Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • 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
KevinMD
  • 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
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

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.

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

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

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

  • Agentic AI: the key to saving annual preventive exams

    Sara Pastoor, MD
  • Reviewing locum tenens agreements: Look beyond the hourly rate

    Sriman Swarup, MD, MBA
  • Physician burnout: Finding peace in a broken health care system

    Jessica Singh, MD
  • Understanding the 4 models of health care: Where the U.S. fits

    Howard Smith, MD
  • What got you here won’t get you there: a physician’s guide to leadership

    Harvey Castro, MD, MBA
  • The 3-2-1 method: a doctor’s guide to keeping New Year’s resolutions

    Anthony Fleg, MD
  • Most Popular

  • Past Week

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Mobile wound care in 2026: Navigating regulatory pressures

      John F. Curtis IV, MD | Conditions
    • Why smaller hospitals may be faster for cancer diagnosis

      Gerald Kuo | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
  • Recent Posts

    • Asking what love would do transforms leadership [PODCAST]

      The Podcast by KevinMD | Podcast
    • Peptides for chronic pain: Navigating safety and regulations

      Stephanie Phillips, DO | Meds
    • Integrative oncology nutrition: a case study in leukemia recovery

      Dr. Manjari Chandra | Conditions
    • Mifepristone safety: Comparing the data to Viagra and penicillin

      Theresa Rohr-Kirchgraber, MD and Sophia Yen, MD, MPH | Meds
    • Agentic AI: the key to saving annual preventive exams

      Sara Pastoor, MD | Physician
    • Bureaucracy now consumes most of your health care spending [PODCAST]

      The Podcast by KevinMD | Podcast

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

  • Most Popular

  • Past Week

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Mobile wound care in 2026: Navigating regulatory pressures

      John F. Curtis IV, MD | Conditions
    • Why smaller hospitals may be faster for cancer diagnosis

      Gerald Kuo | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
  • Recent Posts

    • Asking what love would do transforms leadership [PODCAST]

      The Podcast by KevinMD | Podcast
    • Peptides for chronic pain: Navigating safety and regulations

      Stephanie Phillips, DO | Meds
    • Integrative oncology nutrition: a case study in leukemia recovery

      Dr. Manjari Chandra | Conditions
    • Mifepristone safety: Comparing the data to Viagra and penicillin

      Theresa Rohr-Kirchgraber, MD and Sophia Yen, MD, MPH | Meds
    • Agentic AI: the key to saving annual preventive exams

      Sara Pastoor, MD | Physician
    • Bureaucracy now consumes most of your health care spending [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • 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...