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Citation

 

“Abortion Essentials.” By James D. Agresti. Just Facts, September 24, 2008. http://justfacts.com/abortion.essentials.asp

 

(This page contains essential facts about the issue of abortion. For a shorter list of basic facts, click here. For comprehensive and scholarly details, click here.)

 

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Science

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Constitution & Law

Live Births

 

Introductory Notes

 

One of the major battlegrounds for this issue concerns terminology. In keeping with our Standards of Credibility, the language used here is explanatory and precise. Hence, expressions such as “pro-life” and “pro-choice” are replaced by words that articulate specific positions.

 

Perhaps the largest point of contention involving terminology is the label applied to what or who is being aborted. Those who think abortion should be generally illegal often use the terms “unborn child” and “unborn baby.” According to Webster’s College Dictionary and Black’s Medical Dictionary, the word “child” can apply prior to birth,[1] [2] but both of these sources employ the word “baby” only from the point of birth onwards.[3] [4]

 

Those who think abortion should be generally legal often use the word “fetus,” a clinical term derived from a Latin word meaning “offspring” or “newly delivered.” [5] As explained in Dorland’s Illustrated Medical Dictionary and other medical texts, the words “fetus” and “fetal” are only applicable from nine weeks after fertilization until birth.[6] [7] [8] [9] Yet, numerous major news organizations have misapplied these terms to both before and after this period.[10] [11] [12] [13] [14] [15] Furthermore, journalism guidelines disparage the use of medical jargon,[16] [17] [18] but journalists selectively employ it in their coverage of this issue. Despite widespread usage of “fetus,” the media regularly employs the common word “mother” to refer to a pregnant woman and rarely, if ever, the clinical term “gravida.” [19] [20]

 

In accord with the common journalism standard to “never use … a scientific word or a jargon word if you can think of an everyday English equivalent,” [21] the term utilized by Just Facts to describe the object of an abortion is “preborn human.” This conveys reality in everyday language and is consistent with medical literature. For example, the embryology textbook, Before We Are Born - Essentials of Embryology and Birth Defects, states:

 

The zygote and early embryo are living human organisms.[22]

 

Similarly, another embryology textbook bears the title Human Life Before Birth and phrases such as “human in utero” and “human females... in utero” appear in creditable medical texts.[23] [24] [25] Moreover, it would be scientifically inconsistent to assert that a child born at 24 weeks after fertilization is a human, while one in womb at 37 weeks is not.

 

Note that unless otherwise stated, the word “abortion” is used here in the sense of an induced abortion; not a spontaneous one, which is also called a miscarriage.[26]

 

Science

 

* Following are facts about human development.

 

Fertilization

 

Fertilization normally takes place within one day of intercourse, but can occur up to six days later.[27] [28] At fertilization, the genetic composition of a preborn human is formed.[29] This genetic information determines gender, eye color, hair color, facial features, and influences characteristics such as intelligence and personality.[30]

 


 

3 Weeks after Fertilization

 

The eyes and spinal cord are visible and the developing brain has two lobes.[31] [32]

 


 

4 Weeks after Fertilization

 

The heart is beating and a circulatory system is in place.[33] The portion of the brain associated with consciousness and internal organs such as the lungs are beginning to develop and can be identified.[34]

 


 

7 Weeks after Fertilization

 

Muscles and nerves begin working together. When the upper lip is tickled, the arms move backwards.[35] The portion of the brain associated with consciousness has divided into hemispheres.[36]

 

[37]


 

9 Weeks after Fertilization

 

More than 90% of the body structures found in a full-grown human are present. The medical classification changes from an embryo to a fetus. This dividing line was chosen by embryologists because from this point forward, most development involves growth in existing body structures instead of the formation of new ones.[38] [39] The preborn human moves body parts without any outside stimulation.[40]

 


 

10 Weeks after Fertilization

 

All parts of the brain and spinal cord are formed. The heart pumps blood to every part of the body.[41] The whole body is sensitive to touch except for portions of the head. The preborn human makes facial expressions.[42]

 


 

11 Weeks after Fertilization

 

[43]

 


 

12 Weeks after Fertilization

 

