hormonal birth control as a cause of abortion


A topic that rarely gets any attention, even among many who consider themselves pro-life, is the controversy surrounding hormonal birth control (that is, birth control pills, injections and patches) and whether or not they cause early abortions. There is no debate that hormonal birth control works, at least some of the time, to prevent conception (in other words, it is a contraceptive). However, there is some evidence that hormonal birth control also prevents implantation of a newly formed human (in other words, it is an abortifacient). For those people who claim to believe that all human beings are deserving of equal protection, this issue needs to be given careful consideration. Below are links to research and further writings on the topic that I hope will give more clarity to the issue.

Randy Alcorn, a pro-life activist and thinker, has put together a very extensive booklet entitled "Does the Birth Control Pill Cause Abortions?". Although Randy has not done any original scientific research in this area is has done an extensive review of the medical and scientific literature on this topic as well as seeking expert opinion. Besides presenting evidence that hormonal birth control does cause abortion, this booklet contains a good analysis of the moral aspects of this issue. His booklet, along with several related resources, is online at http://www.epm.org/bcp.html.

Drs. Walter Larimore and Joseph Stanford published an article in the medical journal, Archives of Family Medicine in February 2000 entitled "Postfertilization Effects of Oral Contraceptives and Their Relationship to Informed Consent". This article is a review of the scientific evidence regarding the abortifacient nature of hormonal birth control. The full text of the article is available online at http://archfami.ama-assn.org/cgi/content/full/9/2/126.

Of special note is that both Randy Alcorn and Walter Larimore (and possibly Joseph Stanford) have significant reason to want hormonal birth control to not be abortifacient. Randy Alcorn and his wife used birth control pills for many years and Walter Larimore is a family doctor who, prior to his own research into the topic, prescribed hormonal birth control. As well, neither of these men is opposed to pure contraceptives. In my mind these factors makes their work much less suspect of significant bias than it might otherwise be.

If you would like further information on this topic, I would recommend looking at the bibliographies of both of the above resources. The one in Randy Alcorn's booklet is especially extensive.

For the sake of completeness, I should mention two papers put out by two different groups of pro-life obstetricians and gynecologists. One paper argues that hormonal birth control is not abortifacient and the other argues that it is. However, in my opinion, both papers are based on unfortunate stretches of logic. I did not find either very convincing. As well, both papers are written by groups who have a motivation to reach the conclusion that they have. The first paper is written by doctors who prescribe hormonal birth control in their practices and therefore have incentive to avoid the discomfort and disruption that discontinuing that practice would cause. As well, it is difficult for anyone to come to the conclusion that they have been involved in a morally unjustifiable practice, even if unknowingly so. The second paper is written by a group of doctors who believe that all contraceptives are by their very nature wrong. This group obviously has the motivation of wanting to get other pro-life people onside with their cause to do away with all birth control. Both papers are available online from the American Association of Pro Life Obstetricians and Gynecologists at http://www.aaplog.org/oral.htm.


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