\^
EEFECTS OF ANESTHESIA DURING A PARTIAL
BIRTH ABORTION
Y 4. J 89/1:104/73
Effects of ftnesthesia During a P^rt. .^^? J^rj
BEFORE THE
SUBCOMMITTEE ON THE CONSTITUTION
OF THE
COMMITTEE ON THE JUDICIAKY
HOUSE OP REPKESENTATIVES
ONE HUNDRED FOURTH CONGRESS
SECOND SESSION
MARCH 21, 1996
Serial No. 73
n '- ^
Printed for the use of the Committee on the Judiciary
U.S. GOVERNMENT PRINTING OFFICE
26-350 CC WASHINGTON : vjae
For sale by the U.S. Government Printing Office
Superintendent of Documents, Congressional Sales Office, Washington, DC 20402
ISBN 0-16-053423-2
EFTECTS OF ANESTHESIA DURING A PARTIAL
BIRTH ABORTION
Y 4. J 89/1:104/73
Effects of Anesthesia During a '''''*^- -^^IING
BEFORE THE
SUBCOMMITTEE ON THE CONSTITUTION
OF THE
COMMITTEE ON THE JUDICIARY
HOUSE OF REPRESENTATIVES
ONE HUNDRED FOURTH CONGRESS
SECOND SESSION
MARCH 21, 1996
Serial No. 73
*" ** â–
Printed for the use of the Committee on the Judiciary
U.S. GOVERNMENT PRINTING OFFICE
26-350 CC WASHINGTON : 1996
For sale by the U.S. Government Printing Office
Superintendent of Documents, Congressional Sales Office, Washington, DC 20402
ISBN 0-16-053423-2
COMMITTEE ON THE JUDICIARY
HENRY J. HYDE, Illinois, Chairman
CARLOS J. MOORHEAD, California
F. JAMES SENSENBRENNER, Jr.,
Wisconsin
BILL McCOLLUM, Florida
GEORGE W. GEKAS, Pennsylvania
HOWARD COBLE, North Carolina
LAMAR SMITH, Texas
STEVEN SCHIFF, New Mexico
ELTON GALLEGLY, California
CHARLES T. CANADY, Florida
BOB INGLIS, South Carolina
BOB GOODLATTE, Virginia
STEPHEN E. BUYER, Indiana
MARTIN R. HOKE, Ohio
SONNY BONO, California
FRED HEINEMAN, North CaroHna
ED BRYANT, Tennessee
STEVE CHABOT, Ohio
MICHAEL PATRICK FLANAGAN, Illinois
BOB BARR, Georgia
JOHN CONYERS, Jr., Michigan
PATRICIA SCHROEDER, Colorado
BARNEY FRANK, Massachuaetta
CHARLES E. SCHUMER, New York
HOWARD L. BERMAN, California
RICK BOUCHER, Virginia
JOHN BRYANT, Texas
JACK REED, Rhode Island
JERROLD NADLER, New York
ROBERT C. SCOTT, Virginia
MELVIN L. WATT, North Carolina
XAVIER BECERRA, Cahfomia
ZOE LOFGREN, California
SHEILA JACKSON LEE, Texas
Alan F. Coffey, Jr., General Counsel I Staff Director
Julian Epstein, Minority Staff Director
Subcommittee on the Constitution
CHARLES T. CANADY, Florida, Chairman
HENRY J. HYDE, Illinois
BOB INGLIS, South Carolina
MICHAEL PATRICK FLANAGAN, Illinois
F. JAMES SENSENBRENNER, Jr.,
Wisconsin
MARTIN R. HOKE, Ohio
LAMAR SMITH, Texas
BOB GOODLATTE, Virginia
BARNEY FRANK, Massachusetts
MELVIN L. WATT, North Carolina
JOHN CONYERS, Jr., Michigan
PATRICIA SCHROEDER, Colorado
KathrYN a. Hazeem, Chief Counsel
WiLUAM L. McGrath, Counsel
Keri D. Harrison, Assistant Counsel
John H. Ladd, Assistant Counsel
Robert Raben, Minority Counsel
(II)
CONTENTS
HEARING DATE
Page
Maixh 21, 1996 1
OPENING STATEMENT
Canady, Hon. Charles T., a Representative in Congress from the State of
Florida, and chairman. Subcommittee on the Constitution 1
WITNESSES
