Tag Archives: Guttmacher Institute

Reproductive Health-Care Providers Challenge Arizona Laws That Put Women’s Health at Risk

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On Thursday, April 11, women’s reproductive health-care providers filed a federal lawsuit seeking to remove Arizona TRAP (Targeted Regulation of Abortion Providers) laws that prevent and delay many women from accessing abortion. The lawsuit was filed by reproductive health-care provider Planned Parenthood Arizona and individual clinicians represented by O’Melveny & Myers, Planned Parenthood Federation of America, the Center for Reproductive Rights, and Squire Patton Boggs.

Arizona’s extreme, medically unnecessary TRAP laws violate Arizona women’s constitutional right to access legal abortion. Their effect has been dramatic: a 40 percent decline in abortion clinics, leaving 80 percent of Arizona counties with no access to abortion clinics, and weeks-long waiting times for services. There is only one abortion provider in the northern part of the state, and that health center only provides medication abortion one day per week.

“Arizona lawmakers have made it difficult or even impossible for women to access safe, legal abortion,” said Bryan Howard, president and CEO of Planned Parenthood Arizona. “Medically unnecessary laws that only serve to attack women’s rights and put women’s health at risk should be overturned to protect women’s health and rights.” Continue reading →

Sound Science and Unsound Ideology: Sixty Years of Obstetric Ultrasound

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Ultrasound image used in an anti-abortion billboard in Ireland, 2012. Photo: The Vagenda

For decades now, ultrasound technology has been a fixture in the journey from pregnancy to parenthood. It has also become a prized weapon among abortion opponents in the battle over reproductive rights.

Ultrasound, which uses high-frequency sound waves to render images of a developing fetus, had its beginning 60 years ago this week, with the publication of a seminal paper in the British medical journal The Lancet. The development of the technology has a colorful history, one involving flying mammals, German submarines, a desert-dwelling inventor, and countless medical professionals who saw a range of patient care possibilities.

Ultrasound is a powerful tool, which can benefit patients or be used as a cudgel by abortion opponents.

But that colorful history belies the drab and fuzzy appearance of most ultrasounds. That limitation, though, has never stopped it from taking on enormous significance. When the technology was first developed, it gave obstetricians an unprecedented ability to survey fetal development, making it one of the most important advances in their field during the latter half of the 20th century.

By the same token, ultrasound has not only been a valuable medical tool but also a powerful storytelling tool. Today, it is often put to use four or more times before a patient’s due date. While the FDA and other authorities advise against ultrasounds that aren’t medically necessary — recommending just two for a low-risk pregnancy — many patients opt for additional, elective ultrasounds for the sake of having keepsake images. Posting those images online has become a popular way to share their news with family and friends. Continue reading →

July 11 Is UN World Population Day

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The following guest post comes to us via Esteban Camarena, a graduate student at the University of Arizona. He is currently in Brazil doing field research on politics and public health policy. He can be reached at estebanc@email.arizona.edu.

The world’s population is on the way to reaching 8.6 billion people by 2030 — that’s approximately 1.1 billion more inhabitants on the planet in less than 13 years. If we break it down further, that’s 84.6 million more people per year, 7.1 million per month, 1.8 million per week, or 252,0000 people added every day, roughly.

July 11 is UN World Population Day, which aims to create awareness of population growth issues and their relation to the environment and development. With the world’s population increasing every year, the limited amount of natural resources combined with the effect of climate change hinders any country’s ability to achieve sustainable economic growth and development. As the global population continues to grow, so too does the demand for food, water, energy, and land.

An investment in women’s health is an investment in families’ economic stability and a country’s development.

The inability to meet these demands will inevitably lead to malnutrition, poverty, and conflict between nations and people. This depletion of resources would particularly affect developing countries where the greatest amount of population growth is expected; in fact, more than half of the anticipated growth will occur in Africa, followed by Asia and Latin America. Among other factors, population growth is concentrated in these developing regions due to limited or lack of access to reproductive health care, family planning services, and sex education. Continue reading →

Shouting My Abortion

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I’ve always been a T-shirt kind of guy, wearing my shirts to proclaim allegiance to everything from my favorite rock groups to science, humor, politics, and the organizations I support, one of which is Planned Parenthood. My collection currently includes four Planned Parenthood shirts, and I wear them proudly whenever I can. While some might view this as confrontational, I see it as a potential means to open up communication. Most of the time, people don’t even notice. Occasionally, though, someone will notice, as for instance when someone thanks me for wearing my shirt. So far, no one has vocally challenged me, but every once in a while I get one of those icy stares — the kind that bore straight through you. Even a stare has value, however, in that someone who may not support Planned Parenthood must still acknowledge the fact that here is someone who does — a male, no less. Besides, my wife thinks I look good in pink. How can I argue with that?

