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Did Catholic Church Push This Woman To Abort?

Posted by JeanneSager

The Catholic Church may well be the strongest advocates of the pro-life movement in the world, but a Canadian woman says doctors at a Catholic hospital pressured her to abort her baby.

On the face of it, the charges sound outrageous, even to someone who is pro-choice, but like most of these stories there's always a back story.

What mother Nikki Cooke refers to as a "eugenic abortion," was actually a suggested early induction of a baby carrying Trisomy 18, a a chromosomal defect that claims ninety percent of children by their first birthday. Many don't survive to even be born, which happened to the Cookes - the baby's heart stopped beating a week before Nikki was due to give birth.

The doctors had explained the slim chance that the Cookes' baby would be born alive and that there was nothing they can do. At one point, Cooke says she was told to terminate. One paragraph later, she's quoted saying they were "pressured to have an early induction." Which is it? Because inducing labor on a baby is not the same as an abortion. My daughter was induced, and she's very much alive.

Here's where some of the Cookes' claims could hold weight: Nikki says she was told IF her baby was born alive, the hospital would not resuscitate the baby. If that's true, the doctors in this case may have been legally protected, but ethically, that's absurd. How does a doctor allow a living, breathing child to go into respiratory failure and refuse to respond? Even if the child has a chromosomal difference, it's their obligation to make every attempt to keep that child breathing and the heart beating; at least until it is clear that there is simply no hope.

With Trisomy 18, there is little hope, it's true. But once a child is alive, that ten percent chance of survival is nothing to sneeze at.

The hospital, by the way, denies they would not treat a living baby. From the National Post:

"What is key for them is that labour is not induced until at least 23 weeks, when the fetus has reached viability, so if the baby is born alive everything possible could be done to save it. And if the diagnosis was wrong, the child would still have a chance."

It's also important to get back to the initial findings by the doctors - they didn't see the Cookes' baby surviving. They didn't see this baby being born alive, and they were advising a mother that it would be better to get her pregnancy over with sooner rather than continuing to carry around a baby who would not survive. Essentially, there was no hope. It comes to a point, the priest in the National Post article points out, where the safety and health (including emotional) of the mother has to come first. 

According to the hospital guidelines in this case: "Medical treatment is permitted to prevent or cure a grave illness in a pregnant woman that cannot be deferred until the unborn child is viable even though the pregnancy may be endangered ... even though they will result in the foreseen but unintended death of the unborn child."

What's disturbing are the attempts by the pro-life movement to use this story as evidence that a mother is being wronged by a doctor making the determination that a fetus is not viable. It's sad for parents when this happens, but faith can't trump science. Sometimes, babies just won't make it. And it's important for parents to face that - as painful as it might be.

These are the same arguments used against women who opt for a D&C after a miscarriage, when the heart has stopped beating, and they are walking around with a non-viable fetus inside of them. They're branded murderers by some in the pro-life movement for what is, essentially, an abortive procedure - even though there is nothing there, there is no life in that tiny body.

You can't kill someone who isn't alive. You also can't call an inducement an abortion simply because the baby will not survive its chromosomal defects.

What do you think? Do you think the hospital was wrong here, or is this blown out of proportion?

Image: National Post

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Comments

 

Laura said:

I'm prolife, and I would never say a word to a woman who had D&C after a miscarriage. I would just give her a hug! I don't know a single intelligent prolifer who would call that murder.

In the case of this woman, I'm all for carrying a living child to term despite fatal defects. Doctors have been wrong before (there was a good example in England last year. If I can find it again, I'll post it). If there is any hope for survival, it's worth it. But if the baby is already dead, early induction only makes sense.

February 27, 2009 4:49 PM
 

Lee said:

I think part of this reaction may be driven by the grief of parents who haven't fully come to grips with the reality of their tragic situation. As the priest made a point of noting, they would not induce until such time as the child could be born and survive. This hospital is apparently that regions best facility for high risk pregnancies so it would be safe to assume they are equipped to care for a significantly premature infant. This protocol is an effort to save both the mother and hopefully the child under the precepts of both the Catholic Church and the Hippocratic oath.

February 27, 2009 4:55 PM
 

Ali said:

Two of my babies died in utero before the 14th week.  I had to wait a week for the first before I could get the D&C even though three different ultrasounds showed the baby had died a week before.  It was torture to carry a dead child.  The second time the D&C was the next day.  I was relieved to be able to move on, to begin to heal so I could try again.  I did and the next pregnancy was a full term baby born alive.  That woman is looking for a paycheck and that is all.

