Carolyn Moynihan

New Chile study challenges the ‘safe abortion’ myth

Carolyn Moynihan
By Carolyn Moynihan
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May 8, 2012 (Mercatornet.com) - One of the great scandals of today’s global village is the deaths of hundreds of thousands of mothers each year simply because they are carrying or giving birth to a child. The last reliable estimate, from 2008, indicated nearly 343,000 of these maternal deaths. The scandal lies in the fact that most of them are easily preventible with basic health care, as the West discovered more than a century ago.

The West, as we know from many statements from the World Health Organisation and reproductive health groups, is anxious to reduce this awful statistic, which is an important aim of the Millennium Development Goals. Unfortunately, this altogether worthy goal is entangled with another: the reduction of fertility in the developing countries, by the quickest means possible. This means that, often before other basic medical and social improvements are in place, there must be universal access to birth control technology—not only contraception but abortion.

Abortion, however, must be safe for the woman—that is, provided by medically qualified people or by medically certified means—and to be safe it must be legal. Where it is illegal it will happen anyway but it will be unsafe, and often lethal. States which persist in keeping abortion illegal or severely restricted (and not the agents who are pushing this form of birth control) are thus contributing to the dire maternal mortality statistics. And states which ban abortion after it has been legal are similarly putting women’s lives at risk. That, as they say, is the narrative.

There’s just one problem with the drift of this story: there is no proof that it is true. The only hard evidence that we have on the subject of restrictive abortion laws and maternal mortality rates (MMR) is very new and it points in the opposite direction.

Research from Chile published a few days ago shows that, when therapeutic abortion was banned in 1989 after a long period when it had been legal in that country, there was no increase in maternal mortality. None at all. On the contrary, maternal deaths continued to decline. Chile today has one of the lowest maternal mortality rates in the world (16 per 100,000 live births), outstripping the United States (18) and, within the Americas, second only to Canada (9). Rather than the rogue violator of women’s reproductive health that the UN makes it out to be, Chile is looking this week like a model for countries that really want to save the lives of mothers.

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It’s important to note here what the study, Women’s Education Level, Maternal Health Facilities, Abortion Legislation and Maternal Deaths: A Natural Experiment in Chile from 1957 to 2007, does not claim. It does not say that making abortion illegal caused a decline in maternal deaths. But it shows, importantly, that the 1989 law did not increase mortality. It continued to decline substantially, although other factors were at work in the decline—notably, the education of women and their ability to shape their own reproductive behaviour. (The latter does not mean quite what birth control fundamentalists mean, as we shall see.)

The study, published in the open access online journal PLoS One, is the work of Chilean and American researchers led by Dr Elard Koch, epidemiologist and a professor at the University of Chile and Universidad Católica de la Santísima Concepción (UCSC). The group, who formed the Chilean Maternal Mortality Research Initiative (CMMRI) for the purpose of the study, had access to exceptionally good data: 50 years of official records from Chile’s National Institute of Statistics, 1957 to 2007. These provide the basis of what the authors call a “natural experiment” in fertility and abortion policy.

What these records show is a dramatic decline in MMR from 1965, when abortions were numerous and abortion was the main cause of mortality, through to 1981; a continuing but slower reduction from 1981 to 2003; and a steady state from 2003 to 2007. To explain this pattern the researchers analysed social policies and trends likely to influence maternal mortality. Here are the key ones, especially for the first phase:

* Delivery by skilled birth attendants. For each 1 per cent increase in the number of deliveries performed by skilled attendants there was an estimated decrease of 4.58 maternal deaths per 100,000 live births. Clean water and other sanitary improvements also played a part.

* Access to maternal healthcare services. Nutrition programmes for mother and child, coupled with the distribution of fortified milk at primary care clinics created new opportunities for pregnancy and birth care for both mother and child. This strategy practically eradicated malnutrition, increased birth weight and contributed to the noteworthy reduction in infant mortality observed in Chile, 3.1/1000 live births for infants 28 days to 1 year of age.

* Women’s educational level. This, says Koch, is the most important factor, and the one which increased the effect of all other factors. Educating women enhances a woman’s ability to access existing health care resources and directly leads to a reduction in her risk of dying during pregnancy and childbirth. Data showed that for every additional year of maternal education in Chile there was a corresponding decrease in the MMR of 29.3/100,000 live births.

Boosting female education did something else: it brought down the fertility rate (currently the TFR is 1.87). To return to a point mentioned earlier, the authors point out that “education promotes higher autonomy in women, allowing them to take control of their own fertility” using the method they prefer. Interestingly, a majority of Chilean women do not prefer artificial contraceptives. The authors note:

“Although the primary care system currently provides universal access to a variety of contraceptives methods, actual use of hormonal contraceptives and intrauterine devices in Chile reaches approximately 36% of women of reproductive age. Therefore, as in developed nations, other factors not limited to the use of artificial contraceptives seem to be contributing to the reduction in TFR in Chile. One such factor could be women’s increasing level of education.”

