technology

 

 Moral Theories  & their relation to abortion
Categorical Imperative "Act so that the maxim [principle] of your action can be willed as universal law" Immanuel Kant

Categorical: independent of all personal interests and inclinations.
Imperative:  A command

The categorical imperative stresses the absolute nature of law & law is based on reason & on universal rules

Abortion, death penalty, murder, lying, stealing...are not permitted

Kantian One who subscribes to the theories of Immanuel Kant (1724-1804).

He is known primarily for his 
1. categorical imperative and
2 emphasis on respect (achtung), describing people as a "Kingdom of Ends"

Utilitarian

Mill  1806 - 1872

One who subscribes to Bentham's or Mills' principle of  utilitarianism, where 
Pain and pleasure are the measure
It is a moral theory claiming what is morally  right is whatever produces the greatest overall amount of pleasure  or happiness .

What is the goal of utilitarianism?
To produce the greatest balance of happiness over unhappiness of everyone who stands to be affected by our actions.

Recall Mill supported women's rights & countered discrimination in The Subjection of Women

Utilitarians claim only sentient beings need to be given moral considerations. Abortion becomes a moral issue only after the fetus is able to experience pain.

Divine Command Adherents say God provides the final word on any ethical argument. For example, the Ten Commandments would say, "Thou shalt not commit commit adultery. Thou shalt not  kill"
Psychological Egoism  The view that all people are motivated ONLY by what they believe to be good for themselves in some respect and that we are hard-wired to do as we will

In short, everything that we do, we do for our own interest

Ethical Egoism

It carries psychological egoism one step further by saying that we should be selfish and selfishness is extolled as a virtue. (Associated with Ayn Rand  (1905-1982). & many others.

If an abortion is in your best interest, go for it.

Definitions: 

What is an abortion?

An abortion is the premature termination of a pregnancy (prior to birth).

 

What are the classifications of abortion?
Spontaneous or Induced

 A spontaneous abortion, commonly called a miscarriage occurs because something went wrong with either the placenta or the normal growth of the baby, leading to either premature birth or the death of the child in the womb.

An Induced abortion is the willful and forced expulsion of the fetus or embryo from the womb. 

Elective vs. therapeutic abortion

If a womb is capable of carrying the child at least to viability, the induced abortion is called elective.

Therapeutic: If the womb can in no way do this, and both the mother and the fetal child will die in a short time if the child is not expelled from the womb, the induced abortion can properly be called therapeutic, and is not directed intentionally toward fetal death as either an end or a means

 

What are common reasons given for  abortions?

  • contraceptive failure

    • (50% of reasons  per Smith 1990 lecture) 

    • (60% per Thomas Euteneuer "Are We Really Winning  February 2005)

  • abandonment by their partner

  • can't figure out what to do or how to raise a child - just overwhelming

  • can't let parents know

  • Fear of disclosure of pregnancy

  • fetal abnormalities

  • financial problems

  • incest

  • lack of education

  • unemployment

  • not done with education

  • poverty

  • Pressure to have an abortion

  • rape

  • relationship problems

  • violence

 

Abortion Statistics from various sources give roughly the same picture
"Every day 41,237 abortions are performed worldwide, and of those 3,597 are performed in the United States "(Janie Butts, Nursing Ethics, page 73)
Abortion statistics from facts.com (1999 statistics)
Abortion rate per 1,000 women ages 15-44 (1996) 20
Women who have abortions who are under age 25 55%
Women who will have at least one abortion by age 45 43%
Abortions performed in first trimester 85.9%

On January 16, 1998, ABC Nightly News stated,, "An estimated 43 percent of American women will have an abortion by age 45" 

 http://www.afterabortion.com/  reports that by age 45, 1 out of every 2.5 women in the United States has had at least one abortion.  

"Nearly 50% of American women, from all races and religions, will have at least one abortion during their lives" (from facts.com)

Nearly 90% of abortions take place within the first 13 weeks, commonly known as the first trimester (from facts.com)

In the U.S.  approximately 25% of pregnancies end in abortion.
85 to 90% of these are done in the first 12 weeks of pregnancy.

Janet Smith reports that approximately 50% of abortions are performed because of contraceptive failure

How many abortions are actually performed?

1973 (year abortion was legalized)  760,000 abortions in the U.S.
1980's  approximately 1,600,000 per year in the U.S.

The world health organization reports
25 million abortions were performed in 1990 worldwide
 45 million abortions were performed in 1995 worldwide

Check the CDC statistics http://www.cdc.gov/nchs/fastats/unmarry.htm

With an increase in abortions, is there an increase in support for abortions?
According to the American Council of Education, amongst  college freshmen it's declining
1990:  64.9%  of freshmen supported legalized abortion
1999:  53.5% of freshmen supported legalized abortion

2000 a Gallup Poll found the following::
28% of Americans thought abortion should be legal under any circumstance
51% thought it should be legal under limiting circumstances
19% thought  it should be illegal under all circumstances.
66% opposed legalizing partial-birth abortion

According to Martin's Everyday Morality, "More than half of all Americans define themselves themselves (in opinion polls) as moderates, although most also believe that people should be allowed to make their own abortion decisions"(128).

Moderates regard some abortions as morally permissible and other abortions as unjustified" (Martin 128).

 

Biology Class

  • Conception or fertilization occurs when the female germ cell (ovum)  is penetrated by a male cell (spermatozoon).

