About a month ago, I wrote here about my struggle to decide what to do after I found out that my pregnancy wasn't going to be viable. This morning, I went on New Hampshire Public Radio's Word of Mouth to talk about that decision, miscarriage in general, and some of the ways that this issue connects to larger discussions in the public realm.
Word of Mouth doesn't have embedding available, but you can go to their website and listen to the full interview. One of the key things that I got to talk about today that I didn't mention in my previous post is the way that anti-abortion laws have huge (presumably unintended) consequences for women who miscarry. Case in point: Fetal personhood. If you give a fetus all the rights of a living human from the moment of conception, how do you deal with the fact that some 50% of conceptions end in miscarriage? Today, if a living human being dies and we don't know why, there's an investigation into the nature of their death, to make sure it wasn't caused by foul play. Under some of these proposed laws, women like me would have to spend the incredibly painful weeks after a miscarriage attempting to prove that we didn't cause it. That gets doubly difficult when you consider the fact that, quite often, nobody knows why a specific woman miscarried. Around 50% of miscarriages are caused by random chromosomal mutations. But we have no idea why that happens (or why it happens to some women multiple times), and that also leaves a big, hard-to-diagnose group of women who would have no way of proving that they didn't cause their miscarriage.
In fact, being able to choose to have an abortion—to get a D&C procedure instead of waiting for the miscarriage to happen naturally—was actually what enabled me to know what caused my miscarriage. Having a D&C makes it easier for doctors to collect enough fetal tissue that they can run a genetic analysis on it. Last week, I got back the results of the chromosomal analysis performed on my fetus. Turns out, he had a mutation, Trisomy 16, that was completely incompatible with life. That trisomy is the most common genetic cause of miscarriage. It's also completely random. Basically, my miscarriage was bad luck. Knowing that makes me feel so much better. It's almost hard to describe the relief. And I owe that to an abortion.
Maggie Koerth-Baker is the science editor at BoingBoing.net. She writes a monthly column for The New York Times Magazine and is the author of Before the Lights Go Out, a book about electricity, infrastructure, and the future of energy. You can find Maggie on Twitter and Facebook.