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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Federal court says NY allowed to ban ‘Choose Life’ plates as ‘patently offensive’

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By Ben Johnson

ALBANY, NY, May 26, 2015 (LifeSiteNews.com) – The pro-life message can be classified as “patently offensive,” a federal appeals court ruled last week. The new opinion came as a three-judge panel ruled that New York state was right to reject a “Choose Life” license plate on the grounds that it may grate on New Yorkers' political sensibilities.

The judges split on whether New York could deny a pro-adoption group the right to have its own license plate, although the state has in the past allowed plates endorsing political causes associated with the liberal viewpoint, such as environmentalism.

Judge Rosemary Pooler, who was appointed by President Clinton, wrote that the state's denial did not harm anyone's right to freedom of expression, because drivers “may display a ‘Choose Life’ bumper sticker — or even cover every available square inch of their vehicle with such stickers. That message will resonate just as loudly as if vehicle displayed a ‘Choose Life’ license plate.”

Judge Debra Ann Livingston, a President George W. Bush appointee, wrote in her dissent that “a proposed custom plate depicting a sun and two smiling children, and bearing the words, ‘Choose Life’ [thought] to be ‘patently offensive’” was “surprising.”

“Pro-adoption organizations should have the same speech rights as any other organization. While the district court affirmed this basic freedom, the circuit court denied free speech in favor of government censorship,” said Jeremy Tedesco, senior counsel at ADF. “The state doesn’t have the authority to target The Children First Foundation specialty plates for censorship based on its life-affirming viewpoint.”

The ruling is the lastest round in a legal battle that has raged for more than a decade and, pro-lifers say, seen state officials repeatedly suppress their First Amendment rights.

The Children First Foundation applied for the specialty license plate in 2002, but state officials say the message and design was “too controversial.” In 2004, the Alliance Defending Freedom filed a lawsuit on CFF's behalf.

New York's Department of Motor Vehicles repeatedly denied the “Choose Life” license plates on the grounds that the message was “patently offensive.”

The same appeals court rejected an effort to suppress the plates made by then-Attorney General Eliot Spitzer and agreed that Albany officials denied the plates based on viewpoint discrimination.

In 2006, a three-judge panel of the Second Circuit Court of Appeals noted that CFF “specifically alleges that defendants denied the picture-plate application ‘based on their disagreement with [the] life-affirming viewpoint expressed on the plate.’”

“On a motion to dismiss, we must accept this allegation, and all reasonable inferences drawn from it, as true,” the judges ruled.

Spitzer, a Democrat who strongly supported abortion-on-demand and gay “marriage,” served as governor beginning in 2007 but resigned his office in the midst of a prostitution scandal only 15 months later.

In November 2011, a federal court ruled that “New York has run afoul of the First Amendment by giving the Commissioner unbridled discretion to engage in viewpoint discrimination.”

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Yet the case has dragged on through the appeals process.

“The state has wrongly gotten away with speech discrimination against our client for more than 10 years,” Tedesco said after last week's ruling.

He said ADF is considering its next legal move.

As of this writing, “Choose Life” license plates are available in 25 states and the District of Columbia.

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Michael Coren stands outside St. James Anglican Cathedral as he prepares to be received into the Anglican Communion on April 19, 2015. Anglican Diocese of Toronto / Facebook
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‘Official’ Catholic newspaper defends running pro-abortion piece by Michael Coren

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By Pete Baklinski
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MUENSTER, Saskatchewan, May 26, 2015 (LifeSiteNews.com) -- The Prairie Messenger, described as the "official Catholic newspaper for western Canada," is defending the publication of a piece last week in which ex-Catholic author Michael Coren openly advocates for abortion in the case of rape while saying the notion of “criminalizing abortion” is “repugnant.”

In his piece titled "Seamless garment," Coren — who recently left the Catholic Church to join the Anglican Communion over Catholic teaching on homosexuality — writes that the 10-year-old Paraguayan girl who seized international headlines after becoming pregnant by rape should be legally allowed to abort her baby.

