Extract The code means that a physician who has a conflict of interest between duty to a patient and personal belief shall refer the patient to someone who is not burdened by this conflict of interest, but the code states that a physician who has a conflict of interest between duty to a patient and personal belief shall refer the patient to someone who will provide the treatment the patient desires.
Extract [Author is president of Society of Obstetrics & Gynaecology Canada] To one who works in the field of therapeutic abortion, if not by choice, at least by necessity, the [Badgley] report makes fascinating reading and provides a wealth of information – a bonanza bargain at the cost. It is comparable to the 1974 Lane report from Great Britain. Chapter 2 of the report presents a most commendable summary of the therapeutic abortion situation in Canada. This is the underlying basis of the report from which the conclusions may be drawn for further recommendations with respect to therapeutic abortion. [Writer offers three recommendations for progress].
Helen Cvejic, Irene Lipper, Robert A Kinch, Peter Benjamin
Canadian Medical Association Journal
Extract We agree with Mr. Matthews that these are valid concerns to consider as part of the abortion experience; they are being expressed by physicians, theologians and patients. Nevertheless, we, with our limited ability and knowledge, considered it our responsibility to study the effect of abortion on the patients in an adolescent clinic population.
Extract Dr. Rapp’s distinction between human beings and “potential” human beings is mystifying. . . The fetus is not a “potential” human being; it is a human being with potential. . . the impetus for the mass killing of mental patients came not from the Nazis but from members of the medical profession. . . . the connection between abortion and euthanasia . . . is quite clear to other proabortionists [including] Joseph Fletcher, a member of the Euthanasia Education Council, and the late Dr. Alan Guttmacher, also a member of that council. . . Abortion and euthanasia are related by a common set of basic assumptions – that human life is not an absolute but rather a variable value that is socially determinable, and that it may be terminated. One form of euthanasia makes this particularly clear – the killing of the handicapped newborn. Arguments for abortion of mongoloid fetuses and mercy killing of mongoloid newborns are identical. . . .
Extract . . . risks are relative. A woman exposed to childbirth is at greater risk than a woman having an induced abortion . . . Blame for cervical lacerations sustained in the course of an induced abortion should be laid on the surgeon, not on the procedure. . . . .We are impressed by improvements in maternal and infant health reported in areas where safe legal abortions are relatively easy to obtain: mortality and morbidity from septic illegal abortion all but disappear and neonatal mortality plummets. . . While the state did not force her to have heterosexual intercourse, it is clearly intending her to remain pregnant against her will by making it impossible to interrupt a pregnancy she has tried to avoid. It is our view that abortion should be at the bottom of a list of options available to an unwillingly pregnant woman. . . . there needs to be a consensus among gynecologists as to the point during gestation when abortion is no longer an option. . . abortion is a nasty business. The answer to its elimination surely lies in . . . adequate sex education in our schools, and training programs in human sexuality and reproductive regulation in the curricula of our health care educational institutions.
Extract Dr. Loveridge states that the examples I quoted in my previous letter “are just not correct”. On the contrary, all the facts and figures I have given are correct and come from respectable sources [Gives details] . . .The reason that illegal abortions are not necessarily reduced in number and that the total number of abortions in- creases when a government legalizes abortion (and seemingly condones it) is that there are always a large number of women who prefer to have an abortion privately and a climate of abortion is created wherein large numbers of women consider abortion who would not otherwise have done so.
Extract . . . papers are continually being published pointing out the hazards in subsequent childbirth after an induced abortion. . . .There is a great deal of woolly thinking about the viability of the fetus. . . One can think of several other situations where humans are totally dependent on others for their continuing existence but are not considered expendable. . . I honestly think we tend to salve our consciences far too carelessly when we use the vague term “nonviability” as a reason for condoning the termination of lives that are far from inanimate.
Extract In the intensive care unit at the University of Alberta Hospital in Edmonton a fetus weighing 720 g has survived and thrived. By definition, any fetus of that size or larger should be considered potentially viable. . . . . In Alberta in 1975 there were two abortions induced by saline infusion; the fetuses weighed 800 and 1250 g, respectively. These weights were discovered by accident because hospitals allowing abortions prohibit the weighing of aborted fetuses. In fact, one of the fetuses was rushed to an intensive care unit in Edmonton, so it must still have been alive. . . . There is no question that the Criminal Code needs amendment to accomplish two things: (a) to make recording of weights of aborted fetuses mandatory and (b) to make it possible to take criminal action against any doctor who kills a potentially viable fetus by abortion.
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.
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.
