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Is it time to change the UK abortion gestation limit?
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Is it time to change the UK abortion gestation limit?
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It has long been debated in the media on the ethics of if abortion should be legal, and if so, at what gestations it should be allowed to continue. Under the current system abortions are allowed upto
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Forums  »  Off duty  »  News & media  »  Is it time to change the UK abortion gestation limit?

Is it time to change the UK abortion gestation limit?

posted at 6/10/2012 8:09 AM BST on bmj.com
DrS
Posts: 1348
First: 25/1/2009
Last: 20/5/2013

It has long been debated in the media on the ethics of if abortion should be legal, and if so, at what gestations it should be allowed to continue.

Under the current system abortions are allowed upto 24 weeks gestation. BUT due to improvements in neonatal care in the last decade it is not unusual for babies born at 24 weeks (and occasionally 23 weeks) to survive. Figures from BMJ in 1999 quote survival for 24 weeks as upto 21% and this has continued to improve since.
 
In todays news the new Health Minister Mr Hunt is quoted as having said that he would "favour a change in the law to 12 weeks". This change would make it very difficult for parents to opt for an abortion for babies found to antenatally have Downs syndrome and would limit abortion for other problems found at the detailed anaomaly scan which happens at around 20 weeks.

Mr Cameron has previously said that he would favour a change to 20 weeks but the government have stated they have no current plans to revise the law.

Do you feel the current limit is appropriate? If not then what would you change it to and why

Re: Is it time to change the UK abortion gestation limit?

posted at 6/10/2012 10:16 AM BST on bmj.com
Posts: 2044
First: 12/3/2010
Last: 21/5/2013
On today's Today programme (6/10/12), Wendy Savage was put up against some Tory MP, Daniel Kawczynski.   I regret that she did no more than to feebly retail previous steps in the struggle to liberalise abortion.   In particular, she said nothing about the life sentence that is parenting a disabled child, when the diagnosis is almost always made after 12 weeks, and it was left to John Humphries to point out that the vast majority of abortions are carried out before 12 weeks.    It is only these tragic and difficult cases that need the 24 week limit, and as any lawyer will tell you, difficult cases make bad law.
Worse, neither Humphries nor Savage cross questioned Kawczinzky when he raised the religious view, but claimed that 12 weeks was what the clerics wanted.  Maybe they thought everyone listening would see through that as just a step on the way to prohibition, when every religion against abortion wants it banned altogether.

Today's Today is on iPlayer at http://www.bbc.co.uk/iplayer/episode/b01n5z2s/Today_06_10_2012/ and the interviews were at 0810, so 70 minutes into the tape.

John

Re: Is it time to change the UK abortion gestation limit?

posted at 6/10/2012 4:26 PM BST on bmj.com
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From point of view of safety the 12 weeks limit has generally been accepted in India medicolegally. More than 12 weeks gestation MTP require at least two competent gynecologists .

Re: Is it time to change the UK abortion gestation limit?

posted at 7/10/2012 12:56 AM BST on bmj.com
Posts: 8
First: 15/10/2010
Last: 26/11/2012
In Response to Re: Is it time to change the UK abortion gestation limit?:
From point of view of safety the 12 weeks limit has generally been accepted in India medicolegally. More than 12 weeks gestation MTP require at least two competent gynecologists .
Posted by Dr. K. Ashutosh


We must respect life 
Dr. Mario Bonilla ECFMG Nº 286828-9

Re: Is it time to change the UK abortion gestation limit?

posted at 7/10/2012 4:07 AM BST on bmj.com
Posts: 154
First: 29/11/2010
Last: 19/5/2013
In Response to Re: Is it time to change the UK abortion gestation limit?:
In Response to Re: Is it time to change the UK abortion gestation limit? : We must respect life  Dr. Mario Bonilla ECFMG Nº 286828-9
Posted by Mario


That's exactly they are trying to do i-e respect a life.The limit of 12 weeks is plausible.
Human fetus has human rights.While saying that, they can include exceptions for extreme circumstances.


Re: Is it time to change the UK abortion gestation limit?

posted at 7/10/2012 10:08 AM BST on bmj.com
Posts: 2044
First: 12/3/2010
Last: 21/5/2013
Abortion, even more than religion by itself, is dynamite on a message board, so much so that it will be banned on most and the thread closed down.  So let's maintain the impressive D2D record for polite debate?  Not that anyone above hasn't been polite.

Polite, but mistaken.
Ashutosh, every abortion in the UK requires the 'approval' of two doctors.   At least one must be a gynaecologist, else the procedure won't get done.

