Monthly Archives: May 2007

Some general Jamieness

Jamie is two and a half now, and it seems incredible that only a few months ago he was barely talking.  Now, he’s expressing his thoughts in long complicated sentences: "Take Maisy Mouse upstairs, read in bedroom, then have nap."  "Put handles on cup.  I think yellow handles might be good."  He’s learning to negotiate: "One more time."  "Go in garden little bit."  "If want music off, then put telly on."  (This last was advice to my husband, who dislikes the Bob the Builder CD that Jamie loves playing – he was torn between being impressed and being annoyed that Jamie had advanced far enough to figure out a way to use this as leverage to try to get what he wanted.)

He’s starting to get the hang of rudimentary manners.  Specifically, he has figured out that "Thank you, Jamie" is the appropriate phrase to be uttered on the occasion of him handing either of his parents something.  So he now announces "Sank you, Jamie!" loudly as he presses some object into our hands.  (Or as he tries to lift my food to my mouth for me whenever he decides that I’m taking too long a pause between one bite and the next and might, perhaps, have forgotten how to transfer food to my mouth myself and need some assistance.  I’m still working on convincing him that I do need a modicum of time to actually chew the stuff.)  I started trying to teach him ‘Please’ just the other week, when I got bored with being peremptorily ordered to go get more Mr Men books, and he does seem to be getting the general idea.  At least, when I prompt him with "Now, how do you ask nicely?" he responds "Ask nicely please".  I prefer to think of this as his attempt at getting it right rather than as a reciprocal instruction to me.

When he had his assessment back in March, one of the questions the health visitor asked me was whether he could follow the plot of a simple story.  At the time, I wondered how on earth it was possible to know – while there was no doubt that he adored books and being read to, how did I know what he was following and what he wasn’t?  I would now unequivocally be able to answer this question in the affirmative, because he has taken to commenting thoughtfully, apropos of nothing much, on events in his favourite television programmes.  I’ve grown quite used to hearing a little voice pipe up with updates on what Pocoyo and Pato have been up to while I’m trying to bathe him, put his toys away, or do something otherwise totally unrelated. 

He has also taken to coming out with random quotes from his favourite books – usually the Mr Men books, though the line from the Dr Seuss Sleep Book about the clock not going tick tock but going tock tick is also something of a favourite.  It’s at times like this that a good memory comes in useful, because when I hear him musing to himself "Had to stay there all night" or "Tried to open door outwards ‘steada inwards!" then instead of being hopelessly bewildered I can simply agree that, yes, indeed, it was very unfortunate that Mr Bump fell into a hole when there was no-one around to help him out, or that Mr Wrong got stuck in his house for ten minutes while he figured out how to open the door properly.

He is also utterly fascinated by the numbering of the Mr Men books.  Every time we read one, he has to start out by checking the little number on the spine to confirm to his own satisfaction that, yes, this Mr Man book is still such-and-such a number and the universe is as it should be, and then look at the back where all the different Mr Men are listed with their numbers.  And he knows them in amazing detail.  The other week, when we were in the shop and I asked him which book he wanted this time, he told me "Mr Nonsense!" and I couldn’t find it straight away on the shelf so I asked him what number it was and he knew it (number 33, in case anyone’s interested), and then, when we got it home and read it, we discovered that Mr Silly (one that we didn’t have at that time) appeared in it as a character and Jamie immediately announced "Mr Silly number 10!" and, what do you know, he was right.  He goes through them all and recites lists of the first ten – "Mr Tickle number 1, Mr Greedy number 2…" and will point at and name lots of the other pictures of Mr Men on the back.  It’s practically his specialist Mastermind subject.

