To the Editor:

Re “Special Needs, Hard Decisions,” by Mark Lawrence Schrad (Op-Ed, Sept. 4):

I laud Mr. Schrad for his willingness to share his and his wife’s experience of continuing a pregnancy involving a baby with Down syndrome. But as a physician specializing in women’s health, I disagree with the premise of the article.

Abortion need not be justified to anyone at any time, nor does a decision to continue a pregnancy require justification. Women and couples know what is right for them, just as Mr. Schrad’s experience shows.

SHARON PHILLIPS

Brighton, Mass.