Explaining things like abortion to children is difficult, yet we know they must be equipped for life with the information they need.
Even more, adults need full information for objective decision making. If we can't face it, our children may harshly judge how we turned away from that responsibility. To turn away is to forfeit the moral high ground, of course.
This is the reality which many have yet to face:
2012 05-17 Dr. Anthony Levatino Statement
Transcript of Dr. Levatino’s testimony"Chairman Franks and distinguished members of the subcommittee, my name is Anthony Levatino. I am a board-certified obstetrician gynecologist. I received my medical degree from Albany Medical College in Albany, NY in 1976 and completed my OB-GYN residency training at Albany Medical Center in 1980.
In my 33-year career, I have been privileged to practice obstetrics and gynecology in both private and university settings. From June 1993 until September 2000, I was associate professor of OB-GYN at the Albany Medical College serving at different times as both medical student director and residency program director. I have also dedicated many years to private practice and currently operate a solo gynecology practice in Las Cruces, NM. I appreciate your kind invitation to address issues related to the District of Columbia Pain-Capable Unborn Child Protection Act (H.R.1797).
During my residency training and during my first five years of private practice, I performed both first and second trimester abortions. During my residency in the late 1970s, second trimester abortions were typically performed using saline infusion or, occasionally, prostaglandin instillation techniques. These procedures were difficult, expensive and necessitated that patients go through labor to abort their pre-born children. By 1980, at the time I entered private practice first in Florida and then in upstate New York, those of us in the abortion industry were looking for a more efficient method of second trimester abortion.
The Suction D&E procedure offered clear advantages over older installation methods. The procedure was much quicker and never ran the risk of a live birth. Understand that my partner and I were not running an abortion clinic. We practiced general obstetrics and gynecology but abortion was definitely part of that practice. Relatively few gynecologists in upstate NY would perform such a procedure and we saw an opportunity to expand our abortion practice.
I performed first trimester suction D&C abortions in my office up to 10 weeks from last menstrual period and later procedures in an outpatient hospital setting. From 1981 through February 1985, I performed approximately 1200 abortions. Over 100 of them were second trimester Suction D&E procedures up to 24 weeks gestation.
Imagine if you can that you are a pro-choice obstetrician/gynecologist like I once was. Your patient today is 24 weeks pregnant. At twenty-four weeks from last menstrual period, her uterus is two finger-breadths above the umbilicus.
If you could see her baby, which is quite easy on an ultrasound, she would be as long as your hand plus a half from the top of her head to the bottom of her rump not counting the legs. Your patient has been feeling her baby kick for the last 2 months or more but now she is asleep on an operating room table and you are there to help her with her problem pregnancy.
The first task is remove the laminaria that had earlier been placed in the cervix to dilate it sufficiently to allow the procedure you are about to perform. With that accomplished, direct your attention to the surgical instruments arranged on a small table to your right. The first instrument you reach for is a 14-French suction catheter. It is clear plastic and about nine inches long. It has a bore through the center approximately ¾ of an inch in diameter.Picture yourself introducing this catheter through the cervix and instructing the circulating nurse to turn on the suction machine which is connected through clear plastic tubing to the catheter. What you will see is a pale yellow fluid that looks a lot like urine coming through the catheter into a glass bottle on the suction machine. This is the amniotic fluid that surrounded the baby to protect her.
With suction complete, look for your Sopher clamp. This instrument is about thirteen inches long and made of stainless steel. At the end are located jaws about 2 ½ inches long and about ¾ of an inch wide with rows of sharp ridges or teeth. This instrument is for grasping and crushing tissue. When it gets hold of something, it does not let go. A second trimester D&E abortion is a blind procedure. The baby can be in any orientation or position inside the uterus. Picture yourself reaching in with the Sopher clamp and grasping anything you can.
At twenty-four weeks gestation, the uterus is thin and soft so be careful not to perforate or puncture the walls. Once you have grasped something inside, squeeze on the clamp to set the jaws and pull hard–really hard. You feel something let go and out pops a fully formed leg about six inches long. Reach in again and grasp whatever you can. Set the jaw and pull really hard once again and out pops an arm about the same length. Reach in again and again with that clamp and tear out the spine, intestines, heart and lungs.
The toughest part of a D&E abortion is extracting the baby’s head. The head of a baby that age is about the size of a large plum and is now free floating inside the uterine cavity. You can be pretty sure you have hold of it if the Sopher clamp is spread about as far as your fingers will allow. You will know you have it right when you crush d own on the clamp and see white gelatinous material coming through the cervix. That was the baby’s brains. You can then extract the skull pieces. Many times a little face will come out and stare back at you.
Congratulations! You have just successfully performed a second trimester Suction D&E abortion. You just affirmed her right to choose.
If you refuse to believe that this procedure inflicts severe pain on that unborn child, please think again."
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Facing such things objectively and thoughtfully is difficult at best, yet we must. We cannot relegate decisions about our values to the party, the government, or the media.
Facing such things objectively and thoughtfully is difficult at best, yet we must. We cannot relegate decisions about our values to the party, the government, or the media.
The issue is the details of the practice, and it is separate from a discussion of women's rights.
The self-assigned label of 'pro-choice' includes approval of the practice in detail.
See also Walking Away