At first it seemed like a grisly backwater murder trial in which a Philadelphia abortion doctor was accused of killing a number of viable fetuses and an adult patient.
But the case of Dr Kermit Gosnell is now galvanising both sides of America's never-resolved debate about a woman's right to choose.
After a five-week trial that featured prosecution testimony of horrifying detail - expired babies left in shoe boxes, severed feet of fetuses preserved in glass jars - jurors yesterday began deliberating the fate of the 72-year-old doctor, whose clinic had for years been a venue of last resort for mostly underprivileged women seeking late-term abortions.
Conflicting narratives face the jurors, notably when it comes to the first degree murder charges relating to the four tiny victims known as Baby A, Baby C, Baby D and Baby E. Drawing on disturbing witness testimony, the prosecution said that when the normal procedure of injecting drugs into the mother failed to kill the fetuses in utero, Gosnell resorted to delivering them alive and administering a fatal snip to their spinal cords with surgical scissors.
The gap both in time and physical distance between administering death in utero and outside the mother lies at the heart both of the legal case and of the passions it has stirred far beyond the courtroom, even as far as the US Congress.