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Re: Tom Cruise Ultrasound MavenFrom: James Smeltzer (James.Smeltzer@wellstar.org)Wed Dec 7 14:52:18 2005
Dr Joe: It is the only thing that has been found to work consistently. Adding a school clinic or experience usually reduces abortions substantially, and decreases the frequency of sexual activity age by age, and increases the age at first intercourse. Reducing abortion: the Danish experience. Risor H. Plan Parent Eur. 1989 Spring;18(1):17-9. In 1987, 20,830 legal abortions were performed in Denmark. 2,845 involved women below the age of 20, and 532 involved women terminating pregnancy after the 12th week. Danish law permits all of its female citizens to have an abortion free-of-charge before the 12th week of pregnancy. After the 12th week, the abortion must be applied for through a committee of 3 members, and all counties in Denmark have a committee. It is felt in Denmark that a woman has a right to an abortion if she decides to have one. It she makes that choice, doctors and nurses are supportive. Since 1970, sex education has been mandatory in Danish schools. Teachers often collaborate closely with school doctors and nurses in this education. All counties are required to have at least 1 clinic that provides contraceptive counselling. It was recently found that the lowest number of pregnancies among teenaged girls was found in a county in Jutland where all 9th grade students visit the county clinic to learn about contraceptives, pregnancy, and abortion. Within 1 year after Copenhagen had adopted this practice, the number of abortions among teenagers declined by 20%. One fourth of all pharmacies also collaborate with schools to promote sex education, instructing students about contraceptives and pregnancy tests. The Danish Family Planning Association has produced a film on abortion, and plans to produce videos on abortion for use in schools. The organization also holds training programs for health care personnel on contraception, pregnancy, and abortion. By means of the practices described above, it is hoped that the number of abortions and unwanted pregnancies in Denmark will be reduced. Publication Types: Counseling about contraception among repeated aborters in Ho Chi Minh City, Vietnam. Xinh TT, Binh PT, Phuong VH, Goto A. Health Care Women Int. 2004 Jan;25(1):20-39. Department of Obstetrics and Gynecology, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam. We conducted qualitative interviews with 30 repeated abortion clients in Ho Chi Minh City, Vietnam. Only 5 women were practicing contraception regularly. A common reason for the nonusage of contraceptives was adverse health effects. Half of women were not counseled during the previous abortions, and contraceptives were given without explanation. Women pointed out that the current service was not enough or in-depth and was not meeting their needs. The type of counseling they wanted was a face-to-face discussion with a physician at a hospital using leaflets and pictures. Concerted efforts are needed to improve the quality of contraceptive counseling and to listen to women's voices. Publication Sweden: an open society. Holmgren K. Plan Parent Eur. 1989 Spring;18(1):15-7. The present Abortion Act in Sweden came into effect in 1975 and allows a woman to decide until the 18th week whether or not she wants to terminate a pregnancy. The moral and ethical aspects of abortion are looked at differently be men and women. Men tend to treat a moral conflict as an exercise in logical judgment. Women look at a moral dilemma as a question of human relationships, responsibility and care, and the desire not to hurt anyone. Women who carry out abortions with the progesterone antagonist RU486 feel better about it than they do about vacuum aspiration. Since 1975, in Sweden, between 30,000 and 37,000 abortions (24-26% of pregnancies) are carried out each year. 95% are done before the end of the 12th week. When chorionic villi sampling replaces amniocentesis, there will be even fewer 19th week abortions. Abortion rates among teenagers decreased with the intensification of sex education in schools, but they are on the rise again, possibly because sex education recently has tended to emphasize prevention of HIV and sexually transmitted diseases instead of abortion prevention. Publication Here is one that did not find school sex education was needed: "A responsibility for the whole society"--how the government tackles family planning in the German Democratic Republic. Mehlan KH. Entre Nous Cph Den. 1990 Jun;(14-15):17. Government policy in the German Democratic Republic (GDR) can be summarized by the following: Family planning is a responsibility for the whole society. Every woman can choose when she wishes to be pregnant. She has the right to an abortion, and easy access to contraceptives. Each family has the right to determine their desired numbered of children. Women do not have a duty to reproduce. Every individual may receive information about preventing pregnancy. All physicians have the duty to counsel unmarried people and couples. Contraceptives are prescribed free of charge. In May, 1963 the Family Planning Association (FPA) of the GER was founded. In December, 1965 the Family Law was passed. It required the Ministry of Public Health to set up the medical branch of family counseling and marriage. Family planning centers were set up. The cooperate with youth groups, public health services, and women's organizations. In 1989 there were 250 centers, 1/10,000 women of fertile age. In March, 1972 abortion was legalized. Abortions are to be done by doctors in a "recognized" clinic within 12 weeks of pregnancy. A pregnancy of more than 12 weeks may only be ended if there are risks to the mother's life, or other serious medical reasons exist. The number of legal abortions decreased from 114,000 (abortion ratio 57) in 1972 to 80,000 in 1988 (abortion ratio of 37.2). There was a slight increase in live births. The % of wanted abortions unrelated to all pregnancies was 39% in 1972. It was 28% in 1986. Women with 2 or more children accounted for 75% of all abortions. Nearly 75% use contraceptives. Since 1965, pill users have risen to 70%. The IUD is used by 5-10%. Fewer than 10% of couples use condoms. Sterilization is only possible for medical indications, not contraceptive reasons. Sex education has not been taught in schools. See this re abortion: http://www.guttmacher.org/pubs/fb_induced_abortion.html http://www.agi-usa.org/pubs/fb_teen_sex.html http://www.guttmacher.org/pubs/fb_teens.html http://www.guttmacher.org/pubs/fb_sex_ed02.html http://www.guttmacher.org/pubs/factsheet_121399.html Under the Clinton era push to increase sex education in the schools, the abortion rate for women 15 to 44 decreased from 27 per 1000 women to 22 per 1000 women, the sharpest rate of drop in American history. The Bush era has been characterized by a near-arrest of this trend, with the rate falling from 22 to 21 per 1000. REPUBLICAN SOURCE: http://www.factcheck.org/article330m.html Hope this helps! Jim Smeltzer http://www.agi-usa.org/media/presskits/2005/03/14/index.html High Rate of Return on Sexual and Reproductive Health Investment * Gaps in sexual and reproductive health care account for one-fifth of the worldwide burden of illness and premature death; and one-third of illness and death among women of reproductive age (15-44). * Better sexual and reproductive health care promises. * Tremendous benefits for individuals, families and societies medical: health; nonmedical: economic and social. * An additional $3.9 billion would save the lives of 1.5 million women and children and reduce the number of induced abortions by 64%. * Support for sexual and reproductive health services falls far short of commitments. NEWS RELEASES New Report Documents Vast Benefits of Investing in Sexual and Reproductive Health Care EXPERT STATEMENT "We've done the math: The return on investment in family planning, maternal health and sexual health is huge. In a typical low-fertility Latin American country, for example, each dollar spent on contraceptive services saves up to $12 in health and education costs alone. It only makes sense that failure to invest now in preventive measures raises future costs." -- Sharon L. Camp, president and chief executive officer To set up an interview, contact Rebecca Wind at 212-248-1953 or rwind@guttmacher.org.
-- James S. Smeltzer, MD, FACOG, SMFM Consultant, Maternal Fetal Medicine Wellstar Physicians' Group Northwest Women's Care 787 Campbell Hill St Marietta GA 30060 James.Smeltzer@wellstar.org VM 678-290-3035 Off 770-528-0260 Page 404-318-3451
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