THE ABORTION ISSUE remains in the public eye and the media headlines
largely because of a single late-term abortion procedure referred to in the
medical literature as intact dilation and extraction (D&X) and in the
common vernacular as partial-birth abortion. This article reviews the medical
and ethical aspects of this procedure and of late-term abortions in general.
Jouzaitis C.Foes line up anew on late abortions. Chicago Tribune.February 27, 1997:3.
Seelye KQ.House, by broad margin, backs ban on late type of abortion. New York Times.March 21, 1997:A1, A14.
Gianelli DM.Abortion rights leader urges end to "half truths." American Medical News.March 3, 1997;3, 4, 55, 56.
Gianelli DM.Bill banning partial-birth abortions goes to Clinton. American Medical News.April 15, 1996:9, 10.
Not Available. Statement of representative Charles T. Canady (R-Fla).Congressional Record; July 24, 1996.
Koonin LM, Smith JC, Ramick M, Green CA.Abortion surveillance—United States, 1992. Mor Mortal Wkly Rep CDC Surveill Summ.1996;45(SS-3):1-36.
Atrash HK, Lawson HW, Smith JC.Legal abortion in the US: trends and mortality. Contemp Obstet Gynecol.1990;35:58-69.
Not Available. Issues in Brief: The Limitations of US Statistics on Abortion .New York, NY: Alan Guttmacher Institute; 1997.
Not Available. ACOG statement of policy .Approved by the executive board January 12, 1997 and distributed
to ACOG chairs.
Cunningham FG, MacDonald PC, Gant NF.
et al. Williams Obstetrics .20th ed. Stamford, Conn: Appleton & Lange; 1997:507.
Giannakoulopoulos X, Sepulveda W, Kourris P.
et al. Fetal plasma cortisol and D-endorphin response to intrauterine needling. Lancet.1994;344:77-81.
Teixeria J, Foglioni R, Giannakoulopoulos X.
et al. Fetal haemodynamic stress response to invasive procedures. Lancet.1996;347:624.
Not Available. Report of the American Veterinary Medical Association panel on euthanasia. J Am Vet Med Assoc.1993;202:229-249.
Allen MC, Donohue PK, Dusman AE.The limit of viability: neonatal outcome of infants born at 22 to 25
weeks' gestation. N Engl J Med.1993;329:1597-1601.
Gianelli DM.Outlawing abortion method. American Medical News.November 20, 1995:3, 70-72.
Not Available. Late-Term Pregnancy Termination Techniques .Chicago, Ill: American Medical Association; 1997. Report 26 of the
AMA Board of Trustees (A-97).
Not Available. Status of Bans on "Partial-Birth Abortion" and Other Abortion
Methods .New York, NY: Center for Reproductive Law and Policy; June 29, 1998.
Not Available. Governor Acts to Ban Partial-Birth Abortions: Strikes Clause
That Would Give Biological Fathers Standing [news release].Springfield, Ill: Office of Gov Jim Edgar; July 17, 1997.
Not Available. The lies that zealots tell [editorial]. Chicago Tribune.March 3, 1997:14.
Hentoff N.Close to infanticide. Washington Post.August 30, 1996:A31.
Gianelli DM, Kent C.The view from Mount Koop. American Medical News.August 19, 1996:3.
Toppozada M, Ismail AAA.Intrauterine administration of drugs for termination of pregnancy in
the second trimester. Baillieres Clin Obstet Gynaecol.1990;4:327-349.
Lawson HW, Frye A, Atrash HK.
et al. Abortion mortality, United States, 1972 through 1987. Am J Obstet Gynecol.1994;171:1365-1372.
Tietze C.Induced Abortion: A World Wide View .New York, NY: Population Council; 1983:83.
Not Available. Facts in Brief: Induced Abortion .New York, NY: Alan Guttmacher Institute; 1996.
Castadot RG.Pregnancy termination: techniques, risks, and complications and their
management. Fertil Steril.1986;45:5-17.
Stubblefield PJ.Pregnancy termination.In: Gabbe SG, Niebyl JR, Simpsons JL, eds. Obstetrics, Normal
and Problem Pregnancies . 3rd ed. New York, NY: Churchill Livingston;
Sykes P.Complications of termination of pregnancy: a retrospective study of
admissions to Christchurch Women's Hospital, 1989 and 1990. N Z Med J.1993;106:83-85.
Lurie S, Appleman Z, Katz Z.Curettage after midtrimester termination of pregnancy: is it necessary? J Reprod Med.1991;35:786-788.
Lurie S, Katz Z, Insler V.Midtrimester induction of abortion: comparison of extraovular prostaglandin
E2 and intra-amniotic prostaglandin F2α. Contraception.1993;47:475-481.
Filshie M, Guillebaud J.Contraception: Science and Practice .London, England: Butterworths; 1989:250-274.
Hogue CJR, Cates Jr W, Tietze C.The effects of induced abortion on subsequent reproduction. Epidemiol Rev.1982;4:66-94.
Laferla JJ.Termination of pregnancy. Clin Obstet Gynecol.1986;13:1-160.
Hawkins DF, Elder M.Human Fertility Control, Theory, and Practice .London, England: Butterworths; 1979:237-260.
Callahan D.The abortion debate: can this chronic public illness be cured?In: Chervenak FA, McCullough LD, eds. Clin Obstet Gynecol .
Not Available. ACOG Statement of Policy .Approved by executive board and published in ACOG newsletter; July
Padawer R."Partial-birth" battle changing public views. USA Today.November 17, 1997:17A.
Gianelli DM.Medicine adds to debate on late-term abortion. American Medical News.March 3, 1997:3, 54-56.