Tag Archives: ultrasound

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 →

Brothers in Arms, Part 1: Racist Anti-Abortion Rhetoric from the Restell Years to Roe v. Wade

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Newspaper illustration of Madame Restell in jail, February 23, 1878

This article is our first installment in a series that explores the historical and contemporary links between racial intolerance and opposition to abortion, from the fears of immigration that fueled abortion prohibition in the late 1800s to the gender-based hatred rooted in today’s white nationalist resurgence.

In the battle over abortion, Kentucky was this year’s ground zero. In Louisville, the EMW Women’s Surgical Center fought to keep its doors open, as a governor, a legislature, and a base of activists — all hostile to abortion — made it their mission to shut the clinic down. For reproductive justice advocates, the stakes were high, as EMW stands as the only abortion provider in Kentucky, the last one in a state that had more than a dozen such providers in the late 1970s.

In the 19th century, opposition to abortion was fueled by racist paranoia.

The situation in Louisville was emblematic of a national phenomenon. In 2011, state legislatures entered a fever pitch, passing new restrictions on abortion, including ultrasound requirements, waiting periods, state-mandated counseling, and prohibitions against telemedicine care and abortion medications. Within a few years, more than 200 restrictions were enacted, and by early 2016, The Washington Post was reporting that 162 abortion providers had closed in their wake.

Boom Years for Abortion

When Ann Lohman first opened her abortion practice, her experience could not have stood in starker contrast to the battle of attrition against regulations and harassment that shutters many of today’s providers. If there were any challenges to keeping her doors open, it was competing with the many other providers who clamored for attention, with advertisements in newspapers, popular magazines, and even religious publications. Lohman’s own advertising budget, to stand out from the crowd, eventually reached $60,000 a year.

Lohman’s experience, like the EMW Center’s, was a sign of the times — but they were very different times.  Continue reading →

10 Things Every Voter Should Know About Catherine Miranda

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Catherine Miranda croppedOn August 26, Catherine Miranda won her primary election in the 27th legislative district. In November, she faces a Republican challenger, but is expected to be handily elected to represent her solidly Democratic district in the state Senate.

A lot of us might assume that a female Democrat will be a fierce advocate for reproductive rights, but that’s not always a safe assumption. It certainly isn’t the case with Catherine Miranda, who not only won’t advocate to make abortion access a reality in Arizona, but will actively fight against it. She has been doing just that since 2011, when she first started representing her district in the House of Representatives. Next year, as a state senator, Catherine Miranda’s votes will carry even more weight.

So, without further ado, here are 10 things that every voter should know about Catherine Miranda.

1 Catherine Miranda, who has been running as a Democrat throughout her career, has endorsed Republican Michele Reagan for secretary of state, shunning Democrat Terry Goddard and his proven record as an advocate for reproductive justice and LGBTQ rights. In the 1980s, as the mayor of Phoenix, Terry Goddard helped keep Planned Parenthood patients safe from disruptive protesters, whereas just this year Michele Reagan voted in favor of HB 2284, which was designed to harass patients at clinics that provide abortions.

2 In an even more baffling move, Catherine Miranda has endorsed Doug Ducey for governor. Ducey is an odd choice, given that he is opposed to marriage equality and is expected to sign a bill similar to SB 1062 into law if it comes across his desk. He opposes abortion unless the mother’s life is at stake, and is advised by the far-right Center for Arizona Policy. Why does Catherine Miranda support Doug Ducey’s candidacy?

3 Speaking of the Center for Arizona Policy, Catherine Miranda signed their “pro-life pledge,” which denounces Roe v. Wade as unconstitutional and demands full “personhood” rights for fetuses at any stage of development. Continue reading →

Meet Our Candidates: Kelli Butler for State Senator, LD 28

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The Arizona general election will be held on November 4, 2014. Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” In order to vote in the general election, you must register to vote by October 6 — and can even register online. Make your voice heard in 2014!

Kelli Butler 2014[K]elli Butler is an Arizona native with professional experience in the health care field and a background in community involvement in education. When her district’s current state senator, Adam Driggs, voted in favor of this year’s discriminatory SB 1062, she made the decision to run for his seat in the Senate so that her fellow LD 28 constituents could be represented by someone who would advocate for the rights and dignity of all Arizonans.