Alvare, Helen M., Esq., on behalf of the National Conference of Catholic
Bishops 331
Bimbacn, David J., M.D., director of obstetric anesthesiology, St. Luke's-
Roosevelt Hospital Center 140
Chestnut, David H., M.D., chairman. Department of Anesthesiology, Univer-
sity of Alabama at Birmingham 143
Cobum, Hon. Tom A., a Representative in Congress from the State of Okla-
homa 135
Costello, Coreen, Agoura, CA 320
Ellison, Norig, M.D., president, American Society of Anesthesiologists 138
Line, Mary-Dorothy, Los Angeles, CA 326
Shafer, Brenda Prat, registered nurse, Franklin, OH 310
Wright, Jean A., M.D., medical director, Egleston Children's Hospital, Emory
University 146
LETTERS, STATEMENTS, ETC., SUBMITTED FOR THE HEARING
Alvare, Helen M., Esq., on behalf of the National Conference of Catholic
Bishops: Prepared statement 333
Bimbacn, David J., M.D., director of obstetric anesthesiology, St. Luke's-
Roosevelt Hospital Center Prepared statement 141
Canady, Hon. Charles T., a Representative in Congress from the State of
Florida, and chairman. Subcommittee on the Constitution: Sundry informa-
tion and correspondence relative to the hearing 4, 304
Chestnut, David H., M.D., chairman, Department of Anesthesiology, Univer-
sity of Alabama at Birmingham: Prepared statement 144
Cobum, Hon. Tom A., a Representative in Congress from the State of Okla-
homa: Prepared statement 136
Costello, Coreen, Agoura, CA: Prepared statement 324
Ellison, Norig, M.D., president, American Society of Anesthesiologists: Pre-
pared statement 139
Hyde, Hon. Henry J., a Representative in Congress from the State of Illinois:
Letter dated March 20, 1996, to Chairman Canady, from Dr. Mitchell
Creinin, MaGee-Women's Hospital 289
Letter dated October 30, 1995, to Chairman Canady, from Jeannie Wal-
lace French 341
Line, Mary-Dorothy, Los Angeles, CA: Prepared statement 329
Schroeder, Hon. Patricia, a Representative in Congress from the State of
Colorado:
Letter dated February 28, 1996, to Chairman Hyde, from President Clin-
ton 125
Ohio court 100-page decision 23
Shafer, Brenda Prat, registered nurse, Franklin, OH:
Letter from Congresswoman Lynn Rivers to one of her constitutents 337
Prepared statement 312
(III)
IV
Page
Wright, Jean A., M.D., medical director, Egleston Children's Hospital, Emory
University: Prepared statement 148
APPENDIX
Material submitted for the hearing 353
EFFECTS OF ANESTHESIA DURING A
PARTIAL-BIRTH ABORTION
THURSDAY, MARCH 21, 1996
House of Representatives,
Subcommittee on the Constitution,
Committee on the Judiciary,
Washington, DC.
The subcommittee met, pursuant to notice, at 9:40 a.m., in room
2141 Rayburn House Office Building, Hon. Charles T. Canady
(chairman of the subcommittee) presidmg.
Present: Representatives Charles T. Canady, Henry J. Hyde, Bob
Inglis, Michael Patrick Flanagan, F. James Sensenbrenner, Jr.,
Bob Goodlatte, Barney Frank, John Conyers, Jr., and Patricia
Schroeder.