  • The result:   One single cell containing  46 chromosomes called zygote. The zygote journeys down the fallopian tube to  the uterus, while growing in size. (2-3 days)

  • When the  zygote reaches uterus, it free-floats in intrauterine fluid & develops into what is termed a blastocyst. By the end of the second week (Thiroux says 6 days), the blastocyst implants itself on the wall. 

  • Embryo:  Term used to describe the baby from the end of the second week to the eighth week. (At 6 weeks baby has reflexes; EKG can be recorded;  fingers & toes begin to form; - especially during the first 6 to 8 weeks the embryo is most vulnerable to effects of drugs, radiation, infections, nicotine, nutritional deficiencies.)

    • At eighth week --appears quite human; heart complete the formation of its 4 chambers; hands and feet are well-formed and distinctively human; cerebral cortex begins to acquire typical cells; all organs, facial features and limb structures have begun to form. The fundamental plan of the human body is completely mapped out.

  • Fetus:  term used to describe baby from the 8th week to– birth. There is  brain activity

    “The fetus is genetically distinct in every cell of its being from the mother”

  • Quickening  - Occurs between the 13th and 20 weeks. Mom begins to feel movement

  • Viability: Period from approximately  the 20th to 24th  week on , the point at which the fetus can survive outside the womb.

 An important question: When does life begin?

 

Developmental Timetable  & Terms to Know
 (Check out the hyperlinks)
Fertilization We start out with 300 million sperm entering the vagina
The sperm can survive for 48 hours.
It takes 10 hours for the sperm to navigate the female productive track.
1% or 3 million sperm enter the uterus/
There is a limited amount of time for the sperm to penetrate the egg/
Conception The sperm and egg, each containing 23 chromosomes unite to form one cell with 46 chromosomes.
The newly fertilized egg is called a zygote
First through second or third day (approximately)
Blastocyst Second  or third day through second week (approximately)
12 days after conception The fertilized ovum has attached itself to the uterine lining ((Nursing Ethics p. 75)
Embryo Weeks 2 to 8
Cells rapidly divide into specialized cells, such as eye, muscle cells...Brain waves are detectable.        
Fetus eighth week until birth
Resembles a small newborn child.
All organs and structural features are in place.
Four months from conception: the fetus has its own characteristics that can be differentiated from other fetuses (Nursing Ethics, page 75)
Viability The capacity to survive disconnected from the placenta
1950: 30th week
1973:  24 weeks
Today: approximately 20 weeks (others say 24 weeks)
(Our text states weeks 26  to 28. This info is outdated)

(Note: birth occurs between the 39th and 40th weeks)

Conceptus "That which has been conceived" A term coined by Daniel Callahan.
It is a neutral term  that covers the developing human from conception to birth.
Child Child is used after the birth, however, some pro-life advocates use the term child to refer to the developing human individual shortly after conception.

"After delivery, breathing is separate from the woman's body, as evidenced by Genesis 2:7 in the account of how Adam became a person: "God formed the man from dust of the ground and breathed into his nostrils the breath of life, and the man became a living being." (Nursing Ethics page 75)

Photos of development Fetal Development Photos from Pregnant Pause
The Visible Embryo Site
Fetal Development Overview from Westside Pregnancy Resource Center

.

 

Testing Done on Conceptus
Ultrasonic testing A test using a sound/echo system from which pictures are seen. Ultrasound pictures provide information as to health, gender, heartbeat, possible birth defects.
It is non-invasive and poses no harm to the baby, so it can be repeated .
 

Amniocentesis

This  test can be performed after the 16th week.
A needle is inserted  in the amniotic sac & amniotic fluid is withdrawn.
This fluid is analyzed to determine the sex and  the abnormalities.
A drawback is the possibility of  harm to (including death) of the fetus
1 in 200 have a miscarriage
CVS  Chorionic Villus Sampling
 
A flexible catheter is inserted  vaginally, along the uterine walls.
Suction is used to extract fetal cells.
Since this test can be done at the 9th week, deformities can be detected at an early stage of pregnancy.
A drawback is that CVS has caused limb deformities.
0.05% risk for fetal foot or toe deformities ((Nursing Ethics page 85)
Alfa Fetoprotein Testing
"Fetoprotein, alpha- (AFP): AFP is a plasma protein that is normally produced by the fetus. It serves as the basis for some valuable tests.
During pregnancy, AFP crosses the placenta from the fetal circulation and appears in the mother's blood. The level of AFP in the mother's blood (the maternal serum AFP) provides a screening test for a number of disorders including:

 

 

       
  After reading an article in facts.com, I compiled it into a chart so you can visually see when abortions are performed.

 

 

Abortion Methods
Note: You are responsible for the general information presented in the text.
You need not memorize all of these statistics.

