Wednesday, December 9, 2009

Post-Abortion Syndrome and The APA. 2008.

Report of The APA Task Force on Mental Health and Abortion

"The TFMHA evaluated all empirical studies published in English in peer-reviewed journals post-1989 that compared the mental health of women who had an induced abortion to the mental health of comparison groups of women (N=50) or that examined factors that predict mental health among women who have had an elective abortion in the United States (N=23). This literature was reviewed and evaluated with respect to its ability to address four primary questions: (1) Does abortion cause harm to women’s mental health? (2) How prevalent are mental health problems among women in the United States who have had an abortion? (3) What is the relative risk of mental health problems associated with abortion compared to its alternatives (other courses of action that might be taken by a pregnant woman in similar circumstances)? And, (4) What predicts individual variation in women’s psychological experiences following abortion?"

Spoiler:

"Nonetheless, it is clear that some women do experience sadness, grief, and feelings of loss following termination of a pregnancy, and some experience clinically significant disorders, including depression and anxiety. However, the TFMHA reviewed no evidence sufficient to support the claim that an observed association between abortion history and mental health was caused by the abortion per se, as opposed to other factors."

Fun Activity:

Print this off and leave it on the table of your local CPC!

Monday, December 7, 2009

How "Pro-Life" is "Pro-Life"?

From The New York Times:

Abortion Battle Shifts to Clinic in Nebraska


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 complaint about 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.”

Emphasis mine.
One of the pictures in the article show protesters at Dr. Tiller's funeral holding signs that say "Abortion is Bloody Murder" and "God Sent The Killer".
Anyone else see something wrong with this?

Wednesday, December 2, 2009

An Unexpected Comment...

So this was unexpected…

The woman I’ve been debating on Blogspot for sometime not only posted my quote from the New York Oby/Gyn but she included a comment:

1. There is some logic to this and nobody has said that these providers are all heartless and evil. Though the commercial interest already mentioned must be taken into account.

2. Yet, what you write should not incite you against Back Porch or Pregnancy Care Centers?

3. It’s not all about money. People find money for what they find money for.

4. The ease of “under-the-counter”, where available, would be a problem, just like the abortion booked over the inter-net the night before. Or paying out of empty government coffers. The ease is a problem. Removing obstacles and stigma of abortion does not in the long run serve women.

5. Women “needing” these abortions, via pharmacy or clinic, is a symptom of other problems that should not be ignored: usually a history of poor choices involving males, relationships, schooling, sex and STD’s. Having an abortion or a series of them does not often wake them up to that. You have to have support and make some right choices before something will really help. The abortion is only a band-aid on a big gash of a wound.

6. Women coming out of the local abortion clinic are also needing emergency medical care and are transported off by ambulance.

7. Why are these pharmacy abortions available under the counter?

8. I sympathize with your ob-gyn friend. It is nearly impossible to do much in a busy practice beyond getting things done for the patient.

But obviously the patient needs also other care, which is social, psychological, spiritual. This care, however, involves the patient understanding where she has gone wrong. Saying that pro-lifers want to “punish” people for having sex, is a hysterical reaction.

When I counseled, a big opportunity always arose, when someone came in scared and it turned out they were not pregnant, at all. Then you have a huge opportunity to take time and explore where she’s been, wants to be going, what she’s learned from this scare, what this all means for her. It’s a big wake-up time. Ask them lots of questions and help them figure themselves out. Women need and deserve more than quick fixes. Men need to be men, too, and provide what they are supposed to provide. Ignoring the gravity of the situation (we are talking about your baby, a new person; you have got yourself into a big mess; you need to look your life and philosophy over very carefully) and not helping her with this, is doing her a disservice. There is a good chance she will continue to spiral, end up angry and yea, maybe with PAS or major disorders. And, yes, frequently, with more abortions. It will not have helped except dealt with a perceived “emergency”.

Making a good choice now, will set her up for more good choices down the road—such as making a choice, now, to give up that rotten “boy-friend”, that abusive “spouse”; talk to your parents, a pastor, a counsellor; place the baby with a family and visit the child; you can feel good about it and yourself, the rest of your life; they will love you and respect you. Or what else can happen—maybe even turning, or turning back, to God, whose love is the foundation for all profound love, your best friend. You have to realize you will not value yourself highly enough until you realize that the living God went to the cross for you, to bear the weight of your sins so you could have fellowship with him; and he did the same for your child. You should value the child just as highly, because Christ died for that person,too. Everyone is wanted.

(I’m not sure if it’s my ego here, but does anyone else see a wee bit of bottled-issues here?)

Here’s my reply:

I must admit I’m very confused here…
I posted a comment that was relevant to this discussion. It had nothing to do with CPCs, punishing people for having sex or anything like that.

I think your reaction is unreasonable.
That aside I’d like to clarify a few points:

1. Doctors make more if a woman remains pregnant. Many more visits and hospital stays.

2. I do not understand this point, please clarify it.

3. Your post was about de-funding abortion. This ob/gyn was explaining why that will actually cost the health care system money.

4. As I’ve stated before abortions are not drop-in procedures, there are waiting periods up to and over three weeks.

5. You don’t get to tell people what they can do with their life. Don’t go saying you know what’s best for everyone.

6.I suppose that’s true of a small minority. Most get in their cars and go on with their day.

7. You’ll note he says “medication to induce an abortion”. There are a wide variety of over-the-counter medications that have been shown to potentially induce abortions. Whether the medication he’s referring to is an abortificant by design or not is something I don’t know. However it shows that these women are desperate, they will do anything, including dangerous overdoses of everything from herbal tea to alcohol, to try and get an abortion. These unsafe methods kill 70,000 women every year.

9. Where did the woman “go wrong”?

10. There’s no such thing as PAS.
Fetuses are not persons.
Adoption is painful for women too, usually more so than abortion. Not all adoptions are open adoptions.
Stop mentioning your faith, your faith is not right for everyone.

I hope I’ve addressed some of your points, as unexpected as they were.

Love,

Rabble

Tuesday, December 1, 2009

Why Illegalizing Abortion Will Not Save Any Money.

I practice ob-gyn in new york, and estimate that about 80% of the abortions we do at my hospital are covered by Medicaid - probably similiar stats in the other 16 states where medicaid will cover it. With [the Stupak-Pitts Amendment], that coverage might disappear, if medicaid gets pulled into the exchange. Most of my patients will not have the money for an abortion. They will go to the pharmacy and buy medication to induce an abortion under the counter (widely available in our latino neighborhood).



They will come to the hospital with bleeding, probably denying that they took anything, but stuck somewhere in the process of the abortion, what we call “incomplete”. Most will be perfectly stable. But even those who are fine will require follow up ultrasounds, clinic visits and possibly a d&c to complete the process, as well as many expensive lab draws if the fetus is passed by the time they come to the hospital, because then we have to make sure it isn’t an ectopic pregnancy which requires weeks of follow up.



So, your not wanting to have your dollars go to pay for a $500 abortion has now turned into you paying $1500-$2000 in medicaid hospital bills for management of an “incomplete miscarriage” or “rule out ectopic.” You have saved yourself exactly NO tax dollars. Congratulations.



How do I know this exact sequence? Because we already do this exact thing between 3-5 times a week for women who already do this, because they don’t know abortion is legal, they don’t know medicaid will pay here, they have a friend who did it that way. If they take away the medicaid option, I’ll just be running my ass down to the ER to see these ladies about 200 times more often, and all you abortion-hating taxpayers will still be footing the bill.



Via: 1