I recently started singing to him.  Yes, I know I should have been doing this all along and that singing to your child is just one of those Things A Mother Is Supposed To Do, but somehow I always used to go blank on thinking of songs (apart from the ones from my medical school days, and, believe me, singing those is not on any official list of Things A Mother Is Supposed To Do), and when I did think of any he didn’t look overwhelmingly interested.  But then, a few weeks back, I spontaneously started singing "Five Little Ducks" while Jamie was playing with his ducks in the bath, and he loved it.  Then he demanded the Tumbletots song, which didn’t actually narrow things down very much as Tumbletots change their songs every fortnight, but I tried him with "Little Peter Rabbit", which was the one we’d been singing at the most recent meeting, and he was delighted with that one too.  Then, since "Little Peter Rabbit" is sung to the Battle Hymn of the Republic, I impulsively tried him with one of the old campfire versions that I happened to know, starting out "He jumped from thirty thousand feet without a parachute…", which I would be the first to admit in retrospect was not one of my smarter moves because he also loves the Parachute Song, as he calls it, and asks for it often, and, yes, I will regret it deeply when the day comes when he demands "Vicar took him home for tea an’ spread him on his bread song!" in front of my eighty-something-year-old grandmother.  But right now it’s great fun.  And since then I’ve just taught him most of the less raunchy songs I know.  He comes up with his own names for them, which are sometimes hard to decipher.  "Go home song!" proved to be "Sloop John B", and "Walk song!" is "You’ll Never Walk Alone" (tremendously important to any child born into my husband’s family of die-hard Liverpool fans), but we are still trying to decipher "Tunnel song!" or, at the very least, to convince him that we might have an easier time singing it for him if he could recite enough additional lyrics to serve as an identifier.

He’s just starting to use the hand gestures for action songs, as well – something he really hasn’t shown much interest in until, well, basically the past few days.  But at Tumbletots last Tuesday, when we sang "Grand Old Duke of York", I went through the ‘up’ and ‘down’ arm movements with him for the first chorus, but he then started doing them quite of his own accord in the second chorus, and got them pretty much right, as well.  He can point to all the right bits in "Heads and Shoulders, Knees and Toes" and will recite the lyrics to himself (he doesn’t sing) while pointing, or point while I sing if I go through very slowly.  (The other night he got a bit excited trying to recite it to me when he was supposed to be going to sleep: "Heads an’ shoulders, knees and toes… an’ glasses an’ shorts an’, an’ trousers!")  And, earlier this week, when I sang him "Ten Green Bottles" during his bathtime he picked up the empty sunscreen bottle that’s one of his bath toys, held it up against the wall, and let it slide down when I got to "accidentally fall".

He still loves reading letters and numbers, but he’s now also just starting to read words.  He can read Jamie, Mummy, and Daddy.  This weekend, he’s extended his repertoire to James, thanks to a lovely present of a cup with ‘James’ on it from a visiting cousin.  It puzzled him at first as he went through the letters "J… A… M… I… no I!  E… S" but, once we explained, he rapidly picked up the idea that J…A…M…E…S spells James.  (Or Engine Number 5, as the name James is otherwise known in our house.  His fascination with numbered characters extends to the "Thomas the Tank Engine" stories.  If he ever reads This Perfect Day, he probably won’t even realise that it’s meant to be a dystopia story.)

He now has his own computer, put together by Barry out of leftover parts and a few new ones.  This is an extremely exciting development in a boy’s life, although it was unfortunately delayed by some of the parts not working once it was fitted together.  Poor Jamie had to wait patiently through days of "It’s not working yet, little one.  Daddy will fix it when we get the new parts" before Barry could finally get it functioning.  He’s learning how to start it up, how to use the mouse, and how to open the programmes he wants (quite a bit of which he already knew from his insistence on using our computers, but being able to practice with the mouse on his own computer has made a big difference).  He loves practicing typing (mostly just random letters and numbers, though Barry’s taught him how to type ‘Jamie’) and playing on the Teletubbies website.