Medical Abortions            Morning-After Pill & Mifepristone (RU 486)
Morning After Pill
  • This is a high dose birth control pill taken at two intervals over the three days following intercourse.
  • This dose prevents the blastocyst from implanting in the uterine wall.
  • 75% successful at preventing implantation
RU-486

(Mifepristone)

  • Approved by the FDA on September 28, 2000
  • It reduced the need for surgical abortions.
  • It can be  taken up to 50 days from conception
  • A steroid drug is taken orally, which either destroys the embryo's  placenta or prevents it from being formed
    (RU 486 blocks the action of progesterone, the natural hormone vital to maintaining the rich nutrient lining of the uterus.) The developing embryo starves as the nutrient lining disintegrates. Mifepristone induces menstruation, thus expelling the implanted embryo.
  • The next doctor's visit is  36 to 48 hours later. the woman takes misoprostal, which forces the uterus to contract and expel the fetus/embryo/baby.
  • She returns 2 weeks later to make sure the pregnancy is terminated
  • It is  over 90% effective in terminating pregnancies of less that 7 weeks' gestation.
  • In up to 20% of the cases, it takes more than 2 weeks for the fetus to be expelled.
  • General failure rate is 5% per facts.com
    General failure rate is 2.3% from"Mifepristone" by Dr. Joel Brind"
Surgical Abortions        98-99% "Success Rate"

Vacuum Aspiration (D & E)        (strong suction used in early stage of pregnancy)
Dilation & Curettage (D & C)     (when fetus is too big to be vacuumed, he is first cut with a curette)
Hysterontomy                             (stomach is cut open & fetus is removed & left to die)      
Partial Birth Abortion                  (baby is partially delivered &scissors cut the base of the skull)

Dilatation and Curettage


(D&C)

Curettage refers to  "curette," a spoon-shaped surgical instrument

  • This used to be the most popular form of abortion
  • The cervix is expanded
  • A spoon-shaped curette  is inserted to scrape the surface of the uterine wall &  to dismember the fetus
  • The doctor scrapes the pieces out through the cervix.
  • Infection or severe bleeding if parts left behind.

This method has fallen out of favor because of the risk of puncturing the uterus, which , in turn can cause maternal hemorrhaging & even death.

Uterine Aspiration 

also called
Vacuum  Aspiration
Suction Curettage
  S & C
Dilation & Evacuation
D&E

Aspiration means removal by suction

Curettage refers to "suction curette", which is a hollow tube with a knife-like edge tip)

  • This is very similar to the D & C except for using a vacuum suction method
  • In U.S. more than 90% of abortions are vacuum aspirations. It was first used in U.S. in late  60's.
  • General or local anesthesia is given to the mother.
  • The cervix is dilated.
    (Sometimes it is damaged because during pregnancy the cervix is closed tightly to protect the baby.)
  • A  hollow tube with a knife-like edged tip (suction curette) is inserted into the womb. This instrument is then connected to a vacuum machine.
  • A strong suction( 29X stronger than a household vacuum cleaner)  tears the fetus into small piece. These are sucked through the tube & into a bottle) 
     An inventory is then taken  to ensure all body parts were "vacuumed" to ensure a complete abortion.
Hysterontomy These abortions are performed for babies too big to  be removed vaginally  (after 12th week). This is occasionally done when chemical abortion fails.
Women wait this long because  abnormalities do not always show up in the early months of pregnancy & young teenagers are sometimes in denial that they are pregnant.

A hysterontomy entails 

  1. The abdomen and the womb are opened surgically.
  2. The fetus is lifted out and the cord is clamped.
  3. The placenta & amniotic sac are also removed
  4. The baby is usually too young to survive without immediate medical treatment and is put aside to die.

This method is used primarily for "emergencies" because of the large number of fetuses who survive these procedures & the high incidence of maternal complications.
There is a potential for rupture in future pregnancies.

 NRLC reports  271.2 deaths per 100,000 cases in NY during a 2-year period

Partial Birth Abortion 

(also called Dilation & Extraction or intrauterine intercranial abortion)

 

Usually done during the 5th month, but sometimes done by the 26th week. This method is used when the mental or physical health of the mother is in danger (including malformed babies)
  1. The cervix is dilated
  2. In Partial Birth Abortion  the doctor partially delivers unborn child  from the uterus, feet first, leaving the fetus's head inside the womb
  3. Then, a  blunt, curved Metzenbaum scissors is forced into the base of the skull. the scissors are spread to enlarge the opening.
  4. The fetus's head then collapses .
  5. The doctor suctions out the brains and then crushes the skull so the fetus can fit easily through the woman's birth canal.

Two links for visual representation   1, 2.

Partial- Birth abortion Act 1995 defined the procedure as follows: " An abortion in which the person performing the abortion partially vaginally delivers a living fetus before killing the fetus and completing the delivery.

In 1997 “Partial Birth Abortion Ban Act HR 1122”  was  reintroduced but vetoed by Clinton In Oct 1997

In 2000 The Supreme Court struck down a Nebraska law that banned partial-birth abortion. 

Approximately 5 thousand partial-birth abortions are performed annually (Fact on File, March 20, 1997)

March 13,2003: Senate voted 54-43 to ban partial-birth abortion. Bush indicated he will sign

The  American Medical Association (AMA),  reports that about 0.1% of abortions are partial birth abortions. (Source Facts.com)

Link for D & E visual representation

Other terms associated with abortion
Intercardiac Injection Commonly used in "pregnancy reduction" abortions
  1. At 16 weeks ultrasound is used to pinpoint the location of the baby's heart.
  2. A needle injects a fluid into its heart, causing an immediate heart attack, killing the preborn baby. 

 

Saline Injection

This procedure is outlawed in Japan & other countries due to its risk to the mother. It is becoming less popular in the U.S. It is usually performed after the 12th week. & is generally preferred to the hysterontomy.

