"One focus for the discussion of the 'problem' of late abortion has been based on the claim that a fetus feels pain. The debate about fetal pain originated with discussion which began in the late 1980s, as a consequence of research which indicated that a fetus is capable of a behavioral response to sensory stimulation. Advances in fetal surgery, which include placing valves into the heart and injecting red blood cells into the liver to prevent anaemia, meant that neonatal surgeons and experts in embryology were becoming more and more concerned about the potential consequences of invasive fetal surgery. This concern was given a major boost when Dr Anand, then of the John Radcliffe Hospital, Oxford, demonstrated that new-born babies (neonates) undergoing surgery did better if they were given anaesthetics of a kind usually used only in adult surgery (until very recently, neonates were not given anaesthetic before surgery). In 1992, the New England Journal ran an editorial calling on clinicians to 'Do the Right Thing' concluding that 'it is our responsibility to treat pain in neonates and infants as effectively as we do in other patients'. Since this time, and extensive discussion has taken place in the pages of medical journals, about the nature of pain, with many eminent scientists concluding that they have much more to learn about this phenomenon. Greater knowledge about the causes of pain can only be beneficial to society, and it is important that clinicians do 'do the right thing' where neonates and infants are concerned. It is however extremely unfortunate that a discussion about best clinical practice for new-born babies has led to a debate, based on the notion that a fetus can feel pain, about the 'problem' of late abortion."
January 1, 1970