Hepatitis B Vaccine: The Importance of the Birth Dose

babiesDid you know that Saturday kicked off National Infant Immunization Week, which is part of a worldwide observance that shines the spotlight on the importance of vaccination? Most of us think of infant immunization as a tool to protect babies from childhood illnesses like chickenpox and whooping cough. But did you know that one infant immunization protects them from cancer later in life?

Globally, hepatitis B virus (HBV) is one of the top causes of cancer. Every year, it kills more than three-quarters of a million people worldwide. An HBV infection might be defeated by the immune system, but when it’s not, it can become a chronic infection. And chronic infections can lead to serious health outcomes, including cirrhosis and liver cancer. The younger you are, the less likely you’ll be able to fight off an HBV infection — 90 percent of infants infected with HBV will develop chronic infections, and 25 percent of them will go on to die prematurely after developing liver disease. Compare that to 2 to 6 percent of infected adults who will develop chronic infections.


Because infants are so vulnerable to developing chronic infections, vaccinating them against hepatitis B at birth makes sense.


Most people think of hepatitis as a bloodborne disease, and it is spread very efficiently when IV drug users share needles, during needle-stick accidents and other occupational injuries, or by using contaminated piercing needles, tattoo equipment, or acupuncture needles. Even sharing items like razors, toothbrushes, and nail clippers can do it, as the virus can survive outside of the human body for a week. HBV can also be spread by sexual contact, including vaginal and anal sex.

Lastly, babies and children can be at risk as the virus can be transmitted from mother to infant during birth, and during early childhood when risk of chronic infection is high. A significant number of people with chronic infections acquired them during early childhood, but we don’t know exactly how they got them, as their parents and other household contacts were negative for the virus or its antibodies. Since infants and children are at the highest risk for developing chronic infections, focusing on that population for prevention is very important.

Luckily, there’s a vaccine. Continue reading

World Prematurity Day: A Time to Reflect on the Importance of Prenatal Care

The following guest post comes to us via Edna Meza Aguirre, regional associate development director for Planned Parenthood Arizona. Edna is a native Tucsonan, bilingual and bicultural. She received her JD from the Sandra Day O’Connor College of Law and worked in the area of criminal defense for 12 years before changing careers. Edna is in her 16th year of volunteering at the University of Arizona Medical Center’s neonatal intensive care unit helping comfort newborn babies.

baby_feetThe neonatal intensive care unit (NICU) I volunteer in is among the best in the country. It is known nationwide for the cutting-edge research and techniques that not only save the life of a premature baby, but encourage that same infant to thrive.

The moment the delivery health care staff senses the as-yet unborn child is in stress, the amazing doctors, nurses, and respiratory therapists are on the scene in the delivery room. As in a well-coordinated symphony, the lifesaving process begins. Through the priceless intervention of these medical professionals, I have seen babies born blue return to a normal color. I have seen listless children born with no sign of life emerge back into this world through the medicine and touch of these professionals. I’ve seen sobbing parents struggling with this difficult reality as hospital staff explain the problem at hand with caring words and a gentle tone.


There isn’t a single parent who isn’t deeply emotionally affected by watching their vulnerable baby receive treatment.


Premature birth, also called preterm birth, occurs when a baby is born before the pregnancy has reached 37 weeks, and affects 1 out of every 10 babies born in the United States. Because the last few weeks of pregnancy are so crucial to a baby’s development, being born too early can lead to death or disabilities, such as breathing, vision, or hearing problems, as well as cerebral palsy and developmental delays. Treatment can sometimes depend on how premature the baby is. With a normal gestation period of 40 weeks, a premature baby might be born at 25 weeks, 30 weeks, etc. This time frame can be calculated easily enough with mothers who are receiving prenatal care.