  1. A needle is inserted through the abdominal wall and into the amniotic sac which surrounds the fetus.  A concentrated salt solution is injected into the sac surrounding the fetus. (Thiroux writes, "Some of the amniotic fluid is drawn off and replaced by a glucose, saline, or prostaglandin solution.")
  2. The fetus inhales and swallows the salt solution. It is also absorbed through skin  causing severe severe burns – 
  3. The fetus dies 1 to 2 hours later from salt poisoning, dehydration, hemorrhages of internal organs and convulsions.
  4. The mother goes into labor.
  5. A dead or dying fetus/baby is delivered 20 to 72 hours later.

Note: This procedure can cause psychological problems because the woman goes through labor and delivers a dead fetus. A fetus resembles a very small newborn child. Occasionally this method results in live birth

Visual representation of saline 

Prostaglandin Abortion A hormone drug is injected into the amniotic sac.  this causes premature labor and birth. In a sense, a woman undergoes a regular delivery. "The baby in most cases is born alive with a heartbeat and is then put aside to die."
 J. Tino 1984 - Abortion Kills page 3
The Pill

Some conservatives consider the pill to be an abortifacient. Birth control pills work in three ways:

  1. They suppress ovulation (meaning they prevent the woman's body from releasing an egg)
  2. They thicken the woman's cervical mucus, making it difficult for the sperm to reach the egg.
  3. They alter the lining of the uterus so that the zygote cannot implant. The developing baby receives his oxygen and nutrition through the uterus, so if the zygote-baby cannot implant, he starves to death. 
  4.  This  third method is referred to by some conservatives as an abortion..
Embryonic Stem Cell Research Involves the destruction of tissue (supporters)
Involves the destruction of a pre-born child (opponents)
General Comment on side effects:

97% find the abortion procedure painful.
Younger women find it more painful than older women.
Common complications include: infection, bleeding, menstrual disturbance, laceration of the cervix, perforation of the bladder or bowel, and  inflammation of the reproductive organs

Other side effects can surface later:
Ectopic (tubal) pregnancy
Statistically increased chance for  miscarriage
Statistically increased chance for premature birth  with lower birth rate
Doubling the risk of future sterility (by damage to the lining of the uterus)
Psychological problems
Death   (rare)

 Some of the above  abortions methods information is from Boss's Analyzing Moral Issues. I highly recommend the book

 

 

Three Important Court Cases

ROE V. Wade  Jan 22, 1973

  • Jane Roe (Norma McCorvey) went to court to prove statutes prohibiting abortion – except to save life of mom – were unconstitutional
  • In 1973 the Supreme Court ruled that 
    • Up to first trimester (12 weeks), state may not interfere with or regulate a physician’s decision.
    • Abortion is permitted, without restriction at the request of the woman - up to 12 weeks             
    • In the second trimester, there are some restrictions to protect a woman's health
    • States may forbid abortion in the 3rd semester, except in cases of the woman's health.                                                                                                  
    •   FETUS is NOT a PERSON according to the  14th amendment. 
      The court said it had no intent to “resolve the difficult question of when life begins.” But the court found that the fetus is not, prior to viability, a being to be protected.
    • After the fetus is viable,  the states may prohibit all abortions except those necessary for health or life of the mother
  • The rationale according to the Court was a woman's right to privacy, as implied in the Fourteenth Amendment, her right to make a decision without interference the the government. 
  • The effect of this ruling:
    • Legalize abortion prior to viability
    • After viability (28 weeks) the states have a legitimate interest in "potential life" and can pass laws to regulate abortion.

Webster  v. Reproductive Health Services  July 3, 1989

* US Supreme Court upheld a Missouri law that declared the ‘life of each human being begins at conception.”

*Law prohibits use of public funds, employees & facilities  to perform, assist, or counsel abortions not necessarily to save the mother’s life.

*It instituted a gag rule (only physicians could counsel of abortion in clinics receiving fed money) and it instituted a waiting period.

---===
Aside: The Unborn Victims of Violence Ace of 2004 (also called Laci and Connor's Law) states that any "child in utero who has been killed or injured is to be recognized as a legal victim of a federal crime of violence" (Janie Butts Nursing Ethics p. 76).

 

 Planned Parenthood v. Casey  June 29, 1992

  • Pennsylvania case
  • Upheld by 5 – 4  the right to abortion  in Pennsylvania with restrictions:
    • 24 hour waiting period following a mandatory presentation intended to dissuade
    • Consent of parent or judge
    • Husband need not be notified (undue burden)
  1. exempt if medical emergency
  2. state must give statistical report
  3. married women don’t have to tell husbands – undue burden

Viability is a key word in that case: "We conclude the line should be drawn at viability, so that before that time, the woman has the right to choose to terminate her pregnancy....The undue burden standard is the appropriate mans of reconciling the State's interest with the woman's constitutionality protected liberty."
In other words, the state cannot place an "undue burden" on women if they want an abortion. However,  abortion could be banned after viability (24th week)

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Highlights of  Class Lecture

 

Does a woman have absolute right over her own body at any stage of pregnancy?

           

What is the key moral problem of abortion?
Under what conditions, if any, is abortion morally justifiable?

 

What are the three broadly identifiable positions on abortion?