The other day, we were playing together in the garden.  Jamie played with the stones by the terrace, and ran round on the grass (carrying one round stone that took his fancy everywhere with him), and played on his slide (sending the stone sliding down first each time before he slid down to pick it up), and poured water out of the watering can onto the flower bed to make into mud, and balanced along the wall at the side of the garden and the low wall round the flowerbed in the bottom corner, and climbed up the stairs to the deck where he could get me to play peek-a-boo from just below the edge of the deck (this is a particularly hilarious game), and tried to poke bits of earth through the cracks between the planks of the deck, and squatted down on the edge of the deck to share grins with me as I stood on the grass below and laughed with him at the fun of it all. 

And, at intervals, he would announce "Going to lie on grass" and throw himself down to stare up at the sky, a mini-Hallmark moment come to life.  I would lie down next to him and reach over to rub his little tummy affectionately, and we would look up together at the sky, me pointing out the contrails to him, he commenting on the clouds.  Quiet, shared, joyful moments together before he jumped up and ran off to the next exciting project grabbing his attention.

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Batteries included. Eventually.

Did you know that car batteries are quite likely to develop faults after about five years or so?

I didn’t, and neither did Barry.  This is rather a shame, because it means that neither of us realised that his car’s recent tendency to have some difficulty starting up might be due to something more serious than just "Oh, well, we’ve only been on very short journeys in the past few weeks and the battery’s probably just running a bit low – we’ve got the trip to London coming up, and that’ll charge it up."  So it came as rather a nasty shock when we got into the loaded-up car for aforesaid trip, packed and ready to set off, and discovered that the battery was making the average pancake look well-rounded by comparison.  Well, not that we knew it was the battery to start with – all we knew was that the car wouldn’t start.  At all.  Not a cough, not a flicker.  All packed up, somewhere to go, and no way of getting there.

"Sorry, little one," I told Jamie as Barry got out to see what he could find under the bonnet, "but Daddy’s car’s not working."

"Maybe battery," suggested my two-and-a-half-year-old.

I agreed that this was indeed a possibility, although we could not as yet be certain.

"Get new battery put in," Jamie advised.

Which was exactly what we had to do, once we’d headed back into the house and Barry had rung the dealership for his car barely in time to catch them before they closed for the weekend and confirmed with someone slightly more qualified that that did indeed sound like the problem.  Barry tried going round to our next-door neighbour to see whether he could jump-start the car, but the neighbour checked the voltage on the battery and told him that it had just become too defective to rely on.  We were better off just getting a new one.  Which pretty much seemed to put the kibosh on the planned weekend at my mother’s – even if we could manage to get one today, by the time we’d done that and Barry had put it in it would be too late to be worth setting off.  (My car is a lot smaller than his, and not practical for a lengthy trip with a six-foot-four husband and the vast amount of luggage that we always seem to need whenever we travel anywhere.)  We explained regretfully to Jamie that we probably weren’t going to get to Granny Constance’s house this weekend after all.

"Can walk to London," Jamie suggested helpfully as he sat down on the bottom of the stairs to pull his shoes off.

It was an enterprising suggestion.  We felt quite bad having to tell him that it just wouldn’t be possible.

"Can see Granny Constance and Great-Grandma Martha on ‘puter instead," Jamie concluded philosophically, toddling into the living room to look for the webcam.

This did, indeed, seem to be the option we were left with, but it was a shame.  As Jamie had said, the proposed trip was meant to give us the chance to see my grandmother, who had arrived from the USA that week for her annual visit and who was longing to see just how much her one and only grandson had grown.  We had also discovered the change in plan too late to tell my mother, who even as we discussed the situation was out buying food for the weekend in quantities that, if past experience was anything to go by, would be comparable not just to fatted calves but to entire fatted herds.  This seemed like somewhat of a waste.

