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Ectopic pregnancy is not technically the same as abortion. The death of the child is an unintended side-effect rather than the intended effect. As such, it falls under the principle of double-effect: a morally neutral act (the removal of the uterus/fallopian tube), intended for a good (to save the mother), produces a secondary evil (abortion of the child) that is tolerated because it is not inproportional to the good.