Denise J. Hunnell, MD

Contrary to the Guttmacher Institute’s shoddy data, abortion does not improve women’s health

Denise J. Hunnell, MD
By Denise Hunnell MD
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May 31, 2012 (HLIAmerica.org) - When the United States House of Representatives debated the Protect Life Act, a bill meant to ensure that no taxpayer money would fund abortions, former Speaker of the House Nancy Pelosi proclaimed that passage of the bill would leave American women “dying on the floor” of American hospitals. Similarly expressing a concern for “women’s health,” United Nations Secretary General Ban Ki-moon recently called on the United Nations Commission on Population and Development to endorse unfettered access to abortion for teenagers and even younger adolescents. In Trinidad, Minister of Gender, Youth, and Child Development Verna St. Rose Greaves called for the legalization of abortion in Trinidad because of public health concerns.

Clearly there is a widespread perception that optimal reproductive health for women includes access to abortion. Yet, where is the data that supports this view? Is this just another manufactured claim by the abortion industry to justify the inclusion of abortion in health care?

The Guttmacher Institute, a pro-abortion research organization founded by Planned Parenthood, tried to bolster this position with a report on abortions in Colombia. This publication claimed that there were over 400,000 clandestine abortions annually in Colombia and at least one-third of these cases had significant medical complications. Their conclusions called for increased abortion ‘services’ in Colombia:

The study’s findings make clear the need to remove institutional and bureaucratic obstacles for women seeking a legal procedure and ensure that health facilities with the capacity and mandate to provide safe and legal procedures do so,” says Cristina Villareal, director of Fundación Oriéntame and a coauthor of the report. “Six out of 10 health facilities in Colombia that have the capacity to provide postabortion care do not provide it, and about nine out of every 10 of these facilities do not offer legal abortion services.

While this study appears and claims to support the view that ready access to legal abortion improves women’s health, a just released study by Dr. Elard Koch of Chile refutes this Guttmacher Institute report. Review of the methods for the calculation of clandestine abortions in Colombia reveal that the Guttmacher Institute relied on the opinions of health care workers to estimate the number of abortion procedures and complication rates.

In other words, there was no objective data. The translated abstract of Dr. Koch’s article published in Ginecologia y Obstetricia de Mexico states:

There is no objective data based on real vital events, the whole estimate is based on imaginary numbers underlying mere opinions. Even as a public opinion survey, the sampling technique introduced serious selection bias in the gathering of information. Valid epidemiological methods using standardized rates, choosing the paradigmatic cases of Chile and Spain as standard populations, it was observed that Guttmacher Institute methodology overestimates more than 9 times the complications due to induced abortion in hospital discharges and more than 18 times the total number of induced abortions. In other Latin American countries where the same methodology was applied including Argentina, Brazil, Chile, Mexico, Peru, Guatemala, and Dominican Republic, the number of induced abortions was also largely overestimated. These results call for caution with this type of reports that alarm public opinion.

Instead of relying on guesses and subjective opinions, one can actually assess the effect of abortion on women’s reproductive health by analyzing the maternal mortality ratio (MMR), a widely accepted indicator of women’s health. If abortion were truly critical for the well-being of mothers, one would expect the maternal mortality rate to decrease with increased abortion availability and to increase as abortion is restricted.

Chile provides a natural laboratory for such an analysis. The country has kept extensive and detailed records of maternal morbidity and mortality for over fifty years. In addition, the country has implemented several distinct interventions including increasing skilled medical attendants for births, increasing the education of women, increasing the sanitation and overall level of care at medical facilities, and perhaps most significant for this discussion, the prohibition of abortion. The trends of the maternal mortality ratio can be evaluated both before and after each of these initiatives.

A recently published collaborative study by scientists from both the United States and Chile have used this objective data to demonstrate the effects of improved medical care, increased education of women, and abortion on maternal mortality. Their findings should provide the scientifically-based guidance needed to reduce maternal mortality in all developing countries.

