The Social Construction of Selective Abortion

Many American women terminate their pregnancies when they discover their child will have Down syndrome. Is that so different from mothers in other parts of the world who abort unwanted girls?

becker_abortion_post.jpg
A sign outside a clinic in Madhya Pradesh, India, reminds clients that it is illegal to reveal the gender of unborn fetuses. The country banned the practice in 1994 in an attempt to stem the tide of sex-selective abortions. (Mustafa Quraishi/AP Images)

In her Pulitzer-Prize nominated book Unnatural Selection: Choosing Boys Over Girls and the Consequences of a World Full of Men, journalist Mara Hvistendahl takes a close look at the distorted sex ratios among the populations of China and India. Hvistendahl writes, "sex selection has resulted in an imbalance of over 100 million more men than womenworldwide." Inexpensive ultrasound technology has enabled this imbalance as couples can now learn whether they are having boys or girls and respond with "selective abortions" if having a girl seems undesirable.

Social conditions and systemic bias against women contribute to the millions of couples worldwide who choose against giving birth to a girl. As the Economist explained a few years back, "Perhaps hard physical labour is still needed for the family to make its living. Perhaps only sons may inherit land. Perhaps a daughter is deemed to join another family on marriage and you want someone to care for you when you are old. Perhaps she needs a dowry." Social conditions, economic reality, even the prospect of being able to provide adequate long-term care—all of these factors contribute to the decision to abort girls.

In the West we decry these practices as gendercide, but the United States practices its own form of selective abortion when it comes to fetuses diagnosed in utero with Down syndrome and other chromosomal conditions. Definitive numbers related to pregnancies terminated as a result of a prenatal diagnosis of Down syndrome are hard to come by. Older studies suggest that up to 90 percent of all pregnant women with a definitive prenatal diagnosis chose abortion. As Jamie Natali, et. al. demonstrated in the Journal of Prenatal Diagnosis, more recent studies put the number closer to 70 percent. Either way, women who learn through prenatal testing that their fetuses have Down syndrome often decide to abort, and their reasons aren't that different from the reasons women across the globe choose (or are forced) to abort girls. In India, daughters grow up with social stigma, a lack of educational opportunities and the prospect of becoming a burden to their parents. Substitute the words "America" and "children with Down syndrome" for "India" and "daughters," and you get the picture.

Down syndrome occurs upon conception when an embryo receives three copies of chromosome 21 instead of the typical pair. This additional chromosome can lead to physical differences such as shortened stature, an extra fold of skin around the eyes, small facial features, and pronated feet. It can also lead to medical concerns that vary from person to person but include heart defects, hearing deficits, and a heightened risk of childhood leukemia, hyperthyroidism, and celiac disease. Down syndrome also usually involves some unpredictable degree of intellectual disability, so many individuals with Down syndrome have greater challenges to overcome when learning or when trying to live independently as adults.

Presented by

How to Cook Spaghetti Squash (and Why)

Cooking for yourself is one of the surest ways to eat well. Bestselling author Mark Bittman teaches James Hamblin the recipe that everyone is Googling.

Join the Discussion

After you comment, click Post. If you’re not already logged in you will be asked to log in or register.

blog comments powered by Disqus

Video

How to Cook Spaghetti Squash (and Why)

Cooking for yourself is one of the surest ways to eat well.

Video

Before Tinder, a Tree

Looking for your soulmate? Write a letter to the "Bridegroom's Oak" in Germany.

Video

The Health Benefits of Going Outside

People spend too much time indoors. One solution: ecotherapy.

Video

Where High Tech Meets the 1950s

Why did Green Bank, West Virginia, ban wireless signals? For science.

Video

Yes, Quidditch Is Real

How J.K. Rowling's magical sport spread from Hogwarts to college campuses

Video

Would You Live in a Treehouse?

A treehouse can be an ideal office space, vacation rental, and way of reconnecting with your youth.

More in The Sexes

Just In