Global Report: Unsafe Abortions Kill 70,000 a Year

Thanks to Eddy Laing for pointing it out.

Unsafe abortions kill 70,000 a year, harm millions

Tue Oct 13 17:29:13 UTC 2009 By Kate Kelland

LONDON, Oct 13 (Reuters) - Increased use of contraceptives has pushed global abortion rates down, but unsafe abortions kill 70,000 women each year and seriously harm or maim millions more, a global report said on Tuesday.

Despite easier access to abortion with restrictions being relaxed in many countries, the number of abortions fell from an estimated 45.5 million in 1995 to 41.6 million in 2003, the report by the U.S.-based Guttmacher Institute said.

But the study found a stubbornly high number -- almost 20 million -- of unsafe abortions, mostly in poorer countries and often carried out by the women themselves using inappropriate drugs or herbal potions, or by untrained traditional healers.

"It is significant and tragic that while the overall rate of abortion is on the decline, unsafe abortion has not declined," said Sharon Camp, president of the Guttmacher Institute, a think-tank which studies sexual and reproductive health.

"Legal restrictions do not stop abortion from happening, they just make the procedure dangerous. Too many women are maimed or killed each year because they lack legal abortion access," she told a news conference in London.

CONTRACEPTION CHEAPER

The researchers said 40 percent of women still live in nations where abortion is highly restricted, and called for greater effort to improve access to contraception to prevent some of an estimated 76 million unwanted pregnancies each year.

They also said that in the developing world as a whole, healthcare for women harmed by unsafe abortions costs an estimated $500 million.

"Behind every abortion is an unwanted pregnancy," said Akinrinola Bankole, the Guttmacher's international research director.

He said developing countries and donor nations should look at the figures, which he said clearly demonstrated that "preventing unwanted pregnancy is cost-effective".

In Nigeria, for example, a recent study showed the costs of treating women for complications caused by botched abortions were some $19 million, while it would cost only $4.8 million to provide contraception for those who wanted it.

The researchers said preventing the need for abortion entirely was unrealistic, but said eliminating unsafe abortion by improving access to contraception and increasing pressure to lift abortion restrictions was a worthwhile and achievable goal.

"Women will continue to seek abortion whether it is safe or not as long as the unmet need for contraception remains high," Camp said. "With sufficient political will, we can ensure that no woman has to die in order to end a pregnancy she neither wanted nor planned for."

Camp pointed to the Netherlands as an example of best practice and said she hoped to see global abortion rates come down from the current rate of 29 per 1,000 women aged between 15 and 44 rate, to the Dutch rate of around 10 per 1,000.

"It's a long way off, but it's not impossible," she said.

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  • Guest (marcuswinter)

    ughh that picture is sickening. Either way if we put this into context that is a 9/11 every 16 days.

  • Guest (Eddy Laing)

    <B>Battle on Late-Term Abortions Shifts to a Clinic in Nebraska</B>

    December 4, 2009
    New York Times

    BELLEVUE, Neb. -- The national battle over abortion, for decades firmly planted outside the Kansas clinic of Dr. George R. Tiller, has erupted here in suburban Omaha, where a longtime colleague has taken up the cause of late-term abortions.

    Since Dr. Tiller was shot to death in May, his colleague, Dr. LeRoy H. Carhart, has hired two people who worked at Dr. Tiller's clinic and has trained his own staff members in the technical intricacies of performing late-term abortions.

    Dr. Carhart has also begun performing some abortions "past 24 weeks," he said in an interview, and is prepared to perform them still later if they meet legal requirements and if he considers them medically necessary.

    "There is a need, and I feel deeply about it," said Dr. Carhart, visibly weary after a day when eight patients had appointments at his clinic here.

    The late-term abortions, coming after the earliest point when a fetus might survive outside the womb, are the most controversial, even among some who favor abortion rights. A few of Dr. Carhart's employees quit when he told them of his plans to expand the clinic's work.

    Opponents of abortion, who had devoted decades to trying to stop Dr. Tiller's business with protests and calls for investigations, are now turning their efforts to stopping Dr. Carhart. Troy Newman, the president of Operation Rescue, an anti-abortion group, said he had traveled from the group's headquarters in Wichita, Kan., to Nebraska six times in recent months, portraying this suburb of fewer than 50,000 as a new battlefield in the abortion fight.

    "We're trying to get criminal charges against him, to get his license revoked, and to get legislators there to look at the law," Mr. Newman said of Dr. Carhart.

    State law in Nebraska bans abortions in cases when a fetus clearly appears to have reached viability, except to "preserve the life or health of the mother."

    Abortion-rights advocates say the need exists for late-term abortions, in cases of extraordinary genetic defects and other dire health circumstances, and some had worried that only a few physicians would be willing to provide such care after Dr. Tiller's killing, an act prosecutors say was carried out by an abortion foe.

    "He's standing up, and so are some others," Vicki Saporta, president of the National Abortion Federation, said of Dr. Carhart.

    A few other doctors have long performed late-term abortions, and some said both the threats against them and their efforts at security had increased since Dr. Tiller's death.

    Dr. Carhart, 68, knew Dr. Tiller for years, and would make regular trips to his clinic in Wichita to perform abortions there, as other physicians did. Though Dr. Tiller's clinic was not the only one in the country performing late-term abortions, it was a focal point for controversy. Operation Rescue even moved its headquarters to Wichita because of Dr. Tiller's practice.

