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 Raymond Burke, prefect of the Apostolic Signatura, speaks to Thomas McKenna of Catholic Action Insight. Catholic Action Insight
Hilary White Hilary White Follow Hilary

Catholics shouldn’t sue one another: Cardinal Burke comments on Fr. Rosica’s lawsuit against blogger

Hilary White Hilary White Follow Hilary
By Hilary White

ROME, March 2, 2015 (LifeSiteNews.com) – Citing Scripture, Cardinal Raymond Burke told an interviewer this week that Catholics should not sue each other: “Our Lord in the Gospel and St. Paul in his First Letter to the Corinthians instruct us not to take our disputes to the civil forum, that we should be able, as Catholics, to resolve these matters among ourselves.”

The cardinal’s comments to the Traditionalist Catholic website Rorate Caeli follow an uproar in the Catholic media world last week when it was revealed that Vatican spokesman Father Thomas Rosica has threatened to sue a Canadian blogger for defamation in the civil courts.

Cardinal Burke, who served under Pope Benedict XVI and Pope Francis as the head of the Vatican’s highest court, is a noted expert on canon law. He told Rorate Caeli, “Unless the blogger has committed a calumny on someone's good name unjustly, I certainly don't think that that's the way we as Catholics should deal with these matters.”

“I think contact should be made. I presume that the Catholic blogger is in good faith, and if there’s someone in the hierarchy who is upset with him, the way to deal with it would be first to approach the person directly and try to resolve the matter in that way,” Burke added.

Fr. Rosica, a Canadian Basilian, is the English language press officer for the Vatican and founder of the Toronto-based Salt and Light Television network.

He sent the legal letter to David Domet, a Toronto music composer and part-time Catholic blogger who has long criticized what he says are Fr. Rosica’s departures from Catholic orthodoxy. The priest’s lawyer told Domet to remove nine separate items from his blog and apologize, but added that this would not necessarily remove the threat of the civil action.

The conflict was covered in a feature by Michael Voris’ Church Militant TV, and the internet’s Catholic blogger world exploded with indignation. So furious was the backlash that it got coverage by the US conservative news site, Breitbart. This followed dozens of blog posts, nearly unanimously calling the threatened legal action of a well-placed priest against a lay pensioner a “PR disaster” for Rosica. 

The uproar has launched Domet’s small blog, Vox Cantoris, into the international limelight, and has earned Fr. Rosica an avalanche of criticism. “Though Rosica publicly defends the right to freedom of speech and press, he is attempting to silence the blogger who has criticized him,” Austin Ruse, president of the Catholic Family and Human Rights Institute, wrote for Breitbart.

Among Domet’s criticisms of Fr. Rosica is his apparent support for the proposal by Cardinal Walter Kasper to allow divorced and civilly remarried Catholics, and others in “irregular” sexual unions, to receive Holy Communion.

Fr. Rosica has also recently come under fire for comments he made a year ago, in a lecture in Windsor, Ontario, in which he argued that Catholic doctrine could change. (See video below. Quotes can be found at 48:12.)

“Will this Pope re-write controversial Church doctrines?” Fr. Rosica said in the lecture, which was posted to Youtube. “No. But that isn't how doctrine changes. Doctrine changes when pastoral contexts shift and new insights emerge such that particularly doctrinal formulations no longer mediate the saving message of God's transforming love.”

Fr. Rosica continued: “Doctrine changes when the Church has leaders and teachers who are not afraid to take note of new contexts and emerging insights. It changes when the Church has pastors who do what Francis has been insisting: leave the securities of your chanceries, of your rectories, of your safe places, of your episcopal residences go set aside the small-minded rules that often keep you locked up and shielded from the world.”

In the Rorate Caeli interview, Cardinal Burke refuted the idea that the Church can change its “pastoral practice” without changing doctrine.

