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Contraception is also a great sin in marriage. The blessed St John Chrysostom tells us in his Homilies on Romans 24:"Why do you sow where the field is eager to destroy the fruit, where there are medicines of sterility [oral contraceptives], where there is murder before birth? You do not even let a harlot remain only a harlot, but you make her a murderess as well. . . . Indeed, it is something worse than murder, and I do not know what to call it; for she does not kill what is formed but prevents its formation. What then? Do you condemn the gift of God and fight with his [natural] laws? . . . Yet such turpitude . . . the matter still seems indifferent to many men--even to many men having wives. In this indifference of the married men there is greater evil filth; for then poisons are prepared, not against the womb of a prostitute, but against your injured wife. Against her are these innumerable tricks" A.D. 391
Though opinions vary among Orthodox on this issue, the view of most Orthodox bodies is that controlling conception through "natural family planning", or contraception, is acceptable for married couples, as long as it is done in a spirit of responsible Christian stewardship of life.This means, first, that birth control will not be used merely because having and rearing children is seen as a financial or social inconvenience.Secondly, it means that any form of contraception used will not be physically harmful to either spouse, and will not involve the abortion of a fertilized egg. Finally, the decision to utilize birth control, as well as the decision to have a child, must be a mutual one between both wife and husband.
Concerning contraceptives and other forms of birth control, differing opinions exist within the Orthodox Church. In the past birth control was in general strongly condemned, but today a less strict view is coming to prevail, not only in the west but in traditional Orthodox countries. Many Orthodox theologians and spiritual fathers consider that the responsible use of contraception within marriage is not in itself sinful. In their view, the question of how many children a couple should have, and at what intervals, is best decided by the partners themselves, according to the guidance of their own consciences. (page 296)
Yes, we accept it if it is not a way of abortion. This means if it is used to avoid, rather than terminate, a pregnancy. However, once a pregnancy has occurred, than it is a sin to abort the baby, even if its age is only one hour. So, it is acceptable only to prevent pregnancy.