Protection of Conscience Project Library

(Correspondence) Abortion: Is it time for doctors to get off the fence?

John Bart

Canadian Medical Association Journal, CMAJ — Canadian Medical Association Journal

Extract
I was present at the death of a woman whose uterus had been torn open and infected by a coat hanger. Anything is better than that: she died through poverty and ignorance, and her whole family suffered. . . .Medical ethics are an extension of personal ethics, not an abstract entity with a special name. I believe what I believe, and he believes what he believes. Sim should not force his opinions upon others. That is what the Nazis did. . . . We are not on the fence, Dr. Sim. We are exercising our free will and not interfering with that of others. We believe that women are capable of decisions without an avuncular physician’s approval. We think that freedom from unwanted pregnancy is a cornerstone of feminine freedom. Without that, society is male dominated, unequal and the poorer for it. Please do not equate abortion with euthanasia. The two are not synonymous. Please do not equate your opinion with moral rectitude either. Anything is better than that.

Bart J. (Correspondence) Abortion: Is it time for doctors to get off the fence? Can Med Assoc J. 1988;139(4):1085.

(Correspondence) “Pro-abortion” versus “pro-choice”

Brian A Shamess

Extract
Although he may feel uncomfortable about being involved in abortions, the term “pro-abortion” is accurate. The term “pro-choice”, medically speaking, refers to a choice between killing a fetus and allowing it to live. The fetus is distinct in every way from the mother. . . . This is a medical fact. Therefore, doctors who perform abortions and the staff of abortion clinics are “pro-abortion”. Certainly they are “pro-choice” as well, in that they will allow a woman to choose between killing and granting life to the unborn child. . .

Shamess BA. (Correspondence) “Pro-abortion” versus “pro-choice”. Can Med Assoc J. 1988 May 15;138(10):890.

(News) Dr. Robbie Mahood: Pro-choice physician says doctors have a duty to speak out

Patrick Sullivan

Extract
While physicians opposed to abortion have responded with articles . . . most doctors from the pro-choice side have remained quiet. Dr. Robbie Mahood is an exception. . . . “I certainly don’t support abortion as a method of birth control”. Has the abortion issue creat- ed divisions in the medical profession? “Certainly there is disagreement within the profession about this, but this probably reflects the division within the general population”, Mahood said. “I would guess that there is a pro-choice majority [among physicians].”

Sullivan P. Dr. Robbie Mahood: Pro-choice physician says doctors have a duty to speak out. Can Med Assoc J. 1988;138(8):734. Available from:

Abortion: it is time for doctors to get off the fence

Myre Sim

Extract
When Germany occupied Holland during the Second World War, it declared that it would introduce its Nuremberg Laws. They allowed for the sterilization and liquidation of the “unfit” and other acts that were later declared crimes against humanity. . . .Dutch physicians declared that they had to accept the fact they were living in an occupied country during wartime and were, therefore, bound by certain laws, but they reaffirmed their responsibility to respect all human life. They would not yield on the issue. . . . Dutch doctors preserved their ethical code. . . .[a] medical procedure [that] involves the destruction of human life. . . strikes at the roots of medical ethics: respect for human life. I consider abortion on demand the precursor of euthanasia on demand. . . Are doctors to wait to see which way things are going before they decide which path to follow, or should they take a lead in restoring honour to the profession?

Sim M. Abortion: it is time for doctors to get off the fence. Can Med Assoc J. 1988 Apr 15;138(8):742-743.

(News) New committee will review CMA’s abortion policy, board decides

Lucian Blair

Extract
The CMA will establish an ad hoc committee to review the association’s abortion policy in the wake of the Supreme Court of Canada’s Jan. 28 ruling that over- turned Criminal Code restrictions on abortion.

Blair L. (News) New committee will review CMA’s abortion policy, board decides. Can Med Assoc J. 1988;138(7):643.

(News) The abortion issue in Newfoundland: a province divided

Barbara Yaffe

Extract
The adjectives range from “bloody outrageous” to “appalling and disgusting”, for just about no one is satisfied with a therapeutic abortion service that annually prompts hundreds of Newfoundland women to leave the province to get abortions. . . many women cannot get abortions in Newfoundland, in part because most of the province’s doctors won’t perform them, and in part because community standards are conservative. . . Dr. Carl Robbins, medical director of the General Hospital, thinks local doctors are unwilling to perform abortions because of personal conviction and the influence of values developed while training.

Yaffe B. The abortion issue in Newfoundland: a province divided. Can Med Assoc J. 1987 Apr 15;136(8):865-866.

The Nurse’s Appeal to Conscience

Ellen W Bemal, Patricia S Hoover

Abstract
A case is presented in which a registered nurse caring for a 63-year-old patient in severe pain from terminal cancer disagrees with the attending physician’s order of morphine for fear that it will hasten the patient’s death. The nurse finds herself on duty alone one night when the patient and her daughter request more morphine. Bernal and Hoover contend that, because the nurse apparently took no prior action to explore alternative courses of pain relief for the patient or to make other arrangements for care, her duty of care overrides her appeal to conscience in the immediate situation. Aroskar believes that the nurse in this situation must give the injection, find someone else who can, or contact the physician. She holds, however, that nurses should be allowed to refuse to carry out particular procedures based on an appeal to personal conscience if the decision is founded on accurate information, acceptance of consequences, and advance planning.

Bemal EW, Hoover PS. The Nurse’s Appeal to Conscience. Hastings Cent Rep. 1987;25-26. Available from:

(News) Canadian obstetric care system among finest in world, major CMA study finds

Patrick Sullivan

Extract
Canada’s standard of obstetric care is excellent, and although some improvements can be made, they can be carried out within the existing system. That is the main finding from a major CMA study on obstetric care, the first of its kind in Canada, which has been sent to association members with this issue of CMAJ. . . . There is no reason for Canada to introduce a midwifery system since there is neither a calculable need nor a significant demand, the CMA has concluded.

Sullivan P. Canadian obstetric care system among finest in world, major CMA study finds. Can Med Assoc J. 1987;136(6):643, 646, 648-649.

Artificial Reproduction and Child Custody

Bernard M Dickens

This article considers general principles of child custody law in regard to children born following artificial reproduction that employed donated sperm, ova
or embryos, and the law applicable when women give birth to children conceived in order to be surrendered to others (notably their biological fathers). Claims to parental rights raise the issue of who the legal parents are, and may conflict with the apparent best interests of such children and the state’s view of its responsibility. The article considers interests of the unconceived child, the embryo and fetus in utero, the embryo extra uterum and a child born of donation, and the status of sperm, ovum and embryo donors and of “surrogate” mothers. Particular attention is given to the Ontario Law Reform Commission’s Report on Human Artificial Reproduction and Related Matters (1985), which is the first Canadian report to make wide-ranging recommendations on these issues .

Dickens B. Artificial Reproduction and Child Custody. Can Bar Rev 1987 Mar; 66(1): 49-75.

(Correspondence) Newfoundland has no legal abortion services

Louis A Aubé

Extract
Dr. Carl Robbins finds the fact that abortions are not available in his province “disgraceful, bordering on the unethical” (Can Med Assoc J 1986; 135: 910). He must be a young man, because it wasn’t long ago that it was disgraceful for a doctor to do abortions – besides which, it was a crime. As for Dr. Robbins’ call to ethics, I wonder what he is using for the basis of his code. Certainly not the Judeo-Christian formula. It must be the new “situation ethics”, which as applied to our general conduct is producing frightening results.

Aubé LA. (Correspondence) Newfoundland has no legal abortion services. Can Med Assoc J. 1987;136(4):324.