UNIT7
The Decision
Dr. Sam said to me: 
“I don't know how to 
say this, except to come 
right out with it, Miriam. 
The tests we did last week 
show that there are abnormalities 
with the fetus. I recommend 
you consider an abortion.”
I sat, hands folded together in 
my lap, numbed by his words. 
The world around me disappeared 
as I strove to absorb 
the dreadful news Dr. Sam 
was giving me. His voice 
came to me as if spoken 
in a tunnel, hollow and echoing. 
Could this be true? The baby 
inside me, the miracle created 
by love, wasn't perfect!
“Your baby has a condition 
known as Down's Syndrome. The problems 
you will face if you don't 
terminate this pregnancy could be 
overwhelming, especially now that 
Paul is no longer with you.” 
Here I was, thirty nine 
years old, pregnant for the first time, 
and my doctor, my trusted friend, 
was telling me I should kill 
this innocent life in my womb. 
I knew I had to respond 
but words escaped me. Finally, 
I was able to speak. “I need 
some time to consider my options.
With all that has happened 
in the past month and a half, 
I don't want to do anything 
without knowing all I can about this.”
“You don't have long, Miriam. 
You are eleven weeks along 
and it's dangerous to perform 
an abortion after twelve weeks, 
try not to prolong your decision.”
“It's too much for me to 
get my head around right now. 
I need to think. I promise
Ill get back to you 
in a day or so.” I left 
the office in a daze. 
What was I going to do? 
Where would I begin? Who,
 besides Dr. Sam,  would be able 
to advise me? My parents were 
on the other side of the world, 
teaching in China. I felt that 
if I could talk to Mom, 
held in her comforting arms, 
she would give me some 
of her wisdom. If I could 
be face-to-face with Dad, he would 
give me strength. They were 
all I had left in my world.
 My husband, Paul, had been killed 
in a traffic accident six weeks ago.
Mom and Dad had gone back to 
China a week after the funeral,
when they thought I was 
able to cope with my loss. 
There was nowhere to turn.
I had to face reality. 
This was a decision 
I would make on my own. 
I needed to gather all the information 
I could about Down's syndrome. 
I wasted no time. I went to 
the library to begin my research. 
The steps to the future
were in my hands.
The first medical journal I chose 
explained the causes of Down's syndrome. 
Normally, each egg and sperm cell 
contains 23 chromosomes, and, 
when they unite, 23 pairs 
or 46 in total. Occasionally, 
an accident occurs when the egg 
or sperm cell is forming, 
creating an extra chromosome number 21. 
This extra chromosome results in 
the features of Down's syndrome. 
In the past, this disorder was 
called “Mongolism” because of 
the facial characteristics including 
slanted eyes and a small, flattened 
nasal bridge. It is a common
genetic birth defect affecting about 
one in 800 to 1000 births when 
the mother is 30 years of age. 
The odds of my having a Down syndrome 
increased to one in 100 because 
I was in my fortieth year.
There is no cure for this disorder. 
Neither is there any prevention. 
My child would be developmentally and 
physically retarded to a greater 
or lesser degree. She could have 
numerous health problems. It was unlikely 
she would ever marry and 
her having children was out 
of the question. Her life expectancy 
could be as little as 55 years.
Paul and I had been married 
for ten years and had always 
regretted the fact that I had 
been unable to conceive. After 
he died, I attributed my nausea, vomiting 
and lethargy to my grief, never 
suspecting that I might be pregnant. 
Poor Paul would never know that 
we would have a child together. 
This thought alone was what 
made me realize that I wouldn't 
be able to have an abortion, 
no matter what obstacles
might be ahead of us.