Partial birth is described as a case in which the entire fetal head is outside the body of the mother, or, in the event of a breech delivery, if ?any part of the fetal trunk past the navel is outside the body of the mother.?
This legislation may be the most ridiculous and egregious misapplication of the law since Jim Crow. Greed and duplicity have always been problematic on the 'Hill . . . now it is clear they are ignorant fools as well. My difficulty is understanding how Majority Leader Frist could endorse this bill. Unless of course he pushed the legislation as a trial balloon to the Supreme Court.
Only physicians will understand that the bill's language essentially guarantees NO physician will be prohibited from performing intact D & X . . . the legislation just modifies HOW to perform an intact D & X. I know that's a disappointment to the Pro-Life crowd . . . but you guys have been lead astray if you think this bill will save a single life.
The first kid I ever delivered almost hit the floor b/c no matter how many times they tell you "grab him by the neck . . . and hold on tight b/c they're slippery" . . . you don't understand until that last push . . . and damn if the damn thing isn't like catching a football covered with Crisco . . . damn . . . what was I talking about . . .
Oh . . . case one the entire fetal head is out of the body . . . well assuming the fetus is scheduled for abortion . . . the head would NEVER come first. The head does most of the damage during labor/delivery b/c it's the biggest part. If the kid was oriented properly for a normal birth the physician would reach inside the dilated cervix and orient the child into breech or perform an external cephalic version (maneuver the fetus into breech by externally moving the head/bottom). I would have to ask an OB but I can't think of any scenario under which an abortion would be performed by delivering the head first.
DO NOT READ ON if you don't like moderately graphic descriptions . . .
Case two . . . a breech delivery where the fetus is delivered (feet first) except the head remains in the canal (at which point the physician reduces the head). My understanding of the typical intact D & X is to reduce maternal trauma which would typically mean delivering just a leg then maneuvering instruments into the birth canal up to the head +/- the abdomen. These instruments are used to "reduce" the abdomen and head. After reduction the delivery is completed. If a fetus had a condition like
omphalocele or gastrochesis (sorry couldn't find easy pix). In these cases a doctor might reduce the belly. If the abdomen is not very big then the physician would probably deliver legs, pelvis, and lower abdomen but leave the fetal torso/head in the uterus.
I'm not a lawyer but by the letter of the law and medicine. . . a fetus doesn't have a navel. If they are implying the navel after cutting the umbilical cord . . . well the cord is attached to the placenta . . . so how much of the cord would be considered part of the navel? The bill says
abdomen past the navel which essentially means any portion of navel (umbilical cord) overlap is sufficient for the procedure to be legal.
Although I applaud the Pro-Life spirit . . . I think you've gotten a real dog with this legislation.