The care of pregnant women in Catholic hospitals

Fr. Tadeusz Pacholczyk

At the beginning of December, the American Civil Liberties Union filed a sweeping federal lawsuit against the U.S. Conference of Catholic Bishops over its Ethical and Religious Directives for Catholic hospitals, alleging that the directives, with their prohibition against direct abortion, resulted in negligent care of a pregnant woman named Tamesha Means. Ms. Means’ water broke at 18 weeks, leading to infection of the amniotic membranes, followed by spontaneous labor and delivery of her child. The child lived only a few hours.

During the course of these events, Ms. Means went to a Catholic hospital in Michigan several times, and, according to the lawsuit, was sent home even as contractions were starting. The lawsuit not only suggests that she should have been given a drug to induce labor early on but claims this wasn’t possible precisely because the hospital was Catholic and bound by the directives. It further asserts that Catholic hospitals are not able to terminate a woman’s pregnancy by inducing premature labor “even if necessary for her health,” because to do so would be “prohibited” by the directives.

In point of fact, however, the directives would not prevent the early induction of labor for these cases. Not infrequently, labor is induced in Catholic hospitals in complete conformity with the directives. Directive No. 47 (never mentioned in the lawsuit) is very clear: “Operations, treatments, and medications that have as their direct purpose the cure of a proportionately serious pathological condition of a pregnant woman are permitted when they cannot be safely postponed until the unborn child is viable, even if they will result in the death of the unborn child.”

Deciding about whether to induce labor involves the recognition that there are two patients involved, the mother and her in utero child, and that the interests of the two can sometimes be in conflict. In certain situation—for example, when the child is very close to the point of viability and the pregnancy is at risk—it may be recommended to delay early induction of labor in the hope that the child can grow further and the pregnancy can be safely shuttled to a point beyond viability, allowing both mother and child to be saved. Sometimes expectant management of this kind is not possible. Each case will require its own assessment of the risks, benefits, and likely outcomes before deciding whether it would be appropriate to induce labor.

When a woman’s water breaks many weeks prior to viability and infection arises, long term expectant management of a pregnancy is often not possible. In such cases, induction of labor becomes medically indicated in order to expel the infected membranes, and prevent the infection from spreading and causing maternal death. Early induction in these cases is carried out with the foreseen but unintended consequence that the child will die following delivery, due to his or her extreme prematurity.
Such early induction of labor would be allowable because the act itself, that is, the action of inducing labor, is a good act (expelling the infected amniotic membranes), and is not directed towards harming the body-person of the child, as it would be in the case of a direct abortion, when the child is targeted for saline injection or dismemberment. The medical intervention, in other words, is directed toward the body-person of the mother, using a drug to induce contractions in her uterus. One reluctantly tolerates the unintended loss of life that occurs secondary to the primary action of treating her life-threatening infection.

On the other hand, direct killing of a human being through abortion, even if it were to provide benefit for the mother, cannot be construed as valid health care, but rather as a betrayal of the healing purposes of medicine at its most fundamental level. Such an action invariably fails to respect both the human dignity of the unborn patient and his or her human rights. It also gravely violates a mother’s innate desire and duty to protect her unborn baby. If she finds herself in the unfortunate situation of having a severe uterine infection during pregnancy, she, too, would appreciate the physician’s efforts to treat her without desiring to kill her child, even if the child may end up dying as an unintended consequence of treating the pathology.

The application of Catholic moral teaching to this issue is therefore directed toward two important and specific ends: first, the complete avoidance of directly killing the child, and, second, the preservation of the lives of both mother and child to the extent possible under the circumstances.

Based upon these ends, the Ethical and Religious Directives of the U.S. Conference of Catholic Bishops provide important ethical parameters for framing the appropriate treatment of both mother and unborn child in high-risk pregnancies, while simultaneously safeguarding the fundamental integrity of medical practice in these complex obstetrical situations.

COMING UP: Vietnamese parish community raises $80,000 for storm relief

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About 800 Vietnamese refugees, immigrants and their relatives gathered on Veterans Day at Queen of Vietnamese Martyrs Catholic Parish event center in Wheat Ridge, raising more than $80,000 for survivors of recent storms in Texas, Florida and central Vietnam.

“We dedicate this event to God, and to Mary,” said co-organizer Viet Hua. “We’ve been praying and asking for help, in God’s way, to glorify him in our effort to help those who suffer.”

It was an evening of food, music, dance and auction goods that sold for thousands more than market value in the spirit of exceeding an ambitious $75,000, one-night fundraising goal. Half the money will go to Gulf Coast recovery, and half will go to Vietnam.

