Women’s safety a priority?

The 40 Days of Choice group, set up to counter 40 days for Life, have gone into propaganda overdrive, tweeting a link to a report that women diagnosed with foetal abnormality are ‘denied surgical abortions’. Yet again, the Guardian proves its reputation as being the the soft advertiser on behalf of the abortion industry, the conference referred to was one organised and funded by BPAS and the pro-choice group ARC (ante-natal results and choices).

A woman who has never actually had to give birth to her deceased child vocalised her horror at the prospect and described how she had needed to borrow £1,000 in order to have a surgical abortion performed swiftly, instead of having to wait two weeks to see a consultant and being told that she would need to give birth naturally.

With lots of accompanying rhetoric about the politicisation of abortion and how foetal abnormality ‘forces’ women to abort, the usual frame of choice shifts from the concept of abortion, to the actual method itself. Nobody seems to be asking the question as to why these women are somehow forced, why does foetal abnormality or disability take away a woman’s agency?

The stat that less than 1% of all pregnancies are ended due to foetal abnormality is also presented, in order to convey sympathy, this is such a rare occasion, (which should tell us something about the obscene amount of abortions that are performed in the UK) surely women in this unusual situation ought to be allowed to choose, as well as take their time?

Jane Fisher of Antenatal Results and Choices points to the research that this is such a distressing time for women that they need to be able to take their time and space to chose on the abortion method that is right for them. Not that they need time and space to choose whether or not to abort, rather to choose the method.

Sadly I understand this all too well. We had an appointment at the hospital today in order to discuss the options in terms of delivering our own deceased child. The nurse could not have been more sympathetic, she checked that I understood why we were there and took her time explaining the different options to us. She also stressed that there was absolutely no hurry to make any sort of decision, we could go home, we could choose whatever option we wanted, we could change our mind at the last minute, no-one was going to pressure us at all.

I can more than understand why some women in my situation would choose surgery, it’s over very quickly, you are unconscious, you do not have to see any foetal remains and neither do you have the interminable wait to see if nature might take it course, something that could take weeks. I would not admonish any woman who chose the surgical option, however, I don’t think it’s for me, for a number of reasons, one being that there are often no remains left to bury.

But the difference for women in my situation is that tragically, our babies are already dead. I more than empathise with women having to give birth to a dead child, it’s what I am going to face over the next few weeks, but there is some comfort in knowing that there is nothing I could have done. All I can do now is see to it that he or she is given a decent burial.

For those women who are faced with the terrible situation of feeling forced into aborting a profoundly disabled child, there is for many, some form of closure in being able to hold a funeral, or bury the remains and say goodbye to their child, even if there is also a sense of dissonance.

But the most important thing is that by giving women time to make their decision, something that I would always advocate, the surgical option becomes less and less safe. So today, when we were discussing my options, it was very clear that while not being forced, I was being strongly steered towards a medical management, i.e. when pills are administered to force contractions. Surgery would not have been denied, but it was clear the consultant preferred to recommend a medical management because it was safer for me with a relatively late, missed miscarriage, which is larger than usual.

I was explicitly informed, both verbally and in writing, that surgery carries an increased risk of infection, scarring and perforation of the uterus. If I opted for a medical management, I would be given a private room with ensuite bathroom, a cannula inserted in case fluids or a blood transfusion is needed and given as much pain relief as possible. They would also issue me with the paperwork to bury or cremate the remains. A far cry from the medical abortion procedure that takes place in abortion clinics, who have been campaigning for women to be able to miscarry at home. The NHS pulled no punches, this will be emotionally and physically difficult, but they would support me through it, rather than leave me to suffer at home alone. Unlike at the clinics, Robin will be allowed accompany me the whole way through the procedure. It isn’t the narrative of period pains or slight cramping that the abortion clinics try to soft-soap women with. Former clinic worker Abby Johnson who had a medical abortion tells it like it is.

I get it, I truly understand what an ordeal it is to have to deliver a dead child, at any stage of gestation, but if surgery is the riskier option for me with a child at 10 + 5 gestation, 12 weeks into pregnancy, the risk will increase for women at a later stage – typically, abnormalities are not picked up until around 12 weeks and in many cases, not until 20, when one doesn’t have a choice in terms of abortion, you have to deliver.

It’s terrible when your 12 week scan delivers devastating news, we have been totally blindsided by what’s happened, though we’ll get through it, life seems that bit more grey, bleak, colourless. Our future does not seem quite so rosy, our precious little baby has been taken away. My body has not yet caught onto the situation as is common in this situation, and so I’m still experiencing full-blown pregnancy symptoms in a cruel twist of nature. The mind and body are at odds with each other, while I know the baby has passed away, my body is trying to fool me into thinking otherwise. I’m sick, have the erratic familiar food aversions, am growing bigger as the hormones increase the size of the sac and yet know there will be no baby at the end of the process.

I have no doubt that a diagnosis of foetal anomaly has a similar effect and my heart goes out to anyone faced with this. But where there is life there is always hope, why aren’t we asking why women in this situation are feeling forced, but instead blindly accepting the inevitability of abortion for disabled children?

As for the choice of method of termination, surely that should be wholly down to clinical factors, and what is in the best interests of a woman’s overall health, not politicised in order to do homage to the false notion that we have bodily agency?

If one were inclined to shout empty slogans, the following seems applicable:

Pro-“choice”? That’s a lie, you don’t care if women die.

As the Good Counsel Network have just pointed out the reason why 40 Days for Choice find women having to give birth to their dead child ‘disgusting’ is because that word sums up the tragic reality of abortion.