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Friday, April 23, 2004
Why a partial-birth ban?
Listen to the abortion doctor

By Cathy Cleaver Ruse, Esq.
text only version

The U.S. Bishops' Pro-Life Secretariat has posted, on its Website (www.usccb.org), excerpts taken from recent action in the New York Partial Birth Abortion trial.

President George W. Bush signed the Partial-Birth Abortion Ban into law on November 5, 2003, but currently the constitutionality of this law is being challenged in three federal district courts --- New York, Nebraska and California. Testimony from abortion doctors on the witness stand is full of admissions about the brutality of this abortion method. This unadorned, graphic testimony confirms why the vast majority of Americans sought to ban this procedure.

(For extended excerpts from all trials, as well as full transcripts, visit http://www.nccbuscc.org/prolife/issues/pba/pbaban.htm. Please note the transcription may contain transcription errors. Be advised as well of the graphic nature of parts of the text.)


Organizers say the federal ban on partial-birth abortion is a central reason for the April 25 demonstration. As this testimony shows, it is for a very real, very cruel, and very painful way of killing nearly viable and even post-viable unborn children.


The testimony provides a telling backdrop for the abortion activist rally scheduled for April 25 in Washington, D.C. Organizers say the federal ban on partial-birth abortion is a central reason for the demonstration. Thus, their demonstration is not for some abstract notion of "choice," but, as the following testimony shows, it is for a very real, very cruel, and very painful way of killing nearly viable and even post-viable unborn children.

The transcript that follows is from Friday, April 2, Day 4 of the case, National Abortion Federation, et. al. v. Ashcroft, in U.S. District Court, Southern District of New York, Judge Richard Conway Casey presiding. The testimony is that of Dr. Carolyn Westhoff, one of the plaintiffs in the suit, an ob-gyn and attending physician at New York Presbyterian Hospital, and a professor of obstetrics and gynecology at Columbia University School of Medicine.

THE COURT: I want to know whether that woman knows that you are going to take a pair of scissors and insert them into the base of the skull of her baby, of her fetus. Do you tell her?

THE WITNESS: I do not usually tell patients specific details of the operative approach. I'm completely ---

THE COURT: Do you tell her that you are going to then, ultimately, suck the brain out of the skull?

THE WITNESS: In all of our D&Es the head is collapsed or crushed and the brains are definitely out of the skull but those are ---

THE COURT: Do you tell them that?

THE WITNESS: Those are details that would be distressing to my patients and would not --- information about that is not directly relevant to their safety.

THE COURT: Don't --- whether it's relative to their safety or not, don't you think it's since they're giving authorization to you to do this act that they should know precisely what you're going to do?

THE WITNESS: That's actually not the practice I have of discussing surgical cases with patients.

THE COURT: I didn't ask you that. I said don't you think they ought to know?

THE WITNESS: No, sir, I don't.

---

Q. Do you tell a woman who is considering a D&E that the fetal arms, legs, extremities may be dismembered is in the course of a dismemberment variation D&E, Dr. Westhoff?

A. I tell patients that we will remove all of the fetus and the uterus and membrane, the placenta and membranes from the uterus as safely as possible, and that that proceeds somewhat differently for all patients.

---

Q. How often will it be necessary to collapse the fetal skull during D&E whether the D&E proceeds by a dismemberment or more relatively intact, Doctor?

A. For the vast majority of D&Es [it will] be necessary [to] either crush or collapse the fetal skull.

THE COURT: Do you tell the woman that? Do you use the word crush?

THE WITNESS: Your Honor, I do not.

THE COURT: I didn't think so.

---

Q. Is there a difference, Dr. Westhoff, between the way a head, fetal head may be collapsed in a D&E by dismemberment and the way it may be collapsed during a D&E performed by the intact [method]?

A. Yes. The approaches are different. In the dismemberment D&E the fetal head will be up inside the uterus. It is necessary to insert our forceps, open them as wide as possible to try to capture the head within the opening of the forceps and then crush the head using external force applied against the head.…

With an intact D&E, when we have put a hole into the base of the skull we can generally do that under direct visualization because the base of the skull is, thanks to traction, held right in the cervical opening and so it is, in my experience and my opinion, less risky to put a hole in the base of the skull. Because the contents of the skull are liquid, the skull contents may often drain out spontaneously as soon as there is a hole in the skull. In some cases it is necessary to use [suctioning].…

Cathy Cleaver Ruse, Esq., is director of planning and information with the USCCB Pro-Life Secretariat. Transcript excerpts are also available on the USCCB Website from Planned Parenthood v. Ashcroft (U.S. District Court, Northern District of California, late March-early April), and Leroy Carhart, M.D., et al v. Ashcroft (U.S. District Court, District of Nebraska, late March-early April).



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