And here the news stops being good. At this point Chilean woman meets North American and European and Antipodean woman in a pattern of delayed motherhood—and pathologies associated with that delay. Koch and colleagues describe this “fertility paradox” as follows:

Although a strong correlation did exist between the decline on the MMR and the reduction on total fertility rate (i.e. the average number of children that would have been born to a woman over her reproductive lifetime), the increase in the number of first pregnancies at advanced ages was directly associated with an increase on maternal deaths. For every 1% increment in primiparous women giving birth older than 30 years of age, an increase of 30 maternal deaths per 100,000 live births was estimated. Thus, when the total fertility decreases and produces a delayed motherhood it can also provoke a deleterious effect on maternal health via an increase of the obstetric risk associated with childbearing at advanced ages.

Before 1980 the causes of MMR in Chile were on the whole directly related to pregnancy and birth. From then on the underlying health problems of “aging pregnancy” began to take over in the mortality stakes: hypertension, diabetes and obesity among others. The problem now, there and here in the developed world, “is not a matter of how many children a mother has, but a matter of when.”

Did the reproductive health brigade get that? Delayed motherhood can be literally deadly. At a certain point, the gains of education and good health and social services are taken too far and recoil upon the modern woman. With the greater part of the world, including many developing countries, now below replacement TFR, maternal mortality from social progress is set to climb before deaths from deprivation have been thoroughly, and one could say properly, addressed.

Koch’s study shows that the custodians of reproductive health profoundly misunderstand the remedy for maternal mortality in developing countries. Will they do any better when they try to come to grips with the fertility paradox?

Carolyn Moynihan is deputy editor of MercatorNet. This article is reprinted under a Creative Commons License.

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TLC pulls ‘19 Kids and Counting’ from schedule following Duggar molestation allegations

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By Ben Johnson

SPRINGDALE, AR, May 22, 2015 (LifeSiteNews.com) – The television network TLC has removed the Duggar family's reality show, “19 Kids and Counting,” from its schedule, at least temporarily.

Multiple news outlets have confirmed that the show, featuring the large and expanding evangelical Christian family, will not be on the air until the network makes a final decision about the program's fate.

The network had previously removed “Here Comes Honey Boo Boo” from its network after “Mama June” Shannon had been seen associating with convicted child molester Mark McDaniel, possibly exposing her children to a sexual predator. Shannon has told the entertainment news outlet TMZ that she would sue the network for unfair and inconsistent treatment.

TLC has not made a final determination as of yet and aired a Duggar marathon Thursday evening as the controversy brewed.

Friday's move comes after media outlets obtained police records showing Josh Duggar, as a young teenager 12 years ago, inappropriately touched as many as five girls, often while they were sleeping. The police records show the incidents began in March 2002, the month the oldest Duggar child turned 14. He admitted the incident to his parents that July, but another incident took place in March 2003. At that time, the family sent him to a program that required counseling and hard physical labor.

Three years later, a letter containing details of the molestation was found, and its recipient notified police, who launched an investigation.

One of his victims told police, after Josh returned in July 2003, he had clearly “turned back to God.” No further incidents have been alleged.

Duggar's wife of six-and-a-half years, Anna, said Josh revealed the painful episode to her two years before they got engaged.

Since the allegations have been made public, Josh Duggar admitted his long ago wrongdoing, calling his teenage actions “inexcusable.” He also resigned his job at FRC Action, a pro-family lobbying organization.

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Some figures have offered the Duggars their reassurance that, whatever sins Josh committed as a teen, he can be – perhaps has been – forgiven by God.

Former Arkansas Gov. Mike Huckabee, now a presidential hopeful, said that Josh “and his family dealt with it and were honest and open about it with the victims and the authorities. No purpose whatsoever is served by those who are now trying to discredit Josh or his family by sensationalizing the story.”

He said those who leaked the story were motivated by “insensitive bloodlust” to destroy the Duggar family. “There was no consideration of the fact that the victims wanted this to be left in the past, and ultimately a judge had the information on file destroyed—not to protect Josh, but the innocent victims.”

God, Huckabee said, forgives all sins.

“In my life today, I am so very thankful for God’s grace, mercy and redemption,” Josh wrote.

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Rebecca Kiessling of Save the 1 - United States Steve Jalsevac/Vatican City
Rebecca Kiessling

I told her I was conceived in rape. She told me to prove I shouldn’t have been aborted.

