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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Sofia Vazquez-Mellado

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11-year-old in Uruguay refuses to abort after rape

Sofia Vazquez-Mellado
By Sofia Vazquez-Mellado

MONTEVIDEO, Uruguay, May 25, 2015 (LifeSiteNews.com) – An 11-year-old girl in Uruguay is making headlines for refusing to abort after being raped by a 41-year-old relative. Pro-abortion organizations in the country are using the case to ask for a broadening in the law, which allows for abortion up until 12 weeks gestation, 14 weeks in cases of rape, and up to 9 months when the life or health of the mother are at risk or when the baby is “unviable.”

Local media report that the girl, who is 18 weeks pregnant, lived with her abuser for over a year prior to the pregnancy. Her mother is now asking authorities to make her abort, but according to the local newspaper La Diaria, a team of psychiatrists from Uruguay’s Child and Adolescent Institute (INAU) has said that “the girl’s position has been confirmed without a doubt: she wishes to be a mother.”

According to her relatives, the girl suffers from a mild mental incapacity, although she is not considered handicapped.

In a press conference, Susana Muñiz, president for the Association of State Health Services and former minister of health, said: “An 11-year-old girl obviously has a body not prepared to be pregnant, with a very small uterus.”

However, according to Monica Silva, head of the INAU’s Health Division, “There is no risk to the life of the girl nor that of the baby. We cannot force her to abort.”

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“Even if her mother wants it, it would be inhuman to force her to abort,” continued Silva. “The fact that there was a rape doesn’t allow me to force her to abort. This [aborting] may seem like a protection of her rights but it is against the girl’s will.”

Nevertheless, a press release “demanding” that the girl abort “immediately” was issued by several pro-abortion NGOs soon after, on May 12. “The hypocritical and bureaucratic system allows for her rights to be undermined without considering the cost this will bring to the girl,” it read.

“Who will take charge now to stop the undermining of her rights and protect her health and her life? How much longer do we need to wait before somebody decides responsibly on the interruption of that pregnancy?” it concluded.

In her interview, Silva also said the girl’s parents “never visited, with exception of one of the six siblings she has.”

 “The best that could happen would be to ensure that she has a ‘welcoming family,’ that would receive the girl with her baby,” continued Silva. “I doubt we can achieve that because it’s hard to find families who want this challenge.”

The girl remains under INAU’s care and her abuser has been imprisoned.

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Steve Weatherbe

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Christian jeweller made gay couples’ rings but still got targeted by gay lobby

Steve Weatherbe
By Steve Weatherbe

MOUNT PEARL, Newfoundland, May 25, 2015 (LifeSiteNews.com) –While North Americans are used to reading about Christian business people being fined and excoriated for refusing to cater to homosexual weddings, Newfoundland has added a novel twist: there a Christian jeweller has been punished financially and deluged with hate mail even though he did do business with a homosexual couple.

Nicole White and Pam Renouf liked the service they got from Esau Jardon of Today’s Jewellers in Mount Pearl, Newfoundland and Labrador, who took their deposit and proceeded to design and build them two engagement rings. They even recommended the store to friends.

But by the time one friend went there, the Mexican-born Jardon had put up a sign in his shop window marking Mother’s Day—and his strong, traditional Christian beliefs: “The Sanctity of Marriage IS UNDER ATTACK; Help Keep Marriage Between Man & Woman,” it read.

The friend went ballistic. Her picture of the sign went viral. The couple went back on their deal and back to the store, demanding their deposit. Today’s Jewellers’ Facebook page was so deluged with hundreds of hateful emails and many threats that Jardon and his brother, who is his business partner, have to shut it down.

LifeSiteNews asked White if Jardon had been punished enough. “Omigod, yes,” she responded. “Way, way too much.” But earlier she explained to a local newspaper why the couple cancelled their order. “The ring symbolizes love, and just knowing that that’s the sign that they have up there — every time I look at my ring, yes, I’ll think of us, clearly, but also everything we went through. So I don’t want my ring from there anymore. I just want my refund.”

At first, she reported, “They just said that that's their beliefs, and they think they can put up whatever they want. I just said it was very disrespectful, it's very unprofessional and I wanted a refund,” White said. “I have no issues with them believing in what they believe in. I think everyone's entitled to their own opinion. But I don't think they should put their personal beliefs inside their business.”

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Jardon, at first, was loath to return it, lest this be seen as an apology for his beliefs. Reached in Toronto, he told the St. John’s Telegram, “When I walk on Church Street in Toronto, where I am right now, and I see [LGBT rainbow flags], and I see a lot of signs and a lot of things on public property, I don't have a problem with them. I accept it. I chose to come to Canada... and we accept the whole package... I don't discriminate against that, nor do I come and tell them to take them down. For the same reason, I ask to have the same respect in return, especially when it's in my own business.”

But what is sauce for the gander is not sauce for the geese, or for the LGBT community that crowded onto the bandwagon, or for the CBC which was all too ready to label the jeweller’s sign “homophobic.”

However, some have offered support and sympathy. Rod Dreher, blogging at The American Conservative, observed that only so-called sexual minorities expected this kind of treatment. “Is a fundamentalist Christian permitted to send her osso buco back to the kitchen if she discovers that homosexual hands cooked it? Of course not. Some delicate snowflakes are more delicate than others.”

