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Health Care Analysis
Published in: Health Care Analysis 1/2015

01-03-2015 | Original Article

Ethical Considerations on Methods Used in Abortions

Author: Eike-Henner W. Kluge

Published in: Health Care Analysis | Issue 1/2015

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Abstract

There is a fundamental inconsistency in Western society’s treatment of non-human animals on the one hand, and of human foetuses on the other. While most Western countries allow the butchering of animals and their use in experimentation, this must occur under carefully controlled conditions that are intended to minimize their pain and suffering as much as possible. At the same time, most Western countries permit various abortion methods without similar concerns for the developing fetus. The only criteria for deciding which abortion method is used centre in the stage of the pregnancy, the size of the fetus, the health of the pregnant woman and the physician’s preference. This is out of step with the underlying ethos of animal cruelty legislation, cannot be justified ethically and should be rectified by adjusting abortion methods to the capacity of the fetus to experience nociception and/or pain.
Footnotes
1
For the rest of this paper, the modifier ‘non-human’ will be taken as understood in the context of animals other than human beings.
 
2
In Australia, each state has its own legislation. An overview of relevant legislation is available at http://​www.​daff.​gov.​au/​animal–plant–health.
 
3
This usually involves drugs such as Mifepristone, Misoprostol, Methotrexate where the first, also known as RU-486, is the more commonly used.
 
