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I had a conversation with another nurse--and as usual, war stories always seem to crop up. This nurse is an outstanding teacher, we well as bedside clinician. She shared this story. We were talking about ethics, the church, and medicine. The hospital that I work for now is a corporate owned entity. Previous to that though, they were a Catholic Hospital and governed under that accordance. Which basically meant that they didn't do tubals, etc. So there was this patient. A very nice lady. Married, had kids, loving family and had private payor insurance. So this lady is rocking along with a 27-week pregnancy when something on an ultrasound alarms the physician. Further testing lead to the diagnosis of anencephaly--or without a brain. The infant did not have a brain. Just a short brain-stem. Not enough to sustain life. So the hard choice at this point is what to do? Do you let this woman suffer irreversible psychological damage by carrying an infant destined to die? Do you let her feel the kicks, hear the heartbeats? Or do you hasten the delivery of this unfortunate baby? A baby that was wanted and love and one that was planned for? At this point in pregnancy, the procedure to terminate the pregnancy is called a prostaglandin induced abortion. Basically a vaginal suppository is inserted to augment labor. Then the baby is delivered. In this situation, what generally happens is that the family keeps the infant for as long as they like--the baby is wrapped up so that they can mourn their loss. Take pictures. But basically a chance to grieve their loss. So anyway--sitting on a hospital ethics committee are physicians. There happens to be a lone Catholic on the committee. Even though abortion are "technically" against the rules, the committee decides to grant the exception because the child is incompatible with life and it is more humane to stop the pregnancy. Well the physician who is the lone Catholic says NO! We will not do this. He also threatens to call the main diocese to report this if it is done (from what I understand this is pretty bad--priveleges suspended, jobs lost, etc). So the attending physician starts looking for a place to deliver this child. They don't have any luck. Most hospitals do the procedure--but won't take transfers of outside patients--my guess is that they don't want to run the risk of being labeled abortion clinics. They are out of options with the only option remaining is to send this woman to an abortion clinic and all of the trappings thereof. Protestors, women pushing baby carriages spitting, etc. So this grieving woman has to go to this clinic. The clinic is not set up to do a delivery using prostaglandin. That is not what they do or how they do it. At this stage in pregnancy, the procedure is basically to pull the baby out--piece by piece.(This is NOT how they do their terminations--but because the health of the mother was in jeopardy and because it was medically indicated--they agreed to help because nobody else would.) When the entire horrific experience is over, apparently the Mother of this child approached the hospital board and told them she would never forgive ANY of the sitting members OR the hospital. She said that ALL she wanted was to hold her baby. To spend a few minutes saying goodbye and THEY took it away from her. Instead, she said, her baby was ripped from her body and she had nothing to remember it by. The one lone Catholic stated that his conscience was clear because he stood by his faith. I know that most of what we talk about is the right to have abortions--but we must consider the rights of the women who choose to have babies, then get to the point that when something goes wrong, their choices are horrific. Not every pregnancy results in the Gerber baby. Not every pregnancy has a viable outcome. Woman MUST have the choice to deal with particular situation with dignity and grace. We MUST make sure this choice is upheld.
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