Is Half an Abortion Worse than a Whole One?
Last week, the New York Times Magazine included an interesting article about abortion by Ruth Padawer. It provoked not a little angst and soul-searching among members of the pro-choice community, as well as some exultant pronouncements from anti-abortionists highlighting supposed inconsistencies in the pro-choice position.
The Times article profiled a number of women who chose to “reduce” their twin pregnancies to a single fetus, recounting the emotions and ethical issues grappled with by women, their partners, and the doctors who perform (or refuse to perform) this type of selective abortion. The procedure, which according to Padawer is “usually performed aound Week 12 of pregnancy”, involves the doctor selecting under an ultrasound scan a healthy fetus whose chest is lethally injected. It shrivels in the womb, whilst its twin is carried to term. In the cases in question, the procedure is not performed for medical reasons, but because the woman has chosen for social reasons to carry only one child to term. Although reductions arose historically as a procedure that was medically indicated – reducing risky quint, quad or triplet pregnancies to twins that had a much better chance of survival – most practitioners have not recognized reduction below twins as having an adequate medical justification. Some practitioners consequently refuse to perform the procedure, but others perform it willingly. As Dr. Richard Berkowitz explained: “In a society where women can terminate a single pregnancy for any reason – financial, social, emotional – if we have a way to reduce a twin pregnancy with very little risk, isn’t it legitimate to offer that service to women with twins who want to reduce to a singleton?” Dr. Berkowitz’s question is a good one, as is the main question that Padawer raises: “What is it about terminating half a twin pregnancy that seems more controversial than reducing triplets to twins or aborting a single fetus? After all, the math’s the same either way: one fewer fetus.”
So what is it that makes “terminating half a twin pregnancy” seem more controversial than aborting a single fetus? Does our almost universal uneasiness about it show a fundamental inconsistency in pro-choice thinking, or is there a consistent pro-choice position that pays sufficient respect both to a woman’s presumed right to choose, and to our uneasy intuitive reactions to twin reduction?