Here David speaks of God’s relationship with him while he was growing and developing before birth. Notice that the Bible doesn’t speak of fetal life as mere biochemistry. The description here is not of a piece of protoplasm that becomes David: this is David already being cared for by God while in the womb.
In verse 13, we see that God is the master craftsman fashioning David into a living person. In verses 14 and 15, David reflects on the fact that he is a product of God’s creative work within his mother’s womb, and he praises God for how wonderfully God has woven him together.
David draws a parallel between his development in the womb and Adam’s creation from the earth. Using figurative language in verse 15, he refers to his life before birth when “I was made in secret, and skillfully wrought in the depths of the earth.” This poetic allusion harkens back to Genesis 2:7, which says that Adam was made from the dust of the earth.
David also notes that “Thine eyes have seen my unformed substance.” This shows that God knew David even before he was known to others. When David was just being formed, God’s care and compassion already extended to him. The reference to “God’s eyes” is an Old Testament term used to connotate divine oversight of God in the life of an individual.
Human beings are created in the image and likeness of God (Gen. 1:26-27; 5:1; 9:6). Bearing the image of God is the essence of humanness. And though God’s image in man was marred at the Fall, it was not erased (1 Cor. 11:7; James 3:9). Thus, the unborn baby is made in the image of God and therefore fully human and alive in God’s sight.
To date, over 30 million mothers have decided their rights override the rights of their unborn baby to live! God forgive them and us for allowing this to happen!
David Nowak, Weatherford