  1. Conservative view:  abortion is never morally justified, or at most justifiable only when the abortion is necessary to save mother – 
  2. Liberal view: always morally justifiable, regardless of reasons or the time in fetal development
  3. Intermediate or moderate view:  up to a certain point or some  reasons provide sufficient justification

Background Information  on Abortion & Contraception

As mentioned above, abortion was pronounced legal in 73.
When had abortion been declared illegal?
Prior to 1821, there was not a single statute in the United States concerning abortion (Carl Sagan claims this was because we were an agrarian society.
Connecticut in 1821 passed the country's first antiabortion law.
The trend to consider abortion as evil continued to grow.
In 1859 the AMA condemned abortion as an "unwarranted destruction of human life."
Later the AMA pushed for antiabortion laws.
Between 185 and 1880  most states passed  antiabortion laws
By 1900 all states had laws restricting or prohibiting abortions. All but six included a "therapeutic exception."

What did early feminists have to say regarding abortion?
Early feminists wanted the NEED for abortions to be eliminated:
Elizabeth Cady Stanton  in 1868 wrote "Infanticide" wherein  she regarded abortion as just one more result of the degradation of women.
Susan Anthony  in 1869 wrote "Child Murder" stating, : "We must reach the root of evil and destroy it."

1960's:   the mood began to change.
Between 1963 and 1966   15,000 babies were born with birth defects (blindness,  mental retardation, heart problems.  )  German measles & the drug thalidomide had caused numerous defects.

In 1965 Griswold vs. the State of Connecticut:  (right to privacy - contraception)
Appellant Griswold is the executive Director of the  Planned Parenthood League of Connecticut.
Appellant Buxton who was Medical Director for the League  was arrested.

The charge was giving information, instruction and medical advice to married persons as to the means of preventing conception Additionally women were examined and                                          contraceptives were prescribed..
The statute read, "Any person who uses any drug, medicinal article or instrument for the purpose of preventing conception shall be fined not less that fifty dollars or imprisoned not less than sixty days nor more than one year or be both fined and imprisoned...Any person who assists, abets, counsels, causes, hires or commands another to commit any offense may be prosecuted and punished as if he were the principal offender."

The appellants were found guilty as accessories and fined $100 each.

The U.S. Supreme Court ruled that Connecticut's birth-control law unconstitutionally intruded upon the right of marital privacy.

Between l965 & 1975 the abortion rate doubled.

Between 1967 and 1970 12 states repealed their restrictive abortion laws

In 1969 Planned Parenthood pushed strong for the repeal of antiabortion laws.

In 1970 the AMA voted to support a physician's right to perform abortions  if a woman's social or economic conditions would make it difficult to have a baby.

1973 Row v. Wade:  The Supreme Court ruled that Texas's antiabortion law violated a woman's right to privacy. It appealed to the 14th amendment. it said the fetus is NOT a person according to the fourteenth amendment (U.S. Constitution and amendments)

==============================================================

The Pill

Many individuals today take contraception and abortion for granted - as if these options were always around.

Until 1930  every Christian church said contraception is wrong. Anglican church approved it in marriage for serious reasons


There was great opposition to the pill and to contraception & these were illegal when I was growing up. Protestors thought it would lead to a society of immoral people and that it would encourage immoral behavior. Some said it would contribute to the depersonalization and dehumanization of women and reduce women to objects of pleasure, that it would cause psychological and physical harm....

 

A little history:

Margaret Sanger, founder of Planned Parenthood probably fought harder and spent a fortune promotion the pill. Many denounced her as  a eugenicist & many hailed her as a champion of women's freedom.

 

In March  1914 Sanger founded a newspaper called, the Woman Rebel. Its purpose was to free women from bourgeois morality, wage slavery & superstitions.  The Postmaster banned it because the Comstock Law banned the mailing of information on contraception.  Sanger fled the country, leaving her husband and children behind to avoid jail

 

In the 1950's Americans spent $200 million on condoms.
They were second to douches. Asbell reports "Condoms cost about eight tenths of a cent to manufacture, but a packet of three generally sold for fifty cents or more."

 

In 1957 the FDA approved the Pill  (Syntex-Parke-Davis drug, Norlutin) - not for contraception, but for "menstrual disorders)

On May 11, 1960 the Pill was formally approved.

Humanae Vitae, Encyclical of Pope Paul VI 
On The Regulation of Birth July 25 , 1968

 

In 1972 Massachusetts was the last state to repeal contraception laws: "While it was not illegal to use contraceptives, Massachusetts law made it a felon to 'exhibit, sell, prescribe, provide, or give out information about them.'"  (Asbell) -

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Religious Views on Abortion

Although pro-life is often labeled as  the "religious" position, religious views differ.
Muslims believe human life is sacred and  that the fetus is a person with rights.
Islamic law generally permits early abortions on medical and health grounds. 

In Hinduism, the killing of a conscious fetus carries the same penalty as the murder of a learned Brahman.

Orthodox Jews see life as sacred, thus abortion is prohibited except to save the life of the mother.

Liberal Jews say Adam did not become fully human until God breathed life into him, so the baby does not become a person with a soul until it takes the first breath of air; therefore, abortion is permissible.

Catholics have had a strong tradition of opposing abortion as life is sacred from conception to death. Conception is the instant at which the sperm from the father meets the ovum of the mother. God makes a new creation by providing the soul at this time.

John Calvin (1509-1564) and Martin Luther (1483-1546) opposed abortion, believing that one is fully human from the moment of conception.

Modern Protestants hold varying views. Most mainstream Protestant churches take a moderate view.