An abortion is loss of a fetus before the 38th week.  An ELECTIVE abortion is when the fetus is aborted by a doctor or someone else, not nature.  Please stop confusing the two.

February 27, 2009 6:56 PM
 

allison said:

I'm staunchly pro-life and I've never heard of people in the pro-life movement being against a d&c if the baby is already deceased.  I had to have two d&c's after two first trimester miscarraiges, and if I had not had them I would have been putting my life at risk due to the type of miscarriages I had.  I'm not saying you are wrong I am just really curious where you have heard this.  

February 27, 2009 11:18 PM
 

allison also said:

Allison and Laura - The point, I believe, is that pro-lifers who picket hospitals and clinics where abortion procedures are carried out do not know why women are entering those buildings. They very well could have had a miscarriage and need a D&C to remove the dead fetus, and on top of their grief, they have to deal with people yelling at them and calling them murderers.  The lesson to take away is that being judgemental when you do not know anything about the reasons why someone needs to make a choice is heartless and cruel.

February 28, 2009 12:34 PM
 

Tamara said:

First, inducing labor before 24 weeks (viability) is considered an abortion because a baby will not make it at that gestation. An induction abortion is often the first choice of parents who have been given a poor prenatal diagnosis, because they can hold their babies, take pictures and make memories that will have to last them a lifetime.

My baby had Trisomy 18. We wanted to say goodbye early, as the Trisomy 18 Foundation calls it, but to make a very long story short, due to the laws in our state, we were forced to carry her as long as she lived.

Because of what I went through, I don't believe any parent should be forced into any decision. I don't have a problem with doctors advising parents that termination is an option and may be the best option, but I don't think anyone should be forced to do anything. And, she wasn't. They just gave her the option. I know someone who was given a poor prenatal diagnosis and decided to terminate, and her Catholic priest told her that she was just delivering a child who was not meant for this world back into the arms of God.

As for the poster who said doctors are sometimes wrong, amniocentesis are 99.98 percent accurate. Mistakes just don't happen with that test. If an amnio shows Trisomy 18, the baby will die, sooner rather than later. Mistakes happen with the AFP tests and ultrasounds, but not amnios.

February 28, 2009 1:12 PM
 

ChiLaura said:

"These are the same arguments used against women who opt for a D&C after a miscarriage, when the heart has stopped beating, and they are walking around with a non-viable fetus inside of them."

I'm pro-life. I've NEVER heard this argument made by other pro-lifers. Did you just make this up because it sounds good, or have you actually read/heard it somewhere?

I hate the line that a woman is "delivering a child who was not meant for this world back into the arms of God." God will take this child back into his arms when he's ready. Even if a child is sure to die early in life, choosing to abort that child is still an elective, unnecessary abortion performed so a couple or mother doesn't have to face pain. I can't imagine carrying a child who's doomed to death early; at the same time, life isn't easy.

March 1, 2009 3:34 PM
 

JeanneSager said:

ChiLaura: Yes, I HAVE heard this argument. As Allison Also points out - folks who bristle at the word "abortion" do not know exactly WHY a woman is having one - and a D&C is an abortion.

There are also some (a small sect, but some) pro-lifers who argue that women should opt for a natural miscarriage rather than undergo a D&C because either A. the doctor might be wrong or B. it is playing God to undergo the procedure.

March 1, 2009 3:41 PM
 

nikki cooke said:

To set the record straight. NO!!! The Catholic Church did not push this woman (ME) to abort.

Never once was that statement made in the Lifesite News article!

I felt pressured by the doctors to terminate/early indcution because, my baby had a deadly anomoly and they would not resuscitate him if he was born alive! Early induction after viability of a baby with a deadly fetal anomoly would have caused the death to him earlier. This is an abortion! Early induction after viability of an otherwise healthy baby is never abortion, these babies would survive and there would be intervention if need be.

By the way this is about life there is no money to be had nor would I take any!

I love my Catholic Church and my faith. God gives and He takes away it is His decision not ours. We are happy that He gave us this opportunity to help create this soul that existed in me for as long as his little life needed to be here on earth, very much alive in my womb!  

March 2, 2009 11:11 AM
 

JeanneSager said:

Nikki: With all due respect, wasn't your issue that this was a Catholic hospital? As in one tied to the Catholic church? Because outside of a Catholic hospital, this wouldn't be an issue . . .