Referring to recent decisions by courts and human rights tribunals against Christian vendors who refused to serve homosexuals, Dreher concluded on an ironic note. The pressure on Jardon to return the deposit marked “the next phase in the March of Progress. You must not only bake the cake, or arrange the flowers, or make the ring, you must hold the correct opinion when you do it.”

Jardon defends his right to his own opinion. “One of the reasons my family chose to move to Canada was the rights that it offered, the freedom of religion and freedom of speech, both of which at the time seemed to be very limited in Mexico,” he said.

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Canadians headed to the ballot box for the fall federal election should remember the right to life is 'the most basic thing in society,' the archbishop tells LifeSiteNews. Pete Baklinski / LifeSiteNews
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Exclusive: Clinging to Christ will help those struggling with sexual identity, says Montreal’s archbishop

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By Pete Baklinski

OTTAWA, May 25, 2015 (LifeSiteNews.com) -- Montreal’s archbishop, Christian Lépine, weighed in on what the Catholic Church actually has to offer people struggling with the biological sex they were born with, telling LifeSiteNews in an exclusive interview that it’s no mistake that God creates the human person as male or female and that every person must look for their identity within a “view of God.”

“The teachings of the Church as such, its most basic one, is that we’re made in the image of God. That's always the starting point. And when you lose track of that — that you're made in the image of God — then somehow you come to lose trust in who you are as a human being, and you know less of who you are, and you don't know anymore who you are, and you [find yourself] looking for your own identity outside of a view of God,” Lépine told LifeSiteNews last week one day prior to the annual National March for Life that drew an estimated 25,000 pro-life advocates.

Following the first book of the Bible, where it is stated that God created human beings as “male and female,” the Catholic Church has always taught, and continues to teach, that the male/female binary is God’s plan for mankind.

As the book of Genesis (1:27) states: “God created man in his own image, in the image of God he created him, male and female he created them.”

The Catechism of the Catholic Church stresses that recognizing and preserving the male/female sexual difference is necessary for a healthy society.

“Everyone, man and woman, should acknowledge and accept his sexual identity. Physical, moral, and spiritual difference and complementarity are oriented toward the goods of marriage and the flourishing of family life. The harmony of the couple and of society depends in part on the way in which the complementarity, needs, and mutual support between the sexes are lived out,” the Catechism states.

Lépine said that anytime questions about sexual identity arise for the faithful, “we must go back to the basics,” namely that “every human is created in the image of God, and of course, biblically, every human being exists as a woman or as a man.”

The archbishop’s words are foreign to mainstream notions of so-called ‘gender fluidity’ where male/female difference is construed as a social construct and ultimately as a personal choice.

Lépine acknowledged that some people suffer when it comes to accepting their own sexual identity as either a male or female based on biological characteristics.

“Sometimes people have sufferings about their own desires, or about their own sense of identity, or about the fact that masculinity and femininity exists, or about the fact that you as ‘human being’ [exist] as a male or female, as a man or as a woman.”

He called the male/female binary “a reality that is part of the [human] experience,” adding that it is also “taught in the Bible.”

Lépine stressed that the Church does not leave people “looking for a meaning in their lives and their own sense of identity” to struggle on their own, but offers them many helps and aids, including a clear anthropology on the nature of the human person.

“As Christians, we have the Bible to help people. We have Jesus Christ to help people. We have faith in God to help people. So, going back, [we must be] conscious that we are made in the image of God. And our own sexuality — what is the meaning of being a man or woman — is related to our vocation to love. And, every human being as such, made in the image of God — being a man or woman — is called to love.”

“So, how [are we] to help [such] people? You can talk about things theoretically, which is one thing. But also, we have to be conscious of people who live through situations where they're looking for their own identity and we need, I think, the Bible and faith to help them.”

Fluid notions of gender have been criticized by Pope Francis on at least three occasions, and prior to this, by Pope Benedict XVI.

“Gender theory is an error of the human mind that leads to so much confusion," Pope Francis told young people during his voyage to Naples, Italy last March.

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In his 2012 Christmas greeting, Pope Benedict condemned gender theory as a “profound falsehood” since it denies the male and female sex as a “given element of nature.” According to Benedict, instead of acknowledging that God created people male and female, gender theory posits the existence of sexual social constructions that people can decide to conform to or not.

“The profound falsehood of this theory and of the anthropological revolution contained within it is obvious. People dispute the idea that they have a nature, given by their bodily identity, that serves as a defining element of the human being. They deny their nature and decide that it is not something previously given to them, but that they make it for themselves.”

“When the freedom to be creative becomes the freedom to create oneself, then necessarily the Maker himself is denied and ultimately man too is stripped of his dignity as a creature of God, as the image of God at the core of his being,” Benedict concluded. “The defence of the family is about man himself. And it becomes clear that when God is denied, human dignity also disappears,” he said.

Earlier in the interview, Lépine spoke about the need to “promote relentlessly life and respect for life” in the face of the country’s top court setting the legal stage for allowing doctors to end the lives of their patients under the pretext of compassion and mercy.

“You don't take care of someone when you suppress the life of someone, because you're not solving a problem. You're suppressing the person. It doesn't work,” he said.

Referring to the upcoming federal election this fall, the archbishop called “life and the right-to-life and dignity of the person” an “important subject, because it's the most basic thing in society.” 

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