Therapeutic abortions are resorted to when the patient’s condition is so grave that it is apparently necessary to empty the uterus in order to save her life. Such a condition may exist, for example, when pregnancy is complicated by pulmonary tuberculosis, heart disease, toxemia, hemorrhage or some condition which is inherent to pregnancy. An abortion induced under these circumstances is countenanced by law, as it is performed to prevent the loss of life from disease; but an abortion is not legal if brought on to save the woman from suicide, because of her unwillingness to become a mother.

The Catholic Church, however, teaches that it is never permissible to take the life of the child in order to save the life of the mother. It teaches that, even according to natural law, the child is not an unjust aggressor: and that both child and mother have an equal right to life.

There is apparently no reason why a therapeutic abortion should be followed by ill health, for, since it is performed openly, it is done under clean, and otherwise favorable conditions, and the patient is given adequate after-care. It is only because the reverse conditions frequently prevail: the unclean delivery and subsequent neglect which go hand in hand with the secrecy of illegal performance that abortions are followed so often by disaster.

As to the legal aspect of the matter, the laws relating to therapeutic abortion vary in the different states. But they are fairly uniform in their intent, and make quite clear the difference between this procedure and the induction of abortion for any reason other than medical necessity.

Dr. Slemons writes of the seriousness of criminal abortion in no uncertain terms, in “The Prospective Mother.” “At Common Law” (an inheritance from England) he tells us, “abortion is punishable as homicide when the woman dies or when the operation results fatally to the infant, after it has been born alive. If performed for the purpose of killing the child, the crime is murder; in the absence of such intent, it is manslaughter. The woman who commits an abortion upon herself is likewise guilty of the crime.”

Premature Labor is the termination of pregnancy after the seventh month, but before term. Premature births are much less frequent than abortions or miscarriages. They usually occur spontaneously, but are sometimes induced for therapeutic purposes, or from criminal motives.

The premature baby’s chances of living are directly proportionate to the length of its uterine life. This has already been stated, but will bear repetition in view of the widely current fallacy that a seven-months’ baby is more likely to live than one born after eight months of pregnancy. The facts are that as a rule, the nearer pregnancy approaches term, the more likely is the baby to survive, provided it weighs four pounds or more, and is forty centimeters or more in length. A smaller baby than this has but a slender chance to live.

We ordinarily designate as premature any baby that weighs between 1500 and 2500 grams, or measures between thirty-six and forty-five centimeters in length, and consider such a baby has a favorable outlook if given special care. This special care of premature babies will be described in connection with the care of the baby.

Causes. Syphilis was formerly thought to be a common cause of abortion, but although this has been disproved by recent investigations, the disease is still regarded as a frequent cause of spontaneous premature labor. In fact, Dr. Williams considers syphilis the most frequent single cause of premature births, and regards the birth of a dead, macerated fetus, or a history of repeated premature labors, or stillbirths, as strongly suggestive of syphilis.

“In my experience,” he says, “the recognition and treatment of this disease is the most important matter in connection with the prophylaxis of premature labor.... Some idea of the importance may be gained from the fact that in a series of 334 premature labors, I found that syphilis was the etiological factor in over 40 per cent., while toxemia, placenta prævia and fetal deformity were concerned in 8.6 and 3.3 per cent., respectively. Sentex, who studied 485 cases in Pinard’s clinic arrived at similar conclusions and found the underlying cause to be syphilis in 42.7 per cent., albuminuria in 10.8 per cent., and abnormalities of the fetus in 11.1 per cent.”[[3]]