In one case the pregnant body decides to kill the fetus and eject it, in the other an outside actor induces the same process. This is spontaneous in the "happen

In one case the pregnant body decides to kill the fetus and eject it, in the other an outside actor induces the same process. This is spontaneous in the "happens on its own" sense, not in the "likes long walks in nature" sense: It is a technical term. As for the death certificate issue, they are transparent ploys for political points made without granting any agency to the affected mothers.