Electrical signals from the nervous system are measurable. After an abortion, efforts to suckle will sometimes be observed.[44] [45]

 


 

13 Weeks after Fertilization

 

Ultrasound Video [46]     Windows Media Player  Real Player


 

14 Weeks after Fertilization

 

The preborn human makes coordinated movements of the arms and legs.[47]

 


 

16 Weeks after Fertilization

 

The preborn human makes eye movements.[48]

 

[49]


 

18 Weeks after Fertilization

 

The portion of the brain responsible for functions such as reasoning and memory has the same number of nerve cells as a full-grown adult.[50] [51]

 

Ultrasound Video [52]      Windows Media Player  Real Player

 


 

20 Weeks after Fertilization

 

The preborn human sleeps, awakes and can hear sounds.[53]

 

[54]

 

Ultrasound Video (Heart) [55]  Windows Media Player  Real Player

 

Up through approximately this point in time, according to the Supreme Court’s rulings in Roe v. Wade and Planned Parenthood v. Casey, a pregnant woman can abort at will. (More details in the section on Constitution and Law.)

 


 

24 Weeks after Fertilization

 

The blink-startle reflex and taste buds are functional. The preborn human will swallow more amniotic fluid if a sweetener is added to it.[56] [57] The grip is strong enough to hold onto an object that is moving up and down.[58] If born and given specialized care, the survival rate is more than 80%.[59]

 


 

28 Weeks after Fertilization

 

Premature infants born at this time are more sensitive to pain than infants who are born at 38 weeks, and infants who are born at 38 weeks are more sensitive to pain than infants at 3-12 months after birth.[60] [61]

 

If born and given specialized care, the survival rate is more than 95%.[62]

 


 

32 Weeks after Fertilization

 


(Premature infant – 3 days after birth)

 


 

38 Weeks after Fertilization

 

Average point in time when humans are born.[63]

 

At any point prior to birth, according to the Supreme Court’s rulings in Roe v. Wade, Doe v. Bolton, and Planned Parenthood v. Casey, a pregnant woman can abort to preserve her “health.” One example from Roe v. Wade of what may be considered harmful to a mother’s health is the work of caring for a child. (More details in the section on Constitution and Law.)

 

Politics and Taxpayer Funding

 

└ Party Platforms

 

* The 2008 Democratic Party Platform states that abortion should be generally legal, supports the Supreme Court ruling in Roe v. Wade, and supports the use of taxpayer funding to perform abortions.[64]

 

* The Republican Party Platform states that abortion should be generally illegal and supports a Constitutional Amendment that would assure preborn humans the right to life. It opposes “using public revenues to promote or perform abortion.” [65]

 


  Constitutional Amendments

 

* Since 1989, several Democrats including Jim Oberstar of Minnesota have sponsored at least 11 resolutions proposing a Constitutional Amendment that would guarantee preborn humans the right to life, all of them containing an exception to protect the life of the mother.[66]

 

* Since 1989, several Republicans including Ann Emerson of Missouri have sponsored at least 23 resolutions proposing a Constitutional Amendment that would guarantee preborn humans the right to life, all of them containing an exception to protect the life of the mother. Six of these resolutions also include exceptions for cases of rape and incest.[67]

 


Advocacy Groups

 

* The National Right to Life Political Action Committee has endorsed John McCain for president and stated that it “strongly opposes Barack Obama.” [68]

 

* The National Right to Life Committee has praised Sarah Palin, described her candidacy as thrill[ing], and disapproved of Joe Biden.[69] Sarah Palin is a member of Feminists for Life,[70] an organization “dedicated to systemically eliminating the root causes that drive women to abortion…” [71]

 

* The Political Action Committee of NARAL Pro-Choice America (formerly the National Abortion Rights Action League) has endorsed Barack Obama for President and given his voting record a 100% rating for the years 2005-2007.[72] It has given John McCain’s voting record a 0% rating for the years 2002-2007.[73]

 

* NARAL has stated that they have “have a longstanding relationship” with Joe Biden “that is open, positive, and constructive…” [74] For the past five years, NARAL has scored Biden’s voting record as follows: 75%, 100%, 100%, 100%, 36%.[75] NARAL has described Sarah Palin’s candidacy as “especially troublesome.” [76]

 


Politicians

 

* In interviews conducted in August 2008, John McCain and Barack Obama were asked, “At what point does a baby get human rights?”

