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May 19, 2012
Table of Contents

1 Introduction
Fetal pain

Wikipedia

 

Fetal pain is a subject of intense political and academic debate as part of the controversy over abortion. Determining the stage of pregnancy at which a fetus is able to feel pain could have a significant effect on abortion laws and practices.

Most scientists now believe that a fetus is able to feel physical pain ref|AboPain sometime during the pregnancy. The question of exactly when this ability develops is disputed. Some academics argue that it appears as early as seven weeks after conception. Others claim that pain cannot be felt until the third trimester of pregnancy.

Multiple nerve systems are involved in the sensation of pain. When the brain and nervous system are fully developed, the sensation is triggered by Pain#pain_receptors|pain receptors reacting to some stimulus. The resulting signal travels via the peripheral nervous system to nociceptors associated with the spinal column. It then travels up the spinal column to the thalamus, and onward to the cerebral cortex, where it is finally interpreted as a painful sensation.

The different systems involved in pain develop at different stages of gestation. Pain receptors and nociceptors are present as early as seven weeks post-conception. The spinal column and the thalamus are functional at about thirteen weeks. However, the final necessary connections within the cerebral cortex are not developed until about the twenty-sixth week. Whether pain is possible before all the systems are developed and all the connections are made is the question at the heart of the fetal pain controversy.

Researchers who believe that a fetus can feel pain early, as soon as some of the necessary nerves are available, tend to have a pro-life stance. There is some concern that strong views on both sides of the abortion debate may be influencing the interpretation of research findings.






In 1997, Dr. Robert White, director of the Division of Neurosurgery and Brain Research Laboratory at Case Western Reserve School of Medicine, gave testimony before the House Constitution Subcommittee of the Congress of the United States. He stated that, at 20 weeks' gestation, the fetus "is fully capable of experiencing pain...Without question, all of this is a dreadfully painful experience for any infant subjected to such a surgical procedure."ref label|AboPain|1|a

His assertions were supported by Dr. Paul Ranalli, a neurologist at the University of Toronto, who has cited several observations to support the belief that a fetus can experience pain. These include observing a fetus "withdraw from painful stimulation", and the fact that stress hormones detected in adults observing pain has also been found in the blood samples of aborted fetuses.

In 2001, a working group appointed by the Royal College of Obstetricians and Gynecologists in the United Kingdom contradicted these findings, stating that "little sensory input" reaches the brain of the developing fetus before 26 weeks. "Therefore reactions to noxious stimuli cannot be interpreted as feeling or perceiving pain."ref label|AboPain|1|b

In 2005, a meta-analysis of existing experiments undertaken by the Journal of the American Medical Association concluded that the lack of functioning neurological pathways to a fetus' cererbral cortex before 26 weeks meant that it could not experience pain before then. The meta-study was criticised by pro-life groups who were suspicious of the prior involvement of several authors of the report. One directs an abortion clinic at San Francisco Hospital, while the lead author undertook legal work with NARAL, an pro-choice group for six months.

Notes
#Note|AboPainnote label|AboPain|1|anote label|AboPain|1|b Web reference | title=Can a fetus feel pain? | url=http://www.religioustolerance.org/abo_pain.htm | date=December 14 | year=2005

References

Anand, K.J.S. & P.R. Hickey. "<u>Pain and It's Effects In the Human Neonate and Fetus.</u>" New England Journal of Medicine. Vol. 317, #21 (19.November.1987): pp. 1321-1329 http://www.cirp.org/library/pain/anand/ HTML version

External links
  • Anti-abortion site presenting case for fetal pain from second month of pregnancy: http://www.abortionfacts.com/online_books/love_them_both/why_cant_we_love_them_both_14.asp HTML version.

  • A review of clinical evidence concerning fetal pain, JAMA. 2005;294:947-954. http://jama.ama-assn.org/cgi/content/short/294/8/947 HTML version

  • 109th Congress, U.S.A. "<u>Unborn Child Pain Awareness Act of 2005.</u>" 1st Session, S.51. (January, 2005). http://www.nrlc.org/abortion/Fetal_Pain/S512005.pdf PDF version, http://www.nrlc.org/abortion/Fetal_Pain/S512005.html HTML version

Category:Abortion
  • N.R.T.L. index of news regarding fetal pain investigations. http://www.nrlc.org/abortion/Fetal_Pain/index.html HTML version

  • Diagram of a 'dilation and evacuation abortion of a 23-week-old fetus'. http://www.nrlc.org/abortion/pba/DEabortiongraphic.html HTML version



This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Fetal pain".


Last Modified:   2005-12-23


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