
The United States Supreme Court ruled 5-4 on April 18, 2007, in Gonzales v. Carhart that the Partial Birth Abortion Ban Act of 2003, a federal law banning the so-called “partial-birth abortion” procedure, does not violate a woman’s right to an abortion. The ruling was considered a victory for abortion opponents. The procedure, usually carried out in the second or third trimester of a pregnancy, is so controversial that there is no agreement on what to call it. Opponents use the term “partial-birth” or “late-term” abortion, while medical professionals prefer the technical term “intact dilation and extraction,” or D&X. The federal Partial Birth Abortion Ban Act of 2003 banned the procedure and imposed jail terms of up to two years for doctors who use it.
In mid-June 2013, New York Gov. Andrew Cuomo tweaked language in his proposed Women’s Equality Act in response to some people’s worry that the bill would leave the door open for “partial-birth” abortions to be performed in New York. On June 20, 2013, the Women’s Equality Act passed the New York Assembly by a vote of 97-47. The State Senate, however, passed only nine of the 10 provisions, refusing to pass the abortion provision.
Background
Why it matters
Religious belief drives much of the action and opinions on abortion, which continues to be one of the most emotional and divisive issues in the country. Continued widespread opposition to partial-birth abortions could lead to a challenge of the 1973 Roe v. Wade decision that legalized abortion. The graphic nature of the procedure and its use in the later stages of a pregnancy – aspects that have been highlighted by opponents – have led to many Americans and politicians who support abortion rights or consider themselves neutral to recalibrate their positions, if only on this aspect of the issue.
Definitions
The procedure now known as intact dilation and extraction (D&X) originated in the early 1980s as a modification of the dilation and evacuation technique (D&E) already in use. In D&E, the cervix is dilated and the fetus removed in sections with forceps and suction. In D&X, the fetus is removed without being dismembered, although the head may be punctured or crushed to allow it to pass through the cervix. According to Dr. LeRoy Carhart, one of those who sued to overturn the Partial Birth Abortion Ban Act, it is not uncommon for the intact fetus to pass out of the woman while the physician is attempting a D&E. Physicians maintain that they need to decide on the exact method to use based on circumstances that develop during the surgery. D&X is said to have the advantages of subjecting the woman to fewer passes of instruments into the uterus and less risk of puncture by bone.
Partial Birth Abortion Act of 2003
The Partial Birth Abortion Ban Act of 2003 was passed by Congress with a number of Democrats joining solid Republican majorities. President George W. Bush signed the bill into law in November 2003.
- The U.S. Senate website has the roll call on the vote.
- The Library of Congress website offers a complete summary of the bill and related information.
- The law was immediately challenged, and two federal courts deemed it unconstitutional: the 8th U.S. Circuit Court of Appeals in St. Louis and the 9th U.S. Circuit Court of Appeals in San Francisco. The 8th Circuit’s ruling was based largely on the law’s lack of a health exception for a mother. The 9th Circuit ruled that the law imposes “an undue burden” on a woman’s right to end her pregnancy and therefore was unconstitutional.
- Wikipedia has an article on the law that recounts the chronology of the issue. Wikipedia is a contributor-based compilation whose entries can change daily. Statements on the site should be double-checked.
Supreme Court cases
In 2006, the United States Supreme Court heard two cases challenging the Partial Birth Abortion Ban Act of 2003: Gonzales v. Carhart and Gonzales v. Planned Parenthood.
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Pew Forum on Religion & Public Life
The Pew Forum on Religion Religion & Public Life is a project of the Pew Research Center. The Pew Forum seeks to promote a deeper understanding of issues at the intersection of religion and public affairs by conducting surveys, demographic analyses and other social science research on important aspects of religion and public life in the U.S. and around the world.
The Forum offers a legal backgrounder on the two “partial-birth” abortion cases as well as a page on abortion laws around the world.
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The Oyez Project at Chicago-Kent
The Oyez Project at Chicago-Kent is a multimedia archive devoted to the Supreme Court of the United States and its work.
Oyez has comprehensive pages on both Gonzales v. Carhart and Gonzales v. Planned Parenthood.
State abortion laws
While much attention has been paid to the federal law banning so-called “partial-birth” abortions, many states have enacted their own laws on the matter.
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Guttmacher Institute
The Guttmache Institute seeks to advance sexual and reproductive health through research, policy analysis and public education. Contact Rebecca Wind.
