ABORTION - a personal dilemma  

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(© Jeffrey S. Bowman, all rights reserved, use by permission only)

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ISSUE AND BACKGROUND

Diane was 40 years old.  She and her husband Charles had been married over 20 years.  They had 3 children, two girls 17 and 14 years old, and one son, age 12.  Diane's mother had recently passed away and shortly after that her husband damaged his spine in a freak automobile accident and was in a body cast and out of work.  Needless to say, life was not going to well for her.  As a Christian she trusted in God but in the last few months that trust was slipping away.  She herself had been experiencing a painful lower back and had gone to the doctor to see what he could do.  After running routine tests he sent her home with a prescription for the pain.  Several days later her life seemed to be slowing down and she was adjusting to her recent loss and husband's setback.  Then the final bombshell landed in her life.  The doctor called and told her not to take any more medication because she was pregnant.

Diane didn't want another child.  She had to hold her family together and a baby was not what was needed in her already crowded and flustered life.  Yet she trudged onward and in time began thinking that perhaps this new child would be the "good" that she needed to help her state of mind.  Then another phone call came from the doctor.  Because she was 40 the doctor ordered addition tests just to make sure every thing is all right.  The doctor's phone call was for her to come in immediately because the tests revealed a problem.

As Diane sat in the doctor's examining room, tears of sorrow once again flowed from her eyes.  The doctor said that there was a definite problem with her pregnancy.  The child that was forming in her womb was deformed; it had a harelip and cleft palate.  The doctor recommended that she have an abortion because "there could be also other defects."  She asked what is a hair lip?  He said: "It isn't hair like on your head, it is hare as in rabbit.  If you look at a rabbit its upper lip has a gap in the middle.  The condition of your fetus is that it will be born with a gap in its upper lip going into its nasal passage with a cleft in the hard and soft palate.  It is correctable with surgery but we highly suspect other deformities as well."

This was her dilemma: to bear a child that would be deformed at birth, who would have additional burdens both physically and financially, and who she would almost single-handedly have to care for during the child's early months since Charles was in a body cast.  What should she do?  Should she abort this child?  She already has 3 other children, and she herself is 40 years old!  A perfectly healthy baby would be a handful but one with a congenital defect is an ocean full of problems.

BIBLICAL AND THEOLOGICAL ISSUES

Pastor Bill Tendly from Diane's church had been involved in her trials since the beginning.  He was there with words of comfort and care when her mother died, when Charles was in the hospital, and he provided her with the encouragement that "maybe this child is exactly what you need," when she found out she was pregnant.  What could he possibly tell her now?  Abortion is what the doctor recommended and what seemed to be the logical way out.  All the previous events were beyond her control but this event she could control via an abortion.  Her mind was made up.  An abortion was the best way to handle this problem.  Pastor Tendly was once again at her door wanting to come in and visit.

He listened patiently as Diane poured out the pain in her heart and the solution that she, along with her doctor, had reached.  When the Pastor finally spoke he asked her if she ever thought about when life starts.  She had never really thought much about that and didn't have an answer or opinion.  He showed her passages that directly addressed the question.  Scriptures that indicate that life starts at conception. [1]   Psalm 139:13-16 was particularly significant:

            13  For thou hast possessed my reins: thou hast covered me in my mother's womb.  14  I will praise thee; for I am fearfully and wonderfully made: marvelous are thy works; and that my soul knoweth right well.  15  My substance was not hid from thee, when I was made in secret, and curiously wrought in the lowest parts of the earth.  16  Thine eyes did see my substance, yet being unperfect; and in thy book all my members were written, which in continuance were fashioned, when as yet there was none of them.

Pastor Tendly explained that the passage traces the development of a person backwards from just prior to child birth to conception.  Verse 13 starts off with a child in the womb called "me."  Verse 14 and 15 describe the overall formation of the child in the womb.  Finally the child in embryo form is discussed in verse 16.  All throughout the passage, David (the writer) marvels at God's wisdom and power as displayed in the conception and development of a person.  Pastor Tendly concluded, "God views life as starting at conception.  A human soul comes into existence at that point.  It may be hard for us to grasp that a person exists as soon as an ovum is fertilized, but it is nonetheless true.  We can't say that a soul exists one second after birth yet it didn't exist one second before.  Our problem is that we picture human life in a confined way.  We diminish its value at the beginning (after all it is so small and unproductive) and its end (it becomes a burden and is unproductive).  We fail to see human life for what it is, a progression of change from one state to another.  We can grasp the change from an infant to a toddler, primary schooler to high schooler, young adult to aged, but we miss changes of life that occur at the extreme ends.  We fail to see that at the point of conception a soul is born.  It just exists in a context that we are not accustomed to dealing with. "

ETHICAL NORMS AND GUIDELINES

Now Diane had something else to think about.  If what Pastor Tendly was telling her was true?  Then aborting her pregnancy would really be aborting life / a human soul / a person.  She did see his logic that indicated that if she aborted the child 5 months prior to its birth then why not 5 months after its birth. [2]   But she still had another problem; what about its deformity?  Pastor Tendly asked her some more tough but compelling questions: "Does a human being derive their personhood from what they are physically and/or mentally, or from who they are?  In other words, does a physical deformity cause someone to not be a human being?  If a deformity can disqualify personhood then which ones?  Who is the judge?  Clearly, physical or mental impairments are not grounds for disqualifying someone as a person.  If so, then the entire human race is disqualified because all have impairments of one sort or another, from bad eyes to hemorrhoids, from bad teeth to flat feet!"  The Pastor provided Diane with one more bit of scripture that helped her understanding of the situation she was facing.

