December 29, 1971: Antiquated Abortion Method Legal but Unsafe

"Beth" was 23 years old when she traveled from Massachusetts to take advantage of New York's liberalized abortion law in 1971. Beth's doctor chose saline abortion, which is performed by injecting a strong salt solution into the amniotic fluid. The fetus inhales and swallows the fluid, which causes massive internal bleeding and death. The woman then goes into labor. 

The abortion was initiated by injecting saline into Beth's uterus. But instead of the amniotic sac, the saline went into Beth's bloodstream. Beth immediately began to have seizures and went into a coma. She was pronounced dead on December 29, 1971.

What is a Saline Abortion?

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.

Other women who died in the pre-Roe days of "safe and legal" New York abortions include:

• Carmen Rodriguez, July, 1970, salt solution intended to kill the fetus accidentally injected into her bloodstream
• Barbara Riley, July, 1970, sickle-cell crisis triggered by abortion recommended by doctor due to her sickle cell disease
• Pearl Schwier, July, 1970, anesthesia complications
• "Amanda" Roe, September, 1970, sent back to her home in Indiana with an untreated hole poked in her uterus
• Maria Ortega, October, 1970, fetus shoved through her uterus into her pelvic cavity then left there
• "Kimberly" Roe, December, 1970, cardiac arrest during abortion
• "Amy" Roe, January, 1971, massive pulmonary embolism
• "Andrea" Roe, January, 1971, overwhelming infection
• "Sandra" Roe, April, 1971, committed suicide due to post-abortion remorse
• "Anita" Roe, May, 1971, bled to death in her home during process of outpatient saline abortion
• Margaret Smith, June 1971, hemorrhage from multiple lacerations during outpatient hysterotomy abortion
• "Annie" Roe, June, 1971, cardiac arrest during anesthesia
• "Audrey" Roe, July, 1971, cardiac arrest during abortion
• "Vicki" Roe, August, 1971, post-abortion infection
• "April" Roe, August, 1971, death after saline abortion
• "Barbara" Roe, September, 1971, cardiac arrest after saline injection for abortion
• "Tammy" Roe, October, 1971, massive post-abortion infection
• Carole Schaner, October, 1971, hemorrhage from multiple lacerations during outpatient hysterotomy abortion
• "Roseann" Roe, February, 1971, vomiting with seizures causing pneumonia after saline abortion
• "Connie" Roe, March, 1972, cardiac arrest during abortion
• "Julie" Roe, April, 1972, holes torn in her uterus and bowel
• "Roxanne," May, 1972, convulsions and death at start of abortion
• "Robin" Roe, May, 1972, lingering abortion complications
• Pamela Modugno, May, 1972, air in her bloodstream

Sources: 

• "Maternal Mortality Associated With Legal Abortion in New York State: July 1, 1970 - June 30, 1972," Berger, Tietze, Pakter, Katz, Obstetrics and Gynecology, 43:3, March 1974, 321
• Wagatsuma, "Intraamniotic Injection of Saline for Therapeutic Abortion," Am. Journ. Ob Gyn 11/1/65
• Manabe, "Danger of Hypertonic Saline Induced Abortion," JAMA 12/15/69
• Cameron, "Association of Brain Damage with Therapeutic Abortion Induced by Amniotic Fluid Replacement: Report of Two Cases," British Medical Journal, 4/23/66