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Forgiveness in the Abortion Clinic<br />

(continued from previous page)<br />

I am taken back to these decade-old observations as I currently conduct research on the<br />

effects of religious doctrine on obstetrics and gynecology practice in Catholic hospitals. One in six<br />

patients in the United States receives care in a Catholic hospital where abortion, sterilization, birth<br />

control, and infertility services are prohibited. In my interviews with<br />

doctors who have worked in Catholic hospitals, I have learned that treatment<br />

options for women facing some of the most difficult pregnancy<br />

...data show that women<br />

who get abortions are complications and losses, such as incomplete miscarriage in the second<br />

trimester, are restricted as well. 7 These physicians tell me that, as they<br />

likely to keep it a secret tried to offer their patients the best care they could, they felt their hands<br />

were tied by doctrine.<br />

precisely because they<br />

Stories from my earlier research of nurses and counselors ministering<br />

to the need for forgiveness in the abortion clinic provide a useful<br />

fear they will receive<br />

reminder of the value and importance of religious beliefs for some patients,<br />

harsh disapproval. They but they also illustrate how religious practice in ob-gyn care is best directed<br />

fear they will be judged by the patient, not the institution. I am learning in my current project<br />

that, in the context of Catholic hospitals, hospital ownership dictates<br />

and that the people that the role of religion in women’s reproductive lives by using doctrine to<br />

they care about will see restrict access to care in ways that neither those working there nor patients<br />

necessarily want. Whereas women like Claudia, Beatriz, and Leticia met<br />

them as less than what individual women’s needs and concerns in the moment, with faith in a<br />

forgiving and understanding God, the Catholic health doctrine governing<br />

hospitals prescribes a one-size-fits-all religious approach.<br />

they were.<br />

As such, the individual suffering of spiritually diverse women<br />

goes unaddressed in the name of God—a problem made worse when the<br />

Catholic hospital is the only game in town. Religion and abortion can and sometimes do mix well<br />

at the individual level when patients speak their concerns and are ministered to by compassionate<br />

people, be they abortion clinic staff or supportive clergy, who meet them where they are.<br />

Lori Freedman, PhD, is a sociologist and author of the book, Willing and Unable: Doctors’ Constraints in<br />

Abortion Care. She is currently an Assistant Professor in the Department of Obstetrics, Gynecology and Reproductive<br />

Sciences at the University of California, San Francisco. She conducts research within the Advancing New Standards<br />

in Reproductive Health (ANSIRH) program. freedmanl@obgyn.ucsf.edu<br />

1<br />

Katrina Kimport. “(Mis) Understanding Abortion Regret. Symbolic Interaction 35.2 (20<strong>12</strong>): 105-<strong>12</strong>2.<br />

8<br />

2<br />

Kate Cockrill, Ushma D. Upadhyay, Janet Turan, and Diana Greene Foster. “The Stigma of Having an Abortion:<br />

Development of a Scale and Characteristics of Women Experiencing Abortion Stigma.” Perspectives on Sexual and<br />

Reproductive Health 45:2 (2013), 79-88.<br />

3<br />

Katrina Kimport, Kira Foster, and Tracy A. Weitz. “Social Sources of Women's Emotional Difficulty after Abortion:<br />

Lessons from Women’s Abortion Narratives.” Perspectives on Sexual and Reproductive Health 43:2 (2011), 103-9.<br />

4<br />

Alissa C. Perrucci. Decision Assessment and Counseling in Abortion Care: Philosophy and Practice. (Lanham: Rowman &<br />

Littlefield, 20<strong>12</strong>.)<br />

5<br />

Carole Joffe. “The Politicization of Abortion and the Evolution of Abortion Counseling.” American Journal of Public<br />

Health 103:1 (2013), 57-65.<br />

6<br />

Peg Johnston. A Guide to Emotional And Spiritual Resolution After an Abortion. (Binghamton: Ferre Institute, 2008).<br />

7<br />

Lori Freedman and Debra Stulberg. “Conflicts in Care for Obstetric Complications in Catholic Hospitals.”<br />

American Journal of Bioethics Primary Research. (Epub December 18, 20<strong>12</strong>.)<br />

http://www.tandfonline.com/doi/abs/10.1080/21507716.20<strong>12</strong>.751464#.Ud3CmayyyEo

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