You can either face it, or turn around and say it's uterine contractions. That, however, would be repressing, since as a doctor you obviously know that it is not. Now whether you admit this to the patient is another matter. Her distress by unwanted pregnancy is to me the primary consideration, ahead of any possible consideration for the fetus. We just have to face it.
Somebody has to do it.
And unfortunately, we are the executioners in this instance. So one day, in a need to arrive at a measure of clarity, I went into the room where they keep the fetuses before burning them. They were next to the garbage cans in paper buckets, like the take-home chicken kind. I looked inside the bucket in front of me. There was a small naked person in there, floating in a bloody liquid.