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Question Title Posted By Question Date
Concerning Claire's question on abortion Mary Saturday, November 29, 2008

Question:

Dear Bro Ignatius Mary,

[Sentence deleted] ...As devout Catholics, we have NEVER condoned abortion for any reason. The contention rests upon whether or not it is acceptable for Catholic hospitals to perform a D and C on rape-incest victims. Claire promotes that it is NEVER permissible, while the USCCB states that a woman should be able to prevent conception due to sexual assault:


"Compassionate and understanding care should be given to a person who is the victim of sexual assault. Health care providers should cooperate with law enforcement officials and offer the person psychological and spiritual support as well as accurate medical information.

A female who has been raped should be able to defend herself against a potential conception from the sexual assault.

If, after appropriate testing, there is no evidence that conception has occurred already, she may be treated with medications that would prevent ovulation, sperm capacitation, or fertilization.

It is not permissible, however, to initiate or to recommend treatments that have as their purpose or direct effect the removal, destruction, or interference with the implantation of a fertilized ovum." (http://www.usccb.org/bishops/directives.shtml)


Again, we are not advocating abortion for any reason, however, a D and C done with the intent to prevent conception as stated by the USCCB above, is an appropriate medical treatment, correct? ... [Sentence deleted]

Thanks! and God Bless.



Question Answered by Bro. Ignatius Mary, OLSM

Dear Mary:

I have edited your post since you couched your "question" with rather serious uncharity and the sin of rash judgment. What I have left in your post is all that you needed to say to get your point across.

As to the question of D & C as an acceptable procedure for woman who are raped the answer is "No", it is not acceptable. The passages that you quote from the USCCB does not present D&C as an alternative. It says that ...

If, after appropriate testing, there is no evidence that conception has occurred already, she may be treated with medications that would prevent ovulation, sperm capacitation, or fertilization.

D & C is not a medication.

Decades ago it was thought that D&C could prevent conception. Modern scientific and medical understanding, however, proves that this notion is not necessarily true. And, in fact, since it is not true the D&C procedure may prevent a fertilized ovum from implanting in the womb thus becoming in essence an abortifacient.

This information is summarized in the book, Health Care Ethics:A Catholic Theological Analysis, by Benedict M. Ashley, Jean DeBlois, Kevin D. O'Rourke, which has an imprimatur from the Archdiocese of Chicago, page 85:

The theologians who formerly allowed D & C realized that the scraping of the womb made it impossible for an already implanted zygote to survive or for a fertilized ovum to be implanted (my emphasis). They argued, however, that the principal purpose of this action was to eliminate the sperm, and if this was done soon enough after the attack, the principle of double effect could be used (Healy 1956). Given the new evidence of the motility of the sperm, it is no longer reasonable to say that D & C is a specific remedy to remove the sperm when the effective sperm is probably already out of the uterus (my emphasis)...

In Medical Ethics: Sources of Catholic Teachings, by Kevin D. O'Rourke and Philip Boyle, with an imprimatur from the Archdiocese of St. Louis, page 340 is summarizes the issue when a rape victim presents herself to a hospital:

2. Since the sperm in the case of rape is the result of unjust aggression, steps may be taken to prevent conception.

3. Any medical procedure, the purpose and/or effect of which is abortive, is never permissible. (my emphasis)

Hygienic procedures, including vaginal douching, are morally permitted since that are not abortifacient in effect.

4. A pregnancy test is essential to determine existence of pregnancy:

a. If the pregnancy test is positive, no antiovulant drugs may be used.

b. If the pregancy test is negative, it is essential that hospital personnel question the patient to ascertain the time of ovulation within the menstrual cycle.

c. If the patient has just ovulated, an antiovulant drug may be not be administered. The use of a contraceptive steroid is permissible only to prevent ovulation.

A D & C is not an effective procedure for removing sperm from the womb, and is likely to act as a abortifacient. This reason is not listed as one of the purposes of a D & C in medical manuals.  In addition, while the procedure is relatively safe woman who have a D & C can have serious complications from the procedure.

Given the risks, the ineffectiveness, and its potential as an abortifacient it is nonsense to propose this procedure from a medical point-of-view as a way to prevent conception.

From a point-of-view of moral theology the D & C procedure is not supported. With its effect of being abortive it cannot ever be a moral option.

God Bless,

Bro. Ignatius Mary


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