Literature
1.
Akron v. Akron Center for Reproductive Health, 462 US 416 (1983) 462 US 416.
2.
Al Masabih, M. If anyone wrongfully kills even a sparrow, let alone anything greater, he will face God’s interrogation.
3.
Anand, K. J., & Hall, R. W. (2007). Controversies in neonatal pain: An introduction. Seminars in Perinatology, 31(5), 273–274.PubMedCrossRef
4.
Anand, K. J. S., & Hickey, P. R. (1987). Pain and its effects in the human neonate and fetus. The New England Journal of Medicine, 317(21), 1321–1329.PubMedCrossRef
5.
Barth, K. (1936–1977). Church dogmatics. Edinburgh: T. & T. Clark, III.2(1).
6.
Birgerson, L., & Odlind, V. (1987). Early pregnancy termination with anti-progestins: A comparative clinical study of RU-486 given in two dose regimens and Epostane. Fertility and Sterility, 48, 565–570.PubMed
7.
Bostofte, E., & Legarth, J. (1981). Termination of midtrimester pregnancies induced by hypertonic saline and prostaglandin F2 alpha 116 consecutive cases. Acta Obstetricia et Gynecologica Scandinavica, 60(6), 575–578.PubMedCrossRef
8.
9.
Boza, A. V., de Leσn, R. G., Castillo, L. S., Mariρo, D. R., & Mitchell, E. M. (2008). Misoprostol preferable to ethacridine lactate for abortions at 13–20 weeks of pregnancy: Cuban experience. Reproductive Health Matters, 16(Suppl 31), 95–189.
10.
11.
12.
Cayrac, M., Faillie, J. L., Flandrin, A., & Boulot, P. (2011). Second- and third-trimester management of medical termination of pregnancy and fetal death in utero after prior caesarean section. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 157(2), 9–145.CrossRef
13.
Chapple, C. K. (2003). Jainism and Buddhism. In D. Jamison (Ed.), A companion to environmental philosophy (pp. 52–66). London: Wiley.
14.
Coleman, S. (2004). The ethics of artificial uteruses: Implications for reproduction and abortion hants. UK: Ashgate Publishing, p. 57 ff.
15.
Curtis, L., Lowery, C. L., Hardman, M. P., Manning, N., Hall, R. W., & Anand, K. J. (2007). Neurodevelopmental changes of fetal pain. Seminars in Perinatology, 31(5), 275–282.CrossRef
16.
de Castroa, F., López-Mascaraquec, L., & De Carlosc, J. A. (2007). Cajal: Lessons on brain development. Brain Research Reviews, 55(2), 481–489.CrossRef
17.
De Heus, R., Graziosi, G. C., Christiaens, G. C., Bruinse, H. W., & Mol, B. W. (2004). Medical management for termination of second and third trimester pregnancies: A comparison of strategies. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 116(1), 16–21.PubMedCrossRef
18.
19.
Derbyshire, S. W. G. (2006). Can fetuses feel pain? BMJ, 15(332), 909–912.CrossRef
20.
Dickens, B. M., & Cook, R. J. (2003). Ethical and legal approaches to the fetal patient. International Journal of Gynecology and Obstetrics, 83(1), 85–91.PubMedCrossRef
21.
22.
Domröse, C. M., Geipel, A., Berg, C., Lorenzen, H., Gembruch, U., & Willruth, A. (2012). Second- and third-trimester termination of pregnancy in women with uterine scar—a retrospective analysis of 111 gemeprost-induced terminations of pregnancy after previous cesarean delivery. Contraception, 85(6), 589–594.PubMedCrossRef
23.
24.
Fellman, V., HellströmWestas, L., Norman, M., Westgren, M., Kälén, K., Lagercrantz, H., et al. (2009). One-year survival of extremely preterm infants after active perinatal care in Sweden. Journal of American Medical Association, 301(21), 2225–2233.CrossRef
25.
Gelfand, S., & Shook, J. R. (Eds.). (2006). Ectogenesis: Artificial womb technology and the future of human reproduction. Amsterdam: Rodopi.
26.
27.
28.
Great Britain. Parliament House of Commons, The Humane killing of animals under Schedule 1 to the Animals (Scientific Procedures) Act 1986: code of practice (London: Stationery Office, 1997).
29.
Hanson, L. A., & Silfverdal, S. A. (2009). The mother’s immune system is a balanced threat to the foetus, turning to protection of the neonate. Acta Paediatric, 98(2), 221–228.CrossRef
30.
Hare, R. M. (1952). The language of morals. Oxford: Oxford University Press, at 145 and “Supervenience,” Aristotelian Society Supplementary Vol. 58, pp. 1–16.
31.
Humphrey, T. (1964). Some correlations between the appearance of human fetal reflexes and the development of the nervous system. Progress in Brain Research, 4, 93–135.CrossRef
32.
33.
34.
35.
Joy, C. R. (Ed.). (1950). The animal world of albert Schweitzer. Boston: Beacon Press.
36.
Kim, J. (1993). Supervenience and mind: Selected philosophical essays. Cambridge: Cambridge University Press.CrossRef
37.
Knox, v. Massachusetts SPCA 425N.E.2d 393 (Mass. 1981) citing Commonwealth v. Higgins, 277 Mass 191, 194 (1931).
38.
Knox, v. Massachusetts SPCA 425N.E.2d 393 (Mass. 1981) citing Commonwealth v. Higgins, 277 Mass 191, 194.
39.
Kozuma, S., Nishina, H., Unno, N., Kagawa, H., Kikuchi, A., Fujii, T., et al. (1999). Goat fetuses disconnected from the placenta, but reconnected to an artificial placenta, display intermittent breathing movements. Biology of Neonate, 75, 388–397.CrossRef
40.
Lewis, J. (2007). Voluntary pregnancy termination. In Orshan, S. A., (Ed.), Maternity, newborn & women’s health nursing: Comprehensive care across the life span. Philadelphia: Lippincott Williams & Wilkins, 307–320 at p. 310.
41.
Linzey, A. (1976). Animal rights: A Christian assessment. London: SCM Press.
42.
Linzey, A., & Regan, T. (Eds.). (1988). Animals and Christianity: A book of readings. New York: Crossroad.
43.
Loeser, J. D., & Treede, R. D. (2008). The Kyoto protocol of IASP basic pain terminology. Pain, 137(3), 473–477.PubMedCrossRef
44.
Lohr, P. A. (2008). Surgical abortion in the second trimester. Reproductive Health Matters, 16(Suppl 31), 151–161.PubMedCrossRef