“I think it’s very important to address a false dichotomy that's been drawn by some who say, ‘Oh no, we’re just changing disciplines. We’re not touching the Church's doctrine.’ But if you change the Church’s discipline with regard to access to Holy Communion by those who are living in adultery, then surely you are changing the Church's doctrine on adultery.”

“You’re saying that, in some circumstances, adultery is permissible and even good, if people can live in adultery and still receive the sacraments. That is a very serious matter, and Catholics have to insist that the Church’s discipline not be changed in some way which would, in fact, weaken our teaching on one of the most fundamental truths, the truth about marriage and the family,” Cardinal Burke said.

Fr. Rosica recently criticized Cardinal Burke on his Twitter account by posting an article by Washington, DC’s Cardinal Donald Wuerl on “dissent” in the hierarchy, saying, “Cardinal Wuerl’s response to Burke (and dissenters).”

The priest has also had a confrontational relationship with the pro-life movement for years.

In 1996, Fr. Rosica called the police on pro-life advocates who were leafletting in protest at a lecture by famous dissident Gregory Baum at the University of Toronto’s Newman Centre.

In 2009, Fr. Rosica wrote against objections to the lavish Catholic funeral for US Senator Ted Kennedy’s in Boston. He excoriated the pro-life movement for what he called their lack of “civility.”

“Civility, charity, mercy and politeness seem to have dropped out of the pro-life lexicon,” Fr. Rosica wrote. “To recognize and bring out the sin in others means also recognizing one’s self as a sinner and in need of God’s boundless mercy.

“Let us pray that we will become more and more a people, a church and a community overflowing with mercy.”

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Greg Rohrbough, J.D.

Duck Commander Phil Robertson’s CPAC speech was viral in so many ways

Greg Rohrbough, J.D.
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Last week, the winner of the 2015 Citizens United/CPAC Andrew Breitbart Defender of the First Amendment Award was “Duck Commander” Phil Robertson, paterfamilias of the Duck Dynasty Robertson family. In doing so, they were giving Phil the CPAC stage for a speech, knowing that he would speak his unvarnished thoughts. One doubts they expected his topic.

After bringing out his heavily-duct-taped Bible and telling politicians to keep theirs with them, Phil went on the offensive – against sexually transmitted diseases (STDs). He quoted the federal Centers for Disease Control, which estimates that more than 100 million Americans now have a sexually transmitted infection.

“I don’t want you to become ill. I don’t want you to come down with a debilitating disease. I don’t want you to die early,” Robertson said.

Phil’s solution? One older than Christianity, as old as common sense itself. “If you’re disease-free, if she’s disease-free, you marry. You keep your sex right there. You won’t get sick from a sexually-transmitted disease!”

Logic and mathematics would seem to agree. According to Robertson, his goal was to show love to the listeners. But several left-wing websites didn’t see it that way.

“He certainly used his speech to hate very well. I guess that's the criteria. Who can say the sickest, most vile things about center-left Americans wins!” according to John Amato of Crooks & Liars.

The Huffington Post took offense at his attributing the rise in STDs to the beatniks and hippies.

To their credit, MSNBC acknowledged Phil’s numbers, saying, “For the record, Robertson’s [sic] has his numbers correct. A CDC report from February of 2013 estimated more than 110 [million] cases of sexually transmitted infections in America with about 20 billion [sic, MSNBC’s number] new infections each year at a cost of ‘nearly $16 billion in direct medical costs.’”

The network site then blasted him for comparing ISIS to the Nazis, Communists, and Imperial Japanese.

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Robertson clearly didn’t care what MSNBC thought, though. “You want a Godly, Biblical, medically safe option? One man, one woman, married, for life,” he said.

“What do you call the 110 million people who have sexually transmitted illnesses?” he continued. “It’s the revenge of the hippies! Sex, drugs, and rock ‘n’ roll have come back to haunt us in a bad way!”

But the big question is – is Phil right or wrong? According to the CDC’s website, “Almost every sexually active person will acquire HPV [Human Papillomavirus] at some point in their lives.”