  =================

Pope John Paul had another book published in March 2005, Memory and Identity.  He addresses the "what is legal is moral" mentality. What is relevant to our abortion discussion is the Pope's calls abortion "legal extermination" - analogous to wiping out the Jews during WWI.

The pope writes that six million Jews were annihilated because people were usurping the "law of God" under the guise of democracy." It was a legally elected parliament which allowed for the election of Hitler in Germany in the 1930s."

"We have to question the legal regulations that have been decided in the parliaments of present day democracies. The most direct association which comes to mind is the abortion laws. Parliaments which create and promulgate such laws must be aware that they are transgressing their powers and remain in open conflict with the law of God and the law of nature."

Holocaust refers to the extermination of 6 million Jews.
The holocaust of the preborn is much larger - 40 to 60 million/year worldwide.

Hitler referred to Jews as the equivalent of "a parasite in the body of other nations (Mein Kampf).

The preborn is referred to as "a parasite" in the woman's body

Gitta Sereny, writes that Christian Wirth referred to the Jews at Treblinka as "this garbage"

Dr. William Brennan writes that the Nazis avoided the world kill: "According to their sugar-coated rhetoric, people were merely "removed" from ghettoes and "evacuated" to  "the East" for "special treatment" in the "wash and disinfectant rooms" of "labor,", "concentration" or "resettlement camps....A sign at the entrance to Auschwitz [reads] "Labor Makes You Free."" (An Abortion Holocaust: Today's Final Solution, Landmark Press, 1983)

Both Jews and preborns are considered less-than-human

The unborn are put to death in the uterine walls; the Jews were put to death in gas chamber walls. The plight of the victims is hidden.

Jews walked to their death through  doors marked  "showerbath" (Brausebad) instead of gas chamber.
Preborn children enter doors labeled "Procedure Room" rather than "Abortion."

Ernst Fraenkel writes  in  "The Duel State that the German Supreme Court in 1936 "refused to recognize Jews living in Germany as 'persons' in the legal sense." Analogously, Roe vs. Wade decided the word 'person' does not include  the unborn.

Defendants in the Nuremberg War Crime Trials denied personal responsibility, as they were following the law. This was a legal matter and not a moral matter.

 

Implications of Reproductive Technology

Assisted Reproductive Technology (ART) accounts for 1 to 3% of annual births in Western countries. "Recent studies have found that a congenital abnormality named Beckwith-Wiedemann syndrome occurs at a 4.2-fold increase in ART babies compared with babies who are born naturally....Could there be an acceptable level of risk for fetuses born via ART?" (Nursing Ethics pages 79-880

Does the risk of a deformed child, or the risk of selective reduction (when too many ovum "take" in the uterus) promote abortion?  Are these acceptable risks?

 

Connecticut State Law:

Section 53a-59c: "Assault of a pregnant woman resulting in termination of pregnancy: Class A felony. (a) A person is guilty of assault of a pregnant woman resulting in termination of pregnancy when such person commits assault in the first degree as provided under subdivision (1) of subsection (a) of section 53a-59 and (1) the victim of such assault is pregnant, and (2) such assault results in the termination of pregnancy that does not result in a live birth.   State Connecticut General Assembly site at http://www.cga.ct.gov/

The above law came into effect  after Michael Latour killed  Jenny McMechen on New Year's Eve 2001. She was 9 months pregnant. Latour was sentenced to llife in prison "which in Connecticut is 60 years plus ten more for firearm charges" (www.WTNH.com/global/story.asps=1707979$clienttype=printable
 retrieved 3/16/2005)
Latour comes from a troubled childhood and abuse in the home.
 

Abortion Links

Abortion law Homepage Purpose: "This page is being constructed to help people, regardless of their political bent, understand the background and state of abortion law in America, and access related legal material--especially that which is less available and less well known" It contains links to the following:

Abortion Related Legal Terms
Constitutional Law
Canon Law
Download Cases & Other Materials
Federal Law
Feticide cases and statutes
Index of Primary Materials (legal texts)
Oral Argument Transcripts
"Partial-Birth" Abortion Laws
Planned Parenthood v. Casey
Privacy
Roe v. Wade
Roe in a Nutshell
State Abortion Laws: Background & Status

Abortion Methods & risks for each method http://www.jcu.edu/studentl/Student%20Activities/Student%20Organizations/RTL/tech.htm

After Abortion.org

California Abortion & Reproductive Rights League -  

McCorvey, Norma  of Roe vs. Wade

RoeNoMore.org Home Page of Norma's "RoeNoMore" site
McCorvey's Book Won by Love
McCorvey's Interiew - States she was originally seeking for an adoptive family  until the adoption attorney introduced her to 2 attorneys  who were seeking to overcome the Texas abortion statutes
McCorvey - Links to recent interviews and statement by Norma

Overpopulation

Post Abortion Stress Myth from MS Magazine

Post Abortion Stress Vignettes

Post Abortion statistics from The Elliott Institute http://www.afterabortion.com/

statistics from CDC  http://www.cdc.gov/nchs/fastats/unmarry.htm

summary  & illustrations of types of abortions

Survivors of abortion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

 

 

 

 

 

 

 

 

]

Info for future lectures

 

 

National Center for Health Statistics - get quick facts

In April 2004, President Bush (R) signed into law the Unborn Victims of Violence Act.  This bill that makes it a crime to injure or kill a fetus during the commission of a violent federal crime against a pregnant woman.