I would not want my body ever considered to be a mere vessel for childbirth, with fewer rights than the fetus within me.

When I saw a photo of my hero Gloria Steinem wearing an “I Had an Abortion” T-shirt, my first thought was, I want one, too. The shirt was designed by Jennifer Baumgardner, co-producer of the award-winning 2005 documentary I Had an Abortion. The photo was taken by Tara Todras-Whitehill, who contacted Baumgardner and suggested photographing all of the women in the film wearing their “I Had an Abortion” T-shirts.

I did find a men’s version of the shirt still available online, though the merchant warned that it was “controversial,” a fact that has never stopped me before. Continue reading →

Celebrating Motherhood — and Reproductive Freedom

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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 →

From Censorship to Insufficiency: Sex Education from the Dennett Trials to Today

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In an article published the day after her trial, the New York Times described the defendant as a “gray-haired, kindly-looking matron.” When she took the stand in the Federal District Court in Brooklyn, the 53-year-old grandmother introduced herself as a maker of decorative wall hangings and an occasional writer for magazines.

Maybe it was a sign of the times that such an unusual defendant could be facing an obscenity charge that spring afternoon in 1929. The decade known as the Roaring Twenties shook established conventions as metropolitan centers like Chicago and New York became the birthplaces of modern cultural movements that pushed old boundaries. Showing disdain for the conservative dress and sexual ethos of the past, women in short hair and short skirts, dubbed flappers, were sensationalized for their cavalier attitudes toward sex. Pushing limits further, homosexuals and gender nonconformists earned nods of recognition in everything from stage productions (Mae West’s The Drag) to popular music (Edgar Leslie and James Monaco’s “Masculine Women, Feminine Men”), benefiting from a level of social acceptance that anticipated the 1960s. Meanwhile, the popularity of jazz challenged racial barriers as black and white musicians collaborated on stage and in studios, and as black and white socialites mixed in lively venues like Harlem’s Savoy Ballroom.

Mary Ware Dennett was a pioneer for sex education — both through her writing and the legal battle she fought.

Amid those changes, some people still weren’t ready for the controversial publication Mary Ware Dennett was in court for distributing, even if that publication had been well received by the medical community and, furthermore, had been sent to such tame and respected clients as the Bronxville school system, state public health departments, and various religious and civic organizations like the Union Theological Seminary and the YWCA. The publication was one Dennett had written 11 years earlier for her two sons, then 11 and 14 years old. She wrote it after realizing that, without it, they wouldn’t receive the sex education they needed: “When my children reached the age when I wished to supplement what had been taught verbally, I sought something for them to read.” After searching “some sixty volumes,” Dennett decided to give up and write her own material. Continue reading →

Let’s Talk Contraception: Birth Control Pills — Not Just for Preventing Pregnancy

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pillThere has been a lot of political posturing recently about whether the government should require health insurance to provide birth control without a co-pay as part of a preventive health care package. So many people, including politicians, can only “see” the contraceptive side, which is pretty important, by the way. Approximately 15.8 in 100,000 women in the United States die from pregnancy or pregnancy-related issues yearly, and that number has doubled in the past 25 years. We have one of the worst maternal death rates of all developed nations, right near the bottom of the list.

Birth control pills can be used to treat a variety of conditions, including painful periods, acne, endometriosis, and uterine fibroids.

But putting all that aside, let’s look at the how oral contraceptives pills (OCPs) are actually used in this country, and for what reasons besides contraception. You may argue that many birth control pills are only approved for contraception purposes by the Food and Drug Administration (FDA), so other uses are not valid. But many drugs that may have narrow conditions of approved use are often prescribed off-label by physicians when they have data and information about how effective they can be for other conditions where not much else works.

According to a 2011 study using data from the 2006–2008 National Survey for Family Growth, the Guttmacher Institute reported that 14 percent of all women using birth control pills — that’s 1.5 million women — use them for purposes other than preventing pregnancy. Granted, 86 percent of OCP users report using them for birth control. But over the years, these OCPs have helped many people as treatments for dysmenorrhea, menorrhagia, endometriosis, menstrual-related migraines, acne, uterine fibroids, and polycystic ovarian syndrome. Continue reading →