Wednesday, 17 February 2010

Relief is just an abortion away?

This is my third consecutive post on information vital to making an informed choice about a crisis pregnancy. I am posting these to suggest that Canada is a pro-choice country in name, but in fact insufficient information is available to women to make a fully-informed choice. And the withholding of this information has to be deliberate.

In this post, I want to illustrate how women are not warned of the psychological damage that many suffer from choosing to abort.

While in the short-run a majority of women feel relief from having had an abortion, for too many of them various kinds of post-abortion trauma set in over time. There is a North American group of women who have suffered physically and emotionally from abortion, called Silent No More, devoted to this very issue.

Nevertheless, the website of Planned Parenthood states:
Serious emotional problems after abortion are much less likely than they are after giving birth.

A different page on the website of Planned Parenthood states:
Serious, long-term emotional problems after abortion are about as common as they are after childbirth.

Another page on the website of Planned Parenthood states:
Beware of so-called "crisis pregnancy centers" that are anti-abortion. … [They] will lie to you about the medical and emotional effects of abortion.

But the country of Finland has socialized medicine and keeps detailed health records of its citizens. A search of these records over the years 1987-1994 found that 1,347 women of reproductive age (15-49 years old) committed suicide. A 1996 study of this data found that women who had an abortion were about 5.9 times more likely to commit suicide in the year following this event than women who delivered a child.

In 2008, the Los Angles Times reported:
Several studies published in peer-reviewed medical journals suggest that women who have had abortions are more prone to depression or drug abuse. “But the research does not prove cause and effect, [said Nada Stotland, president-elect of the American Psychiatric Association]. It may be, she said, that women who have abortions are more emotionally unstable in the first place.”

The California study cited above controlled for mental disorders by eliminating those women who had been treated for a psychiatric problem in the year prior to their childbirth or abortion. When this was done, it was found that women who had an abortion were about 3.3 times more likely to commit suicide in the eight years following this event than women who delivered a child.


To conclude, in theory we are a pro-choice country. But abortion is easier to obtain than it is to really learn a lot about. When groups such as Abbotsford Right to Life bring up legitimate concerns about the safety of abortion, they are routinely attacked as being anti-woman and anti-choice, and are accused of lying and deceiving women.

Now our local regional hospital does not allow abortions, but nearby hospitals do. Women in Abbotsford could arrange for their pregnancies to be terminated for whatever reason and with reasonable dispatch on the public’s dime. And everything would be all right for them--right? Well, in the case of abortion, ignorance is not bliss. They are being deliberately kept in the dark. Canadian women deserve better than this. Don’t you agree?

I am not simply ignoring the crises that pregnancies can genuinely represent in some cases. Much needs to be done by way of public policy and other forms of support for women and their babies. Regrettably, abortion does not rid society of abusive husbands and boyfriends, bad employers, inflexible education systems, unsympathetic families, judgmental churches, and many of the other problems that women will continue to confront even after recourse to an abortion has been taken.

But for the purposes of this post, I am looking at the easy in-by-nine-and-out-by-five, no muss, no fuss, “Are you worried and distressed? Can't seem to get no rest? Put our product to the test. You'll feel just fine now” solution that is pushed on women without regard for the potential risks.

So I say, if Canada really is pro-choice, let’s have all the voices at the table, and all the facts on the table. A woman’s health, and a woman’s future, is too important to do otherwise.

Look at those cells go!

Most abortions take place in the first trimester; i.e., approximately up to 13 weeks. Women are typically told that the fetus is nothing but a clump of cells at this point.

To give just one example, the National Abortion Rights Action League nominated a pro-life organization called Personhood USA to its Abortion “Hall of Shame.” In announcing the nomination, NARAL claimed that Personhood USA "... exists solely to establish legal rights for fertilized eggs and trigger legal battles over abortion that could go all the way to the Supreme Court. Not only could the strategy outlaw abortion, but it could even threaten birth control, stem-cell research, and in-vitro fertilization.”