The institute offers a backgrounder on state abortion laws and its State Center offers abortion resources on the state level.
Religious groups on abortion
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“Jewish perspectives on abortion”
Article from the Religious Coalition for Reproductive Choice’s website about views on abortion in Judaism.
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“Contraception and abortion in Islam”
Article from The Religious Consultation on Population, Reproductive Health & Ethics website about views on abortion and contraception in Islam.
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United Methodist Church
Read their official statement on abortion.
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ReligiousTolerance.org
ReligiousTolerance.org attempts to disseminate accurate religious information, expose religious fraud, hatred and misinformation, disseminate information on religious hot topics and promote religious topic.
The site offers a backgrounder on the views on abortion by various religious and secular groups and a listing of statements on abortion from various faith groups and other organizations.
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Religious Coalition for Reproductive Choice
The Religious Coalition for Reproductive Choice in Washington, D.C., pushes for more health care options for women, not fewer. It sponsors a National Black Religious Summit on Sexuality each year. Michael Mitchell is director of communications.
The coalition lists official resolutions of religious groups that support the right to abortion.
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Southern Baptist Convention
The Southern Baptist Convention, with about 16 million members, is the largest group within the evangelical world, as well as the second-largest faith group in America (behind Catholics).
The SBC posts its resolutions on abortion on its website.
Articles and publications
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“Women’s groups, Cuomo to tweak abortion bill, quell ‘partial-birth’ concerns”
June 13, 2013, WGRZ.com article about plans by New York Gov. Andrew Cuomo to change the language in his proposed abortion bill.
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“G.O.P. pushes new abortion limits to appease vocal base”
June 17, 2013, The New York Times article about Republicans decision to push for new legislation that would ban abortion after 22 weeks on both the federal and state levels.
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“Arizona law on abortions struck down as restrictive”
May 21, 2013, The New York Times article about a federal appellate panel overturning an Arizona law that made an abortion 18 weeks after fertilization illegal.
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“House committee advances national late-term abortion ban”
June 12, 2013, The Hill article about the House Judiciary Committee sending a national late-term abortion ban to be voted on by the full House of Representatives. The bill would ban abortion after 22 weeks based on the disputed premise that fetuses can feel pain at 22 weeks of pregnancy.
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“NY Assembly OKs women’s rights, abortion bill”
June 21, 2013, article about the New York State Assembly passing the Women’s Equality Act. The State Senate refused to vote on the abortion provision of the bill.
Additional legal resources
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Supreme Court of the United States
The official website of the Supreme Court of the United States posts background information about the court, as well as court decisions and arguments.
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United States courts
The website of the federal judiciary — which includes the U.S. Court of Appeals, district courts and bankruptcy courts — posts court records, judicial statistics and information on judges. Contact through the website.
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FindLaw.com
FindLaw.com post links to case law and texts. Contact through the website.
National sources
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Alan Abramowitz
Alan Abramowitz is a professor of political science at Emory University in Atlanta and an expert on abortion politics.
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Randy E. Barnett
Randy E. Barnett is the Carmack Waterhouse Professor of Legal Theory at Georgetown University. He is an expert in constitutional law and contracts.
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Michele Dillon
Michele Dillon is associate professor of sociology at the University of New Hampshire in Durham. She wrote “The American Abortion Debate: Culture War or Normal Discourse?” for the book The American Culture Wars: Current Contests and Future Prospects (University of Virginia Press, 1996). She is the author of Catholic Identity: Balancing Reason, Faith and Power.
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Anne Hendershott
Anne Hendershott is a professor of psychology, sociology and social work at Franciscan University of Steubenville in Ohio. She is the author of The Politics of Abortion (Encounter Books, 2006).
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Ted G. Jelen
Ted G. Jelen is a professor of political science at the University of Nevada, Las Vegas. He has followed religion and politics, including the participation of the Catholic Church and the role abortion politics plays. He co-edited the books Abortion Politics in the United States: Studies in Public Opinion and The One, the Few and the Many: Religion and Politics in Comparative Perspective. He also co-wrote the book Between Two Absolutes: Public Opinion and the Politics of Abortion.
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Melody Rose
Melody Rose is the Vice Provost for Academic Programs and Instruction at Portland State University. She is also the founder of The Center for Women, Politics & Policy and the founder and director of the National Education for Women’s Leadership Oregon, and she is the author of Abortion: A Documentary and Reference Guide (2008) and Safe, Legal and Unavailable?: Abortion Politics in the United States.