 

Barack Obama responded in part:

 

I think that whether you are looking at it from a theological perspective or a scientific perspective, answering that question with specificity, you know, is above my pay grade.[77] [78]

 

John McCain responded in part:

 

At the moment of conception.[79]

 


 

* In January 2008, the following message from John McCain was read at a “March for Life” in Washington, D.C.:

 

 I pledge to you to be a loyal and unswerving friend of the right-to-life movement. [80]

 

* Seven months later, McCain stated that he would not necessarily rule out selecting a running mate who generally supports legalized abortion.[81]

 

* In April 2007, John McCain told ABC News that “he still wants to change the GOP’s abortion platform to explicitly recognize exceptions for rape, incest, and the life of the mother.” [82]

 

* In response to a 1998 questionnaire that asked if he supported the “complete reversal of Roe vs. Wade,” John McCain answered “Yes.” [83] [84]

 

* One year afterwards John McCain stated:

 

I’d love to see a point where [Roe v. Wade] is irrelevant, and could be repealed because abortion is no longer necessary. But certainly in the short term, or even the long term, I would not support repeal of Roe vs. Wade, which would then force X number of women in America to [undergo] illegal and dangerous operations.[85]

 

* A few days later he issued a clarifying statement:

 

I have always believed in the importance of the repeal of Roe vs. Wade, and as president, I would work toward its repeal. . . . But that . . . must take place in conjunction with a sustained effort to reduce the number of abortions performed in America.[86]

 

* John McCain’s 2008 presidential campaign web site states:

 

John McCain believes Roe v. Wade is a flawed decision that must be overturned…, returning the abortion question to the individual states. … Once the question is returned to the states, … faith-based, community, and neighborhood organizations ... can help build the consensus necessary to end abortion at the state level.[87]

 


 

* Barack Obama and Hillary Clinton have voiced support for Roe v. Wade and stated that this would be reflected in their appointments to the Supreme Court.[88] [89] [90] They have also stated that they support a ban on late term abortions, but only with an exception for the “health” of the mother.[91] [92]

 

* In a July 2008 interview, Obama was asked to clarify his position on late-term abortions and stated:

 

 I think it’s entirely appropriate for states to restrict or even prohibit late-term abortions as long as there is a strict, well-defined exception for the health of the mother. Now, I don’t think that mental distress qualifies as the health of the mother. I think it has to be a serious physical issue that arises in pregnancy, where there are real, significant problems to the mother carrying that child to term.[93]

 

* A few days later, a reporter asked for clarification of these remarks and Obama responded that late-term abortion bans must have an exception for “serious clinical mental health diseases,” but this does not mean that “if a woman just doesn’t feel good then that is an exception. That’s never been the case.” He also stated:

 

 It is not just a matter of feeling blue. I don’t think that’s how pro-choice folks have interpreted it. I don’t think that’s how the courts have interpreted it and I think that’s important to emphasize and understand.[94]

 

* The Roe v. Wade verdict provides several examples of what may constitute a risk the health of the mother. These include the “stigma of unwed motherhood” and the “distress”  “associated with the unwanted child.” Roe v. Wade and Doe v. Bolton, which were issued by the Supreme Court on the same day with the order that they “are to be read together,” mandate that abortion be legal up until the point of birth if any one physician willing to perform an abortion decides it is necessary to preserve a mother’s health.[95] [96] (More details in the section on Constitution and Law.)

