Prosecution experts said one was nearly 30 weeks along when it was aborted, and it was so big that Gosnell allegedly joked it could "walk to the bus." A second fetus was said to be alive for about 20 minutes before a clinic worker snipped its neck. A third was born in a toilet and was moving before another clinic employee grabbed it and severed its spinal cord, according to testimony.
Baby E let out a whimper before Gosnell cut its neck, prosecutors alleged. Gosnell was acquitted in that baby's death, the only one of the four in which no one testified to seeing the baby killed.
Gosnell's attorney, Jack McMahon, argued that none of the fetuses was born alive and that any movements were posthumous twitching or spasms.
Gosnell did not testify, and his lawyer called no witnesses in his defense. But McMahon argued that the doctor provided desperate young woman with "a solution to their problems," and he branded prosecutors "elitist" and "racist" for pursuing his client, who is black and whose patients were mostly poor minorities.
"I wanted to be an effective, positive force in the minority community," Gosnell told The Philadelphia Daily News in a 2010 interview. "I believe in the long term I will be vindicated."
The defense also contended that the 2009 death of Karnamaya Mongar, 41, of Woodbridge, Va., a Bhutanese immigrant who had been given repeated doses of Demerol and other powerful drugs to sedate her and induce labor, was caused by unforeseen complications.
Bernard Smalley, a lawyer who filed a lawsuit against Gosnell and others on behalf of the woman's family, said he now hopes to bring "some sense of justice and quiet to this family that's been through so much."
The panel also convicted Gosnell of infanticide, racketeering and more than 200 counts of violating Pennsylvania's abortion laws by performing third-term abortions or failing to counsel women 24 hours in advance.
Court officials kept the courtroom locked for more than 30 minutes as the verdicts were read and jurors were polled individually.
Prosecutors described Gosnell's employees as nearly as desperate as the patients. Some had little or no medical training, and at least one was a teenager still in high school. One woman needed the work to support her children after her husband's murder.
Stephen Massof, an unlicensed medical school graduate who could not find a residency, told jurors that Gosnell taught him how to snip babies' spines, something he then did at least 100 times at the clinic.
"I felt like a fireman in hell," Massof testified. "I couldn't put out all the fires."
Gosnell still faces federal drug charges. Authorities said that he ranked third in the state for OxyContin prescriptions and that he left blank prescription pads at his office and let staff members make them out to cash-paying patients.
He performed thousands of abortions over a 30-year career, some on patients as young as 13. Authorities said the medical practice alone netted him about $1.8 million a year, much of it in cash. Authorities found $250,000 hidden in a bedroom when they searched his house. Gosnell also owned a beach home and several rental properties.
"He created an assembly line with no regard for these women whatsoever," Cameron said. "And he made money doing that."