The clinic reeked of animal urine, courtesy of the cats that were allowed to roam (and defecate) freely. Furniture and blankets were stained with blood. Instruments were not properly sterilized. Disposable medical supplies were not disposed of; they were reused, over and over again. Medical equipment – such as the defibrillator, the EKG, the pulse oximeter, the blood pressure cuff – was generally broken; even when it worked, it wasn't used. The emergency exit was padlocked shut. And scattered throughout, in cabinets, in the basement, in a freezer, in jars and bags and plastic jugs, were fetal remains. It was a baby charnel house.
Defense attorney John McMahon said the prosecution was "elitist, racist," a Reuters report notes, and said authorities wanted "to put a Mayo Clinic standard on a West Philadelphia clinic."
One of the witnesses against Gosnell was former employee Stephen Massof, an unlicensed doctor who worked five years at Gosnell's clinic and pleaded guilty to two counts of third-degree murder himself. Massof estimated that the number of babies born alive and then killed could have been as high as 100.
Pennsylvania's death row is the fourth largest in the U.S., according to the Death Penalty Information Center, but the state has only conducted three executions since 1976. Executions in Pennsylvania are carried out via lethal injection.