“A terrified little girl victimized by those around her and forced by a government to give birth to the child of her rapist? That is not justice, that is not life, that is not right. God must be weeping,” he writes.

Criminalizing abortion, Coren writes, would “give state legitimization and authority to a minority view and what is to a very large extent a particular religious teaching.”

The Catechism of the Catholic Church takes a different position, however. In paragraph 2273, it states that “as a consequence of the respect and protection which must be ensured for the unborn child from the moment of conception, the law must provide appropriate penal sanctions for every deliberate violation of the child's rights." Catholic teaching holds that every human life is sacred since it comes from God. There is no exception for rape. 

For many years, Coren was one of the most prominently pro-life broadcasters in Canada. Calling himself a “journalist for life,” he wrote a column for The Interim, Canada’s life and family newspaper, and was a frequent paid speaker at pro-life events. The Prairie Messenger column appears to be the first time that he has publicly renounced his pro-life position.

Prairie Messenger: “We live in a diverse society where the challenges of daily living cause people to be confronted with difficult circumstances in a world where nothing is black and white."

Rebecca Kiessling, founder of Save The 1, told LifeSiteNews that she was disgusted to see an article in a Catholic newspaper that supports abortion. Kiessling, who was conceived by rape, is a public advocate for those targeted for abortion because they were conceived in rape.

“We are also told in Deuteronomy not to punish a child for the sins of the father and we are not to shed innocent blood. Doing so goes against every concept of justice. I did not deserve the death penalty for the crimes of my biological father. There is a misplaced compassion when anyone wants to kill the innocent child. Punish rapists, not babies,” she said.

Monica Kelsey, who was also conceived in rape, told LifeSiteNews that she was “deeply saddened to hear about Christians standing for the killing of an innocent child.”

“We all agree that this is a situation that deeply saddens us all, but killing this young woman’s child is not going to unrape her. It will further victimize her and, in the process, kill an innocent child.”

“As a child conceived through a brutal attack and rape where my birth mother almost died, I am deeply saddened that Mr. Coren is making an exception for this precious child's life, simply because his father is a rapist. God can get this 10-year-old child through this tough time, but why compound the issue with an abortion? This girl needs us to walk beside her, loving her and helping her make an adoption or parenting plan,” she said.

"This is a life, this is justice for this child. Saving this pre-born child's life is the right thing to do,” she added.

Dolores Castellanos, the doctor who is monitoring the 10-year-old girl in Paraguay, has confirmed that the pregnancy is developing without affecting the health of the infant or the little girl. Nevertheless, the international abortion lobby has latched onto the case as an opportunity to force the small South American country to change its pro-life constitution which currently protects life from the moment of conception.

Prairie Messenger is a weekly Catholic newspaper published by the Benedictine monastic community at St. Peter’s Abbey in Muenster, Saskatchewan. The Diocese of Saskatoon, the Archdiocese of Saint Boniface, and the Archdiocese of Regina are among those that promote the newspaper.

When LifeSiteNews asked Prairie Messenger News Editor Rev. Peter Novecosky, OSB, why it ran a piece from an ex-Catholic who advocates for positions at extreme odds with clear Catholic teaching, spokesperson Maureen Weber responded: “Because we have much to gain by listening to the voices of others.”

“To carry only Catholic columnists who repeat the catechism would mean never hearing and acknowledging the voices of those who are living the hard realities of life on the peripheries, as Pope Francis puts it. Other columnists present other viewpoints that reflect these difficult life issues. Our readers can address these issues when they are presented and, as thinking adults, they need to do more than repeat rote answers.”

Weber said that the editors of Prairie Messenger “refuse to see abortion as a single issue, but rather, as a seamless garment of protection for all of life, both the unborn and the born, support for women, for work toward alleviating the poverty that leads so many women to make desperate decisions, restorative justice rather than harsh sentences with no possibility of rehabilitation, defence policies, health care, policies on the disabled, the aged, euthanasia and assisted suicide.”

