Michael Cook

Study finds abortion linked to shortened lifespan of mother

Michael Cook
By Michael Cook
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September 14, 2012 (Mercatornet.com) - In a study published last week in the European Journal of Public Health, Priscilla Coleman and colleagues report that mothers who have experienced natural pregnancy loss or induced abortion are more likely to die over a 25-year period than those who have experienced only giving birth. Dr Coleman, a Professor of Human Development and Family Studies at Bowling Green State University, responds here to MercatorNet’s questions about the study.

What was your aim in this study?

The study was undertaken to provide reliable data pertaining to the relative risk of death associated with distinct reproductive history patterns over many years. Acquiring and disseminating accurate data pertaining to maternal mortality have been longstanding global concerns. Inconsistent definitions regarding what constitutes a maternal death and incomplete data confined to very brief time periods have left society largely in the dark regarding true mortality risks associated with pregnancy generally and with particular outcomes, both immediately after pregnancy resolution and across the years that follow.

Regarding the data problem, the World Health Organization has noted: “Maternal deaths are hard to identify because this requires information about deaths among women of reproductive age, pregnancy status at or near the time of death, and the medical cause of death. All three components can be difficult to measure accurately.”

Most existing statistics rely upon death certificates to estimate maternal mortality and as noted by Gissler and colleagues in 2004, without data linkage to complete pregnancy and abortion records, 73% of all pregnancy associated deaths could not be identified from death certificates alone. Large population-based record-linkage studies, containing complete reproductive history data and data related to deaths, provide a unique opportunity to bypass many of the limitations of the currently available maternal mortality data in most countries. Our study was this type of study.

In a nutshell, what did it show about pregnancy loss compared with giving birth?

Pregnancy loss, whether due to induced abortion or natural loss (miscarriage or stillbirth), was associated with a higher probability of dying over the 25 year study period when compared to giving birth. However, the results related to natural loss should be interpreted cautiously, because only the most serious cases requiring hospitalization are captured in the data.

Are the results robust compared with other studies on this subject?

The results are comparable to other record-based studies. In a record-based study by Reardon and colleagues, U.S. women who aborted, when compared to women who delivered, were 62% more likely to die over an 8 year period from any cause after adjustments were made for age. Further, consistent findings were reported in large Finnish population-based studies by Gissler and colleagues published in 1997 and in 2004.

In the first study, post-pregnancy death rates within 1 year were reported to be nearly 4 times greater among women who had an induced abortion (100.5 per 100,000) compared to women who carried to term (26.7 per 100,000). Spontaneous abortion had a pregnancy associated mortality rate of 47.8 per 100,000. In the later study, Gissler and colleagues again found that mortality was significantly lower after a birth (28.2 per 100,000) than after a spontaneous abortion (51.9 per 100,000) and following an induced abortion (83.1 per 100,000).

Our results then are consistent with prior work and extend what is known by examining combinations of different reproductive outcomes and by examining the associations between repeated experiences of the same outcome in association with mortality risk.

What, specifically, did your study show about the risk or benefit of a) induced abortion, b) miscarriages and stillbirths, c) births only?

With controls for the number of pregnancies, year of birth, and age at last pregnancy, when compared to only giving birth, having only induced abortion(s) was associated with a 66% increased risk of dying. A reproductive history entailing only natural losses (compared to birth) was associated with a 181% increased risk of dying across the study period.

Did it make any difference how often a woman experienced abortion, miscarriage etc, or the birth of child?—or what combination of these different outcomes she experienced?

Yes, both things made a difference. Women who had experienced both induced abortion and natural loss were, on average, more than three times (327%) more likely to die over the 25-year period. When induced abortion and birth were combined, the risk of dying was increased by 56%. Natural loss in conjunction with birth was associated with a 29% increased mortality risk. When all reproductive outcomes were present in women’s lives, when compared to only birth(s), a 94% increased risk of death was observed. Risk of death was over 6 times greater among women who had never been pregnant compared to those in the birth(s) only group.

Multiple abortions, compared to no experience of abortion, and after applying controls, increased the risk of mortality as follows: one abortion, 45%; two abortions, 114%; three abortions, 191%. Similarly, increased risks of death were equal to 44%, 86%, and 150% for one, two, and three natural losses respectively compared to no natural losses.

By contrast, giving birth to more than one child significantly decreased mortality risks. Specifically, two births were associated with an 83% lower risk of death compared to no births, three or more births corresponded to a 44% decreased risk over no births.

