Savita Halappanavar was a 31 year old woman who was 17 weeks pregnant when she presented at the University Hospital, Galway, on 21 October, 2012, with a miscarriage. She spontaneously delivered a stillborn daughter, Prasa, on the afternoon of 24 October, and died from sepsis early on 28 October. The circumstances of her death generated a hurricane of controversy in Ireland and around the world about Irish abortion law. A coroner’s inquest held in Galway in April, 2013 resulted in the classification of Savita’s death as a “medical misadventure.”
What follows is a chronological account of Savita’s care and treatment from 21 to 28 October, drawn from newspaper reports of the evidence taken at the inquest. [Read more . . .]
The Irish parliament will begin hearings in January on legalization of abortion, and the Irish government promises to have a bill before the Dáil Éireann by Easter. The new law will permit abortion in order to save the life of a mother, including those who threaten to commit suicide if they are denied the procedure [Global News]. In response to the announcement, and reports that Prime Minister Enda Kenny might force objecting members of his party to vote for the bill, Ireland’s four Catholic archbishops have protested the proposed changes, and insisted that the government must respect lawmakers’ freedom of conscience.
. . .on a decision of such fundamental moral importance every public representative is entitled to complete respect for the freedom of conscience. No one has the right to force or coerce someone to act against their conscience. Respect for this right is the very foundation of a free, civilised and democratic society. [Zenit]
The new legislation is meant to clarify Ireland’s stance on abortion when the mother’s health is at risk, but antiabortion groups say it goes too far, and abortion-rights groups not far enough.
Ireland took a step today toward loosening its strict antiabortion regime, as the government announced legislation to legalize abortion in limited circumstances. But a battle lies ahead, as both abortion-rights and antiabortion groups appear dissatisfied with the government’s new prescription. . . [Christian Science Monitor]
According to a BBC report, a survey conducted following the death of Savita Halappanavar in an Irish hospital found 80% of Irish respondents in favour of legalization of abortion to save the life of a mother, including situations in which the mother threatens to commit suicide if an abortion is not provided. In a radio interview, Reporter Kitty Holland, who broke the story, was questioned about why her original article in the Irish Times failed to include an admission made in a later Observer article: that there was no evidence that Halappanavar dies because she was denied an abortion.
Marc Coleman (MC): On the 17th of November, in The Observer, you wrote that there was no evidence, as of yet, that, eh, that Savita had died for want of a termination. Can I ask you why that sentence, that very important sentence. .
Kitty Holland (KH): Hmm.
MC: . . was in your Observer article on the Saturday but not in the original article that you wrote on the 14th of November for the Irish Times?
KH: Well, I suppose throughout the um, the art, the original article, em, I mean it was, it was quoting the concerns of the, husband, Praveen, and, uh, at no point, uh, I mean, there was, uh, it, you know it was hinted at in the headline which obviously I didn’t write, those quotes. .
MC: … Mm hm.
KH: . . you know, refused a termination was in quotes. Ahm, ah, but it, you know, I was reporting the concerns of, the husband and, and what he said he was concerned about and what he said happened in the hospital, whereas my piece in The Observer was a more kind of, background piece from my point of view, so it was obviously important for me to say, quite explicitly, that, you know, and it, there was, it has not been established that . .
MC: . . Sure, sure.
KH: .. that there was a lack of access to a termination.
MC: . . But can you see, I suppose, can you see from the point of view of a lot of people that the contrast between what you wrote in The Observer and the headline on the original story,
KH: .. Mm.
MC: . .and I take your point that you did not write that headline. But it did travel around the world very quickly . .
KH: Yeah.
MC: .. that, the assumption that this woman had died, precisely because of a lack of termination.
KH: Well, I mean, they were, they were what, what I wrote was, was, were the concerns of the husband, and, um, I suppose what readers took, decided to infer from that is, ah, what the concerns were of the husband and what he stated happened, from his recollection of events, em, in the hospital.
MC:.. Mm hm.
KH: Em, whereas I said, the piece in The Observer was, ah, you know, a piece by me about the background. And, ahm, I mean, I suppose, the fact that ah, a healthy, well, as far as we know healthy thirty one year old, ah, woman who was 17 weeks pregnant entered a, hospital in 21st century Ireland and died, was dead a week later
MC:.. Hm.
KH: .. is a, tragic story anyway.
MC:.. Yeah.
KH: Ahm, I would have been a big story anyway. A maternal death is very rare. And, and, but it’s, it’s the husband’s, ehm, recollection or take on
MC: Hm.
KH: .. the events, and his concerns that he was, wanted to talk about
MC:.. Sure.