45.
McDaniel, J. B. (1989). Of god and pelicans: A theology of reverence for life. Westminster: John Knox Press.
46.
McDaniel, J. B., & Charles Pinches, C. R. (Eds.). (1993). Good news for animals? Christian approaches to animal well-being. Maryknoll: Orbis Books.
47.
McDonagh, E. L. (1996). Breaking the abortion deadlock: From choice to consent (pp. 46–47). New York, NY: Oxford University Press.
48.
Mitchell, J. J. (1994). Maternal-fetal conflict: A role for the healthcare ethics committee. HEC Forum, 6(2), 93–107.PubMedCrossRef
49.
50.
Newman, D. E., Paamoni-Keren, O., Press, F., Wiznitzer, A., Mazor, M., & Sheiner, E. (2009). Neonatal outcome in preterm deliveries between 23 and 27 weeks’ gestation with and without preterm premature rupture of membranes. Archives of Gynecology and Obstetrics, 280(1), 7–11.PubMedCrossRef
51.
O’Connell, K., Jones, H. E., Lichtenberg, E. S., & Paul, M. (2008). Second-trimester surgical abortion practices: A survey of National Abortion Federation members. Contraception, 78(6), 492–499.PubMedCrossRef
52.
Pak, S. C., Song, C. H., So, G. Y., Jang, C. H., Lee, K. H., & Kim, J. Y. (2002). Extrauterine incubation of fetal goats applying the extracorporeal membrane oxygenation via umbilical artery and vein. Journal of Korean Medical Science, 17(5), 663–668.PubMedCentralPubMedCrossRef
53.
Pekkanen-Mattila, M., Pelto-Huikko, M., Kujala, V., Suuronen, R., Skottman, H., Aalto-Setälä, K., et al. (2010). Spatial and temporal expression pattern of germ layer markers during human embryonic stem cell differentiation in embryoid bodies. Histochemistry of Cell Biology, 133(5), 595–606.CrossRef
54.
Petchesky, R. P. (1987). Fetal images: The power of visual culture in the politics of reproduction. Feminist Studies, 13(2), 263–292.CrossRef
55.
Reoma, J. L., Rojas, A., Kim, A. C., Khouri, J. S., Boothman, E., Brown, K., et al. (2009). Development of an artificial placenta I: Pumpless arterio venous extracorporeal life support in a neonatal sheep model. Journal of Pediatry Surgery, 44(1), 9–53.CrossRef
56.
Schmidt Matthiesen, H. (1979). Medikamentöse Methoden. Archives of Gynecology and Obstetrics, 228(1–4), 78–365.
57.
Sherwin, S. (2005). Abortion through a feminist lense. In E.-H. W. Kluge (Ed.), Readings in biomedical ethics: A Canadian perspective (pp. 339–351). Toronto: Pearson-Prentice Hall.
58.
Singer, P., & Wells, D. (1987). Making babies. New York: C. Scribner’s Sons; for a reply to some of their points, see D. N. James, Ectogenesis: A reply to singer and wells, Bioethics 1.1 (Jan 1987), pp. 80–99.
59.
Smajdor, A. (2012). In defense of ectogenesis. Cambridge Quarterly of Healthcare Ethics, 21, 90–103.PubMedCrossRef
60.
61.
Spitz, I. (1998). Early pregnancy termination with mifepristone and misoprostol in the United States. New England Journal of Medicine, 338, 1241–1247.PubMedCrossRef
62.
Sussman, C., & Bates-Jensen, B. M. (2006). Wound care: A collaborative practice manual for health professionals. Philadelphia, PA: Lippincott Williams & Wilkins.
63.
64.
65.
66.
Tong, R. (1992). Blessed are the peacemakers: Commentary on making peace in gestational conflicts. Theoretical Medicine, 13(329), B35.
67.
Tooley, M. (1983). Abortion and infanticide. Oxford: Clarendon Press.
68.
Tribe, H. L. (1990). Abortion: The clash of absolutes. New York: Norton at p. 102.
69.
Turner, K. L., Hyman, A. G., & Gabrie, M. C. (2008). International conference on second trimester abortion: Recommendations. Reproductive Health Matters, 16(Suppl 31), 205–206.
70.
71.
Unno, N., Kuwabara, Y., Okai, T., Kido, K., Nakayama, H., Kikuchi, A., et al. (1993). Development of an artificial placenta: survival of isolated goat fetuses for three weeks with umbilical arteriovenous extracorporeal membrane oxygenation. Artificial Organs, 17(12), 996–1003.PubMedCrossRef
72.
73.
Valnaan, H. B., & Pearson, J. F. (1980). What the fetus feels. British Medical Journal, 280, 233–234.CrossRef
74.
Van de Velde, M., & De Buck, F. (2012). Fetal and maternal analgesia/anesthesia for fetal procedures. Fetal Diagnosis and Therapy, 31(4), 201–209.PubMedCrossRef
75.
Waldau, P. (2001). The specter of speciesism: Buddhist and Christian views of animals. Oxford: Oxford University Press.
76.
Webb, S. H. (2002). On god and dogs: A Christian theology of compassion for animals. Oxford: Oxford University Press.CrossRef
77.
Whitney, R. A. (1987). Animal care and use committees: History and current policies in the United States. Laboratory Animal Science, 37(Special Issue), 18–21.
78.
Wilkinson, P. R. (2001). Neurophysiology of pain part I: Mechanisms of pain in the peripheral nervous system. CPD Anaesthesia, 3(3), 103–108.
79.
Winnipeg Child and Family Services (Northwest Area) v. G. (D.F.) (1997) 3 S.C.R.
80.
Gharebaghi, R., Mahdavi, M. R. V., Ghasemi, H., Dibaei, A., & Heidary, F., “Animal rights in Islam.” AATEX 14, Special Issue. In Proceedings of 6th world congress on alternatives & animal use in the life sciences, 61, p. 63.
81.
Yaffe, M. D. (Ed.). (2001). Judaism and environmental ethics: A reader. Lanham, MD: Lexington Books.
82.
83.
Zou, L. Y., & Fan, L. (2010). Induced termination of second and third trimester pregnancy in women with scarred uterus. Zhonghua Fu Chan Ke Za Zhi, 45(1), 17–21.PubMed
Metadata
Title
Ethical Considerations on Methods Used in Abortions
Author
Eike-Henner W. Kluge
Publication date
01-03-2015
Publisher
Springer US
Published in
Health Care Analysis / Issue 1/2015
Print ISSN: 1065-3058
Electronic ISSN: 1573-3394
DOI
https://doi.org/10.1007/s10728-012-0232-1

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