Now in actual fact, every human being of whatever age and size is a clump of cells. But the impression that medical people and others who use this description want to give, as a way of easing the pregnant woman of any qualms, is that what is inside her at this point would be little more than those frog’s eggs we used to find in swamps when we were kids.

But what is the truth? Here is what those frog eggs are really like:
a. At fertilization
At fertilization, the genetic composition of a preborn human is formed. This genetic information determines gender, eye color, hair color, facial features, and influences characteristics such as intelligence and personality.

b. At 3 weeks
The eyes and spinal cord are visible and the developing brain has two lobes.

c. At 4 weeks
The heart is beating and a circulatory system is in place. The portion of the brain associated with consciousness (the cerebrum) and internal organs such as the lungs are beginning to develop and can be identified.

d. At 7 weeks
Muscles and nerves begin working together. When the upper lip is tickled, the arms move backwards. The portion of the brain associated with consciousness (the cerebrum) has divided into hemispheres.

e. At 9 weeks
More than 90% of the body structures found in a full-grown human are present. The medical classification changes from an embryo to a fetus. Embryologists chose this dividing line because from this point forward, most development involves growth in existing body structures instead of the formation of new ones. The preborn human moves body parts without any outside stimulation.

And at this point we are still four weeks short of completing the first trimester.

Many women who have learned about fetal development after having had an abortion feel like they were deliberately deceived and regretted their choice.

Sunday, 31 January 2010

The Abortion-Breast Cancer Link

My professional life has been spent mostly in the academic world. For much of my time, that world held without reservation to letting evidence take a researcher to whatever conclusion the data seemed to demand, and that the conclusion could be voiced without fear of discrimination. Regrettably, times have changed somewhat.

Certain conclusions are now seen as inappropriate rather than merely unsubstantiated. In some fields, a researcher who feels led by her or his research to take a position can fear being attacked for their motives rather than their research skills. Climate-gate is a stellar example.

An area that has puzzled me greatly along those lines is the alleged abortion-breast cancer (ABC) link. Dozens of studies have substantiated this risk, but none of the relevant authorities will admit to it. Breast cancer is not merely an academic discussion for me. It took my mother at age 59, as well as two of her sisters. A third sister is a survivor. In the past 18 months, three of my sisters-in-law have also contracted this potentially deadly disease.

If you were to look up the alleged abortion-breast cancer (or ABC) link in that well-known resource Wikipedia, you would read this:

The abortion-breast cancer hypothesis posits that induced abortion increases the risk of developing breast cancer. This position contrasts with the scientific consensus that abortion does not cause breast cancer.


The Canadian Woman’s Health Network recommends an article published by the Childbirth by Choice Trust that outlines the medical debate concerning the possible link between abortion and the development of breast cancer later in life. It summarizes the results of recent studies showing no credible link between the two.

The Canadian Cancer Society says this:

At the present time, the body of scientific evidence does not support an association between abortion and increased breast cancer risk.

We base this perspective on the findings from a workshop of over 100 of the world’s leading experts who study pregnancy and breast cancer risk. The workshop was organized by the US National Cancer Institute and it took place in 2003. The experts reviewed existing human and animal studies on the relationship between pregnancy and breast cancer risk. Among their conclusions were:
• Induced abortion is not associated with an increase in breast cancer risk
• Spontaneous abortion (miscarriage) is not associated with an increase in breast cancer risk


By the way, the American Cancer Society makes the identical claim, also referencing this 2003 study, among others.

You might conclude from this that there is no link between the procurement of an abortion and an increased risk of breast cancer. When Abbotsford Right to Life sponsored a public lecture on the abortion-breast cancer link a couple of years ago, our local university student newspaper had as a headline on the front page, “The Myth of the Abortion-Breast Cancer Link”.

But I want to explore a little further the reference by the Canadian and American Cancer Societies to the conclusive 2003 workshop that is the basis of their opinion. Here is a summary of that workshop:

In February 2003, Dr. Louise Brinton, the National Cancer Institute's chief of the Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, served as chairperson at an NCI workshop in Bethesda, MD, to assess whether abortion was implicated as a breast cancer risk.