KH: You know, I, that, that, that took it off around the world.
MC:..Okay. And can we just, in fact, point on one fact of confusion between the Irish Times and RTE. Because on RTE’s website there’s a timeline, ah, attributed to the hospital itself. .
KH: Mm hm.
MC:.. Which states that, and, and it is the only date the timeline gives, the timeline gives for which Savita was given antibiotics, and it states that she was given antibiotics on a Monday. However, ah, in your original article, it, it clearly says that she was given antibiotics on a Tuesday. But then in the interview you did with Praveen H. which was up on the Irish Times website, he says in the first four minutes of that interview that the antibiotics were administered on a Sunday. Eh, for those of us who are very confused by all of this, do you think you could help to reconcile those three different versions of events?
KH: Ehm, well I mean the, the the HSE timeline is the HSE’s timeline, ahm, which, ah, um, was Monday. Ahm, he said, said to me that it definitely was on a Tuesday and as I, as I recall, during that interview, ahm, that, in the original interview I did with him when he was in India he said he’s had to choose days.
MC: .. Right
KH: That she was started on antibiotics when she collapsed. Ehm, when he says she collapsed. .
MC:.. Which was on a Tuesday, originally.
KH: On a Tuesday evening and she was getting very ill.
MC: .. Fine.
KH: Um, now, he did, he said to me in the interview when I spoke to him back in Galway that there was then, ah, was this the recorded one?
MC: .. This is the recorded one on the Irish Times website
KH: .. that was just audio or was. . (talked over)
MC: . . where he clearly says it was a Tuesday, ah, sorry, Sunday. He says that the, on this interview he says, “The antibiotics were administered on a Sunday.”
KH: And was that the audio, or was
MC:.. It was the audio.
KH: . . it the video? Okay. There were two. Eh, ehm, the audio, ehm, I mean the, all one, one can surmise is that his, his recollection of events is, is, you know, that, that the actual timeline, ehm, and days that may, may be, a little muddled. I. .
MC:.. Okay.
KH: Just. Ahm, I mean he said to me at one point that she was given paracetimol and not antibiotics, at one point in interview as well, not given antibiotics at any point, so, I mean, but one assumes she was given antibiotics.
MC:..Right.
KH: When she was that ill.
MC: .. And I suppose this leads to the, to the final question, in that, eh, what, to what do you attribute the disparity between, ah, Praveen Halappananvar’s ah, assertion that the family asked for termination, and the fact that the hospital records contain, aa, they contain notes of requests for tea and toast . .
KH: Hmm.
MC: .. and many other things but they contain no request, aaa, for a termination?
KH: And again we only have Praveen and his solicitor’s take on what was in or not in the notes, so, I mean, what, what, we’re relying all the time on, ehm, on their take on, on what happened. Ehm, I don’t know. That’s a huge gap and if, if that is the case, ehm, and, and it is the case that she, a termination was requested and Praveen says that there were witnesses to these requests . .
MC: ..Mm hm.
KH: .. ehm, so that would all come out in the inquiry. If there, if that’s not in the notes, as they say it’s not in the notes, well then that is obviously a huge gap and I suppose one may even wonder, are requests for terminations recorded at all
MC:.. Ah.
KH: .. in Irish maternity hospitals (unintelligible)
MC: .. But you’re absolutely satisfied, despite saying that his recollection might have been muddled to a certain extent, you’re satisfied that he did request a termination?
KH: Oh, I’m not satisfied of anything. I mean, I’m, I’m satisfied of what he told me, but I mean I, I, I await as much, as much as anyone else, ehm, the, the, the inquiry and what the findings. I mean, I can’t tell for certain, I mean, who knows what commissions of inquiry may say, you know, they, they may come back and say, you know, she came in with the disease she caught from something outside the hospital before she even arrived in, and
MC: .. Sure
KH: . . that there was no request for termination, and, ehm, that. Ehm, we, we await with bated breath the (unintelligible)
MC: .. Okay
KH: (unintelligble). .as recounted to me, and recounted to many other people quite reasonably consistently by her husband. . .
Obstetrician Lisa Harris, whose column in the New England Journal of Medicine asserted that protection of conscience laws fail to recognize that abortion providers are motivated by conscientious convictions, repeated her arguments in an interview with the New Scientist magazine. While she admitted that the circumstances of the death of Savita Halappanavar in Ireland are not clear, she speculated that the Halappanavar might not have died had an abortion been provided. She stated that similar problems arise in denominational hospitals in the United States. She described the case of a woman who was referred to her with a “septic abortion ” because the foetus was still alive, and the religiously affilicated hospital where she was first treated would not induce an abortion. [New Scientist]