(Correspondence) The Canadian abortion law

Margaret Wynn, Arthur Wynn

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Your correspondents Dr. Coffey and Drs. Cohen, Rapson and Watters (ibid, page 213) all refer to our review, published over 4 years ago,1 of the consequences of induced abortion to children born subsequently. Much progress has since been made in Europe in preventing these consequences . . .

The main conclusions of our 1972 review have, indeed, been confirmed in many subsequent studies and more
recent reviews. It may reasonably be inferred from the Bristol study and from other European studies that between 20 and 25% of women who have had an induced abortion need a cerclage operation to be able to carry a subsequent pregnancy to term. The percentage may well be lower in Canada if a higher percentage of abortions are undertaken earlier in pregnancy. . .

It is important for any woman who hopes to have a child subsequent to an induced abortion to accept that she will then be in a high-risk category and must report a subsequent pregnancy early, and that she will need specialist obstetric care. . . .

Cohen and her colleagues describe us as “two crusaders for compulsory pregnancy”. This is untruthful abuse. Your correspondence columns might better be used to discuss the many steps that might be taken in Canada to reduce the unfortunate consequences of induced abortion, including the careful counselling of women and the wider use of the cerclage operation early enough in a subsequent pregnancy.


Wynn M, Wynn A. (Correspondence) The Canadian abortion law. Can Med Assoc J. 1977 Feb 05;116(3):241-243.

(Correspondence) Prenatal diagnosis of genetic disease (author reply)

Nancy E Simpson

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
None of us “advise” either prenatal diagnosis or therapeutic abortion; we attempt to inform the families of their risks and available options and help them make a decision in the light of their perception of the burden 0f the disease in question, the degree of their desire to have more children and their religious or ethical beliefs. . . . only 5% of the pregnancies: of women who underwent amniocentesis for prenatal diagnosis were selectively aborted, that the procedure served as reassurance for the parents of the fetus, and that in some cases, amniocentesis may have prevented therapeutic abortion being performed because of fear that the fetus was defective, when the fetus was in fact normal.


Simpson NE. (Correspondence) Prenatal diagnosis of genetic disease (author reply). Can Med Assoc J. 1977 Jan 22;116(2):134.

(Report) Report of the Committee on the Operation of the Abortion Law

Robin F Badgley, Denyse Fortin Caron, Marion G Powell

Badgley Report
Badgley Report

Abstract
The procedures set out for the operation of the Abortion Law are not working equitably across Canada. In almost every aspect dealing with induced abortion which was reviewed by the Committee, there was considerable confusion, unclear standards or social inequity involved with this procedure. In addition to the terms of the law, a variety of provincial regulations govern the establishment of hospital therapeutic abortion committees and there is a diverse interpretation of the indications for this procedure by hospital boards and the medical profession. These factors have led to: sharp disparities in the distribution and the accessibility of therapeutic abortion services; a continuous exodus of Canadian women to the United States to obtain this operation; and delays in women obtaining induced abortions in Canada.


Badgley RFB, Caron DF, Powell MG. (Report) Report of the Committee on the Operation of the Abortion Law. 1977;. Available from:

Follow-up of 50 adolescent girls 2 years after abortion

Helen Cvejic, Irene Lipper, Robert A Kinch, Peter Benjamin

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Abstract
Thirty-eight adolescents who underwent an abortion were studied by questionnaire and interview with a psychiatrist and a social worker 2 years after the abortion. Most did not regret their abortion and considered it a positive experience. Most said they would not have another abortion, although adoption was unanimously rejected as a choice for the pregnant teenager. Relations with their parents were generally good and the families were supportive in the decision-making process and in the postabortion period. The girl’s father had been absent because of death or separation in 37% of instances. A lengthy relationship with the putative father before the abortion was common, but 37% of the relationships were not able to withstand the pregnancy-abortion crisis. The proportion using contraceptives before the abortion was 2%, and 2 years after the abortion, 84%.


Cvejic H, Lipper I, Kinch RA, Benjamin P. Follow-up of 50 adolescent girls 2 years after abortion. Can Med Assoc J. 1977 Jan 08;116(1):44-46.

(Correspondence) Life devoid of value?

Heiko Baunemann

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
In “The Release of the Destruction of Life Devoid of Value” Hoche, a distinguished psychiatrist, and Binding, a highly respected jurist, persuasively developed the concept of “worthless human beings”, such as the hopelessly crippled, deformed and insane. They stressed the misery and futility of such unfortunate lives and the cruel economic burden they represented to their relatives and society. . . the legalization of abortion by the Canadian Parliament in 1969 have laid the foundation for the legalization of euthanasia, or the killing of people medically judged to be “incapable of meaningful life”, such as mongoloid idiots, imbeciles, the terminally ill, persons with senile melancholia, stroke victims living like “vegetables”, and – well, the sort of people, besides unwanted babies, who would be “better off dead”. Be patient: euthanasia is coming.