Fortunately, when we did manage to get through to my mother, she was willing to throw all the food into her own car and drive to our house at extremely short notice, and so she and my grandmother are now here for the weekend instead.  Barry did indeed manage to get a replacement battery (and Jamie had great fun climbing up and down the stairs in the shop, an activity that holds quite amazing levels of fascination), and so that problem is now solved.  And we had an extremely pleasant evening with my mother and grandmother admiring Jamie’s charms and Jamie admiring the new toy car, book, and set of number cards they’d brought for him.  So, as annoying as the whole business with the battery was, it has at least all ended up well.  Not to mention that we now know that my son will, at the rate he’s going, clearly be ready to go into business as a car mechanic advisory in just a few more years and support us all in our dotage.

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If you’re here from the Grassy Knoll forum…

…then do please satisfy my curiosity and tell me how this page came to be mentioned on your forum.  I know it has been, because I’ve had numerous hits from there in the past few days; but when I tried to view the forum to find out what people were saying, the best I could manage after a half hour or more of faffing about was a message that in order to gain access to the board I had to apply for membership, as the administrator liked to find out about potential members beforehand to ensure that discussions were ‘thoughtful, lively and spam free’.  The test that I had to pass to demonstrate that I fulfilled the necessary criteria was to click on a button saying ‘Apply For Membership’.  As yet I don’t know whether I clicked on it in sufficiently thoughtful, lively, and spam-rejecting fashion, as I haven’t had notification one way or the other from the administrator.  Since I don’t know how long that will take, can anyone from the Grassy Knoll Inner Sanctum please fill me in meanwhile?

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How the Supreme Court got it wrong

This post contains both controversy and potentially icky medical details.  Don’t say you weren’t warned.

 

The final year timetable at my medical school included a one-week
refresher course in obstetrics and gynaecology.  On my first day there,
a woman was admitted for a late abortion.  Well into the pregnancy,
prenatal scanning had come up with a rare and tragic diagnosis – fetal
anencephaly.

Anencephaly is a terrible congenital disorder where the cerebrum – the part of the brain responsible for thought, emotion, consciousness, everything above
the most basic and rudimentary brainstem functions – simply does not
develop.  The majority of affected fetuses die before birth; survival
beyond a few days is rare, and the disability in those who do survive
is profound and total.  Rather than carry a doomed pregnancy to term
only to deliver a dead or dying baby, this woman had been admitted for
abortion.

Although this next paragraph is a diversion from what this post is
actually going to be about, there’s a point I’d like to make up front
here, because it is so often missed in this sort of discussion.  There
is a very understandable tendency to react to this sort of situation by
saying that of course a woman in this situation should have the option of aborting.  Of course she should abort.  And, in our rush to say these things, we can miss the subtle and absolutely crucial distinction between those two
statements.  It is all too easy to take it for granted that abortion is
the appropriate decision in this situation.  And, of course, for many
women it is; there is no doubt in my mind that parents faced with this
tragedy should have the option of ending the pregnancy there and then
if they feel that would be less difficult to deal with than what is,
after all, only prolonging the inevitable.  But one thing I have come
to understand is that this should be an option and not an assumption,
on anyone’s part, and that we must never forget that, as
counter-intuitive as it may at first seem, a woman may actually want to
continue the pregnancy. When the only time you will have with your child is those few months before birth, you may find that more, not less, of a reason for savouring every minute of those that you can.

I hope this woman’s choice was the right one for her and not one
that she had been pressured into; I have learned not to take it for
granted that this was the case.  I do know that whichever choice a
woman might make about such a horrible situation, I’d back her all the
way.  And I believe that whether or not she wishes to take the option
up, abortion should be available.  Which, theoretically at least, it
was.  The practicalities proved more difficult.

I forget the exact gestation, but it would have been the second half
of pregnancy, after the routine scans, and abortion at this stage is a
lot more technically difficult than in the first trimester.  This woman
faced the prospect of going through labour.  Difficult enough to get
through when you have the hope and joy of a live baby at the end of it
to sustain you; heartbreaking in this circumstance.  What was more, the
labour would have to be induced with prostaglandin pessaries.
Prostaglandin can be tricky stuff.  It can have unpleasant side-effects
– vomiting, diarrhoea.  It can bring on precipitate labour, with
horribly violent contractions.

