Some days I can't bear to look

I know I haven't been around much. Frankly, keeping up with the insane and nonstop political assaults on abortion and related care has been nearly too much to bear. You'd think I'd be writing nonstop, because SO MANY FEELINGS, but at times the feelings kinda drain my emotional energy. I know some of my co-bloggers have been feeling that same drain, lately, in various ways -- and I bet fellow abortioneers in the field have, too.

So it seems almost futile to single out one law and one group of politicians. But if any law has earned that, I guess it'd be the latest restriction out of the magnolia state. Mississippi, come on down!

Maybe you've heard? The lawmakers who passed Mississippi's House Bill 1390, while claiming to be motivated by a desire to protect women from dangerous abortion providers, are also cheering the fact that the bill will have the effect of shutting down the only existing legal abortion provider in the state.

Sen. Kenny Wayne Jones (D-Canton) asked Sen. Dean Kirby (R-Pearl), who chairs the Senate Public Health Committee*, whether ending abortions in the state would force women to resort to dangerous, back-alley abortions.

"That's what we're trying to stop here, the coat-hanger abortions," Kirby replied, in reference to the abortions provided at the clinic in Jackson. "The purpose of this bill is to stop back-room abortions."

*I would also like to call your attention to the fact that Sen. Dean Kirby chairs the Senate Public Health Committee. Presumably, that is a Senate committee on public health. But maybe it's...a Senate committee against public health? I guess the title isn't super specific.

Oh, speaking of the Legislative Brotherhood Against Public Health, see also the breathtakingly cavalier Rep. Bubba Carpenter announcing afterward:

"We have literally stopped abortion in the state of Mississippi. Three blocks from the Capitol sits the only abortion clinic in the state of Mississippi. A bill was drafted. It said, if you would perform an abortion in the state of Mississippi, you must be a certified OB/GYN and you must have admitting privileges to a hospital. Anybody here in the medical field knows how hard it is to get admitting privileges to a hospital.

"It's going to be challenged, of course, in the Supreme Court and all -- but literally, we stopped abortion in the state of Mississippi, legally, without having to-- Roe vs. Wade. So we've done that. I was proud of it. The governor signed it into law. And of course, there you have the other side. They're like, 'Well, the poor pitiful women that can't afford to go out of state are just going to start doing them at home with a coat hanger.' That's what we've heard over and over and over.

But hey, you have to have moral values."

Wow. Was that a sneer I just heard? And then...a shrug?

He has a point, right? Sure there might be some poor pitiful women who can't afford to go out of state for their medical care and end up injured or dead using coat hangers and home remedies -- but aren't we pro-choice people (the other side) just talking about those women to score political points? I mean, why else would you bother talking about them? We say it over and over and over because we don't have better talking points, I guess. But hey! Those deaths are so trivial we can mock them and the people who talk about them.

(Later, Rep. Carpenter also shrugged off his coat hanger 'quote' as "just some language that some of the African-Americans used.")

(You thought I made up that last bit, didn't you? But no. He really did. I mean, it sounds like he's saying that therefore those accounts amount to nothing worth examining? But hey! That's okay, because African-American women (and other black women, and other women of color) definitely don't have even more experience with unsafe abortion than white women.)

Gosh, wonder why I feel so tired?

10-year-old gives birth in Mexico

In Puebla, Mexico, located an hour and a half east of Mexico City, a ten-year-old girl gave birth via cesarean section on October 22nd. She was 31 weeks along, and suffering from seizures, which is why she ended up in the hospital.

Both the girl and the baby are okay, but the baby is still in the hospital.

The first question, of course, is how did this 10 year old become pregnant? The authorities are looking into the matter to determine if she was raped. In Mexico (with the exception of Mexico City), it is illegal for a woman to have an abortion, unless she can prove she was sexually assaulted. If she can’t prove this, she may be fined or placed in jail. It is worth noting that there have been several cases of women being sentenced to up to 30 years in prison for this. That doesn’t exactly set a strong precedent for coming forward if someone has been raped and wants to get an abortion. Even more troubling, some research I did online suggested that Mexican law does not define incest as rape, but as consensual sex between family members (!!!).

This case is a perfect of example of why such laws are problematic. We don’t have the full story yet, so we don’t know what exactly happened, but at minimum it seems very unusual for a ten-year-old to be pregnant. Besides the obvious that she is a CHILD and therefore does not have the ability to even consent to sexual intercourse. Why should she have to “prove” she was raped if she wants to get an abortion for a high-risk pregnancy? Her uterus is most likely not yet fully developed yet, and cannot carry a pregnancy to term without significant dangers to her health.

And without access to legal abortion, young girls and women are likely to turn to unlicensed, dangerous people who lie about their backgrounds and perform abortions on women unfortunate enough to cross their paths. Though the whole “back-alley” abortion thing seems kind of cliché at this point, it unfortunately is a stereotype for a reason: these things happen.

