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A Friend Stopped By | 07/13/2009 12:00 am

How My Decision About a Late-Term Abortion Affected My Marriage, by Alice Eve Cohen

The author of the searing new memoir What I Thought I Knew speaks about the most important decision she ever made.
By Alice Eve Cohen
Alice Eve Cohen

Janet Charles Photography

Editor’s Note: Alice Eve Cohen is the author of What I Thought I Knew, just published by Viking. A solo theater artist and playwright, she is the recipient of a grant from the National Endowment for the Arts, and is a teacher at the New School in New York City.

Ten years ago, Michael and I had an emotional turning point that nearly jeopardized our marriage. I was 44, he was 34, and we were engaged. I was facing the terrifying possibility of a late-term abortion, with one week to decide.

When I was 30, I was diagnosed as infertile. My doctor told me that I could never get pregnant naturally, and strongly cautioned me not to attempt pregnancy with fertility treatment, as I would never be able to carry a baby past six months. So at age 44, when I started to feel sick, my various doctors attributed my ailments to early menopause and other conditions related to aging. Six months, numerous X-rays, CAT scans, prescription hormones and a slew of doctors later, I was raced to an emergency CAT scan for a large abdominal tumor — which turned out not to be a tumor at all. I was six months pregnant.

I desperately didn't want to have this baby, and I hated myself for not wanting it.

I’d had no prenatal care, the fetus had been subjected to six months of tests and treatments, which were known to cause birth defects and other injuries, and I had every reason to believe that the baby would suffer further debilitating injury from premature birth. I wanted to terminate the pregnancy, but at 24 weeks, said my doctor, it was too late for an abortion in New York State.

I desperately didn’t want to have this baby, and I hated myself for not wanting it. I had been unhappy before, but I had never thought about killing myself. Now I began to think of suicide as my way out: the only way to end the pregnancy, and the best solution to protect the unborn baby from a life of pain.

Michael came with me to see an abortion specialist. "Since you’re contemplating suicide, you could have an abortion in Kansas, where, if the mother’s life is in danger, an abortion is legal up until the 28th week," he told us. "Seven days from today." At my request, he scheduled an abortion in Wichita for the following Tuesday. "Think about it for the next few days before you decide," he said. Then he turned to Michael. "What do you think about all this?"

"Me? Oh, Jesus … a lot of different things," Michael answered. "I’ve seen Alice in the throes of this terrible unhappiness, and I don’t recognize her. I’ve been politically in favor of choice, but uncommitted on the personal side — it’s been an abstraction. But now that this is suddenly so real, all I can think is that there’s a baby. Our baby. My baby. And I can’t stand the thought of this baby being aborted. So If Alice has an abortion, I won’t go to Wichita with her. And I might not be here when she gets back. I’ll have my own unbearable sorrow about losing this baby, about endorsing this decision. But I don’t want Alice to kill herself. So she should do what she needs to do."

I spent the week wrestling with this impossible decision. On the day before I was scheduled to fly to Wichita, Michael begged me not to have the abortion. "I’ve already decided to have the baby," I said. Michael thanked me and burst into tears.

For the past ten years, this turning point moment in our relationship — Michael acknowledging my right to choose, but telling me he might leave me if I had the abortion — has remained a largely unspoken but crucial shared memory, equal parts rift and bridge between us.

367 Reader Comments (so far…) Sign In or Register to comment

krista griffin
Unfortunately, the reason it’s so invasive has nothing to do with men vs women other than biology. If our parts were outside it’d be easy for us too. I’m not sure how old you are, but if you truly want this procedure done, you can be psychologically evaluated(counseling is really all you need) and if you can get the doc to sign off on it, you can get it done. You mentioned medical complications. If you have medical complications that won’t even allow you to have a tubal ligation, there’s no way you should be having children (I know you already said you didn’t want them) my point is, you should be allowed to have some sort of procedure to prevent it from happening, because if a tubal ligation is dangerous for you, becoming pregnant will be worse. Believe me I know, I’m 8 mos pregnant right now and it reeks havoc on your body. Don’t get me wrong though, I love every second of it. I’ve never wanted to be anything more than a mother. I can’t say I understand your line of thinking as far as not wanting to have children, because I’m so different, however, I can respect a person who knows they don’t want to be a mom, or doesn’t think they’d be good at it and tries to prevent it from happening. Key word: prevent. I’m personally against abortion, but I’ll stand up for women to choose to have medical procedures to prevent pregnancy. If it wasn’t such an ordeal, we’d have no reason for abortions and we could eliminate alot of grief in this country. That’s my idealistic view of it hahahaha.
By krista griffin on 07/17/2009 1:43 pm
Amanda C

thank you krista. and yes, i asked the same thing of my doctor: i can’t undergo surgery, how in the hell are you suggesting that i could ever carry and birth a child?

i know i’d be an excellent mother - i am very fair and i love kids and find them to be great company. but i simply don’t feel the need, nor the desire, to spend my time and money on someone else. i may be selfish, but hey, at least i dont have kids! ;)

By Amanda C on 07/17/2009 2:41 pm
krista griffin
hahahaha thats more than alot of people can say that’s for sure.
By krista griffin on 07/17/2009 2:55 pm
aud b
I refuse to have kids because I know I don’t like Kids.  I am honest with myself.   My grandmother and mother before me lack the maternal instinct.   I know this.  But I am the only one who admits it.  I am a person who uses humor during difficult conversations.. so please imagine a stand up comedianne when I say this… "the reighn of terror ends with me."   I would never do that to an innocent being.   you can say I am TOO protective of children to have children.  Way too much mental illness and addiction in my family.  Out of 4 children I am the ONLY one who is a productive member of society.  All the others are in jail or addicts milking the system.
By aud b on 07/17/2009 10:33 pm
Amanda C

isn’t it sad that sometimes, the people who think the longest and hardest about having kids, who make a conscious decision not to have them, are the ones without kids?

they take a long, hard look at themselves and are aware of their situations… responsible adults. :(  the un-responsible ones usually find themselves pregnant and just go ahead and have the baby without really thinking about it.

