Was this really routine? On partial birth abortions

Specialties Ob/Gyn

Published

Testimony of Jill L. Stanek, RN

Hearing on H.R. 4292, the "Born Alive Infant Protection Act of 2000"

July 20, 2000

I am a Registered Nurse who has worked in the Labor & Delivery Department at Christ Hospital in Oak Lawn, Illinois, for the past five years. Christ Hospital performs abortions on women in their second or even third trimesters of pregnancy. Sometimes the babies being aborted are healthy, and sometimes they are not.

The method of abortion that Christ Hospital uses is called "induced labor abortion," also now known as "live birth abortion." This type of abortion can be performed different ways, but the goal always is to cause a pregnant woman's cervix to open so that she will deliver a premature baby who dies during the birth process or soon afterward. The way that induced abortion is most often executed at my hospital is by the physician inserting a medication called Cytotec into the birth canal close to the cervix. Cytotec irritates the cervix and stimulates it to open. When this occurs, the small, preterm baby drops out of the uterus, oftentimes alive. It is not uncommon for one of these live aborted babies to linger for an hour or two or even longer. One of them once lived for almost eight hours.

In the event that a baby is aborted alive, he or she receives no medical assessments or care but is only given what my hospital calls "comfort care." "Comfort care" is defined as keeping the baby warm in a blanket until he or she dies, although even this minimal compassion is not always provided. It is not required that these babies be held during their short lives.

One night, a nursing co-worker was taking an aborted Down's Syndrome baby who was born alive to our Soiled Utility Room because his parents did not want to hold him, and she did not have time to hold him. I could not bear the thought of this suffering child dying alone in a Soiled Utility Room, so I cradled and rocked him for the 45 minutes that he lived. He was 21 to 22 weeks old, weighed about ½ pound, and was about 10 inches long. He was too weak to move very much, expending any energy he had trying to breathe. Toward the end he was so quiet that I couldn't tell if he was still alive unless I held him up to the light to see if his heart was still beating through his chest wall. After he was pronounced dead, we folded his little arms across his chest, wrapped him in a tiny shroud, and carried him to the hospital morgue where all of our dead patients are taken.

Other co-workers have told me many upsetting stories about live aborted babies whom they have cared for. I was told about an aborted baby who was supposed to have Spina bifida but was delivered with an intact spine. Another nurse is haunted by the memory of an aborted baby who came out weighing much more than expected ~ almost two pounds. She is haunted because she doesn't know if she made a mistake by not getting that baby medical help. A Support Associate told me about a live aborted baby who was left to die on the counter of the Soiled Utility Room wrapped in a disposable towel. This baby was accidentally thrown into the garbage, and when they later were going through the trash to find the baby, the baby fell out of the towel and on to the floor.

I was recently told about a situation by a nurse who said, "I can't stop thinking about it." She had a patient who was 23+ weeks pregnant, and it did not look as if her baby would be able to continue to live inside of her. The baby was healthy and had up to a 39% chance of survival, according to national statistics. But the patient chose to abort. The baby was born alive. If the mother had wanted everything done for her baby, there would have been a neonatologist, pediatric resident, neonatal nurse, and respiratory therapist present for the delivery, and the baby would have been taken to our Neonatal Intensive Care Unit for specialized care. Instead, the only personnel present for this delivery were an obstetrical resident and my co-worker. After delivery the baby, who showed early signs of thriving, was merely wrapped in a blanket and kept in the Labor & Delivery Department until she died 2-1/2 hours later.

Something is very wrong with a legal system that says doctors are mandated to pronounce babies dead but are not mandated to assess babies for life and chances of survival. In other words, our laws currently say that babies have no rights to medical oversight until they are dead. We look the other way and pretend that these babies aren't human while they're alive but human only after they are dead. We issue these babies both birth and death certificates, but it is really only the death certificate that matters. No other children in America are medically abandoned like this.