Rebecca Kiessling
By Rebecca Kiessling

(Savethe1) - Why should I have to prove my worth and my right to life? When I first learned at the age of 18 that I was conceived in rape, I instantly felt targeted and devalued by our society because I’d heard what people said about pregnancy “in cases of rape.” Right away, I felt I was in a position where I would have to justify my own existence – that I would have to prove to the world that I shouldn’t have been aborted and that I was worthy of living.

I’ve since found my own value, identity and purpose in Christ, being created by God, in His image, and for a purpose, so I no longer feel I need to prove my worth to others in order to feel worthy. Instead, I share my worth out of gratitude for my own life being spared and in order that others may see the value of those who are still at risk – those who are in harm’s way as yet unborn and being targeted for abortion in the clinics, in legislation, and in people’s hearts and minds.

Whenever I speak, I share this aspect of my journey, but people are shocked to hear that I actually do get challenged to prove my value, to demonstrate my positive contribution to society and to justify my right not to have been aborted. This recent e-mail is a case in point. It was a tough inquiry to receive, but you’ll see my hopefully patient (and prayerful) responses below, and the ultimate outcome of the exchange:

I’m feeling sad and skeptical about rape babies.  I’d love to consider myself pro-life due to biblical reasons, but I just don’t really see what good can ever come out of a rape baby. I still think that it sometimes furthers the victimization of a rape victim. And it’s also because I’m very sad and disturbed by your blog.

I just think sometimes that it would be better if these babies never existed -- that every single one would naturally be miscarried by God’s will, so no one could bully them for their skeleton in their closet. Like I said, the subject manner disturbs me to the point where I vomit. I wish that every child was conceived in love and not violence because that's the way it should be. And I'm sad to say that the only way I could fully believe all of you rape mothers and children is if you were to pray for the peace of God that transcends all my futile understanding and my volatile, overly-sensitive emotions. 

There is no story in the whole world that can fully change my mind. The only way I could ever is if I were to befriend a victim or become the Bride of a man whom was the product of abuse. I'm so sorry to be brutally honest; it's just that my heart grieves to the point where I feel the struggle to overcome the sin of prejudice. I'm so angry at God that he allows this to occur.

Dear __, I appreciate you going to our blog and taking the time to reach out to us.  Your concerns are the most common, but research shows that rape victims are four times more likely to die within the next year after the abortion vs. giving birth. Dr. David Reardon's book Victims and Victors: Speaking Out About Their Pregnancies, Abortions and Children Resulting From Sexual Assault explains this.  So it's a myth which gets perpetuated -- that a rape victim would be better off after an abortion, that her child would be a reminder of the rape, and that she would even see her child as a "rape baby," as you put it.

I understand a lot of what you're saying.  You would definitely feel differently if you knew someone personally.  I wished I wasn’t conceived in rape, but I do believe now that God definitely brings good out of evil, and uses tragic situations to bring healing.  He doesn't intend the evil of course, but his trademark is redeeming really awful situations.

-- Rebecca

Her reply (again, challenging for me to read, but I think she candidly articulates a lot of what most people really wonder or think):

What has God done in your life personally besides this blog that has made your tragic family life worth the pain? Tell me what you have been doing: like marriage, dating, children, jobs, friendship, volunteer work; any of that. I am curious to see how God has given your life joy and purpose. I'm sorry if I have ever been difficult to handle. I'm emotionally impulsive when I hear something sad.

First of all, my birthmother and her husband legally adopted me 3-1/2 years ago because my adoptive family was really screwed up (long story of abuse and abandonment.) My own adoption by my birthmother was our fairy-tale ending.  She says I'm a blessing to her, I honor her and I bring her healing! I love adoption -- my two oldest are adopted (very open adoption,) and we adopted a baby with special needs -- Cassie -- who died in our arms at 33 days old. It was an honor to take care of her and was definitely one of the most important things I'd ever done in my life. She died because of medical malpractice.

Married for nearly 17 years, we have 5 children now – two adopted sons and our three biological daughters.  Here's my son's story. He wrote it last September at 12 years old.

Besides being the president and founder of Save The 1, I also co-founded Hope After Rape Conception. I'm a family law attorney, though I closed my law practice to have my children and to home school until 2-1/2 years ago.

I make baby quilts which I donate to pregnancy resource centers and I give to moms in unplanned pregnancies. My birthmother taught me to sew! I also taught my children to quilt, as well as many of my friends and their children. I've volunteered with orphan care, Sunday school, feeding the disadvantaged, free legal work, volunteer work for a maternity home, and helping in various ways with pregnancy resource centers. I changed the hearts of Gov. Rick Perry and Newt Gingrich on this issue during their presidential campaigns!