 

* Speaking before a Planned Parenthood national conference in July 2007, Barack Obama stated: “I put Roe at the center of my lesson plan on reproductive freedom when I taught Constitutional Law. … On this fundamental issue, I will not yield and Planned Parenthood will not yield.” [97] [98] When asked what he do to “ensure access to abortion” and make certain his judicial nominees are “true to the core tenets of Roe v. Wade,” he stated:

 

 Well, the first thing I’d do as President is sign the Freedom of Choice Act. That’s the first thing that I’d do.[99]

 

* The Freedom of Choice Act was introduced in the U.S. Senate in April 2007 by 13 Democrats including Barbara Boxer (California), Frank Lautenberg (New Jersey) and Max Baucus (Montana).[100] One month later, Barack Obama signed on as a cosponsor.[101] Its stated objective is to “protect, consistent with Roe v. Wade, a woman’s freedom to choose to bear a child or terminate a pregnancy…” It would invalidate “every Federal, State, and local statute, ordinance, regulation, administrative order, decision, policy, practice” that interferes with the termination of any “pregnancy prior to viability” and any pregnancy “after viability where termination is necessary to protect the life or health of the woman.” [102]

 


 

* In May 2005, Howard Dean, chairman of the Democratic Party stated:

 

We’d like to make abortion rare. You know that abortions have gone up 25 percent since George Bush was president? … There are not many of us who want to see the abortion rate continue to go up as it has under President Bush.[103]

 

* According to data from the Guttmacher Institute, an organization whose “Guiding Principles” includes support for legalized abortion,[104] the total number of abortions, the number of abortions per women of reproductive age, and the number of abortions per pregnancy each declined every year between 2001 (when Bush took office) and 2005 (the last year for which numbers are available). The total declines of this period are as follows:

 

- Reported Abortions: 6%

- Abortions per Women of Reproductive Age: 7%

- Abortions per Pregnancy: 8% [105]

 

* In June 2008, Howard Dean stated that the Democratic Party “believes that we ought to significantly reduce the number of abortions in this country.” A reporter asked Dean how he could reconcile this assertion with the party’s support for taxpayer funding of abortions. Dean replied it is “total nonsense” that public funding of abortions increases the abortion rate.[106]

 

* According to study published by the Guttmacher Institute:

 

 A 1994-1995… survey of abortion patients found that in states where Medicaid pays for abortions, women covered by Medicaid have an abortion rate 3.9 times that of women who are not covered, while in states that do not permit Medicaid funding for abortions, Medicaid recipients are only 1.6 times as likely as nonrecipients to have abortions.[107]

 

* Barack Obama’s presidential campaign web site states that “Obama will make available a new national health plan to all Americans.” [108] This plan includes taxpayer funding of abortions.[109]

 


└ Judicial Appointments

 

* The President of the United States appoints judges to the Supreme Court. These appointments must be approved by a majority of the Senate.[110] Senate rules allow for a “filibuster,” in which a vote to approve a judge can be blocked unless 60 of the Senate’s 100 members agree to let it take place.[111] [112]

 

* Once seated, federal judges serve for life unless they voluntarily resign or are removed through impeachment, which requires a majority vote of the House of Representatives and two-thirds of the Senate.[113]

 

* For implications relating to the appointment and approval of judges, see the section on Constitution and Law.

 


American Civil Liberties Union

 

* The American Civil Liberties Union (ACLU) supports the use of taxpayer funding to perform abortions. In making its case for this position, the ACLU website poses the following rhetorical question:

 

What about those who are morally or religiously opposed to abortion?

 

And answers:

 

Our tax dollars fund many programs that individual people oppose.[114]

 

* The ACLU is opposed to taxpayer funded school choice programs. One of their arguments for this stance is:

 

School voucher schemes would force all taxpayers to support religious beliefs and practices with which they may strongly disagree.[115]

 

Women’s Health

 

Deaths from Legal and Illegal Abortions

 

* The website of Planned Parenthood states:

 

In the two decades before abortion was legal in the United States, nearly one million women went “underground” each year for illegal operations. Thousands died for lack of medical care.[116]

 

* No sources are cited for the statements above. According to the U.S. Centers for Disease Control, whose death statistics from legal abortions have been accepted and used by Planned Parenthood,[117] [118] [119]  in the year before Roe v. Wade (1972), there were 39 deaths from illegal abortions. In the year after Roe v. Wade (1974), there were 26 deaths from legal abortions.[120]

 

* The following three graphs were constructed to discern an effect of Roe v. Wade on the collective rate of legal and illegal abortion-related deaths:

 

[121]

 

* In 1988, the Centers for Disease Control (CDC) reported that the coding system used to classify pregnancy-related deaths “precludes a determination of the real causes of maternal death.” [122] Hence, the graph below was constructed to show the incidence of all pregnancy-related deaths.