Also present: Kathryn A. Hazeem, chief counsel; Keri D. Har-
rison, assistant counsel; Jacquelene McKee, paralegal; Mark Car-
roll, staff assistant; and Robert Raben, minority counsel.
OPENING STATEMENT OF CHAIRMAN CANADY
Mr. Canady. The subcommittee will be in order.
It is unfortunate that we are forced to take time out of our busv
schedule today to examine one of the myths created by abortion aa-
vocates about partial-birth abortion, but I believe that it is impor-
tant to the health of pregnant women to set the record straight.
Shortly after H.R. 1833, the Partial-Birth Abortion Ban Act, was
introduced, abortion advocates began to claim that anesthesia
fiven to the mother at the beginning of a partial-birth abortion
ills the unborn child. Based on this myth, they argue it is mis-
leading to call the procedure a partial-birth abortion and any con-
cern that the child experiences pain during the procedure is mis-
placed.
The claim was originally disseminated by the National Abortion
Federation, a group representing abortion providers. A federation
factsheet says, "Antiabortion groups claim that the fetus is still
alive until the very end of the procedure. This is absolutely untrue.
Neurological fetal demise is induced either before the procedure
begins or early on in the procedure by taking steps to pre-
pare the women for surgery. This includes narcotic analgesia, ex-
tensive cervical dilation, and rupture of the membranes.
Dr. McMahon calls the statements to the contrary preposterous.
Dr. Martin Haskell of Ohio agrees with Dr. McMahon's assess-
ment. ... In the event that there is any possibility of pain per-
ception in later-term fetuses prior to fetal demise, the narcotic an-
algesia given to the pregnant women prevents any such sensation."
(1)
Another leading proponent of the anesthesia myth is Kate
Michelman, president of the National Abortion Rights Action
League, who was invited to testify today, but indicated that she
had a previous commitment. In an interview on Newsmakers in St.
Louis on November 2 of last year, Ms. Michelman said, "[T]he
other side grossly distorted the procedure. There is no such thing
as partial-birth abortion. That's a term made up by people like
these antichoice folks that you had on the radio. The fetus, I mean,
it is a termination of the fetal life. There is no question about that,
and the fetus is, before the procedure begins, the anesthesia that
they ^ve the women already causes the demise of the fetus. That
is, it IS not true that they are born partially. This is a gross distor-
tion, and it's really a disservice to the public to say this."
Dr. Maiy Campbell of Planned Parenthood circulated a factsheet
titled, "H.K. 1833, Medical Questions and Answers," which includes
this statement, "Question: when does the fetus die? Answer: the
fetus dies of an overdose of anesthesia given to the mother intra-
venously. A dose is calculated for the mother's weight which is 50
to 100 times the weight of the fetus. The mother gets the anesthe-
sia for each insertion of the dilators twice a day. lliis induces brain
death in a fetus in a matter of minutes. Fetal demise therefore oc-
curs at the beginning of the procedure while the fetus is still in the
womb."
The press accepted abortion advocates' claims as fact and pro-
mulgated the anesthesia myth. U.S. Today claimed, "The fetus dies
from an overdose of anesthesia given to its mother." And the St.
Louis Post-Dispatch reported, "The fetus usually dies from the an-
esthesia administered to the mother before the procedure begins."
The New York Daily News editorialized, on December 15, as fol-
lows, "The fetus is partially removed from the womb, it's head col-
lapsed, and brain suctioned out so it will fit through the birth
canal. The anesthesia given to the woman kills the fetus before the
full procedure takes place. But you won't hear that from the anti-
abortion extreme. It would have everybody believe that the fetus is
dragged alive from the womb of a woman just weeks away from
birth. Not true." Syndicated columnist, Ellen Goodman, wrote in
mid-November that "if one relied on statements by supporters of
the bill, you wouldn't even know that anesthesia ends the life of
such a fetus before it comes down the birth canal."