“We live in a diverse society where the challenges of daily living cause people to be confronted with difficult circumstances in a world where nothing is black and white,” she said.

Cardinal Gerhard Müller, prefect for the Congregation for the Doctrine of the Faith, criticized in 2013 those who champion the Church’s moral vision as a “seamless garment” while ignoring actual occasions of real injustice.

“The ‘seamless garment’ image was used to great effect to root the Church’s response to various moral issues — from nuclear proliferation to poverty — within the overarching teaching on the sanctity of human life, from natural conception to natural death,” he said.

“Unfortunately, however, it is also true that the image of the ‘seamless garment’ has been used by some theologians and Catholic politicians, in an intellectually dishonest manner, to allow or at least to justify turning a blind eye to instances of abortion, contraception, or public funding for embryonic stem cell research, as long as these were simultaneously accompanied by opposition to the death penalty or promotion of economic development for the poor - issues which are also part of the fabric of Catholic moral teaching,” he said.

The Prairie Messenger, which acts as the newspaper for a number of dioceses in Western Canada, has faced criticism in the past for opposing Catholic teaching.

In a July 2004 Catholic Insight article titled “A flawed stewardship,” Joe Campbell of Saskatoon, SK, called the Prairie Messenger’s editorial stance “disappointing” for taking what he called a “cafeteria approach to teachings on faith and morals, accepting some while rejecting others.”

Campbell criticized then-editor Rev. Andrew Britz, OSB, for failing to support Church teachings on issues such as the male priesthood, contraception, fornication, and homosexuality.

“Not only has Fr. Britz failed to support certain teachings, but he has repeatedly challenged them. He has managed this in three ways: through his editorials; through regular columnists he has retained; and through unbalanced coverage of certain events and issues,” he wrote at that time.

Jim Hughes, national president of Campaign Life Coalition, told LifeSiteNews that a Catholic publication should publish what the Catholic Church teaches.

“Why they would allow this to be published is certainly beyond me. I think it behooves a Catholic publication to stand-up for what the Church actually teaches. Without some counter argument in defense of Church teaching right along side this piece, I think it's wrong to run something like that,” he said.

Contact info for respectful communcations:

Diocese of Saskatoon (home of Prairie Messenger) 
Bishop Donald Bolen
Ph: 306-659-5824 ext. 824
Email: [email protected]

Prairie Messenger 
Rev. Peter Novecosky, OSB
Ph: 306-682-1772
Email: [email protected]

Archdiocese of Saint Boniface
Most Rev. Albert LeGatt, DTh
Ph: 204-237-9858
Email: [email protected]

Archdiocese of Regina
Archbishop Daniel Bohan
Ph: (306) 352-1651
Director of Communications
Bobbi Yanko - ext 230
Email: [email protected]

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BREAKING: Dutch bishops’ aid group funding Planned Parenthood, Marie Stopes

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By Lisa Bourne

May 26, 2015 (LifeSiteNews.com) – Cordaid, the Dutch arm of the Vatican’s charitable umbrella Caritas Internationalis, is openly promoting contraception and says access to birth control is vital for the good of women in developing countries. The group has also given money to leading international abortion providers Planned Parenthood and Marie Stopes International.

Cordaid defended itself when questioned by LifeSiteNews. Calling itself a “proud member” of Caritas Internationalis, a representative said that “access to affordable and good-quality family planning and sexual and reproductive healthcare are crucial to strengthening the position of women in developing countries and to lowering the rate of unwanted pregnancies.”

A new report by the Lepanto Institute details evidence of numerous violations of Church teaching from Cordaid's own website.

In 2012 Cordaid started a program called “Making sexual and reproductive health services work for the next generation” in Burundi, Rwanda, and the Democratic Republic of Congo.

Cordaid: “Access to affordable and good-quality family planning and sexual and reproductive healthcare are crucial to strengthening the position of women in developing countries and to lowering the rate of unwanted pregnancies.”

