HomeschoolDad:
This would be “the principle of double effect”, performing a morally neutral act — removing the uterus — …
In the concrete, there are no morally neutral acts. Removing a diseased uterus may be morally permitted. Removing a non-diseased, normally functioning uterus from a living woman probably is not.
The act itself is morally neutral, though removing an internal bodily organ cannot be done “just because” — there has to be a reason to do so.
HomeschoolDad:
In other words, it would be something in the nature of a caesarean to deliver a baby that we know will be premature, and we will try to save if we can, but we go into the procedure knowing that may not be possible. How could that be called a “direct abortion”?
The extremely rare and tragic case of an ectopic pregnancy in which the fetus locates on the mother’s liver (hepatic pregnancy) is indeed tragic. The vital organ cannot be excised. We can only pray that God will grant the mother and father the grace see His will and depend on His mercy and love.
This is a horrible scenario to have to consider. This is precisely the kind of “hard case” I had in mind — deliver the fetus surgically, save it if you can, and if it perishes despite your best intentions and efforts, then that just cannot be helped.
Incidentally, can’t part of a liver be removed? When my son was born, we thought he might have liver problems. I told them that, if need be, he can have part of mine — I don’t need the whole thing, and besides, it regenerates. Thankfully it didn’t come to that.
Not defending them, but I can’t imagine non-Catholics who would have a problem with an abortion in this case. We make fine moral distinctions, and we parse means and ends, because we seek first of all to avoid committing a sin. If there are any non-Catholic Christians, or non-Christian religions, that would make these fine distinctions, it would come as welcome news to me. Traditional Orthodox Judaism seems perfectly capable of engaging in the same kind of dispassionate, critical reasoning that we do — not to say that they would come to the same conclusions as we do, because they proceed from different first principles — but aside from that, I’m not sure any other religion “splits hairs” in this fashion. Again, if any of them do, it’d be news to me. What I “like” or “dislike” doesn’t matter, but I do have to say this is one thing I “like” about Catholicism — we cover all the bases, and we follow reason and logic, wherever it might take us, regardless of whose interests it serves or doesn’t serve.