Early this year a US study reported that women were about 14 times more likely to die during or after giving birth to a live baby than to die from complications of an abortion—and it received a lot of attention. But your study suggests that birth is protective of the life of mothers compared to abortion. How do you explain the difference?

In arriving at their conclusion that abortion is many times safer than childbirth, Raymond and Grimes relied on data from the Center for Disease Control (CDC) to secure numbers of deaths related to childbirth and induced abortion. The authors acknowledged underreporting, but they made no attempt to address the factors associated with this shortcoming, nor did they discuss the magnitude of the problem: “Weaknesses include the likely under-reporting of deaths, possibly         differential by pregnancy outcome (abortion or childbirth.)”

Raymond and Grimes also failed to address abortion-related deaths beyond the first trimester, which constitute 12-13% of all abortions performed in the US. Using national U.S. data spanning the years from 1988 to 1997, Bartlett and colleagues reported the relative risk of mortality was 14.7 per 100,000 at 13–15 weeks of gestation, 29.5 at 16-20 weeks, and 76.6 at or after 21 weeks.

Although your study does not establish causality, do you have any theories about how pregnancy loss would shorten women’s lives—other than through immediate complications of the abortion or miscarriage?

As a psychologist without medical training, any hypotheses that I have are largely restricted to mediational processes involving mental health variables. There is significant evidence that an abortion experience increases a woman’s risk for experiencing mental health problems and when women are anxious, depressed, or abusing substances, they are more prone to experiencing accidents, negative partner relationships, and suicide, and their overall physical health may decline rendering them more susceptible to chronic and acute physical ailments.

One result in your study seems surprising—the greatly elevated risks of death among women who had not experienced any pregnancies. What do you make of that?

Without inclusion of additional demographic data, health history, and cause of death information, I think it would be premature to speculate too much. There is a great deal of medical research demonstrating physical and psychological benefits of full-term pregnancy, so women who have not experienced a pregnancy will not benefit from them. Moreover, many women in our Danish study may have died before they had opportunity to experience a pregnancy.

What further research would you like to do—or see done—on this subject?

My primary research interests relate to mental health correlates of reproductive outcomes; therefore in the future, I would like to more closely examine specific psychological pathways leading from distinct reproductive outcomes to particular causes of death using record-based data.

More specifically, I would really like to see if women who have experienced induced abortion are more likely to die from causes that may be logically associated with adverse mental health outcomes such as suicide, deaths due to engagement in risk-taking behaviors, and/ or substance abuse. 

In this regard, there are a few existing record-based studies that have addressed associations between particular reproductive outcomes and chance of death due to suicide. For example, in a population-based study, Appleby (1991) reported in the British Medical Journal that pregnant women are 1/20th as likely to commit suicide when compared to non-pregnant women of childbearing age. Appleby concluded that “Motherhood seems to protect against suicide.”

Further, Gissler and colleagues (2005) reported the annual suicide rate for women of reproductive age to be 11.3 per 100,000; whereas the rate was only 5.9 per 100,000 in association with birth (and was a startling 34.7 per 100,000 following abortion). Several other studies conducted in various countries have revealed low rates of suicide in the year following birth when compared to non-postpartum samples.

When your study showing a link between abortion and mental health problems was published a year ago in the British Journal of Psychiatry you were severely criticized by peers. Have you been attacked for these latest findings that show abortion in an unfavourable light?

Not that I am aware of. But I honestly don’t pay too much attention to what is said about me, beyond defending the rigor of the studies and the quality of the journals so that the results will be taken seriously and used to inform women and health care professionals. The satisfaction that comes from helping women to be heard far outweighs any slanderous comments about me that are floating around.

Priscilla K. Coleman is a Professor of Human Development and Family Studies at Bowling Green State University in Ohio. Dr Coleman has nearly 50 peer-reviewed journal articles published, including 33 on abortion and mental health. In recognition of her strong publication record, she has been called to serve as an expert in several state and civil court cases, has spoken at the UN, and in 2007 she testified before U.S. Congress. Dr. Coleman is currently on the editorial boards for five international psychology and medical journals.

Study citation: Coleman, P. K., & Reardon, D. C. (September, 2012) “Reproductive History Patterns and Long-Term Mortality Rates: A Danish, Population Based Record Linkage Study”. European Journal of Public Health.

Michael Cook is editor of MercatorNet. This article reprinted under a Creative Commons License.


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Medical staff arrested in India after accidentally aborting baby at 8 months

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By Thaddeus Baklinski

A doctor and a nurse at a prominent private hospital in India have been arrested after they allegedly administered abortion drugs to a eight-months pregnant accidentally, resulting in the death of her unborn child.