Hua, a member of the parish’s Knights of Columbus chapter, said at least 100 men, women and children volunteered to organize and operate the event.

Denver-area businesses with Catholic and Vietnamese owners, managers and employees minimized overhead with donations of food, beverages, services and auction items.

It touches my heart now to help others – from a place where I can exercise my faith, where I can succeed, and where I can gather with community.”

“This is faith, fellowship and compassion at its finest hour,” said Sang Truong, marketing director of Denver’s Beverage World Specialties, which donated cases of Chilean Paso del Sol wine.

Two major hurricanes wreaked havoc along the Gulf of Mexico this year. As of Veterans Day, 12 tropical storms and typhoons had devastated parts of Vietnam.

Typhoon Damrey struck central Vietnam November 4, destroying nearly 3,500 homes, flooding 138,000 homes, killing 123 people and leaving 395,000 Vietnamese in need of assistance.

The scene is painfully familiar to most who head the 1,800 families that comprise Queen of Vietnamese Martyrs. They endured killer typhoons in the 1960s and ’70s, as communists invaded.

“Communists took over in 1975, and these people came here because they love freedom and they want to practice their faith,” said Pastor Louis Ha Pham, who escaped Vietnam in 1975 with 350 other members of the Congregation of the Mother Co-redemptrix religious community. “They want to use their freedom and faith to help others who suffer and lack the advantages of everything we have here.”

Co-organizer Hua barely survived a typhoon that slammed into his South Vietnamese village when he was a young child in the 1960s.

As water filled the family’s bamboo hut, Hua escaped with his mother and siblings to a neighboring residence. Water soon rushed into that hut, forcing Hua and other occupants to punch through the roof.

“We’re yelling for our lives in the middle of the night,” Hua recalled.

South Vietnamese soldiers pulled them from the water and onto a boat, but the suffering had only begun when Hua and his family reached dry ground in the mountains.

“You have no clothes, no food, and no fresh water. You have nothing,” Hua said. “So it touches my heart now to help others – from a place where I can exercise my faith, where I can succeed, and where I can gather with community.”

Hua escaped Vietnam by himself as a sophomore in high school in 1975. Communists had killed his father. They had threatened him and his family with machine guns.

“I remember they had us lined up, and my grandfather stood there telling them to shoot him,” Hua said. “He lifted up his dirty white t-shirt and said ‘shoot me. Just do it.’ I’m glad they didn’t, because that would have really messed me up as a child.”

Hua built his American life around Our Lady of Vietnamese Martyrs, thanking God each day for liberties the communists took from his homeland.

“I thank God, and I thank Americans for the opportunity to be here with resources to help people back home,” Hua said. “We thank you Americans so much for helping the Vietnamese to migrate here and live free.”

Que Truong, lead organizer of the event, said all Hurricane recovery is hard. It is worse in a dictatorship.

Items were auctioned off as part of a fundraiser held at Queen of Vietnamese Martyrs Parish on Veteran’s Day to help raise money to provide aid to Vietnam, Florida and Texas, which were all recently hit by storms. In total, the parish raised over $80,000 in one evening. (Photos by Dede Laugesen)

“It is terrible over there,” Truong said. “In south Vietnam, we are not free to do anything. There, most people are poor. It’s a different story here, so we are very eager to help.”

Joining the Catholic parishioners were Vietnamese dancers and others from Denver’s Nhu Lia Buddhist Temple. Vietnamese from a Baptist church also participated.

“This is the first time we have all sat down and had dinner together,” said parish Vice President Hung Vu. “Refugees of any religion know how it is to have nothing – to have empty hands and empty stomachs.”

Vu’s father starved to death after a typhoon devastated the family’s village in 1978. Communists ruled the family’s church. Everyone in Vu’s life suffered deprivation of basic needs.

At age 8, Vu fled while working on a fishing boat.

“The boat next to ours planned to escape,” Vu recounted. “They waved me over. In an instant, without a moment to think about it, I jumped out and swam to their boat. They pulled me up and we started sailing out of the China Sea.”

The narrow, 35-foot vessel contained 97 “boat people” crammed together in fetal position. They quickly ran out of food and water, finally obtaining supplies from a passing ship.

“We wanted freedom of religion, and opportunity, and were willing to die trying to get it,” Vu said. “We have suffered. Now, we are so blessed to be here in the United States with all we have. We are so thankful for the veterans who have defended this way of life. This church is my family, and this family is blessed to help those trying to recover in Texas, Florida and Vietnam.”