
Abortion has been in the news lately for obvious reasons, and I wasn’t sure if I had the spoons to read a book about it; it’s not always easy to engage with a subject that’s so important but which is also under assault at the moment. After volunteering with a local organization to pack comfort care bags for our local Planned Parenthood a few weeks ago, however, I was ready to pick up You’re the Only One I’ve Told: The Stories Behind Abortion by Dr. Meera Shah (Chicago Review Press, 2020).
Dr. Shah is a doctor who provides abortion care to patients who seek it out. Because being able to decide when to become a parent is an important part of bodily autonomy, planning one’s future, and in some cases, remaining alive, she is passionate about her work and seeks to help others understand the importance of what she does. Each chapter focuses on one person who, for varying reasons, chose to end a pregnancy; Dr. Shah includes the important medical knowledge necessary to fully understand each situation, and the difficulties that our national climate surrounding abortion adds to what is already often a tense and heartbreaking decision.
The reasons behind the abortion in each chapter are various and complex; from abusive relationships (who wants to be tied forever to a man who has hurt you multiple times???), to a doomed pregnancy where the baby will live maybe minutes after being born (if it survives that long without killing the parent carrying it), to pregnancies that occurred at the worst possible time, to a pregnancy that would render life next to impossible for the entire rest of the family (“Here, person already struggling to pay the rent for you and your three kids! Here’s another new baby; now you can also add $1200+ per month in daycare fees! I’m sure you can handle that!”), there are so, so many reasons why these women choose abortion, and Dr. Shah is respectful of them all, without judgment. Throughout each chapter, she illustrates and emphasizes the importance of being able to examine one’s life and come to the conclusion that becoming a parent (often becoming a parent again) at this moment cannot happen, and how important it is that this procedure remain legal.
So many heartbreaking decisions in this book. Often, the pregnancies were desperately wanted; nature, however, had other ideas about how the fetus would develop, and the parents were faced with the awful knowledge that there was no chance of them ending up with a child even if the pregnancy were continued. At other times, the parents simply realized that bringing a child into their lives was the worst possible thing they could do at the moment. Being allowed to make that decision allowed them to go on to have the lives they wanted – lives that often included, eventually, having more children.
If you’ve never read a book about abortion and are curious as to what could possibly lead a woman to make the choice to have one, this would be an excellent place to start. I’ve noticed that doctors tend to fall into two camps: either they’re terrible writers, or they’re great. Dr. Shah is one of the great ones; her style is engaging and never wanders into stiffy, stodgy medical writing. Her respect for the people she treats is obvious in her gentle handling of the stories in this book, and it’s obvious her patients are lucky to be served by her.