Michael New

Opinion

New study claims big benefits of no-cost contraception: media swoons

Michael New

October 10, 2012 (LifeSiteNews.com) - A new study which recently appeared in the journal Obstetrics and Gynecology has the mainstream media swooning. A program which provided free contraception to over 9,000 women in the St. Louis area purportedly resulted in dramatic reductions in abortions, repeat abortions, and teen births. This study has been covered by USA Today, the Associated Press, CBS News and countless other media outlets.

Specifically, the researchers enrolled 9,256 adolescents and women in the program. Participants were recruited from the two abortion facilities in the St. Louis region and through provider referral, advertisements, and word of mouth. All participants received the reversible contraceptive method of their choice. However, the researchers highlight the fact that 75 percent of women taking part in the study chose a long-acting reversible contraceptive (LARC) — either an IUD or an implant. Many will doubtless use these findings to buttress their case for mandates on contraceptive coverage in insurance programs and greater government spending on contraceptives. However, there are at least five reasons why this study greatly overstates the impact of no-cost contraception.

1) No control group: The main problem with this study is that it fails to include an adequate control group. Each of the 9,256 participants in the study was a volunteer. As such, women in the study very likely had a stronger desire to avoid a future pregnancy than women who declined to participate. Most research indicates that a desire to avoid pregnancy has a significant impact on the likelihood of becoming pregnant. As such, comparing the abortion rate and the birth rate of study participants to national and state averages is a flawed comparison. A better idea would have been to randomly select some percentage of the volunteers, inform them that they were not going to receive free contraception, but continue to track their births and abortions in exchange for some compensation. That would have allowed for a meaningful comparison between a treatment group and a control group.

2). Limited impact on repeat abortion rate: The study makes much of the fact that between 2006 and 2010 there was a statistically significant decline in the repeat abortion rate in St. Louis City and County. This may well be true. However, the results indicate that the repeat abortion rate fell from about 48 percent in 2006 to about 45 percent in 2010 — hardly a dramatic decline.

3) Exaggerated impact on overall abortion rate: The authors also make much of the fact that the number of abortions performed at Reproductive Health Services on women who resided in St. Louis City and County declined by 20.6 percent between 2008 and 2010. However, Reproductive Health Services is not the only abortion provider in the St. Louis area. Furthermore, only a small percentage of St. Louis area women took part in the program. Now, the authors use a weighting method and, as such, do not provide the actual number of abortions performed on program participants. However, my back-of-the-envelope calculations indicate that much of this abortion decline was among women not taking part in this no-cost contraceptive program.

4) The weighting mechanism overstates effectiveness of contraception program: Program participants were not a random sample of women residing in the St. Louis area. They were more likely to be African-American, young, and low-income. As such, the authors weigh the data to compare birth rates and abortion rates of program participants to birth rates and abortion rates of a similar demographic cohort. Consequently, these contraceptive methods likely appeared more effective than they actually were — because they were being used by a demographic with both relatively high birth rates and abortion rates.

Now, sometimes weighting data makes sense. Some demographic groups have a higher incidence of sexual activity and use contraceptives less consistently. However, since a high percentage of study participants used long-acting contraceptive methods, weighting makes less sense. Long-acting contraceptive methods work automatically and their effectiveness should be less sensitive to the frequency of sexual activity. In the spirit of full disclosure, the authors should publicly provide the raw, unweighted data on the birthrate and abortion rate of study participants. That would provide a much better measure of the effectiveness of this program.

5) The results are not generalizable to a large population: The authors state that IUDs are more popular in Europe than they are in the United States. There are a variety of reasons for this. However, one factor the authors overlook is that many physicians in the United States are unwilling to insert IUDs because of liability issues. Indeed, IUDs users have an increased risk of pelvic inflammatory disease and perforation of the uterus. Also, if a woman using an IUD wants to get pregnant, her IUD would have to be removed by a physician. For this reason, even if these long-term methods were available at no cost, it is not clear that many women would choose to use them.

Interestingly, the study only tracked the abortion rates and birth rates among program participants. There was no effort to analyze how the provision of no-cost contraception impacted sexual activity, the incidence of sexually transmitted diseases, or any other public-health outcomes. If the authors are going to use this research to argue for mandatory coverage of long-acting contraceptives, they should continue to monitor and report on the health outcomes of study participants in the future. This is an important consideration, given that long-acting contraceptives pose some serious health risks.

All in all, the pro-life movement receives plenty of criticism from the mainstream media and supporters of legal abortion for not being more contraceptive-friendly. However, in reality there is little evidence that supports the effectiveness of contraceptive programs. Separate studies from both the Guttmacher Institute and the Centers for Disease Control both indicate that a low percentage of sexually active women forgo contraception due to high cost or lack of availability.