A large part of what I do is helping others to understand their value, identity and worth because lots of people struggle with these issues -- not just those conceived in rape. I hope this helps!  -- Rebecca

Her final response – from someone who said “there is no story in the world that can fully change my mind”: 

Dear Rebecca, thank you so much for your time to straighten out my emotional acting out -- I'm really glad you told me about your life. I really think I'll be okay now. I still wish that men wouldn't rape, but at least the world knows a lot more than they used to and I can say that I'm pro-life to my college professors without paranoia or anxiety. I even talked about helping people like you with my mom and dad. They told me I'm too sensitive in personality to be involved directly in domestic politics; yet, I'm praying about being a free English tutor for troubled families as well as being an anti-pornography informant or activist. After all, the porn industry has been statistically linked to the sexual violence pandemic. I'm so glad that you are living life well and to the best of your ability; keep telling people that just because your birth father was an evil scumbag doesn't mean that you are. Thanks Rebecca, you have really touched and strengthened my heart. With much sincerity.

 

BIO: Rebecca Kiessling was conceived in rape and nearly aborted, but legally protected by law in Michigan pre-Roe v Wade.  She's an attorney, pro-life speaker and blogger, and President of Save The 1. Her own website is www.rebeccakiessling.com

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Boy Scouts president: We need to allow open homosexual leaders

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By Dustin Siggins

May 22, 2015 (LifeSiteNews.com) – Boy Scouts of America president Robert Gates says the youth organization must change with the times and allow open homosexual men to serve as Scout leaders.

Gates, the former U.S. Secretary of Defense and CIA Director, said in a speech at the 2015 Boy Scouts of America (BSA) National Annual Meeting Thursday that the Boy Scouts would have to adjust to "the social, political, and juridicial changes taking place in our country -- changes taking place a pace this past year no one anticipated."

According to Gates, the way to balance the religious affiliations of "some 70% of our scout units" and avoid "a broad [court] ruling that could forbid any kind of membership standard" is to offer individual troops a flexible membership policy. 

"For me, I support a policy that accepts and respects our different perspectives and beliefs, allows religious organizations -- based on First Amendment protections of religious freedom -- to establish their own standards for adult leaders, and preserves the Boy Scouts of America now and forever."

"I truly fear that any other alternative will be the end of us as a national movement," said Gates, who said that BSA should "seize control of our own future, set our own course, and change our policy in order to allow charter partners -- unit sponsoring organizations -- to determine the standards for their Scout leaders."

This is not the first time that Gates, who led the military to end its two decades-long Don't Ask, Don't Tell policy, has supported gay Scout leaders. Last year, he said that he "would have supported having gay Scoutmasters, but at the same time, I fully accept the decision that was democratically arrived at by 1,500 volunteers from across the entire country."

In 2013, BSA allowed openly homosexual scouts for the first time. That policy reads: "No youth may be denied membership in the Boy Scouts of America on the basis of sexual orientation or preference alone,” and took effect on January 1, 2014.

A year ago, Gates said he "was prepared to go further than the decision that was made" to allow gay Scout members, but decided that "to try to take last year's decision to the next step would irreparably fracture and perhaps even provoke a formal, permanent split in this movement - with the high likelihood neither side would subsequently survive on its own."

This week, though, Gates said that "events during the past year have confronted us with urgent challenges I did not foresee and which we cannot ignore."

"We cannot ignore growing internal challenges to our current membership policy, from some councils... in open defiance of the policy," said Gates. 

However, Gates' remarks may have come too late to prevent internal challenges from splitting BSA. Due to the 2013 vote, a number of Scouting alternatives launched, including the organization Trail Life USA. The latter group says it aims "to be the premier national character development organization for young men which produces Godly and responsible husbands, fathers, and citizens." 

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In January, Trail Life USA said it has "over 540 Troops in 48 states and the registration of nearly 20,000 adults and boys..."

Furthermore, the decision by BSA to allow gay scouts has led to criticism from people on both sides of the debate. Homosexual activists say the group did not go far enough, whereas many Christian parents and organizations say BSA is bowing to public pressure from homosexual advocates to affect its membership, despite its Christian roots.

Corporate pressure has also been aggressive. Last year, Walt Disney World threatened to not allow employees to volunteer for BSA as part of its VoluntEARS program in 2015 if the organization does not allow gay Scout leaders. Diversity Inc. reports that Merck & Co., Ernst & Young, Major League Baseball, and AT&T are just some of the other companies that have pressured BSA to further change its policies.

LifeSiteNews asked BSA whether Gates' comments indicated support for a totally flexible scout leadership policy, or just related to gay scout leaders, as well as whether BSA would take a stand against state and local laws that deny First Amendment rights to people who oppose same-sex "marriage."

BSA declined to comment, telling LifeSiteNews in a statement: "Dr. Gates’s remarks speak for themselves. ... It is important to note that no decisions were made during the National Annual Meeting. A decision is expected no later than the Boy Scouts of America’s National Executive Board meeting in October."

A video of Gates' remarks is below. The comments about membership standards begin at 8:40.

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