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The overall maternal mortality ratio in Chile from 1957 through 2007 decreased from 270 maternal deaths per 100,000 live births to 18.7 maternal deaths per 100,000 live births. This is a decrease of 93.7%. The steepest declines were between the years 1965 and 1981. In 1965 Chile mandated a minimum of eight years of free education for all children. This resulted in the increase in the average years of schooling for women from 3.1 years in 1957 to 12 years in 2007. In addition, Chile markedly increased the percentage of deliveries that were aided by skilled medical attendants from 60.8% in 1957 to over 90% by 1980. By 1999, over 99% of births occurred in hospitals or maternity centers.

After 1981, the downward trend in maternal mortality continued, but the rate of decrease slowed. This is accounted for by the increasing number of women who delivered their first child over the age of 29. As Chilean women became more educated they delayed child bearing. This increased the number of maternal deaths due to underlying medical conditions such as diabetes and hypertension.

What happened to the maternal mortality trend after 1989 when Chile outlawed abortion? The Guttmacher Institute, UN Secretary General Ban Ki-moon, and Nancy Pelosi would like us to believe that this move sent the rate of maternal deaths soaring. Instead, we saw the opposite: The truth is there was absolutely no such effect. In fact, the downward trend in maternal mortality continued with a decrease from 41.3 to 12.7 maternal deaths per 100,000 live births. That is a 69% decrease in maternal mortality after the ban on abortion took effect.

The Guttmacher Institute calls into question the validity of the Chilean study by speculating that there is underreporting of abortion-related morbidity and mortality, but provide no evidence of such reporting errors. The authors of the Chilean study, however, have already addressed these concerns in their published article:

Considering the strict protocol for active epidemiological surveillance on maternal and infant mortality registry implemented in the early 1930s, it is unlikely that the observed reduction could be explained by unobserved illegal abortion deaths or misclassification for other causes. Currently any maternal death occurring in Chile is audited by the sanitary authority revising the clinical registries, interviewing the relatives, and the medical personnel under strict confidentiality rules for determining the primary cause of death.

This analysis of the Chilean experience provides persuasive evidence that the key to improving women’s reproductive health begins with improved education. Women must also have access to skilled birth attendants and well-equipped and sanitary birthing centers. The Chilean study raises serious questions about the claims by government officials and other abortion advocates who say that abortion is a critical component of quality medical care for women. Initiatives that promote abortion for the health and well-being of women increasingly appear to be motivated by ideology and based on something other than science.

Denise Hunnell, MD, is a Fellow of HLI America, an educational initiative of Human Life International. She writes for HLI America’s Truth and Charity Forum. This article appeared on Zenit.org and is reprinted with permission.

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Cardinal Gerhard Ludwig Müller, prefect of the Vatican's Congregation for the Doctrine of the Faith
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Vatican pressing forward with reform of US feminist nuns: Cardinal Müller

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By Thaddeus Baklinski

Cardinal Gerhard Ludwig Müller, prefect of the Congregation for the Doctrine of the Faith, says the Vatican is pressing forward with plans to reform the U.S.-based Leadership Conference of Women Religious (LCWR).

In an interview published in the Vatican newspaper L’Osservatore Romano, the cardinal said that the reform of the LCWR, which was undertaken after an assessment of the group found serious doctrinal problems, will be carried out with the goal of helping them "rediscover their identity.”

“Congregations have no more vocations and risk dying out," Müller said. "We have first of all tried to reduce hostility and tensions, partly thanks to Bishop Sartain whom we sent to negotiate with them; he is a very gentle man. We wish to stress that we are not misogynists, we are not women gobblers! Of course we have a different concept of religious life but we hope to help them rediscover their identity.”

Moreover, the cardinal said that problems specific to the LCWR are not a reflection of all the women religious in the US.

"We need to bear in mind that they do not represent all US nuns, but just a group of nuns who form part of an association,” Müller said.

