Friday, August 08, 2025

August 8, 1975: Uterine Rupture During Risky Saline Abortion

Cheryl Gourley
Steele High School, 1961
Though a native of California, Cheryl Lynn Gourley married 21-year-old James Tubbs in Missouri at the age of 15 in 1961, when Cheryl was a sophomore at Steele High School and a member of the glee club. 

Given the age of the oldest of their three children, and the fact that she was just a schoolgirl at the time, Cheryl and James likely married because she was pregnant. 

The couple relocated to California. They divorced in 1970.

Five years later, in the summer of 1975, Cheryl was 29 years old. Her children were around 7, 11, and 14 years of age. Cheryl worked as a nurse's aide at Glenwood Convalescent Hospital in Oxnard. 

Shortly before 10 am on August 6, Cheryl checked into Pacific Glen Hospital in Los Angeles. The doctor, likely W. Constantine Mitchell, initiated a saline abortion, which involved using a large syringe to remove amniotic fluid from the womb and replace it with a strong salt solution to kill the unborn baby.


Cheryl experienced heavy vaginal bleeding. It's unclear what doctors at Pacific Glen were doing to address the bleeding at first, but by 7 pm on August 7 they decided that they were not going to be able to get it under control. They had her transferred by private ambulance past Count USC Women's Hospital and two other acute care general hospitals to take her to White Memorial Hospital.

Cheryl continued to bleed profusely, and twice went into cardiac arrest. Staff performed a paracentesis on her to remove blood and fluids from her abdomen. 

About an hour after midnight, staff could no longer detect any blood pressure. For an hour they tried heart massage, to no avail. Cheryl was pronounced dead at 2:30 am on August 8.

An autopsy revealed that Cheryl's uterus had ruptured during the abortion, spilling blood and uterine material into her abdomen. She had bled to death.

Sluggish Response for the Survivors

The following December Cheryl's family sued Pacific Glen, Mitchell, and laboratory technician James Oswald for $1 million on behalf of her children. For some reason, the Los Angeles County Health Services still had not completed an inquest into Cheryl's death. Two years later, in December of 1977, while officials were dragging their feet, Jackie Bailey also bled to death from a ruptured uterus caused by a saline abortion at Pacific Glen.  On April 2 of 1978 -- nearly three years after Cheryl's death -- the county health department decided to further delay their own inquest until the lawsuit had played out in court. The coroner's office defended the decision to delay the inquest on the grounds of impartiality -- not wanting to provide any information that either the defense or plaintiffs could use in court. 

It wasn't until four years after their mother's death that Cheryl's children received a settlement of somewhere over $78,000 from Mitchell and Owsald to be put into a trust fund for them. Their grandfather was awarded $14,000 to cover the expense of caring for them. The remainder of the $130,000 settlement went to court costs and attorney fees. There was still no settlement from the hospital.

American Abortionists Refused to Learn

Saline abortion was hardly a pleasant experience. The abortionist would remove as much amniotic fluid as he could using a needle and syringe. He would then replace the amniotic fluid with a concentrated saline (salt) solution that would poison and kill the fetus. The woman would then go into labor and expel the fetus.

Saline abortions became very popular in Japan following WWII. Within the Japanese medical community, however, word quickly spread: this method was unsatisfactory. Too many women were being injured and killed. Over 70 papers were published in the Japanese medical community reporting hazards of saline abortions, including at least 60 maternal deaths. The Japanese Obstetrical and Gynecological Society condemned the technique, and it was quickly abandoned. But the Japanese abortionists kept news of the trouble among themselves -- until Western nations discovered instillation abortions and embraced them with great enthusiasm.

Two Japanese doctors, Takashi Wagatsuma and Yukio Manabe, broke the silence. Wagatsuma wrote, "It is, I think, worthwhile to report its rather disastrous consequences which we experienced in Japan." Manabe wrote, "It is now known that any solution placed within the uterus can be absorbed rather rapidly into the general circulation through the vascular system of the uterus and placenta. Thus any solution used in the uterus for abortion must be absolutely safe even if given by direct intravenous injection. ... A solution deadly to the fetus may be equally toxic and dangerous to the mother. ... In spite of the accumulating undesirable reports, the use of hypertonic saline for abortion is still advocated and used ... in the United States and Great Britain. I would like to call attention to the danger of the method and would predict the further occurrence of deaths until this method is entirely forgotten in these countries."

 As western abortionists gained experience with saline abortions, other grim reports arose. A British study published in 1966 found that the saline would enter the mother's bloodstream and cause brain damage. Swedish researchers noticed an unacceptably high rate of complications and deaths. Sweden and the Soviet Union abandoned saline abortion as too dangerous for women in the late 1960s.

For whatever reasons, American abortionists were deaf to these warnings. When New York had completely repealed its abortion law, doctors had tremendous leeway in abortion practice. In New York City in particular, it became popular to inject the woman with the saline in the office, then send her home with instructions to report to a hospital when she went into labor. This was, to say the least, a highly irresponsible way to use an abortion technique that was risky even when performed in a hospital under close medical supervision. Women started dying from these reckless saline abortions.

Women were also already dying in California as well, even though the law there still required abortions to be done in hospitals.

After Roe v Wade was handed down, saline and other instillation abortions spread to other areas of the country, despite the dismal goings-on in New York and California, and of course more women died.

US abortionists showed no alarm over these deaths. Even as late as the 1990's, the American College of Obstetricians and Gynecologists, and abortionists such as Don Sloan and Warren Hern, were describing saline and other instillation abortions in such terms as "a low-risk procedure."

Statistics show, however, that abortionists did gradually move away from saline instillation abortions, albeit more slowly in New York City than in the rest of the country.

Since the problem of maternal deaths from instillation abortions had been long documented, this factor probably only had a minor impact on the move away from saline and other instillation abortions. One important factor was financial: although suction and D&C were adequate procedures for first-trimester abortions, they were inadequate for killing and removing the larger second-trimester fetuses. But the uterus was not large enough to perform instillation abortions until 16 weeks. This left a 4-week "grey period" during which women could change their minds about aborting.

There was also the problem of starting a suction or D&C abortion only to discover that the pregnancy was already in the second trimester. Necessity is the mother of invention, and abortionists who found themselves dealing with second-trimester fetuses that had already been damaged had to come up with ways to remove these fetuses quickly and without alarming the patient. Thus evolved the Dilation and Evacuation (D&E) procedure that remained popular for mid-trimester abortions for over a decade.

D&E was cheaper than instillation abortions, which required at least an overnight hospital stay. It also had the advantage of producing fewer live births, the "dreaded complication" no abortionist wanted to face.

Watch "Another Needless Saline Death" on YouTube.

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