Baunemann H. (Correspondence) Life devoid of value?. Can Med Assoc J. 1976;115(11):1086.

(Correspondence) The Canadian abortion law

PG Coffey

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The main thrust of the letter by Drs. Cohen, Rapson and Watters (Can Med Assoc J 114: 593, 1976) is that abortion is good medicine and should not be denied to certain groups of citizens. I think, on the other hand, that liberalized abortion is bad medicine and should be curtailed rather than encouraged. . . . It is becoming increasingly clear that abortion is a hazardous operation with far-reaching effects. . . . After some years abortion tends to be used as a birth control measure. Many women have more than one abortion. Legalizing abortion may not reduce greatly the illegal practice of it and some reports have shown that it has increased this practice.


Coffey PG. (Correspondence) The Canadian abortion law. Can Med Assoc J. 1976 Aug 07;115(3):213, 216.

(Correspondence) The Canadian abortion law (authors’ reply)

Wendell W Watters, May Cohen,Linda Rapson

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
On the issue of complications following legal abortion, Dr. Coffey quotes Jeffcoate, whose antiabortion views are widely known, and the Wynn report, a document compiled by two crusaders for “compulsory pregnancy’s who used data inappropriately in an attempt to substantiate their personal beliefs. . . Results of studies in Aberdeen, England and Sweden suggested that women denied a safe legal abortion – that is, the victims of compulsory pregnancy – were more likely to experience emotional distress than women who were allowed to exercise reproductive responsibility by the use of the option of legal abortion. In other words, compulsory pregnancy is bad medicine. Dr. Coffey makes another statement that is contradicted by modern evidence. The notion that abortion tends to be used as a method of primary birth control does not square with the evidence from the Population Council . . . .We can trace the enactment of antiabortion laws throughout history to policies of demographic aggression. . . .the Quebec government, in a state of demographic panic over its low birth rate, harassing our colleague Dr. Henry Morgentaler; and Canada competing demographically with the United States: all such irresponsible behaviour is potentially more lethal than nuclear holocaust. For almost a decade the United Nations has granted people the world over the right to plan their families without any interference from the state. This is a paper right until it extends, de facto as well as de jure, beyond conception to the point of potential viability.


Watters WW, Cohen M, Rapson L. (Correspondence) The Canadian abortion law (authors’ reply). Can Med Assoc J. 1976 Aug 07;115(3).

(Correspondence) A question of conscience

R Salm

British Medical Journal, BMJ
British Medical Journal

Extract
I was not concerned with the rights and wrongs of abortions; the point I made was that if an individual, or a minority group, contracted out of this service the burden on the remaining consultants (gynaecologists and anesthetists) would be correspondingly increased and that it is understandable that employing authorities will tend to avoid creating a situation which is fraught with friction and dissatisfaction. I would agree that it is a further illustration of the potential dangers of an inflexible monopoly employer.


Salm R. (Correspondence) A question of conscience. Br Med J. 1976;2(6029):235.


(Correspondence) A question of conscience

Herbert H Pilling

British Medical Journal, BMJ
British Medical Journal

Extract
Some of your correspondents on this subject seem to be ignoring the fact that the NHS Acts and Regulations impose upon all doctors employed in the Health Service a duty to make available to their patients any treatment which their condition may warrant, and in certain cases one such treatment is the termination of pregnancy. These cases are defined in the Abortion Act 1967 and the clear implication of section 1 (1) of that Act, taken in conjunction with the general duty outlined above, is that a doctor must consider whether any patient requesting a termination of pregnancy falls within the criteria set out in the Act, and if so he must make the appropriate treatment available to her. He need not, however, participate in the treatment.


Pilling HH. (Correspondence) A question of conscience. Br Med J. 1976;2(6029):234-235.

(Correspondence) A question of conscience

John M Hudson

British Medical Journal, BMJ
British Medical Journal

Extract
Dr R Salm’s letter (26 June, p 1593) saddened me because in it he fails to make clear that he understands the grave injury that Mr Walley and many others have suffered. I am sure that he does not think that having to give up for life one’s ambition to practise the specialty of one’s choice in one’s own country is a mere inconvenience. Both to change one’s specialty and to go into exile are poor alternatives. Has he considered that it would be possible to arrange a system for abortions in which all the parties concerned obtained reasonable satisfaction and nobody was hurt in this way ? I am far from convinced that this is impossible.


Hudson JM. (Correspondence) A question of conscience. Br Med J. 1976;2(6029):234. Available from: .