Additionally, there is a body of research documenting the ineffectiveness of various contraception programs. For instance, the Daily Mail reported that a program launched by the British government in 1999 to provide “comprehensive” sexual education and birth control to British teens resulted in consistent increases in the teen pregnancy rate. Similarly, a study of a free contraception program in Scotland which appeared in the journal Contraception in 2004 found no decline in abortion rates. Finally, a study of a free contraception program in San Francisco which appeared in the Journal of the American Medical Association found this program produced no decrease in unintended pregnancy rates. Of course, these studies typically receive scant attention from the mainstream media.



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‘Little miracles’: Mom gives birth to naturally-conceived quintuplets after refusing ‘selective reduction’

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An ultrasound of the five different compartments, each with its own baby, inside Kim's womb.

AUSTRALIA, February 5, 2016 (LifeSiteNews) -- A 26-year-old Australian mom has given birth to five healthy babies, all conceived naturally, after refusing the doctor’s advice that she must abort three of them in order to give the remaining two a better chance at life. 

“After my initial ultrasound I was told I could consider the selection method to give 2 babies the best chance in life,” wrote mom Kim Tucci in a Facebook post last September. 

“I watched a YouTube video on the procedure and I cried. I could never do that! Was I selfish for not giving two the chance of 100% survival? All I knew is that I already love them and that every heart beat I heard I connect with them more. For me life starts when a heart starts beating and all I know for sure is that I will do whatever it takes to bring them into this world healthy,” she wrote. 

Last Thursday Kim and her husband Vaughn welcomed the five new members into their family — one boy and four girls —increasing the number of their children from 3 to 8. The babies were born at 30 weeks, 10 weeks early, due to insufficient space in Kim’s womb. They weighed on average about 2.5 pounds. 

The quintuplets’ story began last March, after Kim and Vaughn had been trying for six months to conceive just one more child for their family. Due to health complications, Kim wondered if she would ever become a mother again. 

After what she thought was an extra long cycle, she decided to take a pregnancy test. 

“I was feeling tired and a little nauseated and thought I would take a pregnancy test just to get the ‘what if’ out of my head. To my shock and utter excitement it was positive,” she wrote on a Facebook post.

The parents got the shock of their lives when doctors confirmed in an ultrasound examination that there was not one baby, but five. 

“After a long wait for the ultrasound we finally went in. The sonographer told me there were multiple gestational sacks, but she could only see a heart beat in two. I was so excited! Twins!”

“I was moved to another machine for a clearer view and had the head doctor come in and double check the findings. She started to count, one, two, three, four, five. Did i hear that correctly? Five? My legs start to shake uncontrollably and all i can do is laugh. The sonographer then told me the term for five is ‘quintuplets,’” Kim wrote.

Even though Kim began to feel stretched to the limit with all those human lives growing inside her, she chose to focus on her babies, and not herself, referring to them as “my five little miracles.” 

“It's getting harder as each day passes to push through the pain, every part of my body aches and sleeping is becoming very painful. No amount of pillows are helping support my back and belly. Sometimes I get so upset that I just want to throw my hands up and give in.”

“Sometimes my pelvis becomes so stiff I can barely walk and my hips feel like they are grinding away constantly. I'm finding it hard to eat as I basically have no room left in my stomach, and the way it is positioned it's pushed all the way back with the babies leaning against it.” 

“My skin on my belly is so stretched its painful and hot to touch. It literally feels like I have hives! No amount of cream helps relieve the discomfort. I have a lot of stretch marks now. Dealing with such a huge change in my body is hard.” 

“Is it all worth it? Yes!!!! I will keep pushing through,” she wrote in one Facebook post days before the babies were born. 

The newborns' names are Keith, Ali, Penelope, Tiffany, and Beatrix. They were born at King Edward Memorial Hospital in Subiaco, Western Australia. Mother and babies are reported to be doing well. 



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UN rights chief tells Catholic countries to legalize abortion over Zika virus: bishops and cardinal react

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GENEVA, February 5, 2016 (LifeSiteNews) -- The United Nations, following the lead of international abortion activists, is now urging Latin American countries hit by the mosquito-borne Zika virus to lift restrictions on abortion for pregnant women who have contacted the virus and whose pre-born children may be at risk for birth defects, including having smaller than normal heads. 

The UN human rights office said today that it is not enough for South American countries to urge women to postpone pregnancy without also offering them abortion as a final solution. 

