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When there's a heartbeat: Miscarriage management in Catholic-owned hospitals

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  • Freedman, L.R.
  • Landy, U.
  • Steinauer, J.

Abstract

As Catholic-owned hospitals merge with or take over other facilities, they impose restrictions on reproductive health services, including abortion and contraceptive services. Our interviews with US obstetrician-gynecologists working in Catholic-owned hospitals revealed that they are also restricted in managing miscarriages. Catholic-owned hospital ethics committees denied approval of uterine evacuation while fetal heart tones were still present, forcing physicians to delay care or transport miscarrying patients to non-Catholic-owned facilities. Some physicians intentionally violated protocol because they felt patient safetywas compromised. Although Catholic doctrine officially deems abortion permissible to preserve the life of the woman, Catholic-owned hospital ethics committees differ in their interpretation of how much health risk constitutes a threat to a woman's life and therefore how much risk must be present before they approve the intervention.

Suggested Citation

  • Freedman, L.R. & Landy, U. & Steinauer, J., 2008. "When there's a heartbeat: Miscarriage management in Catholic-owned hospitals," American Journal of Public Health, American Public Health Association, vol. 98(10), pages 1774-1778.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.126730_6
    DOI: 10.2105/AJPH.2007.126730
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    Cited by:

    1. Hill, Elaine L. & Slusky, David J.G. & Ginther, Donna K., 2019. "Reproductive health care in Catholic-owned hospitals," Journal of Health Economics, Elsevier, vol. 65(C), pages 48-62.
    2. Davidson, Laura A. & Pettis, Clare T. & Joiner, Amber J. & Cook, Daniel M. & Klugman, Craig M., 2010. "Religion and conscientious objection: A survey of pharmacists' willingness to dispense medications," Social Science & Medicine, Elsevier, vol. 71(1), pages 161-165, July.

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