In the opinion of "over 100 of the world's leading experts," said the subsequent NCI report, including Dr. Brinton, the answer was no....

At the time, 29 out of 38 studies conducted worldwide over 40 years showed an increased ABC risk, but NCI workshop experts nevertheless concluded it was "well established" that "induced abortion is not associated with an increase in breast cancer risk."

It should be pointed out that none of the authors of the 29 studies that did find a link of anywhere from 30% to 100% were invited to that workshop.

But then a funny thing happened. In April 2009 that same chairperson, Dr. Brinton, co-authored a research paper published in the prestigious journal Cancer Epidemiology, Biomarkers and Prevention, which concluded that the risk of a particularly deadly form of breast cancer that attacks women under 40 raises 40 percent if a woman has had an abortion.

Now a cancer society “insider” had found the missing link.

The Toronto Globe and Mail wrote to the NCI on Jan. 8/09 and reported the results of their correspondence as follows:

An e-mail to Dr. Brinton on Friday was returned by an Institute spokesman named Michael Miller who said: "NCI has no comment on this study. Our statement and other information on this issue can be found at http://www.cancer.gov/cancertopics/ere." That link turns up [the] 2003 document that says a workshop of more than 100 leading experts concluded that having an abortion or miscarriage does not increase a woman's subsequent risk of developing breast cancer.

Requests for an explanation of the apparent discrepancy between that position and the information contained in the study released last spring went unanswered by NCI…

The Globe concluded:
[T]rying to prevent abortions by scaring women with breast cancer would truly be wrong. But so too would be suppressing the risks of abortion or any medical procedure.

But if you go to the NCI website, you will see no reference to Dr. Brinton’s 2009 article, nor does she refer to it herself in the list of research interests on her personal page. NCI continues to hide the remarkable conclusions of the study of one of its own decorated scientists. She herself has never repudiated the results, but she doesn’t promote them either.

The Liberal Party of Canada would prefer that they remain deep-sixed as well. When Conservative MP Maurice Vellacott referred to the issue and the Globe and Mail’s coverage recently, the Liberals' Status of Women critic Anita Neville was quick to call on Prime Minister Stephen Harper to silence Vellacott for his supposedly "false and misleading" statements. In a media release, Neville claimed Vellacott had denigrated "women and their rights and freedoms, adding "enough is enough . . . women deserve better from their elected representatives."

By the way, a 40% increase in risk is not considered to be particularly high. But to put things into context, governments and cancer agencies have done everything they can to reduce our exposure to second-hand tobacco smoke in order to protect us from contracting cancer. The increased risk of cancer from second-hand tobacco smoke is 20 - 30% according to that self-same NCI.

But consider the way second-hand smoke risk is dealt with compared to the higher-risk associated with abortion.

A report from the California Environmental Protection Agency in 2005 concluded that the evidence regarding secondhand smoke and breast cancer is "consistent with a causal association" in younger women. This means that the secondhand smoke acts as if it could be a cause of breast cancer in these women. The 2006 U.S. Surgeon General's report, The Health Consequences of Involuntary Exposure to Tobacco Smoke, found that there is "suggestive but not sufficient" evidence of a link at this point. In any case, women should be told that this possible link to breast cancer is yet another reason to avoid being around secondhand smoke. My source for this information? --The American Cancer Society.

Susan Martinuk, writing about the Brinton article in the January 29, 2010 edition of the Calgary Herald, added this comment:

The topic of breast cancer has long been a media darling and, consequently, there's been no shortage of reports on the plethora of new medical discoveries that are constantly shifting the rules for preventing, diagnosing and treating this disease. We're told about coffee, chocolate and wine; and the usefulness (or not) of mammograms and the harms (or not) of hormone replacement therapy. But this urgent need to keep women informed and up-to-date on the latest research suddenly dissipates if it means turning a critical eye to the sacred cow of abortion.