There are, however, cases where the mother has received no prenatal care and doesn’t know how many weeks pregnant she is. Continue reading

Pro-Choice Friday News Rundown

  • scientist face maskThe GOP debates were last night. Just an FYI: Every single one of those dingbats has deplorable, antiquated views on women’s reproductive rights and health. (Bustle)
  • The foolery surrounding unfounded allegations that Planned Parenthood has been illegally selling fetal tissue has reached ASININE LOWS, people. (NYT)
  • And it’s helped three state governments reach their ultimate goal of defunding us and further chipping away at women’s reproductive rights. Alabama is the latest. (CNN)
  • Speaking of Ass Backward Alabama, these clowns tried to snatch the parental rights of a pregnant prison inmate to stop her from getting an abortion! What in the hell! (Guardian)
  • With regard to fetal tissue, several organizations agreed to speak with The New York Times about their involvement in obtaining fetal tissue for the purpose of medical research on numerous degenerative diseases, such as leukemia, Hodgkin’s lymphoma, Parkinson’s disease, and others. (NYT)
  • Scientific and medical research is already beginning to suffer as a result of this fetal tissue non-scandal. Colorado State University officials have suspended the school from acquiring fetal tissue from entities linked to Planned Parenthood until “Congressional investigations are concluded.” (RH Reality Check)
  • Thank you, Salon, for covering the facts of this debacle in a reasonable manner. And exposing the fact that Planned Parenthood has prevented possibly 3 million abortions in 2013 and 2014 by providing affordable or free birth control to those in need. (Salon)
  • Ebony has a magnificent piece on what you absolutely must know about Planned Parenthood and black women. (Ebony)
  • Warren Buffett has funded a birth control revolution on the down low?!? #WhoKnew (Bloomberg)
  • The Economist has quite the chilling piece on how “exceptionally deadly” childbirth is in the United States. Gee, almost seems like women should have a choice about whether or not they want to risk their lives giving birth to a child rather than having it forced upon them, right? (The Economist)
  • The birth control pill has prevented how many instances of cancer in the last decade?! (Time)
  • In case it slipped your mind, our senator, John McCain, is still The Worst. (Phoenix New Times)

Celebrating Motherhood — and Reproductive Freedom

mother babyTwo months ago, a single mother’s ordeal was grabbing headlines. Shanesha Taylor, homeless and desperate for a job, landed an interview at a Scottsdale insurance office. But the 35-year-old mother of two faced a difficult dilemma when she went to her interview on March 21. She couldn’t find child care, but she also couldn’t afford to cancel.

Short on options, Taylor let her two boys, ages 6 months and 2 years, wait alone in her car for 45 minutes while she tried to secure a source of income for her family. Taylor was subsequently arrested for child abuse for leaving her sons unattended in a hot car. Her children were examined at an area hospital and released as uninjured, but Taylor nevertheless faced two felony counts.


The best gift to mothers would be the ability to choose motherhood without suffering tremendous financial blows.


Taylor endangered her children, but she did it because she faced a tough dilemma — a choice between what was best for them in the short term and what was best for them in the long term. She faced this dilemma in the richest nation in the world — a nation that is nonetheless the worst among rich nations in terms of family-friendly policies. Taylor’s unemployment didn’t help matters, but even for the employed, social programs are lacking. As Stephanie Coontz summarized in her interview with us last year, “We are the only rich, industrial country in the world that doesn’t have subsidized parental leave, limits on the work week, some form of national health insurance, and/or strong investments in child care and preschool.”

Consequently, parenting is an almost insurmountable expense for many. In the last 20 years, the cost of maternity care and delivery has swelled in the United States — in fact, tripling in the case of delivery. Pregnancy, delivery, and newborn care now come to $30,000 on average. Add another $20,000 if the delivery is by C-section. It’s far more than what people in other developed nations pay. Americans pay more than twice what people in Switzerland pay for childbirth, and more than three time what people in Britain pay. Continue reading

STD Awareness: Gonorrhea, Women, and the Pre-Antibiotic Era

Penicillin, the first cure for gonorrhea, was developed for mass production in the 1940s.

Penicillin, the first reliable cure for gonorrhea, was mass produced in the 1940s.

It’s Women’s History Month, a time to reflect on the achievements of women worldwide — like Margaret Sanger, Rosalind Franklin, and Florence Nightingale, or contemporary heroes like Wangari Maathai. But it may also be a time to examine some of the sadder aspects of womanhood, including the increased burden gonorrhea imposes on women. While gonorrhea is no picnic for anyone, it wreaks the most havoc in female reproductive tracts. In fact, before antibiotics, gonorrhea was a leading cause of infertility — one 19th century physician attributed 90 percent of female infertility to gonorrhea. Not only that, but the effects of gonorrhea could seriously reduce a woman’s overall quality of life.