"We have immediately registered a case and arrested the doctor, whose negligent act has caused this," said South Jammu Superintendent of Police Rahul Malik, according to the Hindustan Times.

The woman's husband, Rakesh Sharma, told the paper that the doctor mistook Shruti Sharma for another patient who was scheduled for an abortion at the JK Medicity Hospital in Jammu on Friday afternoon.

Shruti had gone to the hospital after her gynecologist advised a routine medical examination to safeguard her and her baby's health.

Rakesh alleged that the doctor gave his wife the abortion pills without consulting her medical records. “Doctors and paramedical staff instead of administering glucose, gave her abortion medicine, which was actually meant for another patient,” he said.

"It is the worst case of negligence. I feel strongly that such hospitals should be closed. If this has happened to me today, tomorrow it can happen to any body else," Rakesh said.

While the JK Medicity's administration said it has launched an inquiry into the incident, a report from the Jagran Post stated that the district government has revoked the hospital's license.

"Jammu and Kashmir Government has ordered sealing of the private clinic after suspension of its license to operate in the wake of the incident," said Minister for Health and Medical Education Taj Mohiuddin according to the report.

National media have reported that the incident has brought illegal abortion practices in India to the attention of both the public and government officials.

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According to the Medical Termination of Pregnancy Act, abortion is legal in India up to 20 weeks. However, the opinion of a second doctor is required if the pregnancy is past its 12th week, and abortion-inducing drugs such as mifepristone and misoprostol are allowed only by prescription up until the seventh week of pregnancy.

Moreover, abortions can be performed only in government licensed medical institutions by registered abortionists.

Indian Express reported that the accused in the incident, Dr Amarjeet Singh, practices ayurvedic medicine (traditional Hindu medicine) and is "unsuitable for carrying out abortions."

A video posted by IndiaTV shows the parents surrounded by family members and relatives at a protest outside the JK Medicity hospital where the group is demanding punishment for those involved in the death of the child.


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News editor fired for criticizing ‘gay Bible’, files complaint

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By Kirsten Anderson

The former editor-in-chief of Iowa’s Newton Daily News has filed a religious discrimination complaint after he was fired over a post on his private blog criticizing the pro-gay Queen James Bible.

The Bible revision was produced by homosexual activists who claim to have edited the eight most commonly cited verses against homosexual behavior “in a way that makes homophobic interpretations impossible.”

On his private blog, which has since been deactivated, Bob Eschliman wrote in April that “the LGBTQXYZ crowd and the Gaystapo” are trying to reword the Bible “to make their sinful nature ‘right with God.’”

After public outcry from homosexual activists, Shaw Media, which owns the paper, fired him on May 6.

In a statement the day of his firing, Shaw Media President John Rung said Eschliman’s “airing of [his opinion] compromised the reputation of this newspaper and his ability to lead it.”

“There will be some who will criticize our action, and mistakenly cite Mr. Eschliman’s First Amendment rights as a reason he should continue on as editor of the Newton Daily News,” Rung said.  “As previously stated, he has a right to voice his opinion. And we have a right to select an editor who we believe best represents our company and best serves the interests of our readers.”

Rung said the company has a duty “to advocate for the communities we serve” and that “to be effective advocates, we must be able to represent the entire community fairly.”

Eschliman, who has been writing professionally since 1998 and became editor-in-chief of the Newton Daily News in 2012, says that the company was aware of his personal blog when he was hired and never indicated it would be a problem for him to continue sharing his personal political and religious views.

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In his religious discrimination complaint against the company, filed with the Equal Employment Opportunity Commission (EEOC), he says that he believes he was singled out for termination because of his Christian views concerning homosexuality and same-sex “marriage.”

“As a lifelong writer, I have maintained a personal blog on the Internet with some personal thoughts and writings,” Eschliman wrote. “Newton Daily News, my employer, never had a policy prohibiting personal blogging, Twitter, Facebook, or any other social media. In fact, my employer encouraged us to engage in social media on a personal level and I am aware of several employees of Newton Daily News who continue to blog and are still employed with Shaw Media.”

“There is no question that I was fired for holding and talking about my sincerely held religious beliefs on my personal blog during my off-duty time from the comfort of my own home,” Eschliman wrote. “Shaw Media directly discriminated against me because of my religious beliefs and my identity as an evangelical Christian who believes in Holy Scripture and the Biblical view of marriage.