“We have received many distressed letters from other nuns belonging to the same congregations, who are suffering a great deal because of the direction in which the LCWR is steering their mission.”

Cardinal Müller's remarks confirmed the assertion he and the Holy See’s delegate to the LCWR, Archbishop Peter Sartain of Seattle, made in an address to LCWR officials in Rome on April 30, that the theological drift the feminist nuns are taking constitutes a radical departure from the foundational theological concepts of Catholicism.

The Holy See “believes that the charismatic vitality of religious life can only flourish within the ecclesial faith of the Church,” Müller said in the address.

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“The LCWR, as a canonical entity dependent on the Holy See, has a profound obligation to the promotion of that faith as the essential foundation of religious life. Canonical status and ecclesial vision go hand-in-hand, and at this phase of the implementation of the Doctrinal Assessment, we are looking for a clearer expression of that ecclesial vision and more substantive signs of collaboration,” he stated.

The LCWR has openly defied the mandate of reform intended to bring their organization into line with basic Catholic doctrine on the nature of God, the Church, and sexual morality.

Among the CDF’s directives, to which LCWR has strenuously objected, is the requirement that “speakers and presenters at major programs” be approved by Archbishop Sartain. This, Müller has explained, was decided in order to “avoid difficult and embarrassing situations wherein speakers use an LCWR forum to advance positions at odds with the teaching of the Church.”

The LCWR has invited speakers to their Annual Assembly such as New Age guru Barbara Marx Hubbard, and Sr. Laurie Brink, who is particularly noted for flagrantly denying the Divinity of Christ and telling the sisters that to maintain their “prophetic” place in society they need to “go beyond” the Church and even “go beyond Jesus.”

In one of the first public statements of his pontificate, Pope Francis affirmed that the investigation and reform of the LCWR must continue.

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Brian Fisher

Birth mothers: real heroes of the pro-life movement

Brian Fisher
By Brian Fisher
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What does it mean to be brave? Is it the doctor who dedicates himself to improving the health of a third-world nation? Is it the woman who faces her third round of chemotherapy to fight the progression of cancer? Is it the teacher who forgoes the comforts of a suburban school to reach minorities in the inner city? All of these are examples of bravery demonstrated in exceedingly challenging circumstances. And our society longs for stories of bravery to inspire us and fill us with hope.

As someone who works day in and day out with those on the front lines of helping rescue babies from abortion, I’m no stranger to stories of bravery. I see courage every day in the eyes of the men and women who sacrifice their time and energy to help women facing unplanned pregnancies. I see it every time a young mom — despite being pressured by her parents or significant other to get an abortion — chooses LIFE. And perhaps more profoundly than in any other situation, I see it when an expectant mom with no relational support, job, or income chooses to place her baby for adoption rather than abort her son or daughter.

This was Nicky’s situation.

When Nicky found herself pregnant with her boyfriend’s child, her life was already in shambles. During her 26 years, Nicky had already given birth to and surrendered sole custody of a little girl, committed several felonies, lived in her car, lost several jobs, and barely subsisted on minimum wage. So when she met up with an old boyfriend, Brandon, Nicky believed she was being given a second chance at happiness. “Our first year together was beautiful. We were getting to know each other and deciding if we would stay together forever.” Unfortunately, a positive pregnancy test result changed everything.

“When I told him I was pregnant, Brandon sat down on the bed, looked me in the eyes, and told me to ‘get an abortion’.” Nicky says those three little words changed everything for her. “I became depressed living with someone who wanted his child ‘dealt with.’”  Like thousands of women every day, Nicky began searching online for information on abortion, hoping her boyfriend would eventually change his mind. Through our strategic marketing methods, Online for Life was able to guide Nicky to a life-affirming pregnancy center where she received grace-filled counsel. “The woman I sat with was beyond wonderful. She helped me to just breathe and ask God what to do….And so I did.”

