Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Laws based on fetal pain are being dressed with pseudoscience

Jennifer Gunter, MD
Physician
September 6, 2013
Share
Tweet
Share

10 years ago today my first son was born and 10 years ago today he died.

Born at 22 1/2 weeks he lived for three minutes, at least that’s what was written on the certificate that they gave me at the hospital. It seemed like both hours and seconds.

It was very anticlimactic in a way. I don’t say this to be trite, but it was as if his motor just stopped running. He was breathing, and then he took fewer breaths, and then he just wasn’t breathing anymore.

I think a lot about my son, mostly about what might have been. However, as more and more fetal pain laws are passed I find myself thinking about his actual death. How could I not?

Did he suffer?

What I know from embryology is that at 22 1/2 weeks gestational age the neural pathways for pain do not exist. This science is supported by what I’ve sadly seen as an OB/GYN witnessing deaths in the delivery room from extreme prematurity. This is also what I experienced first hand as a mother. There was no agony from extreme hypoxia and acidosis. No consciousness or awareness. Death just simply came.

So with the body of evidence indicating neural pathways for pain don’t exist at 22 1/2 weeks and comfort care for the extremely premature babies born to die being a blanket and much more about comforting the grieving parents than anything else, why this push for fetal pain?

I suppose there is good press to be had, but deep down I believe that fetal pain has become a proxy for the religious concept of a soul.

Most of the anti-choice legislation in the United States comes from the religious right, a very fire and brimstone set who seem to thrive on the concept of heaven and hell. If they’re going to get you to go to church, you have to be worried about eternal salvation not just living a good life. To be eligible for eternal salvation, you need a soul.

But there is no science behind the concept of a soul, it is a purely religious construct.

So then when does the soul appear? It seems somewhat awkward and rather unecclesiastic to pick a random gestational age, such as 22 weeks, so I see how many who are on the religious right default to the concept that “life” begins at conception. But that is a non secular definition and we are supposed to have separation of church and state.

I believe in freedom of religion, so anyone who believes in heaven or hell and a soul should go right on believing that. I truly do. But those are not my beliefs.

I believe in living a good life.

I believe in being kind and helpful.

ADVERTISEMENT

I believe in wonderful memories and terribly painful ones.

I believe we are capable of making our own lives heavenly and hellish, but I don’t believe such a place exists as an afterlife.

I believe the rewards of living a good life are laughter, smiles, friendship, and love. These are things that are experienced in the here and now.

Laws based on fetal pain do nothing except impose the religious beliefs of the majority on the minority, and I take offense. Dressing up these laws with ribbons of pseudoscience only makes them more offensive.

My son did not suffer and for that I am thankful. Science tells me this and no amount of legislation can change that fact.

Jennifer Gunter is an obstetrician-gynecologist and author of The Preemie Primer. She blogs at her self-titled site, Dr. Jen Gunter.

Prev

Is there an acceptable way to end friendships?

September 6, 2013 Kevin 4
…
Next

The dark side of the Physician Payment Sunshine Act

September 6, 2013 Kevin 2
…

Tagged as: OB/GYN

Post navigation

< Previous Post
Is there an acceptable way to end friendships?
Next Post >
The dark side of the Physician Payment Sunshine Act

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Jennifer Gunter, MD

  • The Ellen Show broadcasts potentially harmful information about ovarian cancer screening

    Jennifer Gunter, MD
  • Dear science: an appreciation

    Jennifer Gunter, MD
  • Are there too many female OB/GYNs?

    Jennifer Gunter, MD

More in Physician

  • Bureaucracy over care: How the U.S. health care system lost its way

    Kayvan Haddadan, MD
  • ER threats aren’t rare anymore—they’re routine

    Patrick Hudson, MD
  • Love on life support: a powerful reminder from the ICU

    Syed Ahmad Moosa, MD
  • Why we fear being forgotten more than death itself

    Patrick Hudson, MD
  • From basketball to bedside: Finding connection through March Madness

    Caitlin J. McCarthy, MD
  • The invisible weight carried by Black female physicians

    Trisza Leann Ray, DO
  • Most Popular

  • Past Week

    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
    • ER threats aren’t rare anymore—they’re routine

      Patrick Hudson, MD | Physician
    • JFK warned us about physical fitness. Sixty years later, we’re still not listening.

      Alexandre Bourcier, MD | Conditions
    • The silent threat in health care layoffs

      Todd Thorsen, MBA | Tech
    • Why true listening is crucial for future health care professionals [PODCAST]

      The Podcast by KevinMD | Podcast
    • Love on life support: a powerful reminder from the ICU

      Syed Ahmad Moosa, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 118 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
    • ER threats aren’t rare anymore—they’re routine

      Patrick Hudson, MD | Physician
    • JFK warned us about physical fitness. Sixty years later, we’re still not listening.

      Alexandre Bourcier, MD | Conditions
    • The silent threat in health care layoffs

      Todd Thorsen, MBA | Tech
    • Why true listening is crucial for future health care professionals [PODCAST]

      The Podcast by KevinMD | Podcast
    • Love on life support: a powerful reminder from the ICU

      Syed Ahmad Moosa, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Laws based on fetal pain are being dressed with pseudoscience
118 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...