Members of Congress have also relied on abortion advocates for
information and neglected to check their facts, repeatedly arguing
that the child in a partial-birth abortion is killed by anesthesia be-
fore the procedure begins.
But Dr. Norig Ellison, the president of the American Society of
Anesthesiologists, says that this claim has "absolutely no basis in
scientific fact." Dr. David Bimbach, the president-elect of the Soci-
ety for Obstetric Anesthesia and Perinatology, says it is "cra5:y."
We are looking forward to hearing testimony of both Dr. Ellison
and Dr. Bimbach today.
Despite these and other authoritative statements to the contrary,
the medical misinformation is still being disseminated. The Amer-
ican Medical News reported the controversy in a January 1 article
which stated, "Medical experts contend the claim" — regarding anes-
thesia — ^"is scientifically unsound and irresponsible, unnecessarily
worrying pregnant women who need anesthesia." But while some
are now qualifying their assertion that anesthesia induces fetal
death, they are not backing away from it.
Abortion advocates have repeatedly denied or misrepresented the
facts on partial-birth abortion. While I do not believe that any mis-
representation is acceptable, the creation of this anesthesia myth
is particularly unconscionable. It could cause women who are preg-
nant to refuse anesthesia for needed medical treatment because
they fear it will harm or kill their unborn child.
Dr. Ellison has stated, "I am deeply concerned that widespread
publicitv may cause pregnant women to delay necessary and per-
haps life-saving medical procedures totally unrelated to the birth-
ing process due to misinformation regarding the effect of anesthet-
ics on the fetus."
I believe it is important for us to fully examine this issue today —
to put an end to this myth, and to ensure that pregnant women
know their unborn children are not endangered by anesthesia.
[Additional information follows:]
LATE& ABORTIONS: QUESTIONS AND ANSWERS
Now pending in Congress are two bills. H.R. 1833 and S. 939, which would ban a
parumlar cype of later abortion procedure. Those promoting these bilb have used
sensationalized drawrings and graphic language to attempt to inflame opposiuon lu this
surgery. They have left out or distorted the realities that lead to a (^fficult aboruon
decision late in pregnancy; the facu about how this procedure is performed; and how
rarely this surgery cakes place. The National Abortion Federation (NAF) is the national
professional ajsociaoon of abortion providers. We set standards for quality care and
provide accredited continuing medical educadoo. In this set of questions and answers.
NAF will provide the facu about these later abortions and the personal and political
context surrounding this issue.
ifnv •fiam do Imttr akmrtums kaffmmf
Statistical information compiled by the Abn Gutunacher Institute, a private instiiuiinti
for reproductive health research and policy analysis, and the Nauonal Aboruon
Federation (NAF). documenu the folkmdng:
The overwhelming majority - 95.5 percent - of all abortions take place at or befori I '
weeks' gestation, in the fine or very early second trimester. About 90% of these 4ri' m
the first trimester. Only a Utsle over 1/2 of one percent of all abortions take place .it -t
after 20 weeks' gestation. Fewer than 600 abortions per year occur in the third iriincMct
of pregnancy, and afl of these arc perfenncd due to severe fiecal abnormality or ri^k (••
the life of the pregnant tvoman.'
What does this tell us? It teUs us that virtually all women seeking abortions *tv < !â– â–
so early m pregnancy - that %M>men do not waot to have later aboruons. Women (l< '
end a pregnancy at any suge. particulariy a later one. lightly or cavalierly. Somcim.. •
though, unavoidable circtunstances force them to co nf ront this decision, and the\ m.ik.
it responsibly, carefully, with a great deal of thought:
' Henshaw, S.K. and Van Vort. J., e^ AbartioH FaOhoak. The Alan Gutut....
Institute. 1992. Also. The National Aboruon Federation, quarterly statistical i. i
i ma CawMh
i
changes they notice reflect early menopause; or they may have irregular menstrual cycles
and so few physiciil changes early on that they are not aware they are pregnant until the
second irimescer.