Or, at the other extreme, it can fail to work at all.

When I left the wards on Friday, at the end of the week’s
attachment, the woman was still there.  Still not in labour despite
repeated prostaglandin insertions.  A five-day abortion that wasn’t
even over yet – not even started.  The gynaecologist sent her home to
rest over the weekend and try again the following week.  As we walked
away from the bedside, one of us asked what the options were for her if
the pessaries still failed to trigger labour.  “Hysterotomy,” he
replied.

Hysterotomy is a particularly risky type of Caesarean section, done
only when section has to be done several months before term.  Caesarean
section is normally done through the lower part of the uterus – I am
unsure of the precise technicalities involved, but, as I understand it,
this is the part that heals best.  However, because the lower part of
the uterus is the last part to start stretching out as the pregnant
uterus expands, prior to a certain gestation there just isn’t enough
lower part of the uterus there to cut into – it’s all still scrunched
down on itself in the bottom of the pelvis like a balloon not yet
inflated.  So the only way in is a longitudinal cut through the main
part of the uterus.  Any Caesarean is major abdominal surgery with the
prospect of a prolonged recovery and possible complications (something
we tend to forget in this day and age as they get more common), but a
hysterotomy is particularly likely to cause problems.  Hysterotomy
means a woman is going to be less likely to be able to conceive again,
more likely to develop pregnancy complications, and practically
guaranteed to need Caesarean section for any subsequent birth.  If that
woman didn’t go into labour and didn’t change her mind about not
wanting to continue this pregnancy, that was the only option left open
to her.

So what happened?  I have no idea.  That was the end of my attachment.  I’ve never known what happened to that woman.  I wouldn’t know her if she walked into my surgery now.  But I’ve never forgotten that horrible, horrible range of options.

If that happened today, that woman would have one more option open to her.  Intact dilatation and extraction.

The problem with later abortions (the technical problem, that is,
before anyone accuses me of trying to dismiss the ethical problems) is
that it is only possible to dilate a woman’s cervix so far without her
going through labour, and a fetus of the sort of size we’re talking
about here just won’t fit through a cervix that’s only part way
dilated.  Up to a certain point, it is possible to cut the fetus into
several pieces and get it out that way, but, by the time the pregnancy
reaches around 20 weeks, this is just getting too difficult to do
because of the size of the fetus.  (It’s also a pretty unpleasant
method for a woman aborting a wanted pregnancy for health reasons,
because this means she loses the chance of the one sight she could have
had of her baby).  Hence, for this woman, the only abortion methods
available to her at that stage of pregnancy were induced labour or
having her uterus sliced open.

However, some years ago, a gynaecologist by the name of Martin
Haskell came up with another alternative.  It is possible, just about,
to dilate a woman’s cervix far enough by instrumental means to get the body
of a 20-week-plus fetus out through it.  The problem is with getting the
largest part – the head – out.  And, hence, Haskell worked out the method known as intact dilatation and extraction, or IDE.  The gynaecologist dilates the cervix as far as surgically possible, turns the fetus around so that the body can be pulled out feet first as far as the neck, and makes an incision in the back of the head in order to remove the brain and collapse the skull.  At this point in development the skull bones are soft, not fused, and can slide over
each other – it’s possible to compress the skull enough to remove it through the partially dilated cervix while still leaving it in a state that can be restored afterwards so that if a woman wants the chance to
hold her child and say goodbye, the body is in a fit state for her to do so.

This procedure is technically difficult, and, needless to say, has risks.  However, so do other late abortion methods, and there is evidence that IDE is the least risky of the available procedures at this stage of pregnancy.  This may be particularly true in some specific circumstances – Cecily, for example, developed such devastating pre-eclampsia in her first pregnancy that it was not safe for her either to continue the pregnancy or to go through labour or hysterotomy. Women like Cecily, women like the one I saw on my gynaecology attachment, women who may need an abortion in the later stages of pregnancy for
whatever reason and who might not want or be able to go through labour, now have IDE available as an alternative.

