Gosnell, a family-practice physician, was arraigned Thursday and held without bail on eight counts of murder in the deaths of seven babies and a 41-year-old patient. Nine employees also have been charged, including four with murder.
Gosnell, 69, asked in court that seven of the murder charges be explained and raised his eyebrows as Magistrate Jane Rice detailed the allegations of the baby deaths.
For years, Gosnell's medical practice had been growing increasingly reckless, with unlicensed, unsupervised workers as young as 15 administering intravenous sedation and assisting women in labor, according to the grand jury report.
But his practice continued to draw from his community, where he was once a "respected man," according to a 1972 Inquirer article. He was a finalist for the Junior Chamber of Commerce's "Young Philadelphian of the Year" because of his work directing the Mantua Halfway House, a rehab clinic for drug addicts.
Khloe Robinson, 22, said Gosnell's Mantua roots were one reason she went to him in September 2007 for an abortion nearly six months into a pregnancy.
"I trusted him because he lived in the neighborhood, and I grew up in the neighborhood," said Robinson, whose family lives a block from Gosnell.
But Robinson was alarmed when she learned a girl from her high school would assist on the procedure. Afterward, Robinson was hospitalized for more than a week with a kidney infection, she said.
Brittnye Drew, 20, said she still felt unsettled about the abortion Gosnell performed for her two years ago. Drew, who lives down the street from Gosnell, was three months pregnant when she paid him about $600 in cash for the procedure.