Still others are victims of burdensome laws that, rather than improving women's health
care, merely mandate medically unnecessary delays. Since the passage of laws
mandating parental involvement in the abortion decision. Minnesou and Mississippi
have seen the ratiooflate to early abortions for teenagers mcrea
respectively.* Though over 60% of all teenagers consult a parent about their ab«>nion
decision"*, those who do not often have legitimate fears about domg so. Resinciive
laws that ignore these fears lead to later abortions.
Laws that mandate waiting periods before a woman can obtain an abortion also lead to
unnecessary delays in obtaining care. A "simple" 24-hour waiting period, combined wiih
a woman's other circumstances and limited provider access, in practice often mean^
delays of a week or more." Such laws are promoted by anti-abortion groups.
It would be inhumane and medically inappropriate to pass a federal law which would
limit women's medical opdons in these difiicult situations. Burdensome laws do noi
prevent women from having later abortions: indeed, the documentation above indicates
that other anti-abortion laws are responsible for increaac* in later abortions. The
proposed legislation would only increase the physical and emotional risks to the women
involved.
What art tkt miacamcmptimu abomt this proctdmrtf
f
I
Anti-abortion groups claim that the fetus is still alive until the very end >•!
the procedure. This is absolutely untrue. Neurological fetal demiM- ■«
induced, either before the procedure beguu or early on the procedure, bv
the steps uken to prepare the woman for surgery. (This includes nar«.
analgesia, entenaive cervical dilation, and rupture of membranes. ) I >r
James MdtCahon of California calls statemcnu to the conir^rt
preposterous. Dr. Martin Haskell of Ohio agrees with Dr. McMahxn •
aaacssmem and submiued a wnuen statement to that effm <•
* 'Percent Abortions of Second Trimester: Nfinncsota Residenu,' PtaintifTs KnIk'*"
128. Hodgson v. Mmnmotm 64S F. Supp. 756 (D. Minn, 1986). Also, Althaus. F ....••
Henshaw. S.K., "The Efliecu of Mandatory Delay Law* on Aboruon Patients .okI
Providers,' Famiiy Plannmg Penpoctiva. ScptVOct. 1994.
'* S. Henshaw and K. Kost, "Parental Involvement in Minors' Abortion Decide •!••
Famtly Planning Pmpectnm Vo. 24, No. 5 (SeptJOct. 1992).
" Althaus. F. and Henshaw. S.K. Op. cit.
f
r
Congressman Charles Canady. Chair of the House Judiciary Subtnmmiuec
on Che Constiiuuun. following che Subcomtniicee's hearings on the
legislation.
Anti-abortiun groups have also asserted thai the fetus m these cases feels
pain. Ncurologically, according to commentary by neurologist Dr
Oominick Purpura, Dean of the Albert Einstein Medical School, the
synaptic connections thai would permit perception of pain do not cxisi
until around the 28th week of gestation'*. In the event that there is anv
possibility of pain perception in later-term fetuses pnor to fetal demise the
narcotic analgesia given to the pregnant woman prevents anv such
sensation.
Of course, most of the information quoted by the anti-abortion politicians advocating this
ban is several years old, and in most cases, involves brief quotes tn secondary source
materials such as newspaper articles. The physicians who perform this procedure have
unequivocally refuted these anti-choice arguments m materials presented directly lo the
Congressional committee considering this legislation. Haskell noted in hu letter to the
Subcommittee thai public officials should be aware that often, when quoted in public.
a person's remarks arc misrepresented, miaundersiuud or taken out of context, he
wrote "Let me state unequivocally that taken as a whole these lay articles are misleading
and misrepresent the nature of this surgery. Articles vrritten for the pruiej^ion.il
community take for granted a certain amount of knowledge in the reader. Consequent! \
they do not describe every detail."''
