The controversy is not primarily a scientific issue, since knowledge of human reproduction and development has become very refined; the linguistic questions remain debated for other reasons.
Generally speaking, some ideological and religious commentaries have argued that pregnancy should be stated as beginning at the first, exact moment of conception in which a human sperm makes full contact with an egg cell.
In contrast, other commentaries have argued that the duration of pregnancy begins at some other point, such as when the fertilization process ends (when a new, independent cell genetically distinct from the prior egg and sperm exists) or when implantation occurs (when the new set of cells lodges itself against the uterine wall, allowing it to grow rapidly).
[1] Traditionally, doctors have measured pregnancy from a number of convenient points, including the day of last menstruation, ovulation, fertilization, implantation and chemical detection.
[16] Finally, the standard historical method of counting the duration of pregnancy begins from the last menstruation and this remains common with doctors, hospitals, and medical companies.
Although many anti-abortion advocates have argued that both pregnancy and status of a separate human life beginning happen at fertilization, several examples also exist of people within those movements taking alternate views.
For example, doctor and social activist Bernard Nathanson wrote in his 1979 work Aborting America that a confirmed moment of implantation should be considered the point at which a distinct human being exists.
A draft version leaked in July proposed that the U.S. federal government define abortion as including "termination of [human] life... before...
[22] However, in the absence of an accurate understanding of human development, early notions about the timing and process of conception were often vague.
[24] Some thought was given to possible societal consequences, as evidenced by Boving's statement that "the social advantage of being considered to prevent conception rather than to destroy an established pregnancy could depend on something so simple as a prudent habit of speech."
In 1965, the American College of Obstetricians and Gynecologists (ACOG) adopted Boving's definition: "conception is the implantation of a fertilized ovum.
[35] Speculation about post-fertilization mechanisms is widespread, even appearing on patient information inserts for hormonal contraception, but there is no clinical support.
[47][48] Of those that do implant, about 25% suffer early pregnancy loss by the sixth week LMP (after the woman's Last Menstrual Period), and an additional 7% miscarry or are stillborn.
[42] Some pro-choice groups have expressed concern that the movement to recognize hormonal contraceptives as abortifacient will also cause breastfeeding to be considered an abortion method.
[52][53] A protein called early pregnancy factor (EPF) is detectable in a woman's blood within 48 hours of ovulation if fertilization has occurred.