“There is a clear need for sex education and contraception in the African Great Lakes region,” Cordaid wrote of the program. “Its aim is to provide a better future for young generations, reduce childbirth mortality among women through more effective family planning and alleviate poverty among families.”

It began another contraception program the following year in Burundi, Congo, and Rwanda. A Cordaid program distributed condoms in the Congo in 2012, and another worked to provide condoms and other contraceptives in Malawi in 2013, while a third provided condoms in Sierra Leone in 2011 and 2012.

The Cordaid website also shows that it gave the Philippines Planned Parenthood affiliate €220,491 in 2013 for a teen sex-ed program, and partnered with another affiliate in Sierra Leone in 2013 and 2014. Cordaid gave a Marie Stopes affiliate over half a million Euros in 2013 to provide birth control, including sterilization.

Cordaid is not only a member but also a co-founder of Caritas Internationalis, the Vatican’s coalition of Catholic relief, development, and social service organizations. There are 165 members in some 200 countries and territories across the world, and Cordaid is Caritas Internationalis’ local affiliate for the Netherlands.

The head of Caritas Internationalis was released from her position in 2011 amidst internal changes requested by the Vatican, prompted by concerns over the development agency’s Catholic identity. The following year Pope Benedict XVI ordered a reform of Caritas Internationalis.

The Lepanto Institute’s Michael Hichborn criticized Cordaid’s open flaunting of its membership in Caritas Internationalis while obviously disobeying Church teaching.

"With Cordaid boasting its proud membership in Caritas Internationalis while simultaneously fully admitting to dispensing contraception and funding Planned Parenthood and Marie Stopes International, Caritas has an obligation to expel Cordaid from its rosters," he told LifeSiteNews.

Responding to LifeSiteNews’ inquiry into the report’s specifics, in addition to stating that women benefit from “family planning” services and expressing importance in reducing “unwanted pregnancies,” Cordaid insisted it is not involved in providing abortion.

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“Cordaid's instruments of family planning and sexual and reproductive healthcare do not include abortion,” the relief group said.

Cordaid also said it had the esteem of those with whom it collaborates. “Our partners, governments and our funding partners respect the way we, as a proud member of Caritas Internationalis, fulfil our role to build bridges between faith based and non-faith based organizations in north and south.”

“The catholic social teachings are the fundament of our identity and work,” the group added. “The fundamental elements of the catholic social teachings, subsidiarity, solidarity, bonum com unum and human dignity, inspire and guide us in our mission to build flourishing communities in the world’s most fragile and conflict affected areas.”  

LifeSiteNews sent inquiries to Caritas Internationalis regarding Cordaid’s activities in conflict with Church teaching, and did not receive a response before press time.

Hichborn decried the thought of Catholics in the Netherlands funding anti-Catholic initiatives. "Are the bishops of the Netherlands aware of what Cordaid is doing?” he asked. “Do Catholic parishes in the Netherlands take up collections for Cordaid? The Catholic faithful need to be made aware of what is happening in our Church."

Cordaid’s full statement to LifeSiteNews:

As a Catholic organization, Cordaid has long experience in healthcare in developing countries, especially sexual and reproductive healthcare.

In our programs one of our aims is to build bridges between citizens and governments, partners in the North and partners in the South, and bring together both religious and non-religious organizations.

Our long experience has taught us that good, complete and timely information and access to affordable and good-quality family planning and sexual and reproductive healthcare are crucial to strengthening the position of women in developing countries and to lowering the rate of unwanted pregnancies. Cordaid's instruments of family planning and sexual and reproductive healthcare do not include abortion.

Our partners, governments and our funding partners respect the way we, as a proud member of Caritas Internationalis, fulfil our role to build bridges between faith based and non-faith based organizations in north and south. The catholic social teachings are the fundament of our identity and work. The fundamental elements of the catholic social teachings, subsidiarity, solidarity, bonum comunum and human dignity, inspire and guide us in our mission to build flourishing communities in world’s most fragile and conflict affected areas.   

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