if tkit Isgulation eanstitmtianaif
In-depth legal analysis by the Center for Reproductive Law & Policy clearly indu-io •
that this legiilacion. known fay the misnomer The Partial-Birth Abortion Ban .Ut '>i
1995*,is clearly unconstitutional under the standard set forth by the Supreme (^mri m
Planned Parenthood of j^lnhtlFTP* Pennsylvania v. Caaev (1993). The Genu i >
analysis states The bill would impose an undue burden. ..by limiting the physicun <
discretion to ^oosc the most appropriate method of abortion baaed on the m<
needs of his or her patient. The Supreme Court has consistently held that ph\'>i< '
must retain broad discretion to determine the course of treatment for women ■<« • k.
abortions.*"*
'* Jaworski, P.. moderator. Thinking About The Silent Scream,- as transcnU .1
Abortion Riyhts and Fetal 'Personhood'. Ed Docrr. ed., Cenieriine Press. 1989
" HaskcU. M.. NfD. Letter to Congreuman Charles D. Canady. Chair. II
Judiciary Subcommittee on the Constituuon. June 27. 1995.
â– * Kolbert. K. Op. cit.
KMOX-AM, St Louis, NO
Nov«Bb«r 2, 1995
Proqraa: KNOX "Namaakars"
Host: Charloa Jaco
Topic: Partial-Birth Abortion Ban Bill paaaoa in tha Unita4 Stataa
Houaa of Rapraaantatlvaa
Charlaa Jacoi "What about tha claim, z'n aorry to intarrupt you,
but, what about tha claia froa paopla lika Hary Kay Culp of
Niaaouri Right to Lifa who, trhan I aakad har about thia a few
mlnutaa ago, aaid 'Au contraira, that 80 par cant of thasa
procaduraa ara alactiva.' "
Kata MichalBan; "... Tha othar thing that Z want to aay ia that thay
hava, tha othar aida, groaaly diatortad tha procadura, and, thay,
thara ia no auch thing aa a partial -birth. That 'a, that 'a a tara
â– ada up by paopla lika thaaa anti-choica folka that you had on tha
radio. Tha, tha fatua, I aaan it ia a taraination of tha fatal
lifa, thara 'a no quaation about that, and tha fatua, ia, bafora tha
procadurc bagins, tha anaathaaia that thay giva tha woaan alraady
cauaaa tha daalaa of tha fatua, that ia, it ia not trua that
thay'ra bom partially. That ia a groaa diatortion and it 'a, it 'a
raally a dlasarvica to tha ptiblic to aay thia."
MRBUTBtS 11-07^02:39 rer 100 LINES
BC-NAKAL>LATETESM-ABORTION SKED
FMmU DooDmni Ckttiiig Houac
NAKAL'LATBTEBM-ABORTION ikad
TXANSCRIPT
CONFEREKCE>
KATE MK' uw -M am
NAUONAL ABOirnONS RICiHTS ACTION LEAGUE
ioratLi
NEWS CONPEBENCS TO ANNOUNCE OPPOSmON TO LKTB TERM ABORTION.
COPyRKfHr 199S BY FEDERAL DOCUMENT CLEARINO HOUSE. INC.
NO PORTION OF THS TRANSCRIFTTON MAY BE COPIED. SOLD OR
REXRANSMnTED WITHOUT TOE EXPRESS WRITTEN AlTTHORnY OF
FEDERAL DOCUMENT CLEARING HOUSE, INC.
NATIONAL ABORTION AND REPRODUCITVE RKHTTS ACHON LEAGUE (NARAL)
NEWS CONFERENCE TO ANNOUNCE OPPOSmON TO LATE TERM ABORTION BILL
NOVEMBER 7. 1995
SPEAKERS LIST: KATE MICHELMAN. PRESIDENT. NARAL
JO BLUM. LBQISLA1TVE OIRBCrOR. NARAL
MARCY WILDER. LBOAL DIRSCTOR. NARAL
MICHELMAN: Oood maataii cvcryooe. Tbuk you vcqr oach te
waam' MyonDBislSjiBMiGfadmaiaadrBfmidEttorNARAL.
tte NMknil Abonioa ud Ripiwluniii Rigbii Acbao LMfoi.
