David and Ginger Twitchell were the parents of Robyn Twitchell, who died on April 8, 1986, at the age of two and one-half years. Robyn's death resulted from peritonitis caused by the perforation of his bowel, which had been obstructed as a result of an anomaly known as Meckel's diverticulum. Evidence presented at trial indicated that this condition could be corrected by surgery with a high success rate.
The Twitchells are practicing Christian Scientists who grew up in Christian Science families and believe in healing by spiritual treatment. During Robyn's five-day illness from Friday, April 4, through Tuesday, April 8, they retained a Christian Science practitioner, a Christian Science nurse, and at one time consulted with Nathan Talbot, who held a position in the church known as the Committee on Publication. As a result of that consultation, David Twitchell read a church publication concerning the legal rights and obligations of Christian Scientists in Massachusetts.
That publication quoted a portion of G.L. c. 273, § 1, as then amended, which accepted remedial treatment by spiritual means alone as satisfying any parental obligation not to neglect a child or to provide a child with physical care. The Twitchells appealed their convictions of involuntary manslaughter, and the Supreme Judicial Court granted their request for direct appellate review.