 

[123]

 

* In 1988, the CDC reported that the coding system used to classify deaths in general is inadequate because only a single code is assigned to each death, but “several factors may contribute to a death.” [124] Hence, the graph below was constructed to show the death rate from all causes for women of reproductive age.

 

[125]

 


Accuracy of Statistics

 

* A Fact Sheet published by Planned Parenthood states that

 

the risk of death associated with childbirth is about 10 times as high as that associated with all abortion (Christiansen & Collins, 2006).[126]

 

* “Christiansen & Collins, 2006” contains no information about the risk of death associated with abortion or childbirth. It contains figures for the risk of death “once a woman has become pregnant” as compared to the number of live childbirths in the U.S. These figures are not broken down to show abortion or childbirth-related deaths.[127]

 

* Citing data from the CDC, a previous version of the same Planned Parenthood Fact Sheet states that the “risk of death associated with childbirth is about 10 times as high as that associated with abortion.” [128] [129] [130]

 

* From 1989 through 1992, the CDC’s National Center for Health Statistics reported zero abortion-related deaths in the state of Maryland.[131] [132] [133] [134]

 

* During 1989 in the state of Maryland:

 

- Erica Kae Richardson (16 years-old) was admitted to an emergency room on March 1st with a punctured uterus from an abortion carried out earlier that day at a clinic in Laurel, Maryland. She died shortly after midnight on March 2nd.[135] [136] [137] [138]

 

- Paramedics arrived at an abortion clinic in Suitland, Maryland on July 12th to find Debra M. Gray (34 years-old) in cardiac arrest after being administered anesthesia without the presence of an anesthesiologist. She was taken to a hospital and died three days later.[139]

 

- Paramedics arrived at an abortion clinic in Suitland, Maryland on September 10th to find Susanne Renee Logan (32 years-old) in cardiac arrest with an oxygen mask placed upside down on her face. It was found that she had been given anesthesia without the presence of an anesthesiologist, and when she reacted to it, was given another drug not indicated to mitigate the effects of the anesthesia. The paramedics resuscitated Ms. Logan, she stayed in a coma for four months, and was generally paralyzed until her death in 1992.[140] [141] [142]

 

- Gladys Estanislao, a 28-year-old college student, was found lifeless on a bathroom floor 17 days after undergoing an abortion procedure at a clinic in Bethesda, Maryland. Her autopsy revealed that the pregnancy was not in her womb, but in her fallopian tube, which caused it to rupture and resulted in her death.[143] [144] [145] This condition, called an ectopic pregnancy, is screened by a blood test or ultrasound, has a mortality rate of 1 in 2,000, and is typically diagnosed on the first visit to a gynecologist.[146] [147] [148]

 


 

* In 1987, the New York City Commissioner of Health wrote a letter to abortion clinics warning them to be careful about using too much anesthesia. The letter stated:

 

During the period between 1981 and 1984, there were 30 legal abortion-related deaths in New York City.[149]

 

* For the same time period, the CDC’s Division of Reproductive Health reported a total of 42 legal abortion-related deaths in the United States.[150]

 

* If both of these numbers are accurate, it would mean that 71% of the legal abortion-related deaths in the United States occurred in one city where about 3% of the population lived.[151]

 


Effects on Future Pregnancies

 

* An “Abortion Services” page on Planned Parenthood’s website states:

 

Abortion DOES NOT

• Cause premature birth, birth defects or low infant birth weight in future pregnancies

• Increase the chance of infant death in the future [152]

 

* A 2007 paper in The Journal of Reproductive Medicine cites 59 studies that exhibit a statistically significant association between abortion and the risk of premature births in subsequent pregnancies. In five of the largest and more recent of these studies, all found increases in premature births before 32 weeks gestation in women who had an abortion. All of these studies also found that this risk escalated when more than one abortion was performed.[153] Children born before 32 weeks gestation are at increased risks for early death, cerebral palsy, blindness, deafness and other health complications.[154]

 


Emotional Health

 

* The website of Planned Parenthood states:

 