Wednesday, 27 January 2010

Canada is NOT Pro Choice: Why I Wish it Were

I would like to invite readers who live in the Fraser Valley of beautiful British Columbia to attend a free public lecture that I am giving on Thursday, February 4 at the Clearbrook Public Library in Abbotsford at 7:15 p.m. It is entitled Canada is NOT Pro Choice: Why I Wish it Were. The library is located at 32320 George Ferguson Way, Abbotsford.

Thursday, 21 January 2010

Women's rights--Where does this take us?

Hey, I'm no philosopher, nor a political scientist, nor a human rights specialist. I can't tell you with certainty what full and equal women's rights should look like here in Canada or anywhere else.

What can I tell you?

First of all, in terms of all the ways in which women endured discrimination in the past, western liberal democracies are more or less in the same place. They claim to abhor such discrimination and have brought in legislation to eliminate it. The same goes for violence against women. Some might claim that more could be done by way of, say, affirmative action programs or gay marriage. These things are debated but there appears to be no consensus among countries, or even within countries in many cases.

What appears to be a major difference between how many Canadian feminists understand equal rights for women as opposed to other countries is with respect to abortion and reproductive rights. Canadian female members of Parliament, various provincial legislatures, and many women's organizations link full women's rights with abortion on demand. In almost all other countries, abortion on demand does not exist, at least on paper.

So we either have to say that these Canadian feminist spokespeople are right, and all of the other countries are wrong, or that Canada is a "one off" in terms of what is construed as full and equal human rights.

There is one more complication. As poll after poll has indicated, the majority of Canadian women would accept restrictions on abortion. A very large percentage would even eliminate public funding for same. Therefore, the majority view of Canadian women appears to be consistent with our European, American and Australian colleagues, rather than with the Canadian feminists on this topic.

As a male, I am not going to tell the Canadian feminists that they are wrong. But it looks like Canadian women are doing so.

Tuesday, 19 January 2010

Bite 2b - Laws regarding abortion in other countries

Since many Canadian pro-choice activists link full access to abortion at any stage of the pregnancy with full and equal human rights for women, I thought that it might be instructive to look at laws regulating abortion in other western liberal democracies with a commitment to full women's rights.

1. United Kingdom - In 1967 the Abortion Act legalized abortion under certain circumstances, and amendments were made in 1990. Currently the Act permits termination of pregnancy if two doctors are of the opinion in good faith:
a) that the pregnancy has not exceeded its twenty-fourth week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman or any existing children of her family; or
b) that the termination is necessary to prevent grave permanent injury to the physical or mental health of the pregnant woman; or
c) that the continuance of the pregnancy would involve risk to the life of the pregnant woman, greater than if the pregnancy were terminated; or
d) that there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped.

2. United States of America - The 1973 Supreme Court ruling gave American women the right to an abortion in the first trimester of pregnancy, and regulated the procedure during the second trimester "in ways that are reasonably related to maternal health." In the third trimester, a state can choose to prohibit abortion, except when necessary "for the preservation of the life or health of the mother."

This decision arose out of the famous Roe v. Wade case before the U.S. Supreme Court. The Court chose not to deal at length with the related controversy of the personhood of the fetus. Rather it took the following position:

A central issue in the Roe case (and in the wider abortion debate in general) is whether human life begins at conception, birth, or at some point in between. The Court declined to make an attempt at resolving this issue, noting: "We need not resolve the difficult question of when life begins. When those trained in the respective disciplines of medicine, philosophy, and theology are unable to arrive at any consensus, the judiciary, at this point in the development of man's knowledge, is not in a position to speculate as to the answer." Instead, it chose to point out that historically, under English and American common law and statutes, "the unborn have never been recognized...as persons in the whole sense" and thus the fetal child are not legally entitled to the protection afforded by the right to life specifically enumerated in the Fourteenth Amendment. So rather than asserting that human life begins at any specific point, the court simply declared that the State has a "compelling interest" in protecting "potential life" at the point of viability (source: Wikipedia).