“Moreover, Shaw Media announced that not only were they firing me based upon my religious beliefs, but that they would not hire or allow anyone to work at Shaw Media who holds religious beliefs similar to mine, which would include an automatic denial of any accommodation of those who share my sincerely held religious beliefs,” he added.

Neither Shaw Media nor the Newton Daily News have been willing to provide further comment to the press on the matter, citing pending litigation.

Matthew Whitaker, an attorney with Liberty Institute who is assisting Eschliman with his complaint, said the law is on his client’s side.

“No one should be fired for simply expressing his religious beliefs,” Whitaker said in a statement. “In America, it is against the law to fire an employee for expressing a religious belief in public.  This kind of religious intolerance by an employer has no place in today’s welcoming workforce.”

According to Whitaker, if the EEOC rules in Eschliman’s favor, Shaw Media could be forced to give him back pay, front pay, and a monetary settlement.


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If you find this filthy book in your home, burn it

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By Jonathon van Maren

I don’t believe in book-burnings, but for the 50 Shades of Grey Trilogy, I’ll make an exception. I prefer charred books to scarred people.

The 50 Shades of Grey Trilogy, for those of you living outside “civilization,” is a repulsive and poisonous stack of porn novels that celebrates the seduction and manipulation of an insecure girl by a powerful businessman who happens to like spending his recreational time engaging in what is now popularly known as “BDSM.” For those of you who are fortunate enough never to have heard of this glorification of sexual assault, the acronym stands for bondage, domination, sadism, and masochism. In 50 Shades of Grey, the man in question inflicts all sorts of pain on the girl, because he is a sadist, which used to be a bad thing. (How utterly confusing it is to see the “feminists” of Planned Parenthood and elsewhere celebrating this phenomenon—wasn’t domination something they sought to subvert? Didn’t bondage used to be something one wanted to be freed from? And sado-masochism—I could vomit.) And now this trash has been developed into a film, the trailer of which is all over Facebook.

50 Shades of Grey and the new “BDSM” phenomenon are nothing more than the celebration of pain, rape, and destruction.

A lot of people seem to be taken with these books, especially based on the number of people I’ve seen unashamedly reading it at airports. These porn novels are “hot,” many reviewers tell us confidently. Yes, hot as Hell and halfway there, I think.

Consider this, for just a moment: In a culture where broken families are often the norm, we have a generation of girls often growing up without fathers, never receiving the paternal love and affection that they need. Thus the famous “Daddy Issues” that so many comedy sitcoms repulsively mock, as if hurting girls seeking love and affection in all the wrong places is some sort of joke. Conversely, boys are also growing up without fathers, never having a positive male role model in the home to teach them how to treat women with love and respect. And what is teaching them how to treat girls? At an enormous rate, the answer is online pornography, which increasingly features vicious violence against girls and women. The average first exposure of boys to pornography is age eleven. It is an absolutely toxic mess—insecure and hurting girls seek love from boys who have been taught how to treat them by the most vicious of pornography.

Introduce into this situation a book, written by a woman, glorifying the idea that girls should expect or even enjoy pain and torture inside of a sexual relationship. How does a girl, insecure and unsure, know what to think? The culture around her now expects her not to need a safe relationship, but a “safe word” to employ in case her sadist partner gets a bit too carried away in the pain-making. Boys who might never have dreamed of asking a girl to subject herself to such pain and humiliation are now of course emboldened to request or even expect this fetishized sexual assault as a matter of course in a relationship. After all, much of pornography now features this degradation of girls and women, and a woman wrote a book celebrating such things. It might seem sadistic and rapey, but hey, sexual freedom has allowed us to celebrate “bondage” and sexual liberation has allowed us to liberate our darkest demons from the recesses of our skulls and allow them out to play in the bedroom. Boys used to get taught that they shouldn’t hit girls, but now the culture is telling them that it’s actually a turn-on.

I genuinely feel sorry for many teenage girls trying to navigate the new, pornified dating landscape. I genuinely feel sorry for the legions of fatherless boys, exposed to pornography before they even had a chance to realize what it was, enfolded by the tentacles of perverted sexual material before they even realize what, exactly, they are trifling with. It brings to mind something C.S. Lewis once wrote: “Wouldn't it be dreadful if some day in our own world, at home, men start going wild inside, like the animals here, and still look like men, so that you'd never know which were which.”

50 Shades of Grey and the new “BDSM” phenomenon are nothing more than the celebration of pain, rape, and destruction. Find out if the “sex educators” in your area are pushing this garbage, and speak out. Join campaigns to make sure that promotion of this filth isn’t being funded by your tax dollars. And if you find these books in your home, burn them.


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