Serious emotional problems after abortion are much less likely than they are after giving birth.[155]

 

* A different page on the website of Planned Parenthood states:

 

Serious, long-term emotional problems after abortion are about as common as they are after childbirth.[156] [157]

 

* Another page on the website of Planned Parenthood states:

 

Beware of so-called “crisis pregnancy centers” that are anti-abortion. … [They] will lie to you about the medical and emotional effects of abortion.[158]

 

* The country of Finland has socialized medicine and keeps detailed health records of its citizens.[159] A search of these records over the years 1987-1994 found that 1,347 women of reproductive age (15-49 years old) committed suicide. A 1996 study of this data found that women who had an abortion were about 5.9 times more likely to commit suicide in the year following this event than women who delivered a child.[160]

 

* The State of California pays the costs of childbirths and abortions for low income women. A study of 173,279 California women who had a state funded childbirth or abortion in 1989 found that 53 of them committed suicide within eight years of their childbirth or abortion. A 2002 study of this data found that women who had an abortion were about 2.5 times more likely to commit suicide in the eight years following this event than women who delivered a child.[161]

 

* In 2008, the Los Angles Times reported:

 

Several studies published in peer-reviewed medical journals suggest that women who have had abortions are more prone to depression or drug abuse. But the research does not prove cause and effect, [said Nada Stotland, president-elect of the American Psychiatric Association]. It may be, she said, that women who have abortions are more emotionally unstable in the first place.[162]

 

* The California study cited above controlled for mental disorders by eliminating those women who had been treated for a psychiatric problem in the year prior to their childbirth or abortion. When this was done, it was found that women who had an abortion were about 3.3 times more likely to commit suicide in the eight years following this event than women who delivered a child.[163]

 

Media

 

Terminology

 

* In October 2001, The Society of Professional Journalists, “the nation’s most broad-based journalism organization,” [164] adopted “Diversity Guidelines” reaffirming “their commitment” to use “language that is informative and not inflammatory.” These guidelines state that it is “misleading” to use “word combinations” such as “Islamic terrorist” or “Muslim extremist” “because they link whole religions to criminal activity.” The same document states:

 

When writing about terrorism, remember to include white supremacist, radical anti-abortionists and other groups with a history of such activity.[165]

 


 

* In April of 2007 at a Republican “Unity Dinner” in Iowa, John McCain stated:

 

… I have a steadfast and strong advocacy and voting record in support of the rights of the unborn.[166]

 

* At the same event, Mike Huckabee stated:

 

 I’m not late in declaring that I believe life begins at conception and that we ought to protect human life… [167]

 

* In an article about this event in the New York Times written by Adam Nagourney, it is stated that John McCain and Mike Huckabee “presented themselves as lifelong opponents of abortion rights.” Four times in this article, candidates are characterized as opponents of abortion rights and never as supporters of rights for the unborn.[168]

 

* Media phraseology:

 

Phrase:

“opponent(s) of…

Number of times phrase was used in

New York Times (1981-current)

Washington Post

(1987-current)

Associated Press

(1982-current)

abortion rights”

151

44

61

gun rights”

1

0

1

property rights”

0

0

0

parental rights”

0

0

0

individual rights”

0

6

1

states’ rights”

0

0

0

religious rights”

0

0

0

[169]

 


 

* On the television show “NOW with Bill Moyers,” PBS journalist Brenda Breslauer stated:

 

The term “partial birth abortion” was invented by the anti-abortion community to describe a procedure in which a fetus is partially delivered outside the womb. Doctors don’t even use the term.[170]

 

* The book, English for Journalists, states that medical literature is a “common source” of jargon and:

 

If you write for a newspaper or general magazine you should try to translate jargon into ordinary English whenever you can.[171]

 

* A 2005 house editorial in the Chicago Tribune uses the medical term “intact dilation and extraction” to identify “certain late-term abortions.” It does not contain the term “partial birth” and provides no description of the procedure.[172]

 

* The New York Public Library Writer’s Guide to Style and Usage states:

 

When writing for a lay audience or the general public, a writer should use jargon only when necessary and define it carefully. Where plain English serves equally well, it should be used instead.[173] [174]

 


Accuracy