 

Consider this:

A survey conducted by a Rape Crisis Center of Jr. High students, found 65% boys and 50% girls considered it acceptable for a man to force a woman to have relations with him if they have been dating for 6 months.

 

Another survey showed 1/3 of all pregnancies in the US end up with the unborn baby being destroyed by abortion.  1.3 million/yr.  

From Deacon Hayes Homily Jan 2005 

 

 

For discussion :

Saint or fool:

"If you must choose between me and the baby, no hesitation: choose - and I demand it - the baby, save him.  St. Gianna Berreta Molla (she died)

 

The average teen sees 9,000 sexual acts per year on television (EWTN Jan 2005)

 

Court Cases

 

 

 

In March 1997, the Supreme Court  clarified  Lambert v. Wicklund.
 It struck down a 1995 Montana parental-notification law.
Kids need not notify their parents of the abortion if the state judge decides that teens' best interests would be jeopardized by notifying a parent.

 

Stenberg v. Carhart    June 28, 2000

The Supreme Court struck down a Nebraska law that banned partial-birth abortion. The court ruled the Nebraska law placed an "undue burden" on women since it failed to include an exception in which the health of the pregnant woman was at risk. 

 

READINGS__________________________________

 

Summary of Readings
John Noonan
Absolute Value
The fetus is a person
Distinctions, such as quickening, embryo, fetus are unsound & arbitrary
Judith Thomson

Defense of Abortion

Let's say for the sake of argument the fetus is a person.
Even if it has the right to life, it does not have the right to everything it needs, including a woman's body.                        (violinist analogy)   
Mary Warren

Moral & Legal Status

Women have a fundamental right over their bodies. A fetus/baby is not a "person" until it experiences:

  1. consciousness

  2. reasoning

  3. self-motivated activity

  4. the capacity to communicate

  5. the presence of self-concepts & self-awareness

Warren added a postscript after publication saying she does not support mass infanticide.

Rosalind Hursthouse Would a virtuous person have an abortion in this case?
Being a parent  enhances one's life (flourishing eudaimonia)
An Almost Absolute Value in History - John T. Noonan
Professor of law at the University of California in Berkeley.

Noonan's 1970 article is also a classic & like Thomson begins with the presumption that the fetus is a person with moral standing.

Unlike Thomson, Noonan concludes that abortion is rarely, if ever, morally justified.

Noonan assigns full ontological status at the moment of conception.
Anyone conceived by human parents is human.
We have moral value simply because we have a human genotype.
Noonan claims distinctions like quickening, viability are unsound & arbitrary. Even after a baby is born it is still dependent on the mother for survival.

Noonan  speaks of abortion in terms of probabilities: When  shooting in a forest, if the chance is 200,000,000 to 1 that movement in the bushes in a man's, then you would probably not be charged with careless shooting. But if chances are 4 in 5, few would acquit you of blame. At conception a new being receives its genetic code & chances for livelihood are high (pages 182-183.


A Defense of Abortion By Judith Thomson
Professor of philosophy AT Massachusetts Institute of Technology

This article was published 2 years before Roe v. Wade & has become a classic.

Judith concedes for the sake of argument that the fetus is a person from the moment of conception, & asks, "Is abortion necessarily wrong - assuming the fetus is a person? Sometimes

Even if the fetus has a right to life, this does NOT include the right to whatever it needs, including a woman's body.

We do not have responsibility for an individual unless we "assume it."

Judith does argue, however for the "Minimally Decent Samaritanism" standard - where  something isn't overly inconveniencing, it should be done.

Thomson claims that even if the fetus has a right to life, this does not entail the right to whatever one needs, including the use of a woman's body.

However, she ends her essay saying, " A very early abortion is surely not the killing of a person, and so is not dealt with by anything I have said here."

Thomson is known for her violinist analogy. A woman's bloodstream had been hooked up to a famous violinist in order to save his life.

Judith does argue, however for the "Minimally Decent Samaritanism" standard - When something isn't overly inconveniencing, it should be done. - so if one needed to be hooked up for 9 months or 9 years, one shouldn't be obligated so remain hooked up.  But if saving the violinist would only require a one-hour hook-up, then the woman "ought" to comply - even though the violinist does not have a "strict right" to use your kidney/bloodstream.

Similarly, if it is minimally inconvenient to carry to term, "this is a standard we must not fall below."

She speaks of a box of chocolates given entirely to one brother.  If he does not share, he is stingy, greedy & callous, but not unjust.. The same with the woman who does not want to share her body with the violinist for one hour

When would it be indecent to have an abortion?
"If she is in her seventh month and wants the abortion to avoid the nuisance of postponing a trip abroad."

Does one have the right to do anything to save their lives?
Not quite: If someone says you must torture another in order to live, Thomson says, "I think you have not the right, even to save your life, to do so" (188).  But 'a woman surely can defend her life against the threat to it posed by the unborn child, even if doing so involves its death." (188)


On the Moral & Legal Status of Abortion by Mary Anne Warren
Professor of philosophy at San Francisco State University

Warren claims women have a fundamental right to make their own decisions about their bodies. 
Because the fetus is not a person, abortion can be justified under any circumstances.
Some claim her definition of personhood  even permits infanticide under some circumstances.