Except in the USA.  Because, on April 18th, the Supreme Court outlawed this particular method of performing abortions.

And I do mean precisely that.  As the above link actually specifies, other methods of performing abortions at this stage of pregnancy are still available.  If you’re against abortion, or against late abortions, or believe that the grounds on which abortions are currently available should be limited, then I don’t agree with you, but I can still understand and sympathise with your viewpoint.  But this judgement is not about any of those things.  It is not about saving the lives of fetuses regardless of the cost to women, because it will not save the lives of any fetuses.  It will not prevent a single abortion (well, after reading Cecily’s story, I have to amend that to say that I suppose it’ll prevent abortions in those rare, tragic cases where a woman’s condition is so serious that she’ll die before she can get an abortion by another method). Under this law, abortions after 20 weeks can still be done, if the fetus is not yet viable or if severe disability is discovered post-viability.  What this law prevents – all that it prevents – is the use of this particular method to perform those abortions.

Which does, of course, raise the question of why in hell this particular detail was thought to be any of the Supreme Court’s business.

Several years back, I used to read and post to an Internet abortion debate group.  After about a year of all the same arguments going round and round with nobody actually caring that much what anybody else had to say because they’d already made up their mind and were too busy trying to yell their viewpoint even louder in the mistaken belief that this would convince anybody, I finally got fed up and left, but not before I had seen this particular topic (like every other abortion-related topic), come up a lot.  I read dozens of pro-life essays and opinions on why this technique was so awful and why it should supposedly be banned.  All of which has left me firmly convinced of one thing: The war on this particular type of abortion is a matter of propaganda.  It is about trying to shore up the Five Minutes Before Birth myth.

The Five Minutes Before Birth myth is a staple of pro-life arguments.  A classic example of the slippery slope genre, it runs something like this: There is no difference between a child Five Minutes Before Birth and a child Five Minutes After Birth.  Therefore, if abortion is legal, the logical and inevitable next step will be the legalisation of infanticide for any mother who decides on a whim (you know, as women do) that her child is an inconvenience.  And since we clearly don’t want that to happen, we have to guard against it by making abortion illegal.  QED.

As a teenager encountering the abortion debate, I believed all this passionately – clearly abortion had to be banned, since that was the only way to hold back the encroaching tide of people wanting to move the time limits later and later until it became legal to kill off anyone of any age group purely because their existence didn’t suit somebody else!  Until, of course, the one teensy flaw in this logic struck me – no such encroaching tide actually appeared to exist. Nobody was calling for abortion to be performed Five Minutes Before Birth or for wholesale infanticide Five Minutes After.  In fact, although abortion had by then been legal in the UK for twenty years, the time limits hadn’t budged.  Maybe the collective psyche of society actually drew a much clearer distinction between abortion and infanticide than the pro-lifers wanted to make out?

The Five Minutes Before Birth myth was trotted out regularly on the aforementioned debate group, and just as regularly shot down by pro-choicers calling for any examples of any cases, ever, where any woman actually had foregone the opportunity to get an earlier abortion in order to go through the whole of an unwanted pregnancy and practically all of labour and then change her mind in the final few contractions.  The only ‘example’ anyone ever managed to come up with in response was that of a case where a woman whose fetus was found to have fatal defects was induced at eight months and a Do Not Resuscitate order placed on the baby once born.  As the late Molly Ivins so beautifully put it, no woman seven months pregnant ever waddled past an abortion clinic and said “Oh, darn!  I knew there was something I’d been meaning to get around to!”

And then, along came IDE.  And pro-life propagandists seized upon the opportunity to breathe new life into the Five Minutes Before Birth myth.  Stretch the definition of ‘birth’ some way past what’s commonly understood by the term in order to rename IDE ‘partial birth abortion’; spin a bunch of misleading propaganda around it; and, behold – you can make it look as though the scare stories were all true and women are having abortions Five Minutes Before Birth after all!

