They are not always the same. The Tom and Sally vignette is aimed at our self-righteousness. A corollary Biblical passage is that of the prodigal son and his self-righteous brother. The first vignette is intentionally graphic. While I certainly do not advocate abortion I wanted everyone to feel the pain of this victim, and perhaps have a little more empathy for her in making this terrible choice.
Many rape victims feel ashamed and alone.
Note that no mention is made of Lydia's discussing her crisis with anyone. As there are many victims of an abortion, there are also many victims of a rape. This is a value judgment. God will never ask us to bear a burden too heavy for us. On the other hand, if our brother or sister is in pain and we don't help them bear their burden then we are part of that burden.