"Attachment of pregnant women to their fetuses at earlier stages in pregnancy becomes an issue, not because it is cemented through "sight" rather than "feel," but when and if it is used to obstruct or harass an abortion decision. In fact, there is no reason any woman's abortion decision should be tortured in this way, because there is no medical rationale for requiring her to view an image of her fetus. Responsible abortion clinics are doing ultrasound imaging in selected cases-only to determine fetal size or placement, where the date of the woman's last menstrual period is unknown, the pregnancy is beyond the first trimester, or there is a history of problems; or to diagnose an ectopic pregnancy. But in such cases the woman herself does not see the image, because the monitor is placed outside her range of vision and clinic protocols refrain from showing her the picture unless she specifically requests it. In the current historical context, to consciously limit the uses of fetal images in abortion clinics is to take a political stance, to resist the message of The Silent Scream. This reminds us that the politics of reproductive technologies are constructed contextually, out of who uses them, how, and for what purposes."