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Laurence H. Tribe
Laurence H. Tribe is the Carl M. Loeb University Professor of Constitutional Law at Harvard University. Tribe’s areas of expertise include abortion and church-state issues. He wrote the book Abortion: The Clash of Absolutes.
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James Trussell
James Trussell is a professor of economics and public affairs and faculty associate with the Office of Population Research at Princeton University in New Jersey. He has an expertise in abortion and advocates making emergency contraception widely available as a means of reducing unintended pregnancies and runs a website on the topic.
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J. Matthew Wilson
J. Matthew Wilson is an associate professor of political science at Southern Methodist University in Dallas. His interests include religion and politics, and voting behavior of religious voters.
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Susan Low Bloch
Susan Low Bloch is a law professor at Georgetown University. She is an expert in constitutional law, communications law and courts and judges and she teaches a seminar on the Supreme Court.
She has written on the Supreme Court’s decisions regarding abortion.
National organizations
Opposed to abortion rights
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Deirdre McQuade
Deirdre McQuade is assistant director for policy and communications for the Pro-Life Secretariat of the United States Conference of Catholic Bishops.
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Frederica Mathewes-Green
Frederica Mathewes-Green, of Baltimore, is a columnist and Orthodox Christian. She is author of Real Choices: Listening to Women; Looking for Alternatives to Abortion (Conciliar Press, 1997). She is also a pro-life advocate. Contact her via the form on her website.
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Penny Young Nance
Penny Young Nance is CEO and president of Concerned Women for America, a women’s group committed to bringing biblical principles into all levels of public policy.
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Paul T. Stallsworth
The Rev. Paul T. Stallsworth is president of the Taskforce of United Methodists on Abortion and Sexuality and the editor of its magazine, Lifewatch. He lives in Whiteville, N.C.
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Troy Newman
Troy Newman is president of Operation Rescue. The organization is known for buying and subsequently closing an abortion clinic in Wichita, Kan., and it now uses the building as its headquarters.
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Judie Brown
Judie Brown is president and co-founder of the Catholic American Life League in Virginia, which promotes anti-abortion legislation. Contact Paul Rondeau.
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Allan Sawyer
Allan Sawyer is president of the American Association of Pro Life Obstetricians and Gynecologists, headquartered in Holland, Mich.
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Russell Moore
Russell Moore is director of the Public Theology Project at Christianity Today.
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Richard Land
Richard Land is president of the nondenominational Southern Evangelical Seminary in Charlotte, N.C., and previously served for 25 years as president of the Southern Baptist Convention’s Ethics & Religious Liberty Commission.
He is a frequent commentator on abortion and politics.
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William Saunders
William Saunders is senior vice president for legal affairs and senior counsel at Americans United for Life (AUL). He directs AUL’s international project and writes and speaks on a wide-range of life-related and human rights topics.
He participated in a January 2005 panel discussion on the constitutionality of partial-birth abortion at Georgetown University Law Center.
In favor of abortion rights
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Daniel Dombrowski
Daniel Dombrowski is a professor of philosophy at Seattle University. He is the co-author of A Brief, Liberal, Catholic Defense of Abortion (University of Illinois Press, 2006).
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Jon O’Brien
Jon O’Brien is president of Catholics for Choice, which believes that the individual conscience should be the keystone for moral decision-making on reproductive rights matters and that affordable contraception should be available to all.
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Alexander C. Sanger
Alexander C. Sanger, grandson of reproductive rights activist Margaret Sanger, is chairman of the International Planned Parenthood Federation. He wrote Beyond Choice: Reproductive Freedom in the 21st Century (Public Affairs, 2004).
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Nancy Northup
Nancy Northup is the president and CEO of the Center for Reproductive Rights, a global human rights organization that uses constitutional and international law to secure women’s reproductive freedom. Contact senior press officer Kate Bernyk.
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ACLU Reproductive Freedom Project
The ACLU Reproductive Freedom Project believes reproductive freedom is a core civil liberty and works to ensure that everyone has access to reproductive health care. Louise Melling is director. See a list of ACLU offices across the country.
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Ilyse Hogue
Ilyse Hogue is president of the Proactive Policy Institute of NARAL Pro-Choice America, formerly the National Abortion and Reproductive Rights Action League.
