The legislation states that it would still allow insurance companies to cover certain exempted procedures, including: “A procedure for an ectopic pregnancy, that is intended to reimplant the fertilized ovum into the pregnant woman’s uterus."
“I don’t know of any way that we can technologically, surgically put that embryo through the trauma (of reimplantation),” Cvetkovich said.
The doctor said the procedure has reportedly been tried three times, but it has not worked, and there is no approved, standard medical procedure for reimplantation that has undergone the appropriate steps to ensure it is safe and effective.
Journals reporting on two such cases are posted on John Becker’s Facebook page. One case occurred in 1915, before ultrasounds were invented, and another in 1980.
Cvetkovich said of the 1915 case that not enough documentation of the procedure exists to confirm its scientific validity, and that the 1980 case was found to have used falsified research.
The reason reimplantations have yet been impossible for doctors, Cvetkovich said, is that once an embryo implants into either the uterine or the tubal lining, it begins creating microscopic blood vessel connections with the mother.
“It’s like a microscopic heart-lung machine, and you can’t just disrupt that and redo it,” she said.
In rare cases, ectopic pregnancies have reimplanted themselves in the liver or bowel, causing an abdominal pregnancy, but there has not been a successful surgical reimplantation in a uterus, Cvetkovich noted.
Dr. Donna Harrison is an OB-GYN with the American Association of Pro-Life OB-GYNs (AAPLOG).
Harrison told CNA that AAPLOG would support an ectopic transfer procedure if it “were scientifically validated through the usual channels of animal studies to prove safety and efficacy, and then human trials to prove safety and efficacy. If such a procedure followed that protocol, and if such a procedure were then validated to be safe and effective in a human being, AAPLOG would support that,” she said.
“We would love to be able to save the baby if we could,” she said.
But to date, an ectopic pregnancy transfer procedure does not yet exist that has gone through the required safety and efficacy procedures to Harrison’s knowledge, she said.
(Story cotinues below)
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However, she added, Dr. Stephen Sammut at the Franciscan University of Steubenville, Ohio is currently investigating such a transfer in animal models.
“So there is research being conducted in animal models right now, but it is very preliminary right now and there are no conclusions of that research yet,” she said. “And as far as I know that is the only research being conducted so far in the animal model.”
Because ectopic pregnancies can pose a serious threat to the life of a mother, pro-life doctors can morally perform a procedure in which they remove the fallopian tube or other organ where an ectopic pregnancy has implanted, Cvetkovich said.
This allows doctors to remove a malfunctioning organ of the mother in order to save her life, which has the secondary but unintended effect of terminating the pregnancy, she added.
“It’s what we call the principle of double effect,” she said. “You can go in to do the procedure that will save the mother’s life. Your intent is not to destroy that pregnancy, your intent is to keep her healthy. In the process of doing that, you accept but do not want that there’s a fetal demise. So that’s how we would handle this rare, rare situation where you would have...a viable fetus with a heartbeat in the tube.”
This kind of procedure is permitted by the Catholic Church, she said, which states that abortion is never permissible, though a procedure to save a woman’s life that has the unintended effect of an unborn baby’s death is morally permissible.