3. France - Abortion is legal on-request in France in the first trimester. Abortion has been decriminalized since the passage of the Veil Law in 1975. After the first trimester, two physicians must certify that the abortion will be done to prevent grave permanent injury to the physical or mental health of the pregnant woman; a risk to the life of the pregnant woman; or that the child will suffer from a particularly severe illness recognized as incurable.

Since 1994, French law has required that multidisciplinary diagnostic centers decide which birth defects are severe enough to make abortion after the 12 week limit permissible.

4. Germany - Abortion in Germany is legal, but only when done before the 3rd month of pregnancy. Abortions are not covered by public health insurance except for women with low income.

5. Sweden - The current legislation is the Abortion Act of 1974. This states that up until the end of the eighteenth week of the pregnancy the choice of an abortion is entirely up to the woman, for any reason whatsoever. After the 18th and until the 22nd week a woman needs a permission from the National Board of Health and Welfare to have an abortion. Permission for these late abortions is usually granted for cases in which the fetus or mother are unhealthy.

6. Switzerland
- Abortion in Switzerland is legal during the first trimester, upon condition of counseling, for women who state that they are in distress. It is also legal with medical indications – threat of severe physical or psychological damage to the woman – at any later time.

Persons performing illegal abortions are subject to payment of a monetary penalty or imprisonment of up to five years. A woman who procures an illegal abortion is subject to a payment of a monetary penalty or imprisonment of up until three years.

7. Denmark - Abortion in Denmark was fully legalized on October 1, 1973,[1] allowing the procedure to be done on-demand if a woman's pregnancy has not exceeded its twelfth week. The patient must be over the age of 18 to decide on an abortion alone; parental consent is required if she is a minor.

8. Finland - A 1985 bill allowed abortion up to 20 weeks of pregnancy for underage women and up to the 24th week if an amniocentesis or ultrasound found serious impairment in the fetus.

Abortions are provided free-of-charge in hospitals. It is illegal to perform abortions in clinics, though doctors are empowered to provide abortions outside of hospitals in dire circumstances. Illegal abortions are very rare because in practice a woman can get an abortion on demand.

9. The Netherlands - Under the act, termination of a pregnancy must be given careful consideration: a woman and her physician must agree that her circumstances are compelling. The doctor must inform her of other possible solutions. To give the woman time for reflection, there must be a lapse of at least five days between the woman's first consultation with her doctor and the actual termination of the pregnancy.

In the Netherlands, abortions are performed until approximately 24 weeks into pregnancy; however, as a result of the ongoing debate among physicians about the viability of the fetus, abortions are only rarely performed after 22 weeks of pregnancy. Abortions after the first trimester must be performed in a hospital.

10. Australia - Abortion in Australia remains a subject of state law rather than national law. The grounds on which abortion is permitted in Australia vary from state to state. In every state, abortion is legal to protect the life and health of the woman, though each state has a different definition.

The only state with a law that is similar to Canada's abortion on demand regimen is the Australian Capital Territory. Abortion law in the Australian Capital Territory was for many years governed by case law and the criminal code of New South Wales. However, in 2002, it became the first jurisdiction in Australia to legalize abortion in full, when the Stanhope ALP government, with the assistance of Green and independent members, passed the Crimes (Abolition of Offense of Abortion) Act 2002, removing abortion from the criminal statute books altogether.

By way of contrast, in Queensland abortions are carried out as "therapeutic miscarriages", performed by specialists, upon request of the patient after an appointment with their local GP. An abortion is lawful in Queensland if carried out when there is serious danger to the woman's physical and mental health from the continuation of the pregnancy.

Bite 2a - Ignorance of the law regarding abortion

Before going on to the topic of what information is necessary for women to make an informed choice in our pro-choice environment, I want to look at how much Canadians do or do not know about prevailing laws--or lack of same.

In my last post, I explored the Supreme Court ruling that left us where we are today; i.e., with no law governing abortion whatsoever. Canada is unique among western nations in having abortion on demand at any stage of pregnancy, including partial birth abortions. Remember, Canadian women do not have a constitutional right to abortion as Americans do. The law and the Charter of Rights and Freedoms are silent on the subject.

