"An acceptance of the practice of abortion is incompatible with Christian belief in the sanctity of life, but not with the attitudes of ethical philosophers or popular politicians." Discuss.

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“An acceptance of the practice of abortion is incompatible with Christian belief in the sanctity of life, but not with the attitudes of ethical philosophers or popular politicians.” Discuss.

By Stephen Tunstall, March 2005

Abortion - forever one of civilised society’s primary ethical dilemmas. Ever since the basic means and methods were discovered in antiquity, thinkers, courts, and leaders have pondered over the conflicting merits of the emotive issue of abortion. With the number of abortions now being as high as 180,0001 a year in the UK, the issue is gaining prominence in religion, the media, and politics. This essay will look at many aspects of abortion, with the main body of the writing being devoted to assessing whether abortion can be tolerated by Christianity, given the idea of the sanctity of life, and whether abortion is justifiable through ethical philosophy. Emphasis will then move briefly to examine political perspectives on the issue, bringing contemporary relevance to the paper, before concluding what has been discovered in the process of this discussion.

A - An introduction to abortion – explanation and a brief history

The accepted definition of abortion is that it’s the induced termination and expulsion of an embryo or foetus from the uterus. There are alternative classifications, such as therapeutic abortion, which depend on the varying circumstances of the mother and child, but these alternative titles will only be looked at as and when they become necessary to this paper.

If abortion is to be practiced, there are two types of technique used to expel the foetus - medical abortions and clinical abortions1. Medical abortions use drugs to empty the uterus, and are used during the first trimester of the pregnancy. The drug mifepristone can be taken as a pill (more commonly known as the abortion pill) to prevent the re-lining of the placenta, and effectively starving the foetus to death. This is then followed by doses of misoprostol, administered as suppositories or injections that cause the muscles of the uterus to contract and expel the foetus. Alternatively, methotrexate can be injected to terminate the pregnancy by halting the growth of the foetus; this is again followed by the administration of misoprostol.

Clinical abortions are physical, rather than chemical, procedures to terminate and expel a foetus. The varying techniques employed depend on the length of gestation, but are most commonly used during the second trimester of the pregnancy. Manual Vacuum Aspiration (MVA) is appropriate up to the eighth week of pregnancy, and involves the use of a syringe to pull the foetal tissue out through the cervical opening. Similar to this, but employed up to the fourteenth week of gestation, is Suction and Curettage. This procedure uses a suction tube, attached to an aspirator, to remove the foetus from the uterus; the more advanced stage of the pregnancy may dictate that the mother has to be dilated and placed under general anaesthetic. Dilation and evacuation is a clinical technique used even later in the second trimester, up to the twentieth week, and is a more distressing procedure. There must first be a period of cervical dilation, sufficient enough to allow a doctor to manually remove a foetus using clamps. The doctor will have to make an extraction a number of times because the foetus’ size means it can not be extracted as one whole part. Any remaining tissue and uterine fluid is then sucked out as above.

Despite these modern medical procedures that are now used to perform abortions, the practice of terminating and expelling a foetus has a long history. Abortions are first thought to have been induced using the medicinal properties of certain plants and herbs. The ancient physicist and gynaecologist, Soranus, identified many plants as having abortifacient properties.

“Of the ten plants [he] mentioned… modern medical sciences has adjudged eight as having an effect as contraceptives and abortifacients… In the case of rue, present Chinese, Latin American, and Indian medical authorities recognise its abortifacient quality.”2

However, as the Mediterranean societies that first discovered these drugs entered the Renaissance, the herbal remedies popular in antiquity fell out of favour.  The rise of Catholicism was already bringing Christianity and abortion into conflict, and the emergence of universities brought with it a denouncement of all things superstitious or outside the conventions of medical education. This trend continued “into the seventeenth and eighteenth centuries, [where] the knowledge of… abortifacients continued to decline.”3 The eighteenth century then saw the start of genuine legal attention being paid to the question of abortion in the UK. The first statutory prohibition of abortion came with The Ellenborough Act of 18034. This made any use of abortifacients drugs after quickening punishable by death, and in 1928 this statute was strengthened to include prohibition of the use of instruments to expel a foetus. Gradual liberalisation of this law followed though, with the removal of capital punishment as a penalty in 1837.

In 1861, the Offenses Against the Person Act was introduced, and this became the blueprint by which all abortion issues would be adjudged over the next one hundred years5. The distinction between an abortion performed after quickening and one performed before quickening was removed, effectively outlawing all abortions regardless of the state of foetal development; maximum sentence was life imprisonment. Although the Act didn’t allow for any exceptions to the case, a court battle in 1939 (the Bourne case) resulted in a landmark re-interpretation of the law. The judge concluded that an abortion performed in order to protect the mother’s life was compatible with the stipulations of the Act. The decision allowed women to receive abortions legally if their case was adjudged to be life threatening; abortions of this kind are known as therapeutic abortions. This was the legal status of abortion for much of the twentieth century – it was strictly illegal, but for exceptional cases of maternal endangerment.

This all changed with the rise of feminism and the introduction of the abortion pill during the sixties, which led to the sexual revolution, and consequently increased popular protests to legalise abortion. After over a century, the status of abortion was finally reformed, when, in 1967, the Abortion Act was passed through Harold Wilson’s government. It formally legalised abortion in cases where two doctors can agree that continuing with the pregnancy would pose a risk “greater than if the pregnancy were terminated, of injury to the physical or mental health” 6 of the mother, her existing children, or the potential baby. All abortions must be carried out before the foetus reaches the age of viability, currently the twenty-fourth week of gestation in the UK. A foetus is viable when it is considered able to live outside of the uterus, and thus abortions are only permitted on viable foetuses in exceptional circumstances where there is a genuine and grave threat to the mother’s life.

The legalisation of abortion in the UK in 1967 was no doubt a victory for women’s’ rights campaigners and liberal ethicists and politicians. However, the acceptance of abortion also displeases many people, including the majority of the Christian community as well as secular absolutists. Now that a general medical and legal understanding of abortion has been established, one is better informed to investigate why these moral conflicts between religion, philosophy, and politics have arisen. For what reason is abortion considered so intrinsically wrong by some campaigners? Is abortion the killing of another person, or just the removal of biological tissue?

 

B - An investigation into when human life begins

Central to the argument of those against abortion (pro-life campaigners), is the premise that the foetus is a person. If this is the case, it would obviously render abortion to be murder, thus making it in breach of the basic right to life that every person has. Whether the foetus is a person is a fiercely debated issue, and depends on the highly subjective view of when a human life begins.

The earliest possible beginning of a human life, of the creation of a new person, is at fertilisation. It is from this point that the development of the body begins; the creation of a new, unique genetic entity. Two medical ethicists, Dr McFarlane and Dr Moore, put it thus in their paper What is a Person? :

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“Taken at its most basic, fertilisation brings about the emergence of a new combination of genes and the start of a new unit of biology. Everything that happens after this point is merely a process of development. The very fact that this being is a new member of the human species gives him or her the status of a person.”1

The doctors’ argument is that fertilisation is the furthest one can possibly go back in tracing a human’s development, and so this point should be regarded as the beginning of life. This is a seemingly logical deduction, but ...

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