Mario, "life".   You need to be more precise.
SURB, ditto.   What's different between 12 and 24 weeks, that you will draw the line so early?    We can discuss neonatal viability at 20-24 weeks, but before that, no.

John

Re: Is it time to change the UK abortion gestation limit?

posted at 7/10/2012 1:44 PM BST on bmj.com
Posts: 154
First: 29/11/2010
Last: 19/5/2013
In Response to Re: Is it time to change the UK abortion gestation limit?:
SURB, ditto.   What's different between 12 and 24 weeks, that you will draw the line so early?    We can discuss neonatal viability at 20-24 weeks, but before that, no. John
Posted by John D


Do you think trading later abortions for early ones is ideal or of some advantage,if you have to draw a line what's the fair deal in your opinion?

It's about decision and commitment.

As it's there in the earlier post,i quote,

"BUT due to improvements in neonatal care in the last decade it is not unusual for babies born at 24 weeks (and occasionally 23 weeks) to survive.Figures from BMJ in 1999 quote survival for 24 weeks as upto 21% and this has continued to improve since."

We humans will keep on improving our skills and questioning our knowledge that we are carrying with us leaving a room for improvement.
So,i'll play safe and say yes to the "earlier the better" mantra (with exceptions to be  considered).


Re: Is it time to change the UK abortion gestation limit?

posted at 7/10/2012 4:19 PM BST on bmj.com
Posts: 322
First: 12/11/2010
Last: 20/5/2013
The question should perhaps be reframed as: Should the social abortion limit be set at 12 weeks, with abortion for fetal malformation / genetic abnormaltiy limit set at something higher. Since 91% are already aborted by 12 weeks [and only a very small %age are actually aborted for malformation / genetics], the effect of any change would affect approx 7% of the 9% of abortions that occur late.

Change is difficult to argue against when babies born as a result of premature labour occurring before 24 weeks can be kept alive - Perhaps a better compromise would be 16 weeks.

Re: Is it time to change the UK abortion gestation limit?

posted at 7/10/2012 6:20 PM BST on bmj.com
Posts: 2044
First: 12/3/2010
Last: 21/5/2013
SURB,
Mortality was 18.6% and 10.9% of survivors had neurological damage at two years, in babies born with low gestation (<32/52)  and low birth weight (<1500gms) in this Swiss study from 2003:
http://www.ncbi.nlm.nih.gov/pubmed/12644963.
Saving 70% of them is good, but it's a terrible toll bill.   The abstract doesn't go into detail about the distribution of gestational age.   Relatively, a survival of 21% (79% mortality) from 24 weeks would carry a neurological damage rate of 42%, so all such babies would die or be damaged.   I don't think that is true, but the figures must be very high indeed.  What can we gain, for the children, by striving to keep 16 weekers alive?

If medicine can present society with survival figures that show better, undamaged survival than the above, then clearly we should debate revising the limit downwards.   I'd look forward to that debate with you.

But it is the naked and obvious way that abolitionists seek to nibble away at liberal and compassionate legislation that angers me.    I don't know what motivates Mr.Hunt to say that 'life', whatever that means, enters a foetus at 12 weeks, but I'd like to see his evidence, and Mr.Kawczynski is an open abolitionist.

John

PS Is my impression true that a majority of strident abolitionists are men?   Is there an explanation, Freudian or otherwise, when childbirth or abortion are exclusively female?

Re: Is it time to change the UK abortion gestation limit?

posted at 8/10/2012 8:47 AM BST on bmj.com
Posts: 2044
First: 12/3/2010
Last: 21/5/2013

It is a truth universally acknowledged that being got out of bed early in the morning to appear on Today isn't a good start to your day.   Now, Wendy Savage has written in today's Guardian providing the evidence that she wasn't able to give in her interview on Today.
See: http://www.guardian.co.uk/commentisfree/2012/oct/07/where-evidence-jeremy-hunt-abortion?INTCMP=SRCH

In particular, she quotes a national UK study (the Guardian provides some hypertext links, but not to this one) that followed up on Epicure, and found that in 2006, of babies born at 22 weeks, three (1%, so a denominator of 300) survived, only one of whom was undamaged neurologically.    Of the 23 week babies, 15% survived and half were developing normally.  So my rough calculation above extrapolating the survival and incidence of neurological damage does reflect reality, and to imply that there is any real hope for earlier babies than 22 weeks to survive is unreal.

Please read Wendy's article.  I think she makes a good case to keep things as they are.

John

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