Nicky left the pregnancy center that day with a new resolve to choose life for her child, even though she still wasn’t sure how she’d financially support a child. “I was alone with just $10 in my pocket…and without any type of plan for what I was going to do.” So Nicky relied on the support of the staff she met at the life-affirming pregnancy center. With their help and through a chain of fortunate events, Nicky was put in contact with the couple who would eventually become her daughter’s adoptive parents.

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After meeting this couple face to face and coming to terms with her own desperate situation, Nicky conceded that the best thing for her unborn child would be to place her in someone else’s loving home. She told Brandon about her plans and he agreed that adoption would give their child the best chance at a happy and secure future. He even returned home to help Nicky prepare for the birth of their child. “The weeks leading up to my delivery were filled with a mixture of laughter, tears, protectiveness and sadness,” Nicky recalls. But one sentiment continued to be shared with her. “Brave…so brave.” That’s what everyone from the life-affirming pregnancy center to the adoption agency to the birthing center kept calling Nicky. “The nurses kept coming up to me and telling me they were honored to care for and treat someone like me.” After several weeks of preparation, Nicky finally gave birth to a healthy baby girl, and she made the dreams of a couple from the other side of the country come true.

Nicky’s adoption story continues to be riddled with a strange combination of pain and joy. “I cry every day, but I know my baby, who came out of a very bad time, ended up being loved by people from across the country.” When asked what message she’d like to share with the world about her decision to give up her child for adoption, Nicky responds, The voice of the mother who gives up a baby for adoption isn’t heard. We need to change that.”

To learn more about Online for Life and how we’re helping to make stories like Nicky and her daughter’s story a possibility, please visit OnlineforLife.org.

Author, speaker, and business leader Brian Fisher is the President and Co-Founder of Online for Life, a transparent, metric-oriented, compassion-driven nonprofit organization dedicated to helping rescue babies and their families from abortion through technology and grace.

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New York farmers stop hosting weddings after $13,000 fine for declining lesbian ceremony

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By Dustin Siggins

New York farmers Robert and Cynthia Gifford, who were ordered last week to pay $13,000 for not hosting a same-sex "wedding," say they are closing that part of their operation.

"Going forward, the Giffords have decided to no longer host any wedding ceremonies on their farm, other than the ones already under contract," said Alliance Defending Freedom (ADF) lawyer James Trainor. ADF represented the Giffords in their legal fight against New York's non-discrimination law.

Last week, the Giffords were ordered to pay a $10,000 fine to the state of New York and $3,000 in damages to a lesbian couple, Jennifer McCarthy and Melisa Erwin, who approached them in 2012 about hosting their "wedding." The Giffords, who are Roman Catholic, said their religious convictions would not let them host the ceremony, but that McCarthy and Erwin could hold their reception on their property.

Unbeknownst to the Giffords, the lesbian couple recorded the two-to-three minute conversation. After declining to hold the reception on the Giffords' farm, on which they live and rent property, the lesbian couple decided to make a formal complaint to the state's Division of Human Rights.

Eventually, Judge Migdalia Pares ruled that the Giffords' farm, Liberty Ridge Farm, constitutes a public accommodation because space is rented on the grounds and fees are collected from the public. The Giffords argued that because they live on the property with their children, they should be exempt from the state law, but Pares said that this does not mean their business is private.

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Trainor told TheBlaze that the Giffords' decision to end wedding ceremonies at Liberty Ridge “will hurt their business in the short run," but that was preferable to violating their religious beliefs.

“The Giffords serve all people with respect and care. They have hired homosexual employees and have hosted events for same-sex couples,” he said.

However, "since the state of New York has essentially compelled them to do all ceremonies or none at all, they have chosen the latter in order to stay true to their religious convictions," Trainor explained to LifeSiteNews. "No American should be forced by the government to choose between their livelihood and their faith, but that’s exactly the choice the state of New York has forced upon the Giffords."

"They will continue to host wedding receptions," said Trainor.

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