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Debra Ness
Debra Ness is president of the National Partnership for Women and Families, a nonprofit, nonpartisan organization in Washington D.C., that works to promote quality health care for women, including access to abortion. Contact communications assistant Cindy Romero.
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Rebecca Wind
Rebecca Wind is press contact for the Alan Guttmacher Institute, a nonprofit organization in New York and Washington, D.C., focused on sexual and reproductive health research and policy analysis.
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Planned Parenthood Federation of America
Planned Parenthood Federation of America fights against legislation that limits access to abortions. Contact the media office.
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Ann Stone
Ann Stone is the head of Republicans for Choice in Alexandria, Va., which says its aim is to remove politics from the abortion debate.
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Medical Students for Choice
Medical Students for Choice, based in Philadelphia, is a group formed by medical students in 1993 to make sure abortion procedures are taught in medical school.
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Vicki Saporta
Vicki Saporta is executive director of the National Abortion Federation in Washington, D.C., the professional association for abortion providers in North America.
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Judy Waxman
Judy Waxman is the vice president and director of health and reproductive rights at the National Women’s Law Center, which works to protect women’s reproductive rights. Contact Maria Patrick.
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Religious Coalition for Reproductive Choice
The Religious Coalition for Reproductive Choice in Washington, D.C., pushes for more health care options for women, not fewer. It sponsors a National Black Religious Summit on Sexuality each year. Michael Mitchell is director of communications.
The coalition filed a brief asking the Supreme Court to strike down the partial-birth abortion ban.
Medical sources
Associations
National medical associations have asserted the need and the right of the physician to choose the appropriate procedure in each case based on the risks to the mother and the condition of the fetus. The American Medical Association, which represents physicians practicing in all fields, stresses that the D&X procedure should be used only rarely.
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American Medical Association
The American Medical Association promotes the art and science of medicine and the betterment of public health. Contact via the form on their website.
The AMA has said that “the term ‘partial birth abortion’ is not a medical term.” It has stated that ethical concerns have been expressed about intact dilation and extraction and that therefore the procedure should only be used when “alternative procedures pose materially greater risk to the woman. The physician must, however, retain the discretion to make that judgment, acting within standards of good medical practice and in the best interest of the patient.”
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The American Congress of Obstetricians and Gynecologists
The American Congress of Obstetricians and Gynecologists, formerly the American College of Obstetricians and Gynecologists, is a professional organization with over 50,000 members.
The ACOG has said that “‘partial-birth abortion’ is a non-medical term apparently referring” to intact dilation and extraction, a “rare variant of a more common midterm abortion procedure know as dilation and evacuation.” Although an ACOG panel “could identify no circumstances” in which intact dilation and extraction would be “the only option to preserve the life and health of the mother,” in some cases it may be “the best and most appropriate procedure” to save a woman’s life and health. Only the doctor can make that determination, the ACOG has said. ACOG termed the Partial Birth Abortion Ban Act “inappropriate, ill advised, and dangerous.”
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National Abortion Federation
The National Abortion Federation (NAF) is the professional association of abortion providers in North America.
The NAF said in a statement that the “so-called ‘partial-birth abortion’ bans threaten women’s health by outlawing safe abortion procedures.” The association has been a plaintiff and an amicus curiae in the “partial-birth” court cases.
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American Association of Pro-Life Obstetricians and Gynecologists
The American Association of Pro-Life Obstetricians and Gynecologists and its 2,500 members and associates oppose abortion in general. Allan Sawyer serves as president.
The association has criticized the D&X procedure as “a medical procedure involving the purposeful convenience killing of a viable child” and argues that it is not formally recognized by the American Congress of Obstetricians and Gynecologists, other than as a variation of the D&E procedure.
Experts
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Stephen Todd Chasen
Stephen Todd Chasen is an associate professor of obstetrics and gynecology at Weill Cornell Medical College in New York City and an associate attending obstetrician and gynecologist at New York-Presbyterian Hospital. He was lead author of “Dilation and evacuation at/or 20 weeks: comparison of operative techniques,” a study published in the May 2004 American Journal of Obstetrics and Gynecology.
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Dr. Douglas Laube
Dr. Douglas Laube is a professor in the department of obstetrics and gynecology at the University of Wisconsin School of Medicine and Public Health. He previously served as chair of the board of Physicians for Reproductive Choice and Health and president of the American Congress of Obstetricians and Gynecologists.