Aod «• «hid jFoa tm» tadaj kav* la < ny — li^ r to Idc ■boot
te wy Hriaoi dfvatopnHi tet oeBBmd in te Hook la«
ttK wm bt ataa op ^ ttai ScoMB lodqr.
tetad*.
WIA drii UB. «• M^ tt OM of te iBMt edtfcil
in^B btaBiy of ttB fltfl tot npn
bBv* nn liaB* tbi las a jTHn. fctoite
tte SupnoM CToMfl taiiliMd aboitton
rifbtofctainiteKte
^
tried to offer tfan a mwrimm a. The b31 was brought up. u you
all know, on tta Houm fkx>r with a cloaed niie in order to
piwMK thn v«iy ainmflmri g from banc offered. We ezpea.
iboald Hie bill come to itie, wtaea the bill coidm to tte floor ia
the Some, if the Jodidaxy CoinauaH haan'i ameadad it to
iachide life and haalib exoaptiont. If b goes back to Judiciary
Coonniitae, that If that would be — it'* not dear ttat tlMt
eificpboo would b« addsd. (vea In ibe Senate.
Skould it be added In the Saiaie, wa don't tee diat the Houae
would accept ihr.'. becauK ifaay icftiaad to allow a vote on it.
aad the aati-aboittaa leaden have made it veiy daar that tfaey
want ao Mcapcioot.
MOCHELMAN: Tliat't right. I tUnk ihu the vety procedura
that ibe Houae carried out - proceedlss on a cloaed ruk. not
allowlai uy a men d menti to the bio that would provide heahh
aad life excepctonf - job makea clear what ttsir goal ii,
which is to anka ibortoo proceduret iUegil aad ihdr gotl to
loaka abonioeB utHvaUable lo women is thto couatry.
QUESTION: An ihBM finises aliv«7 You UMcfaed on that
eadier. Or ate they Ullad by socia othar means betbra?
MICHELMAN: Tben bu baa expert tastknony by physicians
do thia pncediBc. """ig that the anaalhen thet la gtven to
ttaa psifan vonan, prior to the praoedurst caoses tbtal rtemlw
-* the dsath of tho fttts — prior to iha ptucedure. AgBin«
these ate dlfflpilt prec ed utta to talk shout, bttf we have to tiy
to iiHisnihar ihaae aia attamdlnaiy nwlical uiuuniatinoeB that
oil tot f iiiaiailluaiy wttnittlioo.
And no pcooeihiic, no ubIlbi bow we dessftc it, so rnattrr
what tha p w o ad uie la, it's not a cmnft i n abl c p o c e duie . But ia
this panlcriB CMa, ihasa aipaits have mada h vary claar that
the taaa aadsiigoea demise before the pcooaihBs begiei. Aad
because of te aaaaltassla, which ia, yon know, a noi e rttliig Ifte 50
to 100 liaM ivhat a tbtas can wtthstud, bacaaaa if t given
SBBCXiliDg to the ifught of ftc womso. And tef's ibe procaduia.
QUESTION: One of tha argonsns was thsC these praceduzea.
thoogti. aie given te digression or a cMt palate.
MICHELMAN: TliBt ia-ihatis-ihatla- it's not only a
myth, it is â– He. It U inaiUag. Wonan, ihaaa are woman
canying wataed pfegaandas. And tha taaaon thay'tt laie is
/O
who
4>
ScmJt d
a«w6 Z2% W',.
10
H.R. 183J
Medical Questions and Answers
lofH
Q: What is a^'piirtiBl Ibirth â– bertion"?
. 1' ■. I •