Carolyn Moynihan

New Chile study challenges the ‘safe abortion’ myth

Carolyn Moynihan
By Carolyn Moynihan

May 8, 2012 ( - 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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BREAKING: Planned Parenthood shooting suspect surrenders, is in custody: police

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By John Jalsevac

Nov. 27, 2015 (LifeSiteNews) - Five hours after a single male shooter reportedly opened fire at a Colorado Springs Planned Parenthood, chatter on police radio is indicating that the suspect has now been "detained."

"We have our suspect and he says he is alone," said police on the police radio channel. 

Colorado Springs Mayor John Suthers also confirmed via Twitter shortly after 7:00 pm EST that the suspect was in custody.

The news comes almost exactly an hour after the start of a 6:00 pm. press conference in which Lt. Catherine Buckley had confirmed that a single shooter was still at large, and had exchanged gunfire with police moments before.

According to Lt. Buckley, four, and possibly five police officers have been shot since the first 911 call was received at 11:38 am local time today. An unknown number of civilians have also been shot.

Although initial reports had suggested that the shooting began outside the Planned Parenthood, possibly outside a nearby bank, Lt. Buckley said that in fact the incident began at the Planned Parenthood itself.

She said that the suspect had also brought unknown "items" with him to the Planned Parenthood. 

Pro-life groups have started responding to the news, urging caution in jumping to conclusions about the motivations of the shooter, while also condemning the use of violence in promoting the pro-life cause. 

"Information is very sketchy about the currently active shooting situation in Colorado Springs," said Pavone. "The Planned Parenthood was the address given in the initial call to the police, but we still do not know what connection, if any, the shooting has to do with Planned Parenthood or abortion.

"As leaders in the pro-life movement, we call for calm and pray for a peaceful resolution of this situation."

Troy Newman of Operation Rescue and Rev. Patrick J. Mahoney, Director of the Christian Defense Coalition, also issued statements.

"Operation Rescue unequivocally deplores and denounces all violence at abortion clinics and has a long history of working through peaceful channels to advocate on behalf of women and their babies," said Newman. "We express deep concern for everyone involved and are praying for the safety of those at the Planned Parenthood office and for law enforcement personnel. We pray this tragic situation can be quickly resolved without further injury to anyone."

"Although we don't know the reasons for the shooting near the Planned Parenthood in Colorado Springs today, the pro-life movement is praying for the safety of all involved and as a movement we have always unequivocally condemned all forms of violence at abortion clinics. We must continually as a nation stand against violence on all levels," said Rev. Patrick J. Mahoney, Director of the Christian Defense Coalition, based in Washington, D.C.


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Rubio says SCOTUS didn’t ‘settle’ marriage issue: ‘God’s rules always win’

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By Dustin Siggins

WASHINGTON, D.C., November 27, 2015 (LifeSiteNews) -- Surging GOP presidential candidate Sen. Marco Rubio, R-FL, says that "God's law" trumps the U.S. Supreme Court’s Obergefell decision imposing same-sex “marriage” nationwide.

The senator also told Christian Broadcast Network's David Brody that the Supreme Court's redefinition of marriage is not "settled," but instead "current law."

“No law is settled,” said Rubio. “Roe v. Wade is current law, but it doesn’t mean that we don’t continue to aspire to fix it, because we think it’s wrong.”

“If you live in a society where the government creates an avenue and a way for you to peacefully change the law, then you’re called to participate in that process to try to change it,” he explained, and "the proper place for that to be defined is at the state level, where marriage has always been regulated — not by the Supreme Court and not by the federal government.”

However, when laws conflict with religious beliefs, "God's rules always win," said Rubio.

“In essence, if we are ever ordered by a government authority to personally violate and sin — violate God’s law and sin — if we’re ordered to stop preaching the Gospel, if we’re ordered to perform a same-sex marriage as someone presiding over it, we are called to ignore that,” Rubio expounded. “We cannot abide by that because government is compelling us to sin.”

“I continue to believe that marriage law should be between one man and one woman," said the senator, who earlier in the fall was backed by billionaire GOP donor and same-sex "marriage" supporter Paul Singer.

Singer, who also backs looser immigration laws and a strong U.S.-Israel alliance, has long pushed for the GOP to change its position on marriage in part due to the sexual orientation of his son.

Despite Singer's support, Rubio's marriage stance has largely been consistent. He told Brody earlier in the year that "there isn't such a right" to same-sex "marriage."

"You have to have a ridiculous reading of the U.S. Constitution to reach the conclusion that people have a right to marry someone of the same sex."

Rubio also said religious liberty should be defended against LGBT activists he says "want to stigmatize, they want to ostracize anyone who disagrees with them as haters."

"I believe, as do a significant percentage of Americans, that the institution of marriage, an institution that existed before government, that existed before laws, that institution should remain in our laws recognized as the union of one man and one woman," he said.

