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A reduction in the legal limit for abortion from 24 weeks would give false hope to the parents of severely premature infants, the minister responsible has told The Times.
Speaking before the first Commons vote on the issue in 18 years, Dawn Primarolo, the Health Minister, said that claims by antiabortion MPs that foetuses are commonly viable at 22 and 23 weeks could mislead parents. Such statements suggest that premature babies have a better chance of survival than is really the case, she said.
The House of Commons will vote next week on several amendments to the Human Fertilisation and Embryology Bill, which call for the abortion limit to be cut to between 12 and 22 weeks. Supporters argue that improving survival rates among babies below 24 weeks makes the present threshold unethical.
Ms Primarolo said that research published last week underlined that there was no scientific case for a reduction, and that claims by campaigners about viability could add to the distress faced by parents of very premature babies.
“I think that the issue is, most importantly, raising hope when the science doesn’t indicate that it should be there,” she said. “There is a danger of giving hope to desperate parents, who are in difficult enough circumstances anyway, that may not be there for them.”
The new study, led by Professor David Field of the University of Leicester, found that, while survival rates had improved significantly at 24 and 25 weeks of gestation, there had been no change at 22 and 23 weeks.
No babies born in the Trent region at 22 weeks survived at all during the study. At 23 weeks, 18 per cent of those admitted to intensive care survived to leave hospital, but this rate had not changed in 10 years.
Professor Field agreed that the abortion debate could distort perceptions. “There are a lot of families whose baby comes into neonatal care whose expectations are grossly wrong,” he said. “So I think it is a danger.”
Though the embryology Bill does not contain provisions on abortion, the Government has allocated parliamentary time next Tuesday for MPs to table amendments on the issue, on which all parties will allow a free vote.
MPs who oppose abortion plan to present several options for reform, which would cut the limit to 12, 16, 18, 20 or 22 weeks. Parliament last considered abortion in 1990, when the legal limit was reduced from 28 weeks to 24.
Amendments that would liberalise the law, by removing the requirement for abortions to be approved by two doctors, are also possible. The Times understands, however, that leading MPs who support abortion rights have decided against this, because of concerns that a cut to 22 or 20 weeks could then be presented as a compromise. They will concentrate instead on defending the 24-week limit.
Ms Primarolo’s concerns about a reduction were backed by senior medical figures. Professor Allan Temple-ton, a former president of the Royal College of Obstetricians and Gynaecologists, said: “There is no good evidence that the age of viability should be reduced. If you say the age of viability is 22 or 23 weeks, it would have implications for neonatal units.”
Gail Johnson, of the Royal College of Midwives, said: “In theory a reduction in the legal limit to 20 weeks could lead to increased use of neonatal units and more pressure on specialist care units.”
Claire Curtis-Thomas, a Labour MP and deputy chairwoman of the All-Party Parliamentary Pro-Life Group, said that it was beyond dispute that some babies survived at gestational ages below 24 weeks. “We all know that the viability of life at a very young age is very, very limited,” she said.
“But it is possible to survive at ages below the abortion limit. By reducing the limit we would at least take it below the lowest threshhold of viability.”
Abortion is one of four issues related to the Bill that are scheduled to be debated on Monday and Tuesday next week, on which MPs of all parties will be granted a free vote. The others will cover the creation of hybrid embryos containing human and animal material, the use of embryo-screening to produce “saviour siblings” suitable to donate umbilical cord blood to sick children, and the need for fertility clinics to consider children’s need for a father before starting treatment.
The Archbishop of Canterbury yesterday described the saviour siblings issue as “one of the most poignantly difficult areas in the whole discussion”.
The All-Party Pro-Life Group wrote to Gordon Brown yesterday to protest against his decision to allow Labour MPs a free vote only in next week’s debates. The Government will still impose a three-line whip on today’s second reading of the Bill, and on the final reading.
“Many MPs, including those who intend to vote with the Government, are incapable of understanding why the Prime Minister is intent on this disastrous course of action, because no amount of persuasion, whipping or sanction will make some MPs vote against their conscience,” the letter said.
The group said it expects up to 60 Labour MPs to rebel in today’s vote, though the Bill is likely to be supported by a larger number of Conservatives and Liberal Democrats.
Other provisions in the Bill include a ban on sex-selection for social reasons and the closure of loopholes that have left some fertility treatments unregulated, such as fresh sperm sold over the internet. It also permits wider use of IVF records in medical research and allows surplus embryos to be used in medical training.
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Kathryn, Preston
Sadly that isn't the case. Many abortions taking place at 24 weeks are for "social" reasons. Cases involving severe disability, like you mention, can be granted right up to the full 40 weeks. However, such 'severe' disabilities have simply been cleft palate or clubfoot. Devastating.