By Amanda C on 07/18/2009 12:14 pm
Messy ONE

I had a massive fight with a doctor over having a hysterectomy a couple of years ago. It turns out that being on the Pill for so long actually saved me a lot of trouble. My family is prone to fibroids (which is why most only have one or two kids), and the instant I had finished menopause - which didn’t give me any symptoms because I was on the Pill - that fibroid gene kicked in and I was in big trouble. Because I had early menopause (done by age 38), the doctor I had at the time flatly refused to do a hysterectomy unless I took massive doses of hormones and had a baby first. 

I fired him. I still can’t believe I had the guts to do that. I looked him in the eye and said out loud, "You’re fired", and walked out refusing to pay the co-pay. He never asked for it, either.

By the time I found a doc that was willing to take me seriously, I was thoroughly miserable and quite ill. She did the surgery, and I’ve been fine and better than fine ever since. 

I have always felt that denying women (and men, let’s be fair, they run into this, too.) sterilization surgery is ridiculous. Do the doctors that refuse think we’re stupid? I had my surgery at the age of 43. If I’d been planning to have kids, they would have been in college by then.  I’ve never wanted kids, either - and I used to be a teacher. If I HAD gotten pregnant by accident, I would have had an abortion in a cold minute. 

I think that we have to be educated patients. So many people take what doctors say as Gospel and are afraid to ask questions, and we have to learn that questions are not a bad thing. We also have to remember that doctors are service providers. If your plumber creeped you out or tried to sell you on something you didn’t want, would you fire him? You can fire your doctor, too! 

By Messy ONE on 07/19/2009 10:36 am
Amanda C
of course, messy. i simply hope that you will remember that not all women have simple medical histories that opens them up for every option.
By Amanda C on 07/19/2009 3:51 pm
aud b
My MD was great.  I told him… "I am 32. I was married for 7 years.  I left because he gave me a choice of having children or leave.  I left.  I love my career; it’s my life.  Children are not in my future."   Right after I said that, he gave me the essure pamphlet and I had the procedure scheduled 5 minutes later.  BEST decision I ever made in my life… well, 2nd best … 1st was getting a divorce.  I am still amazed how passionate he is about women’s health and reproductive rights.  I could feel his irritation when we were discussing other MDs who refused to help me become sterilized.
By aud b on 07/18/2009 2:38 pm
Ruby Stewart
I have to agree with you there. It is sad that most doctors won’t perform a tubal ligation unless the woman has had at least two children. In California, a woman has to be at least 27 AND a mother of two before a doctor will even consider tubal ligation. I have a cousin who actually had to get written permission from her children’s father before she could get her tubes tied because she was under 27 and didn’t want any more kids after her second was born.
By Ruby Stewart on 07/17/2009 6:07 pm
Amanda C

thank you ruby, for stating this.

women who have never wanted to get themselves "fixed" have no idea how hard it is for childfree women to have a doctor take them seriously.

i was told by one honest doctor that he simply didn’t want to take the risk of the woman changing her mind later in life and going after him with a lawsuit. i understand his worry! but i said most women who didnt want kids would be more than willing to sign a document stating she never wanted to reproduce, and wouldn’t go after the doctor in court.

written PERMISSION from her husband? what the hell?  do doctors get permission slips from baby daddies when their girlfriends come in pregnant? 

wow…. i guess in california they should call husbands "handlers".

By Amanda C on 07/18/2009 12:18 pm
aud b
wow…. i mean wow…. apparently in 2009 we are still considered property…… amazing….
By aud b on 07/18/2009 2:31 pm
Amanda C

i wonder if any doctors make men who want a vasectomy to bring in a permission slip from their counterparts.

By Amanda C on 07/20/2009 2:45 pm
aud b
LOL.. yeah right.. they probably throw parties in the office instead.
By aud b on 07/24/2009 9:00 am
DJ Dirr
There is- some doctors are have started doing stirlization (not sure I spelled it right) I read about it some where I wish I remember where and I talked to my familly Dr about though she is not preforming the service she did recomoned someone who did. I’ve talled with a few woman who have chosen this path because of the times and loss of jobs they either cant afford the birth control or want to make sure that there are no slip ups with unplanned babies. I know this is something I am considering doing. I am in my mid thirities with two children who have disabilities now that I am getting divorced taking the chance at having another child now is not good. This was something my boyfriend and I BOTH discussed but he feels that the final discission is mine because it is my body.
By DJ Dirr on 07/27/2009 11:55 am
clare Bowles
the man isn’t controlling he woman’s body…he is trying to save his child from a tortuouse death.
By clare Bowles on 07/24/2009 12:59 am