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Dr. Bernard Nathanson, an obstetrician who was a leading champion of the abortion rights movement until he switched sides and vaulted to prominence as the narrator of the grisly anti-abortion film \"The Silent Scream,\" died Monday at his New York City home.

Stipulate, if you will, that the pro-abortion position is the correct one, that what is destroyed by the elective surgery is not a \"human life.\" This is an essentially semantic point. Certainly the fetus is alive, sentient and growing; and, as certainly, it is a discrete, coherent, living creature. If it is not human, then what is it? Bernard N. Nathanson is a New York obstetrician whose commitment to the anti-abortion cause is derived from his experience as onetime head of what was New York's most productive abortion clinic. Or would they? Is it possible that, presented with objective, overwhelmingly persuasive evidence that abortion is the atrocious killing of an innocent and defenseless creature, the abortion advocates would regard such procedures as permissible or propose fetal anesthesia?

[Bernard N. Nathanson] was one of the sung heroes of the pro-abortion forces when the National Assn. for Repeal of Abortion Laws (NARAL) claimed victory in 1973 - the instant the Supreme Court of the United States declared antiabortion laws unconstitutional. His name isn't sung these days in those circles, of course. He resigned under pressure in 1975. Nathanson's fallout with the NARAL began in 1974 when the New England Journal of Medicine in its Nov. 28 issue ran his article \"Deeper into Abortion.\" What made Nathanson switch from his militant position on abortion, first taken in 1967? He says it was what he saw as head of the Department of Obstetrics and Gynecology at St. Luke's hospital.

Responding to a doctor from Cornell's medical school on the television program \"Nightline,\" he said, \"If pro-choice advocates think that they're going to see the fetus happily sliding down the suction tube waving and smiling as it goes by, they're in for a truly paralyzing shock.\"

''It's a desperately bad thing to imply,'' said Dr. Robert Eiben, president of the Nationl Child Neurology Society, who is a pediatric neurologist at Case Western Reserve Medical Center in Cleveland. ''There is a difference between a reflex and a subjective experience.'' David O'Steen, executive director of the National Right to Life Committee disagreed. ''We know that if you prick the unborn child he'll move away,'' Mr. O'Steen said, ''and I think there is ample evidence the child feels pain.'' ''I don't think you see what Bernie Nathanson says you see,'' Miss [Nanette Falkenberg] said. ''He draws conclusions based on his belief systems that are not grounded in fact.''