March 2, 2009 11:20 AM
 

nikki cooke said:

Yes, this is a Catholic Hospital however, to charge the Catholic Church of pushing me to have an abortion is a grave accusation. The Committee at St. Joseph Hospital has guidelines/protocol for the hospital and does not follow that of the Holy See. This is what we are trying to change. If you understand the Teachings of the Catholic Church and do not want to be a hypocrite then you have to 'Stand Up' and that is all I am doing.

March 2, 2009 11:52 AM
 

Tamara said:

ChiLaura, you've said you've never carried a child with a poor/fatal prenatal diagnosis, so how you do know that a parent makes that decision to avoid pain? Do you know how painful it is to make that decision? I made it, traveled four hours of state to a clinic, which made a mistake, and because of that mistake, I wasn't allowed to end the pregnancy. Making the decision to terminate in one of the most painful decisions I've ever had to make. I wasn't doing to avoid pain on my part. I was already dealing with pain. It was to spare my daughter pain.

In the end, my daughter was stillborn, which was painful, but I can honestly say that if I had terminated, it would have been just as painful, if not more so. Your stance, without an inch of compassion, is why so many women who choose to end a pregnancy due to poor/fatal prenatal diagnosis suffer in silence because they feel that they will be judged, when instead, they have suffered a loss just as much as someone who carried to term and lost the baby.

March 2, 2009 1:57 PM
 

Barb said:

I would like to make a few points. Firstly, trisomy 13 and trisomy 18 are not universally "lethal".

Here is a baby with full trisomy 18 who had cardiac surgery. She lived for 4.5 years.

www.youtube.com/watch

The fact is that many of these babies can be helped. Two leading MD/Pediatric Ethicists from Chicago and Seattle (Wilfond and Ross) wrote a paper call Lethal Language, Lethal Decisions in which they stated that many of the so called "lethal" conditions are perfectly treatable, but doctors hide behind language which suggests futility when in fact they are making a quality of life judgement.

When the medical publications are reviewed over the last 40 years on these disorders, there is actually an indirect relationship between longevity and advancements in neonatal technology. In other words, kids with these disorders are not benefitting from advancements in modern medicine.

As for treating the babies who are live born. It is a fact that no physician in the US has ever lost a law suit as a result of withholding care that he/she believes in inappropriate.(as per Dr. Norman Fost) A recent publication from NYC stated that it was "unethical" to resuscitate a baby with trisomy 18 who had a known cardiac defect and neonatologists who do so are not acting in the best interest of the child.

It may be difficult to believe that babies are left to die, untreated, but the genetic label with its associated grim statistics gives the doctors the choice not to treat. It is wrong because there is a vast range of afflictions; every child is different.  

I had a daughter with trisomy 13. She did not have the common brain and heart defects associated with the condition. She developed respiratory distress at the age of 80 days and went to one of the best children's hospitals in the world. Within 24 hours, a DNR was entered without our consent. lethal quantities of narcotics were removed from the cabinet and the final medication report remains missing. There is little we can do because of the genetic label. The docs would present the associated statistics and the judge would decide based on the balance of probabilities.

The problems are more serious than anyone might ever believe.

As for the priest in the article, I met with him personally. He looked me in the eye and assured me that every early induction that was done was because the mother's life was at risk.

Somebody said that "early induction" is not abortion. It sure is when you induce labour at a time when you know the baby will not survive with the clear intention not to provide any resuscitation or treatment whatsoever. It is no different then sending your child out in -40 degree weather without a coat and arguing that you didn't kill him, you just sent him out to play.

Barb

March 3, 2009 1:09 AM
 

Tamara said:

My daughter's defects with Trisomy 18 were lethal. She didn't develop a brain or a skull, and she also had a cystic hygroma which was growing at an alarming rate.

Barb, I equate inducing labor early when a fatal prenatal diagnosis is given to turning off the machines when a doctor declares a patient brain dead. There is no difference.

March 3, 2009 1:33 AM

About JeanneSager

Jeanne Sager is a writer who lives in upstate New York with her husband, daughter, a dog and too many cats. She refuses to believe motherhood comes with pumpkin appliqued sweaters, and she';s not ready to apologize for having only one child. She writes about raising her kid in her own hometown and the mom stuff she's not embarrassed to own at her blog, Inside Out (http://jeannesager.blogspot.com), she's contributing editor of Grand Magazine, and she's a regular essayist here on Babble

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