But what do Canadians actually know about this state of affairs? First of all, this rather startling reality--80% of Canadians don't know what the law is--or isn't. Many polls have explored this, but lets look at the latest from the respected polling organization Angus Reid, taken in early January 2010.

All right, if 80% of Canadians don't know what the legal situation is governing abortion, simplistic questions like, "Do you agree with the laws governing abortion?", or, "Do you think that our abortion laws should be changed?" don't mean anything. Respondents can't give a proper answer because their basic premise is likely wrong.

Fortunately, Angus Reid delves much deeper than this superficial level. Here are some major findings:

1. 43% of Canadians believe that a woman can have an abortion, with no restrictions, only during the first trimester of her pregnancy.
2. A further 14% believe that not only is abortion limited to the first three months, but only if there is a danger to her life, if she's been raped, or the fetus has serious defects.

So there are 57% of Canadians who believe that abortion is limited to the first trimester of pregnancy. But there's more.

3. 10% of Canadians believe that a woman can have an abortion anytime during her pregnancy, but only if her life is in danger, she was raped, or if the fetus has serious defects.

So two-thirds of respondents believed that there were significant restrictions placed on the availability of abortions, either to do with the time within which it could legally be obtained, the circumstances under which a doctor could perform the surgery, or both. [As an aside, abortions for danger to life, or for reasons of rape and incest amount to only 5% of all abortions obtained.]

Now, some would say that it is our responsibility to acquaint women more fully with their rights (I guess I'm doing that right now). Should women know what the state of regulations concerning abortion really are (or complete lack of regulations to be more exact) they would swing behind the prevailing ideology; i.e., Canada should remain as the only western country with abortion on demand with no restrictions.

To get a better read on Canadian attitudes, Angus Reid in fact told respondents what the legal framework actually is, and then asked them some more questions. Armed with the proper knowledge concerning our Canadian situation, respondents then supplied the following regarding their attitudes and beliefs:

1. Knowing the real situation changed virtually nothing. I noted above that 67% of women were under the mistaken belief that abortion was restricted either in time, in reasons for abortions, or both. Having been apprised of the actual legal framework, only 30% of respondents said that they supported it--women should be able to have an abortion at any time with no restrictions.

The majority of respondents still felt that having restrictions was desirable. Here is how they answered:

2. 24% would accept abortion on demand with no restrictions for the first trimester, and thereafter only in the case of danger to health, rape, and serious fetal defects.
3. 15% would limit availability to the first three months.
4. 13% would limit availability to the first three months, and then only in the case of the horrid triumvirate--health, rape and fetal defects.

That adds up to over half of Canadians who could, more or less, accept abortion during the first trimester only. It is fair to say, however, that only 5% would abolish abortion entirely.

5. 6% would allow abortion at any time, but only in the case of the three conditions.

Beyond this, respondents felt that the following further conditions ought to prevail:

1. 41% would restrict public funding for abortions only to medical emergencies.
2. 53% would require parental consent for females under 18 who want to abort (right now no such consent is required).
3. 79% would make it mandatory for health workers to provide information regarding alternatives to abortion.

And finally, female respondents were more likely then men to support our prevailing legal framework--but only half of the women indicated this.

These findings appear to me to make the link between unfettered access to abortion, and full human rights for women, somewhat more tenuous. Presumably the 70% of respondents who accepted restrictions limited to time and/or medical factors believe in women's rights. Yet they did not feel that this belief was diminished by accepting some restrictions on access.

Interestingly, as I have noted before, heroes such as Madame Justice Wilson and Dr. Henry Morgentaler* (Order of Canada), believe likewise.
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*Morgentaler was greatly criticized by some abortion advocates because he would not permit the abortion of unborn babies at his clinics beyond 24 weeks gestation. His position was, “We don’t abort babies, we want to abort fetuses before they become babies … around 24 weeks I have ethical problems doing that.”