Philippa, Bristol,
It is a measure of how far our nation has fallen, that the sanctity of human life, no longer has any value with so many of our 'trendy liberal thinking MPs'. Listening to some of them speak in the House of Commons on Monday, debating the Human Embryo and Fertilisation Bill, was truly sickening.
Simon Icke, AYLESBURY, UK
Alan, are you a woman? Will you ever even have to deal with abortion? If the answer is no, then I put to you that this topic is irrelevant to you. Also I think the point they are trying to make is that it would be acceptable to abort before the point that any fetus could live outside the womb
Jess, Notts,
Consider that gestational age is measured from last menstrual period rather than conception & home pregnancy tests are rarely reliable until the period is at least one week late. Taking into account NHS delays, 10wks might be the earliest woman could get an abortion even if she tried.
V, Oxford, England
Few women make the choice to have an abortion without heavy emotional cost to themselves. Few women choose abortion as 'contraception' - they just have the sense to not bring a life into the world that they would ruin by not being able to offer it proper love and care at the given time.
Anna, London,
"Other provisions in the Bill include a ban on sex-selection for social reasons".
This is the kind of incremental change that perverts our legal system from prosecuting objective facts, such as the taking of human life regardless of motive, to prosecuting only "incorrect" thoughts.
Kevin, London,
I agree with Mary - what has this to do with survival if a baby is born that prematurely? Abortion is murder - simple as that. Abortion should not be allowed at any stage of pregnancy. Life is life.
Dawn D, Saffron Walden, England
Disgraceful horse trading in life. Just take the 24 weeks as vaible and half it. That would end this nit picking argument and at 12 weeks put us in line with Europe.
Abortion is not contraception! They way it is used, more thought is given to wether to use a condom.
Alan, Luton,
When my daughter was born at 30 weeks the doctor who worked so hard to keep her alive was also engaged in terminating the lives of babies in the same hospital. How can society (and the medical staff) tolerate this moral dichotomy?
Paula Hill, Montreux, Switzerland
I share Mary McKeown's (Melbourne) confusion over the Minister's mixing of issues. What on earth has foetal viability below 24 weeks got to do with abortion justification? I may well be missing something in the argument.
Joe Walsh, Belfast, Northern Ireland
What about severe disability?
The 24 week abortion line in practical terms is probably only used in extreme circumstances, such as no brain function etc, determined at the 20 week scan.
To drop the limit would surly mean better and possibly more frequent scanning techniques would be needed
Kathryn, Preston, UK
Why would a minister want to argue that abortion at 22, 23 or 24 weeks is an acceptable practice?
Robert, Bracknell, England
I have to say I bet most of these "pro-life" lobbyists have never been in the position of a young girl/woman who is unable to bring up a child (for whatever reason). How dare they talk about the "morality" of something they have never even experienced themselves.
Jessica, Nottingham,
It's hard to think of a harder topic to regulate by law. Everyone has a different idea of when "life" begins". I strongly believe in a womans right to choose, but having recently been pregnant myself, and having felt my baby move from 19 weeks, I can't help but feel that 24 weeks is too far along.
Catherine Burns, , Warwick, Bermuda
Abortion should only be allowed until the time a fetus has a brain and some functioning awareness. Medical doctors could come up with a time limit on that -I've heard 16 weeks. After all, that is the line we draw with allowing comatose patients to die - it all depends on their brain function.
Claudia, Atlanta, USA
If modern medicine could keep a fetus alive outside the womb from the moment of conception, should we outlaw the morning after pill? Up to some point we allow parental choice to decide the matter. That modern medicine can offer the choice both ways isn't a reason to remove one option.
Jamie, Bolton, UK
I am having great trouble with this.
Some babies which are born at 22 or 23 weeks survive. Doctors try to save them.
If a baby is aborted at 23 weeks, why is it left to die. Why don't doctors try to save it?
It is difficult not to call it murder.
Sam, London,
The Minister's comments are specious. The fact that few babies survive at 22 or 23 weeks is not a reason for ensuring they won't survive by allowing abortion at that age. The current law is inherently illogical and unjust - it is based on a foetus at 23 weeks having less value than one at 24 weeks.
TC, London,
The ability to keep a premature baby alive through technology should not influence the time limit for abortion........if technology progressed to the point of being able to
artificially nurture an embryo from close to the point of conception, abortions later than this would still be needed.
David Bachauer, Manchester , UK
I would be very cautious about reducing the abortion limit, especially if the number of unwanted babies is to be kept down,having been through the procedure myself, at 30. I think screening for 'saviour siblings' is a good idea, but the idea of hybrid embryos is totally wrong and amoral, age now 46.
D, Kent,
Why create any link between the two very different issues of the survuval rates of premature babies and abortion? Abortion is the decision to deliberately take measures to end the life of an unborn child whereas premature birth is an accident of nature and every effort is made to save the child.
marymckeown, melbourne, Australia