I am glad the girl and her child turned out okay, but I wish that our world respected women and girls more, such that this poor girl wouldn’t have had to go through all this. I wonder if she can even have children in the future. :(

Abortion Abroad: Part 2

I visited a semi-rural reproductive health clinic in Kenya. Impressive! My org has done a great job recruiting talented clinic staff and outreach counselors to give women accurate information (save for one glaring translation typo!) and quality services that I myself have utilized. They even have a system for providing affordable services to women who would otherwise not be able to afford prenatal care or birth control. I donated anyway; do you know how far a measly few dollars goes??

I sat and discussed patient issues with the provider at one clinic: how many IUD insertions he completes in one month (a lot); how many women have them removed (none); how many women/babies had been lost during delivery (only one woman, due to a surprise post-partum hemmorhage). Naturally, I asked - knowing the answer in advance - if he had ever performed an abortion. He had not. But he had seen a handful of women who had sustained injuries or illnesses from clandestine abortions. Every village has its man or woman who has abortion secrets and serves dozens of women in the community. Injuries happen frequently, he explained, though few women present for treatment because they are a) afraid of being punished, or b) dead already. These village practitioners use herbs, potions, sharp objects, the usual. Of course, we in the "developed world" know how dangerous these methods are (right?), but by the time a woman actually presents for treatment from such complications her condition is more dire than this comprehensive, yet limited, clinic can accommodate. The provider sends those cases to the area hospital, many kilometers away from his clinic, down a dirt road with a heavily worn surface that makes for a very uncomfortable, perhaps deadly, ride. The provider was excited, though, about the advent of MVA in the developing world. He had never performed an abortion, nor had he been trained in the technique, but he was optimistic that rural women would be able to receive safe abortion care (where permitted) in low-tech environments without issue. However, he lamented, MVA can only do so much for botched procedures and life-endangering cases. Alas.

Kenya passed its new constitution within the last week, including some controversial language about abortion. This was the subject of debate for months, rife with anti-abortion rhetoric and TV infomercials akin to clinic-protesting signs (yuck). And I just hope that clinic providers like my guy above can band together to, at the very least, uphold the life endangerment clause. I have my doubts however; a female doctor in one of those anti commercials described, in her "medical opinion", that abortion is a "senseless death". I guess having a new perspective helps me appreciate the way things are in the Nifty Fifty.

It's a long road ahead, for all of us.

Abortion Bans: No Good, Just Bad and Ugly

The last post I wrote reminded me of another issue in area of international reproductive health. Safety of abortion procedures. It is clear that when abortion is made illegal, or at least severely restricted, abortion procedures become more unsafe. We know this was true in the US during the pre-Roe days, and it can be seen now in other countries. I found some interesting statistics on the Guttmacher website. *Taken directly from the website.*

Worldwide, 48% of all induced abortions are unsafe. However, in developed regions, nearly all abortions (92%) are safe, whereas in developing countries, more than half (55%) are unsafe.[1]

More than 95% of abortions in Africa and Latin America are performed under unsafe circumstances, as are about 60% of abortions in Asia (excluding Eastern Asia).[1]

(“Facts on Induced Abortion Worldwide.” Guttmacher Institute. October 2008. Web. 08 July 2009. < http://www.guttmacher.org/pubs/fb_IAW.html>.)

I remember reading an article about the danger of ectopic pregnancies in South America – that I now cannot find. I did find this one, which is similar, http://www.boston.com/news/world/latinamerica/articles/2006/11/26/nicaragua_abortion_ban_called_a_threat_to_lives/. Here is the third paragraph from this article.

In El Salvador, women who develop ectopic pregnancies -- when a fertilized egg gets stuck in a fallopian tube, giving it no chance of survival -- are kept under guard in a hospital. A prosecutor must certify that the embryo has died or the woman's tube has ruptured before doctors can intervene.

The article I wished I could put on here also stated that many doctors in these countries ,where abortion is banned and doctors are prosecuted, are so afraid of going to jail that some won’t end an ectopic pregnancy. How insane is that? Not only do women have to carry unwanted pregnancies, but some of them are forced to die from a pregnancy growing outside of the uterus – one that CANNOT be carried to term. SHE WILL DIE. Do they care? No. The religious talks an awful lot about the life of the fetus but doesn’t seem to care much about the life of the woman.

Now let’s look at the safety of abortions performed in the US. *taken directly from the Guttmacher Institute website*

The risk of abortion complications is minimal: Fewer than 0.3% of abortion patients experience a complication that requires hospitalization.[12]

Abortions performed in the first trimester pose virtually no long-term risk of such problems as infertility, ectopic pregnancy, spontaneous abortion (miscarriage) or birth defect, and little or no risk of preterm or low-birth-weight deliveries.[13]

(“Facts on Induced Abortion in the United States.” Guttmacher Institute. July 2008. Web. 08 July 2009. < http://www.guttmacher.org/pubs/fb_induced_abortion.html>.)

Wouldn’t it be nice if we lived in a world where all women could access safe abortion care? Let’s all see what we can do to make this a reality.