“How can they ask these women not to become pregnant, but not offer… the possibility to stop their pregnancies?” UN spokeswoman Cecile Pouilly told reporters. 

UN human rights chief Zeid Ra’ad al-Hussein said that governments should make available contraception and abortion services.

“Laws and policies that restrict (women’s) access to these services must be urgently reviewed in line with human rights obligations in order to ensure the right to health for all in practice,” he said.

But Brazil’s bishops strongly asserted yesterday that efforts should be made to eradicate the virus, not the people who may be infected by it. 

The disease is “no justification whatsoever to promote abortion,” they said in a statement, adding that it is not morally acceptable to promote abortion “in the cases of microcephaly, as, unfortunately, some groups are proposing to the Supreme Federal Court, in a total lack of respect for the gift of life.”

Honduras Cardinal Oscar Rodriguez Maradiaga has also come out strongly against the notion of “therapeutic abortions” as a response to the problem. Unlike Brazil where abortion is legal in the case of rape or health of the mother, abortion remains entirely illegal in Honduras.

“We should never talk about ‘therapeutic’ abortion,” the cardinal said in a homily at a February 3 Mass in Suyap. “Therapeutic abortion doesn’t exist. Therapeutic means curing, and abortion cures nothing. It takes innocent lives,” he said. 

While the World Health Organization (WHO) declared an international public health emergency February 1 on account of concerns over the virus, critics have pointed out, however, that not one death as resulted from the virus. Even on WHO’s own website the virus is described in mild terms. 

“It causes mild fever and rash. Other symptoms include muscle pain, joint pain, headache, pain behind the eyes and conjunctivitis. Zika virus disease is usually mild, with symptoms lasting only a few days,” the website states. “To date, there have been no reported deaths associated with Zika virus,” it added. 

Critics suspect that the crisis is being manipulated to advance an anti-human agenda on the pre-born. 

“Is Zika, actually, a hideous virus that threatens to spread uncontrollably across the world creating an army of disabled children with tiny heads and low IQ’s? Or might this be a willful misinterpretation of the scarce data to manipulate public opinion and legislatures?” wrote pro-life critic Mei-Li Garcia earlier this week.

“It becomes very clear that the publicity surrounding this story has a very little to do with medicine and a lot to do with a convenient crisis that is being used by those pushing for the legalization of abortion around the world,” she wrote.



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Hillary’s litmus test for Supreme Court picks: They must ‘preserve Roe v. Wade’

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DERRY, NH, February 5, 2016 (LifeSiteNews) - Hillary Clinton has a litmus test for Supreme Court nominees - several, in fact. At a Democratic event on Wednesday, Clinton unveiled her criteria in selecting a judge for the nation's highest court.

“I do have a litmus test, I have a bunch of litmus tests," she said.

"We’ve got to make sure to preserve Roe v. Wade, not let it be nibbled away or repealed,” she said.

There have been over 58,000,000 abortions since the 1973 court ruling legalizing abortion in all 50 states, according to National Right to Life.

That echoes her recent call to arms speech before Planned Parenthood last month, when she stated that taxpayers must fund abortion-on-demand in order to uphold the "right" of choice.

“We have to preserve marriage equality,” Clinton said, referring to last summer's Obergefell v. Hodges case, a 5-4 ruling that redefined marriage nationwide. “We have to go further to end discrimination against the LGBT community."

Her views differentiate her from the Republican front runners. Ted Cruz has called the court's marriage ruling "fundamentally illegitimate," and Donald Trump told Fox News Sunday this week that he would "be very strong on putting certain judges on the bench that I think maybe could change things." Marco Rubio has said he won't "concede" the issue to the one-vote majority.

All Republican presidential hopefuls say they are pro-life and will defund Planned Parenthood.

Her husband, Bill Clinton, raised the makeup of the Supreme Court early last month in New Hampshire, saying it receives "almost no attention" as a campaign issue.

On Wednesday, Hillary said "the next president could get as many as three appointments. It’s one of the many reasons why we can’t turn the White House over to the Republicans again.”

Clinton said her judicial appointees must also reverse the Citizens United ruling on campaign finance and oppose a recent decision striking down a portion of the 1965 Voting Rights Act. In 2013's Shelby County v. Holder, justices struck down Section 4(b) of the act, which said that certain states and jurisdictions had to obtain permission from the federal government before changing their voting laws.

At one time, most politicians frowned upon any "litmus test" for judicial nominees, emphasizing the independence of the third branch of government. "I don't believe in litmus tests," Jeb Bush told Chuck Todd last November.

But with the rise of an activist judiciary in the middle of the 20th century, constitutionalists have sought to rein in the power of the bench.



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