Main Point:  The fetus is not a person. It is not human in the moral sense. Personhood is achieved when there is

  1. consciousness

  2. reasoning

  3. self-motivated activity

  4. the capacity to communicate

  5. the presence of self-concepts & self-awareness

Personhood is gradually earned; it does not occur at conception.
Rights increase as "personhood" increases.

Restrictive abortion laws are unjust. "We cannot hope to convince those who consider abortion a form of murder of the existence of any such right unless we are able to produce a  clear and convincing refutation of the traditional antiabortion argument" (197)

However, she ends her essay, "When an unwanted or defective infant is born into a society which cannot afford and/or is not willing to care for it, then its destruction is permissible."  

In contrast, an attractive , born baby should not be killed because some would be willing to adopt it, and it no longer infringes and violates on a woman's rights because it is not "inside" the mother's body.

After publication, Warren added a postscript: She does not support infanticide.

Virtue Theory and Abortion by Rosalind Hursthouse

Virtue theory is based on Aristotle's virtue theory.

She defines virtue as, "A character trait a human being needs to flourish or live well."
She defines virtuous person as one "Who has and exercises virtues"
She defines right action as " What a virtuous agent would do in the circumstance."

Hursthouse  examines situations wherein a woman might consider abortion & asks, "Would a virtuous woman have an abortion in this case?" Hursthouse says we should examine whether a woman is living the good life,  & ask, "Is this life of her a good one?"

Two points are basic to her answer:
1.  Aborting a fetus is always a matter of some seriousness
2. Being a parent constitutes, in part, a flourishing human life.

If women do have a moral right to do as they choose with their own bodies, then a law forbidding abortion would be unjust.

Virtue entails having the right attitude (accurate/true in modern sense)

The status of the fetus must be known, as a truth, to the fully wise and virtuous person.
Parenthood, motherhood and childbearing are intrinsically worthwhile accd. to Hursthouse.

Hursthouse says women may have a a number of rights, yet in love and friendship is we constantly insist on our rights & getting exactly what is "due" us, the relationships may not endure. So in exercising our "rights," we may be acting in a cruel manner. Even though I "ought" to do something kind for you, it doesn't follow that you have a "right"  to it. The same goes with abortion.

Selected passages - Hursthouse

Why is it wrong to view an abortion as similar to a haircut or an appendectomy ?
Because "It is to have the wrong attitude not only to fetuses, but more generally to human life and death, parenthood, and family relationships." (209)

"If we suppose that women do have a moral right to do as they choose with their own bodies, or, more particularly, to terminate their pregnancies, then it may well follow that a law forbidding abortion would be unjust" (207).

Could one react to people's grief at a miscarriage by saying, "What a fuss about nothing!" as one would over a bad haircut? (209)

Appreciation of the grief of miscarriage, of personhood... ...."comes only with experience." (209)

"That they can view the pregnancy only as nine months of misery, followed by hours if not days of agony and exhaustion, and abortion only as the blessed escape from this prospect, is entirely understandable and does not manifest any last of serious respect for human life or a shallow attitude to Motherhood.  what it does show is that something is terribly amiss in the conditions of their lives, which make it so hard to recognize pregnancy and childbearing as the good that they can be." (210)

What does  Hursthouse say about men?
"They need to reflect on their sexual activity and their choices, or lack of them about their sexual partner and contraception; they need to grow up and take responsibility for their own actions and life in relation to fatherhood.  If it is true, as I maintain, that insofar as motherhood is intrinsically worthwhile, being a mother is an important purpose in women's lives, being a father (rather than a mere generator) is an important purpose in in men's lives as well, and it is adolescent of men to turn a blind eye to this and pretend that they have many more important things to do" (211-212).

 

If we suppose that women do have a moral right to do as they choose with their own bodies, or, more particularly, to terminate their pregnancies, then it may well follow that a law forbidding abortion would be unjust.   Hursthouse  -

 

What is meant by the "Ontological Status of the Fetus"?
What kind of being the fetus is - is it a  tissue, a growth, a person...
Is the fetus biologically a human being?
Is the fetus psychologically a human being
Is the fetus a person, entitled to the rights of personhood & the 14th amendment?

One's view on the ontological status of the fetus impacts one's view on abortion.
One's view on when a tissue, embryo, fetus achieves the full ontological status of person also affects one's view of abortion.

What is the moral status of the fetus according to three positions?

Extreme liberals would deny the fetus any moral status. 
Abortion is not comparable to killing an adult person.

Extreme conservative  give full ontological status at conception. 
Therefore , "Only conditions that would justify the killing of an adult human, for example, self-defense, would morally justify an abortion" (text 174)

Moderates  assign moral status to the fetus when it attains full ontological status. (brain activity, for example)

Which brings us to the question: Does the fetus have a right to be carried to full term?

 

Pregnancy Risk Factors http://www.cdc.gov/nchs/fastats/pregrisk.htm

 

 

The Right of Rights Little Girls and Abortion

May 9, 2005

In any other context, the idea that a 13-year-old has a constitutional right to choose against her parents’ wishes an invasive surgical procedure, or even consent to one, would be absurd. Schools need parental permission to dispense over-the-counter medications. And a 13-year-old can’t get her ears pierced without mom or dad being present.

Quote from  http://www.pfm.org/AM/Template.cfm?Section=BreakPoint1&Template=/CM/ContentDisplay.cfm&ContentID=15985

 

 

 

 

 

 

Prison fellowship
http://www.pfm.org/AM/Template.cfm?Section=PFM_Home