Abortion is a cancer that is literally killing America. It is killing our children while it is killing our consciences. It began when we took God out of our decision-making and proclaimed that the little beings growing inside of women were "products of conception" and not little girls and little boys. Who should be surprised that we keep pushing the envelope so that now we are aborting these "products of conception" alive? I even work at a hospital named "Christ" that does this very thing! It is beyond me to comprehend that we're doing what we're doing now, and so I can't even imagine what horrible ways we will think of next to torture our children. Please help put an end to this by proclaiming infants as American human being homo sapiens with the same legal and medical rights that you and I big people have. Thank you.

http://www.house.gov/judiciary/stan0720.htm

Jolie,

I am glad you mentioned it, I do now recall the articles in the Trib and the press's hupla about this. I had forgotton.

However, there are somethings to take into consideration. I have worked at a facility that would terminate "incompatable w/ life fetus" those that are anecephalic and w/ certain syndromes after being diagnosed by a Perinatologist, and had to have two documentations of such sydrome. However there was a huge ethics committee meetings, there was the cheif of OB and OB nurse managers involved and it was planned and preassigned to nurses that were comfortable w/ this. There were several who for personal or religious reasons were not comfortable w/ handling these. There was the ut-most respect given to these families and there was social workers and a chaplin involved. These were more or less treated as IUFDs. Some did survive for minutes to hours, and were usually cared for in the pt's room, those who didn't wish or couldn't handle this these babies were given comfort care in the NICU.

This type of termination is not what I would concider "partial birth ab" I am sure that this happens and where I don't know, sounds like Christ was/is doing them. Just too bad that this particular RN didn't get the support she needed from her fellow RNs.

Specializes in obstetrics(high risk antepartum, L/D,etc.

Hey, Jolie. Thanks for the update. Things have really changed since I left Illinois. That clears up my confusion.

Catholic hosp, no elective AB's here. I know we recently had a big to do with the ethics commitee about an elective "induction" at 24 weeks for an anencephalic baby. Even that was shot down, and she had to deliver elsewhere.

Specializes in Telemetry, Case Management.

This RN is speaking at my husband's church next weekend. I will be at work, so won't be able to go but I hope he will remember enough to tell me what she says.

Hello, I am a Labor and delivery nurse and work at a hospital in florida. We have had a couple of upsetting induction abortions here at our hospital. The last two that I can remember were because of premature rupture of membranes. Both were over 20 weeks but under 23, I can not remember exact gestation. These were very upsetting because the babies were normal except for the rupture of membranes. We had a hard time finding a nurse that would care for these patients. It upset me because there is a chance for a seal over. I wondered if anyone had explained this to these mothers. We all have seen babies that do live and thrive with an early rupture. Both of these babies were born alive, tiny and perfect and were rapped in a warm blanket and placed in the dirty utility room to die. I found it very sad.

OK, would you guys all think that I was a terrible person because I would not want a baby born at 24 week treated agressively (let alone want agressive treatment with a rupture at 21 weeks)? Don't I get to make that decision with my partner and my doctor? (And why those babies were left alone to die is beyond me. Even when parents choose to not be present when we withdraw care, there is ALWAYS someone who will hold that baby and comfort them until they die.)

Can you understand the other side of the argument at all? I have seen the route these babies have in the NICU and I think it's cruel. There is no other way to describe what we do to 23 weekers in the name of preserving life. Now, when parents choose that for their children, I accept that it's their choice and not mine and I still will look after them. I can see where they are coming from. They may have that miracle baby that is just fine. But, is it so hard to understand why a rational person might decide not to pursue this for their child in light of the most likely outcomes? Do you really think this is murder or even along the same lines as an elective abortion?

Specializes in Emergency room, med/surg, UR/CSR.

I think there is a big difference between a baby being born naturally premature and one who was forced to be born premature.

I don't believe in any kind of abortion for any reason (my opinion which I am entitled to, but not looking for a debates) but I don't think that parents who allow a child to die peacefully after being born premature are wrong in any way.

Nurses that work in NICU can speak to this better than I can, but sometimes I think technology has gotten out of hand with patients we can keep alive by artificial means. I think it would be sad to see babies being kept alive that will have no hope of a normal life, but I can sympathize with the family. It would be a hard decision to make either way. But then, as an ER nurse, I have seen people of all ages brought in that were being kept alive for the family who should have loved them enough to let them die peacefully. (NO! NO! Not looking for a debate! Just stating how I feel!)