I don’t mean to imply that the majority of pro-lifers are manipulating the facts that cynically.  I think that while some of the people writing this propaganda must know exactly what they’re talking about, they are the very small minority.  Most of the people who are against IDE have simply fallen for the spin.  They genuinely believe that it has something to do with full-term abortion. On reading the Supreme Court’s definition of IDE as a procedure in which a doctor ‘deliberately and intentionally vaginally delivers a living fetus until, in the case of a headfirst presentation, the entire fetal head is outside the body of the mother, or, in the case of a breech presentation, any part of the fetal trunk past the navel is outside the body of the mother, for the purpose of performing an overt act (usually the puncturing of the back of the child’s skull and removing the baby’s brains) that the person knows will kill the partially delivered living fetus’, I can imagine exactly what I’d have been thinking if I knew nothing about the procedure – if a doctor’s already delivered the fetus part way, why on earth not just deliver it the rest of the way instead of killing it? And I’d be easy prey for pro-lifers who wanted to convince me that it was all a loophole to allow the killing of viable fetuses during birth, a loophole that desperately needed closing.

But if the Supreme Court justices did some research into what they were talking about before passing judgement, then they must have known that this wasn’t so.  They must have known that it isn’t any sort of ‘loophole’, but a simple result of the mechanics of the procedure – the head is bigger than the body, and so just because a fetus has been partly delivered by this method does not mean that all you have to do to deliver it the rest of the way is pull a little further.  A head of this size will not come out through a partly dilated cervix without being collapsed first, and a woman’s cervix will not dilate fully without labour.

They must have known that although labour induction and hysterotomy might be perfectly viable alternatives on paper, the extra risks, problems, and potential unpleasantness associated with them mean that they aren’t simply an oh-well-just-do-things-this-way-instead substitute.

They must have known that IDE has nothing to do with “full-term abortion” or “abortion up to birth” – not just because of the absence of women actually wanting to go through an entire pregnancy only to request an abortion at the very end, but because it is not physically possible to use this method that late in pregnancy.  You can’t get a full-term fetus out through a partly dilated cervix like that – it’s just too big.

They must have known that just because a fetus is capable of surviving for a minute while it’s pulled out of the womb does not mean it’s viable in any meaningful sense of the term. They must have known that the choice in a late second-trimester abortion, or in an abortion where the fetus has been found to have the kind of birth defect I described above, isn’t between killing a baby and inconveniencing a mother.  It’s between giving a non-viable fetus a possible few minutes of gasping for breath outside the womb and sparing a mother a procedure likely to be worse and riskier for her than the alternative.

They must have known, for that matter, that their description of an abortion method in which the fetal head is delivered first only for the doctor to puncture the skull refers to no abortion procedure known, and doesn’t exist outside the more hopelessly lurid and inaccurate forms of pro-life propaganda. (For crying out loud, where did they get this stuff?)

So – did they not know these things? Did they really not bother to do the research, hear from the other side, find out the answers to the natural questions before passing this law?  Because that’s the only way they could possibly not have known. Or did they know and not care?  After all, this new law only affects women.  Worse than that, it only affects That Sort Of Woman – you know, the sort who wants a late abortion.  And, gee, who cares about them, the unnatural unmaternal bitches.

I know that if anyone actually finds and reads this post, the chances are high that somebody will use the comments section to tell me all the reasons why I should be against abortion.  And I repeat one more time, in case anybody missed it before: This is not about being for or against abortion.  It is not about saving fetuses, because it won’t save any fetuses.  It is not about preventing abortions up to birth, because they weren’t happening anyway.  It is not about preventing abortions after 20 weeks, because they are going to continue to happen anyway.  It is about stupid, petty, pathetic political point-scoring, carried all the way to the highest level, regardless of the cost for women.   And for some women, that cost is going to be very high indeed.

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