            Exodus 4:10 "And Moses said unto the LORD, O my Lord, I am not eloquent, neither heretofore, nor since thou hast spoken unto thy servant: but I am slow of speech, and of a slow tongue.  11  And the LORD said unto him, Who hath made man's mouth? or who maketh the dumb, or deaf, or the seeing, or the blind? have not I the LORD?  12  Now therefore go, and I will be with thy mouth, and teach thee what thou shalt say."

"Diane, I want you to know that in this passage God is not saying that He caused these people to have these problems.  Rather God is acknowledging that these deformities exist and that He will be with His people that have such impairments.  Most importantly, they are still part of His creation, which because of the affliction of man's sin is fraught with blemishes.  The unborn or the born, the young or the old, no matter what problem or deformity, they are still human souls."

RESOLUTION AND CONCLUSION

That day after her Pastor left, Diane realized because of the new information that she learned, she must yield to God and allow the life within her to live.  If God accepts mankind with all its problems and deformities, she too could accept a little child, who wasn't planned for, who would be born deformed.  Her prayer to God was for the grace and strength to handle the situation day by day and to help the little one inside her to develop as fully as can be.  She knew that rough days would be ahead with many operations to correct what could be corrected.

Diane gave birth that December to a chubby almost 9 pound baby boy.  The child required special care because of his hare lip and cleft palate.  He had several surgeries along with orthodontic work as he grew.  He is now an adult, happily married with 4 children of his own, is a Pastor and is the author of this case study (based upon an amalgamation of various real life situations).  Diane is happy she didn't take his life, and he along with his wife and children are also thankful.

Abortion is a very difficult ethical issue today.  It is one that is dividing our nation and even Christian groups.  There are many "but what about..." arguments that are brought forth by both sides of the issue.  Yet one thing does stand out in the pages of God's Word and that is life IS sacred.  If life does begin at conception then we must develop our abortion ethics appropriately.  And even if we determine that life does not begin at conception we still have many of the same ethical issues confronting us.  This is especially true when the pregnancy is in the last trimester.  Our ethic must also take into account God's viewpoint of the handicapped and the "useless" of society.  May God help us all to deal sensitively with those facing such personal dilemmas.  

+++++++++++++++ Addendum ++++++++++++++++

Since I wrote the above article I've started to modify my thoughts... currently I have a number of questions that are causing me to rethink the starting point of life.  Here they are (in no particular order):

  • If life starts at conception, then what about all the miscarriages?

  • What about embryos that do not implant into the womb?  John Opitz, a professor of pediatrics, human genetics, and obstetrics and gynecology at the University of Utah, testified before the President's Council on Bioethics that between 60 and 80 percent of all naturally conceived embryos are simply flushed out in women's normal menstrual flows unnoticed.

  • When was Adam proclaimed by God to be a "living soul?"  It was after God breathed the "breath of life" into him.   Does this indicate that it is at our first breath that we become a "living soul?"  Not unlike when we take our last breath and we "die."

I welcome all ideas, but please engage with the topic and the questions, not just simply restating the typical pro-life argument which I fully know. 


Here is a picture of a harelip or cleft lip and palate before and after reconstruction.  I wish that I could put one of me prior to my reconstructions but my parents did not take any pictures prior to reconstruction. 

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[1] Psalm 51:5 "Behold, I was shapen in iniquity; and in sin did my mother conceive me."

Psalm 119:73 "Thy hands have made me and fashioned me: give me understanding,that I may learn thy commandments."

Jeremiah 1:5 "Before I formed thee in the belly I knew thee; and before thou camest forth out of the womb I sanctified thee, [and] I ordained thee a prophet unto the nations."

Job 10:8 "Thine hands have made me and fashioned me together round about; yet thou dost destroy me.  9  Remember, I beseech thee, that thou hast made me as the clay; and wilt thou bring me into dust again?  10  Hast thou not poured me out as milk, and curdled me like cheese?  11  Thou hast clothed me with skin and flesh, and hast fenced me with bones and sinews.  12  Thou hast granted me life and favor, and thy visitation hath preserved my spirit."

 [2] Many babies are aborted at the same stage many are born pre-mature.  One is forced to die, the other is worked on to live.  They both are human beings.