I just cannot even begin to fathom wanting to abort a baby in any stage, and I can't even begin to imagine letting a baby die alone on a counter somewhere simply because the parents didn't want it for whatever reason. I couldn't work at a facility that did these type of abortions; there is enough openings for nurses that you shouldn't need to work somewhere that does things against your conscience.

That's my two cents which isn't worth much these days.

Pam

Thanks for the reply Pam. I guess to me, a woman who is induced because of PROM at 20+ weeks is not the same as a woman who just doesn't want a baby and chooses an abortion. Most of the women who rupture early (in my experience) desperately want to have their baby, but they couldn't help their water breaking so early and have to make the best of a terribly tragic situation. Some choose all out medical treatment, others don't.

I still can't imagine why a baby would be left alone to die.... Fortunately, I have NEVER seen or heard of that happening where I work.

Originally posted by fergus51

OK, would you guys all think that I was a terrible person because I would not want a baby born at 24 week treated agressively (let alone want agressive treatment with a rupture at 21 weeks)? Don't I get to make that decision with my partner and my doctor? (And why those babies were left alone to die is beyond me. Even when parents choose to not be present when we withdraw care, there is ALWAYS someone who will hold that baby and comfort them until they die.)

Can you understand the other side of the argument at all? I have seen the route these babies have in the NICU and I think it's cruel. There is no other way to describe what we do to 23 weekers in the name of preserving life. Now, when parents choose that for their children, I accept that it's their choice and not mine and I still will look after them. I can see where they are coming from. They may have that miracle baby that is just fine. But, is it so hard to understand why a rational person might decide not to pursue this for their child in light of the most likely outcomes? Do you really think this is murder or even along the same lines as an elective abortion?

I am not sure you read my post.....I understand not being agressive with a 23 weeker...my point was that we were inducing these babies to be born at this early gestation, the women were not in labor, they did not have infections ...we gave these women cytotec to induce a not viable baby to be born, and no there was not anyone to hold these babies.....each nurse had her max of laboring patients. I agree that we have to draw the line somewhere, I am thankful that I work with very level headed neos, in our hospital they do not touch anything under 24 weeks unless they are unsure of dates.

Since we are on the subject of abortion...just thought I would add more of my 2 cents worth.....we all agree that Roe v Wade was very clear when it stated that abortions should be legal until the age of viablilty...which back then was much later than it is now. Even though I am pro life for my self I would not ever want to limit a womens right to an early abortion. My problem is with late term abortions, just out of curiosity I looked in the yellow pages under abortion.. here in central florida it advertises for abortions up to 28 weeks...now that to me is crazy. 28 weekers in this day and age usually do well. I also have a problem with peoples arguement about the partial birth abortions not being available for they safety of the mothers health. I am not sure why pullling a baby through the cervix with its skull crushed is much easier than just delivering a baby with an intact skull, either way you are delivering a baby lady partslly. :o

Originally posted by tamrnmomof4

Since we are on the subject of abortion...just thought I would add more of my 2 cents worth.....we all agree that Roe v Wade was very clear when it stated that abortions should be legal until the age of viablilty...which back then was much later than it is now. Even though I am pro life for my self I would not ever want to limit a womens right to an early abortion. My problem is with late term abortions, just out of curiosity I looked in the yellow pages under abortion.. here in central florida it advertises for abortions up to 28 weeks...now that to me is crazy. 28 weekers in this day and age usually do well. I also have a problem with peoples arguement about the partial birth abortions not being available for they safety of the mothers health. I am not sure why pullling a baby through the cervix with its skull crushed is much easier than just delivering a baby with an intact skull, either way you are delivering a baby lady partslly. :o

I agree with your last point . . . I've never been able to figure out the reason for sucking a baby's brains out and crushing its skull when its body is already out. I cannot imagine a delivery like this is planned.

steph

I live in NY and previously worked in a hospital that did similar both spontaneous and elective abortions. The difference being the babies were not born alive, but the labor induction meds were given, usually prostaglandin vag supp. These did NOT take place on OB, these patients were sent to my specialty floor, GYN/Surg/Onc., makes sense...NOT. This was up to the nursing staff, as long as the fetus was under 24 weeks and a birth certificate did not have to be issued unless the fetus weighed 500gm or more. not giving my opinion either way...just wanted to answer your question. :o

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