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#REDIRECT ] |
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'''Partial-birth abortion''' (PBA) is a ] term used to refer to some ] procedures. The term is widespread among the public<!-- |
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{{redirect category shell|{{R from merge}}{{R from alternative name}}{{R printworthy}}}} |
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--><ref>] movement.<!-- |
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--><ref>. religioustolerance.org. Accessed April 14, 2006. <br />. Religious Coalition for Reproductive Choice. Accessed April 14, 2006.</ref> Both the procedure and the term "partial-birth abortion" are ]. The term was coined in 1995 by ] Charles Canady (]-])<!-- |
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--><ref>Alex Gordon. . ''Harvard Journal on Legislation''. Volume 41, Number 2, Summer 2004. (see footnote 15)</ref> and is primarily used in political discourse — chiefly regarding the legality of ] in the ]. |
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While the term "partial-birth abortion" mainly refers to the "]" ("IDX" or "Intact D&X") abortion procedure, courts have found that legislation intended to ban so-called partial-birth abortions could be interpreted to apply to some ] (D&E) procedures.<!-- |
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--><ref>. American Civil Liberties Union. Accessed April 14, 2006. <br /></ref> Though sometimes performed during the same developmental stage wherein most IDX procedures are done, D&E is a separate procedure. Proponents of the PBA term have not applied the term to IDX procedures in the case of miscarriage, or to D&E abortions.{{fact}} |
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The so-called "partial-birth" abortion procedure represents a minority of the estimated 18,000 terminations per year in the USA at 21 weeks or later;<!-- |
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--><ref>. Guttmacher Institute, May 2005.</ref> IDX is only one of several procedures used in the late stages of pregnancy when the fetus may be ]. The pro-choice research organization ] estimates that in the late 1990s there were approximately 2,200 IDX abortions each year in the USA<!-- |
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--><ref>Finer, Lawrence B. and Stanley K. Henshaw. . <u>Perspectives on Sexual and Reproductive Health</u>. |
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Volume 35, Number 1, January/February 2003.</ref>, most between 20 and 24 weeks gestation.<!-- |
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--><ref>Henshaw, Stanley K. . <u>Family Planning Perspectives</u>. |
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Volume 30, Number 6, November/December 1998. (See section "Types of Providers"->"Dilation and extraction procedures.")</ref> While Executive Director of the ] in 1997, Ron Fitzsimmons stated that the IDX procedure is "primarily done on healthy women and healthy fetuses", retracting contrary statements he had previously made in that role.<!-- |
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--><ref>''An Abortion Rights Advocate Says He Lied About Procedure'', New York Times, 2/26/1997. </ref> |
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==Etymology== |
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The "Dilation and Extraction" procedure was developed by Dr. James McMahon in 1983.<!-- |
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--><ref>. Feminist Daily News Wire, |
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February 26, 1997.</ref> It was first described by Cincinnati physician ] in a monograph that was distributed by the ] in September of 1992.<!-- |
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--><ref name="presentation">Haskell, Martin. . |
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Presented at the National Abortion Federation Risk Management Seminar, September 13, 1992.</ref> Haskell's description became even more publicized when Jenny Westberg used his monograph to illustrate the procedure in a series of simple cartoons that anti-abortion proponents reprinted and distributed in national campaigns about the procedure. |
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The term "partial-birth abortion" appeared several years later. The term's first use is arguably from the original proposed ''Partial-Birth Abortion Ban'', which circulated in discussion through the first half of 1995 and was formally introduced by then ] ] ] Charles T. Canady on ] 1995.<!-- |
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--><ref>H.R.1833. .</ref> Keri Folmar, the lawyer responsible for the bill's language, says the term developed in early 1995 in a meeting between her, Charles T. Canady; and ] lobbyist Douglas Johnson.<!-- |
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--><ref>Gorney, Cynthia. . Harper Magazine, November 2004.</ref> According to a ] search, the term's first use in the media came on ] 1995 in a ] article covering the bill and other criticisms of the procedure.<!-- |
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--><ref> Media Matters For America, Mon Dec 13, 2004.</ref> |
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A more graphic term, ''brain suction abortion'', was previously used in an ] bill that sought to ban the procedure. Both are political terms coined by opponents of the procedure. |
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==Controversy== |
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Partial-birth abortion is particularly a target of pro-life advocates because they believe the procedure most clearly illustrates their contention that abortion, and especially late-term abortion, is immoral. Critics consider the procedure tantamount to ] or ], a position which many in the pro-life lobby extend to cover all terminations. Many advocates, both ] and ], see the PBA issue as a central battleground in the wider ] debate, representing an attempt to set a legal precedent so as to gradually erode reproductive rights. |
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The IDX procedure itself is also controversial. Dr. Martin Haskell, who made the ] presentation, called it "a quick, surgical outpatient method" for late second-trimester and early third-trimester terminations.<!-- |
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--><ref name="presentation" /> The ] of 2003 describes it as "a gruesome and inhumane procedure that is never medically necessary,"<!-- |
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--><ref>108th Congress, 1st Session, S.3. .</ref> although ] groups argue that it is more humane than D&E, the most common second-trimester abortion method, and doctors have questioned the assertion that it is never medically necessary. |