“Sexually active” would seem to indicate activity with new or multiple partners, rather than this Duck Doctor Phil’s Prescription.

But still – “Almost every…person.” That’s quite a few – the website also says, “about 79 million Americans are currently infected with HPV. About 14 million people become newly infected each year.” While it is the most prevalent venereal disease, HPV is only one of many.

Generally, HPV’s symptoms are more a painful nuisance than life-threatening – genital warts, often only appearing years after the initial infection. But there are also life-threatening illnesses such as cervical cancer, which HPV causes.

Much more frightening, however, is the specter of HIV/AIDS. According to the CDC, there are about 1.2 million people currently living with HIV, and as many as 50,000 new cases a year, with 63 to 66 percent of those being “MSM,” or “Men who have Sex with Men.” Sadly, the lion’s share of new HIV infections is found in the 13-24 age group; despite being 16 percent of the nation’s population, they account for 26 percent of all new infections, with 72 percent of those being young MSM. While HIV is treatable, there is still no cure.

Although HIV, as well as the current increase in syphilis and hepatitis, are primarily targeting homosexual males, heterosexuals with multiple partners are by no means off the hook. As well as HPV, herpes, drug-resistant gonorrhea and chlamydia are on the rise, as well. The year 2013 saw 1.4 million cases of chlamydia and 820,000 new cases of gonorrhea, and the CDC estimates that one person in every six in the U.S. between the ages of 14 and 49 has herpes.

Criticize Phil all you like, folks – he doesn’t mind. He’s only saying this because he cares.

Listen to him again: “I don’t want you to become ill. I don’t want you to come down with a debilitating disease. I don’t want you to die early.”

“And if you hate me because I told you that,” he said, “I told you, my love for you is not contingent on how you feel about me. I love you anyway. I don’t want you to see you die early or get sick. I’m trying to help you, for cryin’ out loud! America, if I didn’t care about you, why would I bring this up?”

From this CPAC attendee’s perspective, Phil’s speech was not only important from a physical health perspective, it also, along with that duct-taped Bible of his, reminds us of the words of Charles Spurgeon: “A Bible that’s falling apart usually belongs to someone who isn’t.”

Greg Rohrbough, J.D., has been director of government relations for the Meredith Advocacy Group since 2006.

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Steve Weatherbe

Former abortionist who failed to kill unborn baby hit with $1 million lawsuit: baby was born with hole in heart

Steve Weatherbe
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OTTAWA, March 2, 2015 (LifeSiteNews.com) – An Ontario mother of a baby born by mistake is suing the former doctor who botched her abortion for $1 million for his “gross negligence” and “medical malpractice.”

Tania Brown already had four children when she went to Dr. Michel Prevost in Almonte, Ontario in early 2011 for a medical (or pharmaceutical) abortion to prevent a fifth, which her doctor had advised might have birth defects. Several months later she suspected Prevost’s one-two punch of methotrexate (a poison to kill the baby) and misoprostol (to expel the corpse a week later) had not worked. An ultrasound confirmed a beating heart.

Too late for an abortion now, she gave birth, in May, to a baby with “a smaller brain; he had a hole in his heart; he had something wrong with his palate.” She gave him up for adoption.

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Dr. Prevost relinquished his medical licence earlier this month with the certainty that if he didn’t, the Ontario College of Physicians and Surgeons would expel him after an investigation found him “incompetent in his practice of obstetrics and gynecology.”  They looked into 28 abortion cases, two so badly “botched” that the babies survived.

Small wonder the whole business sent Brown into a “debilitating depression,” but her lawyer Ralph Lee told the CBC the case “brings up larger issues…the issue of a woman’s access to abortion.”

Basically, Prevost couldn’t get the dosages right. Methotrexate, MedicineNet.com warns, “has infrequently caused serious (sometimes fatal) side effects.” These include severe azotemia (too much blood urea nitrogen), severe blood infection, stomach and intestinal bleeding, and perforation.

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