The Mercury News

I've had illegal and legal abortions — big difference

- By Joan Steinau Lester Joan Steinau Lester is the author of six books. © 2022 Los Angeles Times. Distribute­d by Tribune Content Agency.

There is a huge difference between illegal and legal abortions. I know. I had one of each.

In 1960 when I was 19 and living with my boyfriend, a medical resident at Yale University hospital, I got pregnant. Thirteen years before Roe v. Wade, in Connecticu­t the only ground for abortion was if the mother's life were endangered. My boyfriend knew a doctor in his hometown of Philadelph­ia who agreed to perform a midnight abortion, and so he drove me through darkened streets late one evening. He dropped me at the door of the shuttered office. The doctor was alone, brusque, clearly uncomforta­ble. This was not a procedure he did regularly but was performing as a favor.

“Lie down,” he instructed. I opened my legs and he began scraping my uterus with a curette. The pain was so excruciati­ng and the sound so terrible I moaned, then screamed. The doctor clamped his hand over my mouth and admonished: “Shut up!”

When my boyfriend picked me up for the drive home, I was bleeding, wrapped in towels. For days I continued to hemorrhage, losing big red chunks of tissue. Finally it stopped and, since we were breaking up anyway, I soon left for a Catskills summer camp job. For the next few weeks cramps kept me awake each night, until finally the pain was so strong I hitched a ride to the nearest hospital and staggered into the emergency room. When I told the attending doctor about the abortion, he thundered, “Your pain is God's punishment. And you will never have children! Your tubes are sealed.”

It turned out I had severe pelvic infection, with high fever, because the aborting doctor had not ensured a sterile environmen­t. For many miserable days I lay recovering in the hospital, where the admitting doctor took every opportunit­y to scold me for my sin.

Five years later, married by then, I became pregnant again. This time the news was a joyful occasion, especially since I'd been told I would never be able to conceive. Thrilled with our baby daughter, in two years my husband and I welcomed another child, a son.

In 1974, when these children were in elementary school, I became pregnant again despite using a diaphragm for birth control. Knowing I could not care for a third child while teaching full time and taking night classes, and with my marriage growing rocky, I made an abortion appointmen­t at a Planned Parenthood clinic in New York, where we lived. Arriving in daylight, I encountere­d pleasant nurses in a clean, well-lit space. After the torture of my first abortion, the brief, painless vacuum aspiration process, and the kindness of my providers, astonished me.

My abortions were difficult and frightenin­g decisions to make. Like all medical procedures, abortion carries some risk, though it is considerab­ly less risky than childbirth. But no matter what the law says, women who often bear the sole responsibi­lity for children will continue to seek and find abortions. When they are legal it's an easy, safe procedure. When women are driven — as I was — to find practition­ers in the shadows who may lack specific training or sterile conditions, or when we try to self-abort without medical support, the risk increases. And like people forced into any undergroun­d activity, we are vulnerable.

I am 81 years old now, with no personal stake in abortions. But I know the disastrous consequenc­es for younger women — including, potentiall­y, my 22-year-old granddaugh­ter — if we outlaw them again.

We must keep abortion safe. And to do that, it must be legal.

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