With gonorrhea becoming more resistant to antibiotics, the CDC warns of a return to the pre-antibiotic era.


Gonorrhea is described by written records dating back hundreds of years B.C. Ancient Greeks treated it with cold baths, massage, “cooling” foods, and vinegar. In the Middle Ages, Persians might have recommended sleeping in a cool bed with a metal plate over the groin. A bit to the west, Arabs tried to cure gonorrhea with injections of vinegar into the urethra. Kings of medieval England might have had their gonorrhea treated with injections of breast milk, almond milk, sugar, and violet oil.

Although gonorrhea is as ancient an STD as they come, because women rarely have symptoms while men usually do, for much of history it was mostly discussed in terms of men. The name gonorrhea itself derives from the ancient Greek words for “seed flow” — gonorrhea was thought to be characterized by the leakage of semen from the penis. This confusion inspired many misguided notions throughout the millennia, such as the idea that almost all women carried gonorrhea and transmitted it to their unwitting male partners. Continue reading

Pro-Choice Friday News Rundown

  • saguaroArizona Republicans do a stellar job of making our beloved state seem like a haven for bigots. The current target? Members of the LGBT community. (AZ Central)
  • Here’s another shining example of this … (Raw Story)
  • And again! Can’t even give birth to your own baby the way you want to! Dammit, Arizona! (Care2)
  • If you are married to a person with genitalia that is the opposite of yours, I have some good news for you — Mike Huckabee approves of your intercourse. Congratulations. (Slate)
  • A mother who helped her 16-year-old daughter terminate an unwanted pregnancy could become a convicted felon for doing so … and remember, this is a world where others can kill unarmed born children and get off scot-free. (Care2)
  • After having had to abort her very wanted child at the end of the second trimester, Phoebe Day Danziger tells her sad story. (Slate)
  • We’re familiar with Plan B, but is there a Plan C on the horizon? (RH Reality Check)
  • The 10 suckiest anti-abortion bills of 2014 — and we’re not even in the third month of the damn year. (Think Progress)
  • Lack of Knowledge on Long-Term Contraception Is A Real Danger for Women (HuffPo)
  • The inventor of the HPV vaccine is working on a similar vaccine for herpes. Yay science! (Sydney Morning Herald)
  • Like everything else in medicine, the value of mammograms is being debated. Wouldn’t it be nice if doctors could be on the same page? (NY Times)

The Feminine Mystique in Retrospect: An Interview with Stephanie Coontz, Part 2

Last month we featured Part 1 of our interview with historian Stephanie Coontz about her book A Strange Stirring: The Feminine Mystique and American Women at the Dawn of the 1960s (Basic Books, 2012). A Strange Stirring looks at the history of Betty Friedan’s The Feminine Mystique, which has been widely regarded as one of the most influential books of the last century.


“Work is still organized on the assumption that every employee will have a wife at home to take care of life.”


Published 50 years ago in February of 1963, The Feminine Mystique was Friedan’s response to the unease and dissatisfaction that she learned was common among American housewives at the time. Friedan hypothesized that the root of their unhappiness was their confinement to domestic roles, which prevented them from finding meaning and identity outside of their roles as homemakers, partners, and caregivers. Entering the workforce and professions, Friedan believed, would provide them the fulfillment they were missing.

Although social conservatives blamed The Feminine Mystique for sowing marital discontent, that was never Friedan’s intention. As Stephanie Coontz explained in A Strange Stirring, Friedan’s book “made a point of not criticizing husbands for their wives’ unhappiness.” Instead, it suggested that “marriages would be happier when women no longer tried to meet all their needs through their assigned roles as wives and mothers.” In Part 1 of our interview, Coontz discussed the accuracy of Friedan’s insight, noting that “today divorce rates tend to be lowest in states where the highest percentage of wives are in the labor force. Marriages where men and women voluntarily share breadwinning and caregiving tend to be very high quality.” Continue reading