Rubio also hired social conservative leader Eric Teetsel as his director of faith outreach this month.

However, things have not been entirely smooth for Rubio on marriage. Social conservatives were concerned when the executive director of the LGBT-focused Log Cabin Republicans told Reuters in the spring that the Catholic senator is "not as adamantly opposed to all things LGBT as some of his statements suggest."

The LGBT activist group had meetings with Rubio's office "going back some time," though the senator himself never attended those meetings. Rubio has publicly said that he would attend the homosexual "wedding" of a gay loved one, and also that he believed "that sexual preference is something that people are born with," as opposed to being a choice.

Additionally, days after the Supreme Court redefined marriage, Rubio said that he disagreed with the decision but that "we live in a republic and must abide by the law."

"I believe that marriage, as the key to strong family life, is the most important institution in our society and should be between one man and one woman," he said. "People who disagree with the traditional definition of marriage have the right to change their state laws. That is the right of our people, not the right of the unelected judges or justices of the Supreme Court. This decision short-circuits the political process that has been underway on the state level for years.

Rubio also said at the time that "it must be a priority of the next president to nominate judges and justices committed to applying the Constitution as written and originally understood…"

“I firmly believe the question of same sex marriage is a question of the definition of an institution, not the dignity of a human being. Every American has the right to pursue happiness as they see fit. Not every American has to agree on every issue, but all of us do have to share our country. A large number of Americans will continue to believe in traditional marriage, and a large number of Americans will be pleased with the Court’s decision today. In the years ahead, it is my hope that each side will respect the dignity of the other.”

The Florida senator said in July that he opposed a constitutional marriage amendment to the U.S. Constitution to leave marriage up to the states because that would involve the federal government in state marriage policies.

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Former The View star Sherri Shepherd and then-husband Lamar Sally in 2010 s_bukley /
Steve Weatherbe

Court orders Sherri Shepherd to pay child support for surrogate son she abandoned

Steve Weatherbe
By Steve Weatherbe

November 27, 2015 (LifeSiteNews) -- Sherri Shepherd, a Hollywood celebrity who co-hosted the popular talk show The View for seven years, has lost a maternity suit launched by her ex-husband Lamar Sally, forcing her to pay him alimony and child support for their one-year surrogate son LJ. The decision follows an unseemly fight which pro-life blogger Cassy Fiano says has exposed how surrogacy results in “commodifying” the unborn.

Shepherd, a co-host of the View from 2007 to 2014, met Sally, a screenwriter, in 2010 and they married a year later. Because her eggs were not viable, they arranged a surrogate mother in Pennsylvania to bear them a baby conceived in vitro using Sally’s sperm and a donated egg.

But the marriage soured in mid-term about the time Shepherd lost her job with The View. According to one tabloid explanation, she was worried he would contribute little to parenting responsibilities.  Sally filed for separation in 2014, Shepherd filed for divorce a few days, then Sally sued for sole custody, then alimony and child support.

Earlier this year she told PEOPLE she had gone along with the surrogacy to prevent the breakup of the marriage and had not really wanted the child.

Shepherd, an avowed Christian who once denied evolution on The View and a successful comic actor on Broadway, TV, and in film since the mid-90s, didn’t want anything to do with LJ, as Lamar named the boy, who after all carried none of her genes. She refused to be at bedside for the birth, and refused to let her name be put on the birth certificate and to shoulder any responsibility for LJ’s support.

But in April the Pennsylvania Court of Common Pleas, and now the state’s Superior Court, ruled that Shepherd’s name must go on the birth certificate and she must pay Sally alimony and child support.

“The ultimate outcome is that this baby has two parents and the parents are Lamar Sally and Sherri Shepherd,” Shepherd’s lawyer Tiffany Palmer said.

As for the father, Sally told PEOPLE, “I'm glad it's finally over. I'm glad the judges saw through all the lies that she put out there, and the negative media attention. If she won't be there for L.J. emotionally, I'll be parent enough for the both of us.”

But Shepherd said, “I am appealing the ruling that happened,” though in the meantime, Sally will “get his settlement every month. There’s nothing I can do.”

Commented Fiano in Live Action News, “What’s so sickening about this case is that this little boy, whose life was created in a test tube, was treated as nothing more than a commodity…Saying that you don’t want a baby but will engineer one to get something you want is horrific.” As for trying to get out from child support payments now that the marriage had failed, that was “despicable.”

Fiano went on to characterize the Shepherd-Sally affair as a “notable example” of commodification of children, and “by no means an anomaly.” She cited a British report than over the past five years 123 babies conceived in vitro were callously aborted when they turned out to have Down Syndrome.

“When we’re not ready for babies, we have an abortion,” she added. “But then when we decide we are ready we manufacture them in a laboratory and destroy any extras. Children exist when we want them to exist, to fill the holes in us that we want them to fill, instead of being independent lives with their own inherent value and dignity.”

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