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There is debate over the term as well as the procedure. Those who support the term's use, typically supporters of legislation to limit or completely ban the IDX procedure, say it is an accurate and easily understood description of the procedure. Those who oppose the term point out that it is a political invention used to ] the argument in a way favorable to those who seek greater legal restrictions (or an outright ban) on abortion. Opponents of a ban on the procedure have also argued that the definition of such a ban is so vague that the law would have a ] on physicians performing any abortion or other gynecological procedures such as ] for various conditions of the uterus unrelated to termination. |
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A major part of the legal battle over banning the procedure relates to health exceptions, which would permit the procedure in special circumstances. The 1973 Supreme Court decision '']'', which declared many state-level abortion restrictions unconstitutional, allowed states to impose certain restrictions on second- and third-trimester abortions. The companion ruling, '']'', required that states' restrictions on abortions must provide an exception for the health of the woman, and defined health to include mental as well as physical health, though in his concurring opinion ] wrote, "plainly, the Court today rejects any claim that the Constitution requires abortions on demand". In practice, the Supreme Court has found most attempts to legislate restrictions on abortion to be in violation of '']''. See below for exceptions. |
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Supporters of late-term abortion procedures argue that they prevent the pregnant woman from having to undergo childbirth or abdominal and uterine incisions of a ] (c-section) when the child would not survive; they state that the risks of the procedure are less than the risks associated with childbirth and c-section. Opponents claim that IDX subjects women to unnecessary risks "for the convenience of the physician". |
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== The IDX procedure == |
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See '']'' for a complete description of the procedure. |
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== Law in the United States == |
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] |
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=== Federal Law === |
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{{main|Partial-Birth Abortion Ban Act}} |
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Since ], led by Congressional ], the ] and ] have moved several times to pass measures banning the procedure. Congress passed two such measures by wide margins during ]'s presidency, but Clinton ]ed those bills in April 1996 and October 1997 on the grounds that they did not include health exceptions. Subsequent Congressional attempts at overriding the veto were unsuccessful. |
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In 2003, however, opponents of the procedure succeeded in getting the ] (HR 760, S 3) signed into law; the ] passed it on ] with a vote of 281-142, the ] passed it on ] with a vote of 64-34, and President ] signed it into law on ]. |
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The Act includes an exception for the life of the woman, but explicitly not for non-life-threatening health issues; opponents believe that this exception is too narrow and have mounted numerous legal challenges. The law has yet to be successfully enforced as of Arpil 2006. |
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===State law=== |
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Many states have bans on late-term abortions which apply to the IDX procedure if it is performed after viability. |
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Many states have also passed bans specifically on the IDX procedure. The first was Ohio, which in 1995 enacted a law that referred to the procedure as ''dilation and extraction''. In 1997, the United States Court of Appeals for the Sixth Circuit found the law unconstitutional on the grounds that it placed a substantial and unconstitutional obstacle in the path of women seeking pre-viability abortions in the ]. |
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Between 1995 and 2000, 28 more states passed Partial-Birth Abortion bans, all similar to the proposed federal bans and all lacking an exemption for the health of the woman. Many of these state laws faced legal challenges, with Nebraska's the first to reach decision in '']''. The Federal District Court held Nebraska's statute unconstitutional on two counts. One being the bill's language was too broad, potentially rendering a range of abortion procedures illegal, and thus, creating an undue burden on a woman's ability to choose. The other count was the bill failed to provide a necessary exception for the health of the woman. The decision was appealed to and affirmed by both the Eighth Circuit and the Supreme Court on June 2000, thus resolving the legal challenges to similar state bans nationwide. |
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Since the ''Stenberg v. Carhart'' decision, Virginia, Michigan, and Utah have introduced laws that remain virtually identical to the unconstitutional Nebraska law. The Virginia and Michigan laws were similarly struck down due broadness and the failure to provide a health exemption, Utah's law remains pending trial, though is unenforceable due to a court-issued preliminary injunction. |
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In 2000 Ohio introduced another ''partial-birth abortion'' ban. The law differed from previous attempts at the ban in that it specifically excluded D&E procedures, while also providing a narrow health exception. This law was upheld on appeal to the Sixth Circuit in 2003 on the grounds that "it permitted the partial birth procedure when necessary to prevent significant health risks." |
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==Notes== |
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<references /> |
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== See also == |
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== External links == |
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===Legislation, Testimony, and Court Decisions=== |
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* : ] ]. |
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* : (decided ] ]) Includes description of the procedure, Decision of the Court, and Dissenting opinion |
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* : enacted ] ]. |
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===Commentary=== |
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* - ''Reason Magazine'' article about the politically motivated naming of "partial birth abortion" |
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* (JAMA. 1998;280:744-747) |
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* (JAMA. 1998;280:747-750) |
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===Other=== |
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* , which called the procedure "Dilation and Extraction" |
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* : A Pediatrician Looks at Babies Late in Pregnancy and Late Term Abortion |
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* - ] article |
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