CHAPTER IX

ABORTIONS

Sometimes through an accident or on account of disease, the womb expels

the foetus before it is fully developed. If this occurs before the end

of the third month we call it an abortion; if it occurs between the

third and seventh months we call it a miscarriage; while if it occurs

after the seventh month but before the normal time of labor we call it a

premature labor.

Formerly it was considered that there was no possibility of the child

living if it were born before the seventh month. Now, by the aid of

incubators, even those born at five months have a chance to live. By

that time the body is fully formed, so the chief requirements are a

steady temperature and proper care and food. Great care must be

exercised, as a slight cooling of the air may result in the death of the

babe.

Abortions are either accidental, criminal, or justifiable, that is,

brought on to preserve the life of the mother. Accidental abortions may

follow a sudden fall or a sudden shock, either mental or physical, to

the mother. They may be due to some disease either of the mother or of

the foetus. Of the diseases responsible for abortions the one with the

largest percentage is syphilis. It is estimated that this disease is

responsible for forty per cent. of accidental abortions and

miscarriages. Whenever a physician has for a patient a woman who gives a

history of having had several abortions without any apparent cause and

all at about the same age of the foetus, he immediately becomes

suspicious of syphilis either of the father or the mother. It is a

peculiar fact with this disease that it may be transmitted to the

offspring without the mother ever actually having the disease. This is

an instance of "visiting the sins of the fathers upon the children unto

the third and fourth generation." Many a weak frame owes its condition

to a dissipated father, grandfather or even great-grandfather. It is

possible, though, for a man or woman who has had this disease to have a

healthy child if the disease has been properly treated.

Under some circumstances, especially with a deformed pelvis, if

pregnancy were allowed to proceed normally it probably would result in

the death of the mother. Then, it is considered justifiable for the

physician in charge of the case to produce an abortion in order to save

the life of the mother. Those cases are rare and such a procedure never

is undertaken except in extreme cases.

Criminal abortions are those brought on simply because the woman does

not desire to have a child. These often are produced by the woman

herself by means of drugs that set up uterine contractions (labor pains)

or by means of something introduced into the uterus. In either case it

is a dangerous procedure. Infections may be carried into the uterus by

means of whatever is introduced into it. This may set up an inflammation

that may result in the death of the woman. It is a dangerous procedure

to introduce anything into the womb. Some women are extremely foolish or

reckless and use anything that may be handy. Sometimes grave harm

results. Instances are on record of women who have punctured the walls

of the womb by the use of hatpins or other sharp instruments. If an

abortion is produced by either drugs or instruments there is danger that

all the products of conception may not come away. If even a small

portion remains in the uterus it may cause a hemorrhage or, becoming

decomposed, produce a poison that may result in the death of the woman.

It would be impossible to estimate the number of abortions performed on

unmarried girls, as well as married women, during one year by midwives,

unscrupulous physicians and by many respected family physicians. We

never hear of one of these except through the occasional one who is so

unfortunate as to meet death. We cannot entirely blame the one who

performs the abortion. Sometimes it is performed because of the sympathy

of the physician. It is very hard to refuse some cases. Let me read you

a letter to illustrate my meaning.

"I have just finished reading your article on 'Woman's Inhumanity to

Woman' and wish to say that every word impresses the truth as read. My

reason for writing you is because I am one of those who have sinned

through love, with one I have known all my life only to find too late

that he did not love me; and the sin is killing me. I do not want to

bring into this world a little child to have no father. I am not bad at

heart. My only hope is to get something that will bring me all right. If

you are a doctor you can give me medicine that will help me miscarry

this, as I have only missed two months. Nothing would please me more

than to be the mother of a little one, but, oh, not one born without a

name. Dear madam, if you can help me, or show me some way that my people

cannot suspect me of this sin, for the love you bear all girls, help me.

I am the only one at home to care for an aged father and one of the

dearest brothers that ever lived. If he knew I had sinned as I have, it

would break his heart. My God in heaven, help me! is my prayer, and

through his love you can help me. I am almost desperate and before I

will live and bear this sin I will take my own life, which will bar me

from heaven and my angel mother's face. Be gracious, kind doctor, and

help me. I will repay you if it takes the remainder of my life and give

my solemn promise that I will sin no more. Erring through the love of a

man is my only excuse and, oh, I am the one to bear the blame. He would

be forgiven. I am so nervous and ruined in mind that I hardly can go

about my duties and I cannot stand the strain much longer. Let me hear

from you at once and please help me, for I know it can be done, but I am

ignorant; I do not know what to get or what to do. It will be no sin to

try to get all right and not bear a child, but in my thoughts it is

something awful to have to have it. For the love of heaven help a

heartbroken girl at once and before it is too late for me to regain my

chance of heaven."

Now suppose you were a physician and that girl, instead of being a

stranger, was a very dear friend who had come to you in your office,

would you not be tempted to grant her wishes? That is the position in

which every physician is placed a great many times. Some allow their

sympathies to rule and so break the laws of the land. They allow their

sympathies to overcome the moral truths that previously had been their

guide. They commit a crime by taking a life, even though that life were

not fully developed.

Many women have the false idea that there is no life before the fifth

month and so think they are not destroying life if they have an

abortion at the end of the first, the second or even the third month.

This idea is entirely erroneous, for there is life from the very

beginning and it is just as wrong to destroy life the first few months

as it would be to do so later.

Aside from this moral reason there is a very important reason for not

having abortions. You may regret it afterwards! Let me give you an

instance. One of my friends, a charming young woman, was married several

years ago. After her marriage she moved to a distant city and I did not

see her for about four years. Then she returned and called to see me.

During the course of our conversation I asked her if she had any

children. Her reply in a very sad tone was, "No, I guess I did too much

interfering at first, so now I cannot have any." Then she told me she

had the idea she did not wish to have children for several years after

she was married. So during the first year she had an abortion performed.

Now for two years she had been wanting a baby but none came. That is the

history of so many women. The regrets!

All women naturally desire to have children. If they do not, they are

the victims of false ideas or of fear. Anything which is natural is the

best, so usually a woman who bears children is much healthier than one

who does not. Think of the women of your acquaintance and see if the

mothers are not happier and healthier than the women who are childless.

Herself: Talks with Women Concerning Themselves · 第 9 / 25 章