    Dr. Carhart, who has been performing abortions since the 1970s, is no stranger to the debate; he has been a litigant in two abortion-related cases decided by the United States Supreme Courtover a particular method of abortion referred to by critics as "partial-birth abortion." And immediately after Dr. Tiller's killing, Dr. Carhart offered to continue operating his clinic, but the Tiller family decided to close it.

    Still, in the months since the killing, Dr. Carhart has made changes at his clinic and to his lifestyle as he has openly moved to take up Dr. Tiller's cause.

    Visitors to the clinic here must pass through a metal detector, new security cameras scan outside the building and a security consultant is employed full time. Dr. Carhart says he goes out publicly only on short, unscheduled trips and rarely eats out (and when he does, he says he stays less than 30 minutes). Dr. Carhart, an Air Force veteran, said his daughter was wed this fall on a nearby military base, mainly for security and privacy.

    "We do everything differently now," he said.

    Dr. Carhart declined to provide specifics on how late in a pregnancy he would be willing to perform an abortion. Dr. Tiller performed them, in some cases, as late as in the third trimester of pregnancy. Dr. Carhart's fee schedule lists prices for abortions up to 22 weeks and 6 days (at that point, $2,100 in cash or $2,163 on a credit card), but notes that abortions after 23 weeks are available "after consultation with our doctor," and that abortions after the 27th week may take four days.

    At his clinic in the past, Dr. Carhart said, he had performed abortions up to about 22 weeks into gestation -- considered by some to be near the earliest point at which a fetus can survive outside the womb, a notion known as viability and one that is cited in many laws related to abortion.

    Dr. Carhart's opponents insist that late-term procedures violate state and federal statutes as well as professional rules. They have approached officials in Nebraska seeking an investigation. Mr. Newman, who had regularly called for investigations into Dr. Tiller's work but strongly denounced his killing, has submitted a complaintabout Dr. Carhart to Jon Bruning, Nebraska's attorney general. In it, Mr. Newman accuses Dr. Carhart of using improper operating procedures under shoddy conditions.

    Representatives of Mr. Bruning would not comment on whether an investigation was taking place. Marla Augustine, a spokeswoman for the State Department of Health and Human Services, which regulates physicians, said Dr. Carhart had no formal disciplinary actions on his record.

    (In 1993, she said, he signed an assurance of compliance with the state, promising not to do certain things, like talk on the phone during surgical procedures, but the agreement says it did not mean he had admitted committing any violations and was not considered a disciplinary action.)

    Dr. Carhart, meanwhile, said he had heard nothing lately from state officials. "Anybody can file a claim," he said.

    A brochure for his clinic shows a photograph of Dr. Carhart beside Dr. Tiller, and says that the clinic dedicates "our services to women in honor of" Dr. Tiller. Asked whether he feared a similar fate as Dr. Tiller's, Dr. Carhart said he had signed up for this life.

    "They have never targeted me more," he said of abortion opponents. "But to me, the most dangerous response would be for me to stop what I am doing. The thought that killing Tiller might also succeed in closing another clinic -- that's my main reason for keeping open."

  • Guest (harry420)

    Using a bit of humor. Try "Please look, but don't touch." Or turn the tables and say, "You can touch my tummy if I can touch yours."

  • Guest (khaija sheffiled)

    i think gettin an abortion is wrong and it shouldn't be done. if a woman DO NOT want a baby then don't have unprotected sex. it make no sense for teen girls or even older women to get an abortion if they don't want kids. i see it as if you are going to have sex then use protect tooprevent pregnancy and any disease. i don't get the point of abortion -- it's not only wrong but it take away a life at that a baby's life it's the same as someone taking your life.

  • Khaija Sheffiled writes:

    <blockquote>"if a woman DO NOT want a baby then don’t have unprotected sex. "</blockquote>

    I think that forced motherhood should not be a lifetime punishment for "unprotected sex."

    People sometimes get pregnant, and then decide afterwards that it is a big mistake in their lives.

    Also sometimes people get pregnant without having made any choices: women get raped (for example) and pregnant from the rape. Or sometimes birth control fails (i.e. many women get pregnant while using birth control).

    Should women be forced to have children under such conditions? Forced into relations with men they are dating, but don't want to marry?

    If you abolish abortion -- young men and women are often forced into "shotgun weddings" -- marriages and lives together that are not based in deep relations or voluntary choice.

    In other words, abortion is an important form of "birth control of last resort."

    In addition there is a discussion to have about the idea that abortion "takes a way a life... a baby's life."

    In fact, an embryo or a fetus is (a) living tissue, and (be) a <em>potential</em> human life. But an embryo or fetus does not become a baby until they are born. Before that they are part of the woman's body, and don't (yet) have an independent social life (thoughts of self, experience of others, etc.)

    Obviously there are stages in the emergence of a human being: conception, quickening (when the embryo starts to move independently), viability (ability of the fetus to survive outside the womb), birth, response to others, weaning, independent walking and talking and so on.

    But there are clear nodal points in that process -- places where important leaps take place. In general, birth is the huge leap between fetus and baby. Before it is separate from the woman's body, the decision of whether to proceed with a pregnancy should be the woman's choice.

    Here is one way to capture it: If you want to argue that embryos are babies (i.e. fully, legally, and morally the equivalent of a developed human beings), then you end up denying women (who are in fact developed human beings) the most basic control over their own lives. Without control over reproduction (birthcontrol and abortion) women are denied the most basic personhood -- and trapped by forced motherhood, forced marriage, evaporation of the most intimate choices over their lives.

    The key issue around abortion is not the "rights" of embryos (or their supposed personhood), but the most basic rights of women (whose control over their own bodies is challenged by both churches, states and male supremacists.)