The three main components of her platform are investing in public education, creating quality jobs, and protecting children and families. To support these goals, Ms. Butler is in favor of including comprehensive sex education in schools to empower students with the information they need to avoid sexually transmitted infections and unintended pregnancies — the latter of which will help reduce dropout rates among teenage girls. Additionally, increasing access to family planning services can help women make decisions that are best for themselves and their families.

The 28th legislative district is currently represented in the state Senate by Adam Driggs, whose record on reproductive health and rights is dismal. He has consistently voted against Planned Parenthood’s mission, supporting bills that would have reduced access to birth control and preventive services at Planned Parenthood Arizona. He has also voted for HB 2036, the infamous bill that restricts abortion to 20 weeks and defines pregnancy as starting two weeks before conception. Additionally, Driggs has signed the Center for Arizona Policy’s statement denouncing Roe v. Wade.

Kelli Butler is running to represent Legislative District 28, which includes Paradise Valley and parts of Phoenix. She took the time for an interview with Planned Parenthood Advocates of Arizona on September 23, 2014.

“We must empower people with knowledge and choices so they are able to make the most responsible decisions for themselves.”

Tell us a little about your background.

I’m a proud Arizona native, having grown up within the boundaries of District 28. I attended University of Arizona and majored in elementary education. I’ve been married for 25 years to my husband, Ben Butler, who is a general dentist in Glendale, Arizona. I help manage his dental practice and run our small business. I am familiar with the challenges of small business ownership and with the regulatory and insurance environments of the health care industry. I am a longtime advocate for public schools, having raised my two boys in Phoenix’s Madison School District. I was very involved in their schools and on district-level committees.

Earlier this year, the state legislature passed HB 2284, which permits the health department to inspect abortion clinics without a warrant. What do you think about this new law?

HB 2284 opens the door to harassment of women and their health care providers. This measure is simply another attempt by far-right groups like the Center for Arizona Policy to restrict women’s access to safe, responsible choices and health services. Abortion clinics are already highly regulated. HB 2284 was motivated by political ideology; it is part of a concerted effort to throw more roadblocks in the way of women seeking access to reproductive medical services. Continue reading →

Voting Rights, Reproductive Rights, and What’s at Stake in Arizona’s Election

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Photo: Jamelah E.

Photo: Jamelah E.

Perhaps the news site Vox.com said it best when summing up the relevance of the 2014 election. The day news broke of the Supreme Court’s decision to grant Hobby Lobby an exemption from the Affordable Care Act’s contraception mandate, Editor-in-Chief Ezra Klein pointed out that “Supreme Court Justices die unexpectedly and retire strategically, and … the timing of even a single vacancy can end up reshaping American law for decades to come.” Klein went on: “If Republicans take control of the Senate in 2014 then they’ll have substantial veto power over any efforts President Obama might make to fill a vacancy that could reshape the Court.”

This fall’s gubernatorial race will be crucial in securing Arizonans’ reproductive rights.

A decision from the Supreme Court that arrived the prior week, striking down a Massachusetts “buffer zone” law that protected women from intimidation when they sought services at reproductive health clinics, adds even more weight to Klein’s argument.

Much is at stake both in the national election and the state election here in Arizona. Although a major change in the makeup of the legislature is unlikely, the governor’s race makes the 2014 election a critical event. Whatever comes out of the legislature, how Arizona’s next governor uses his or her veto power can mean the difference between Arizona’s continuing notoriety in the War on Women — after already enacting requirements for ultrasounds, waiting periods, and state-directed counseling for abortion patients — or health care policy that upholds reproductive rights.

When Janet Napolitano held the governor’s office from 2003 to 2009, she set a record for the number of vetoes in a single session (58) and in a single term (115), and many of her vetoes kept a conservative legislature from dismantling reproductive health.  Continue reading →

Pro-Choice Friday News Rundown

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Staci Michelle Yandle, the first African-American lesbian federal judge

Staci Michelle Yandle, the first African-American lesbian federal judge

  • Dear Jan Brewer and all the other ridiculous Republicans in this state: Your attempts to thwart the reproductive rights of Arizona women WILL NOT STAND! You have no business trying to dictate when a fetus is viable. None of you are ob/gyns. Just give it up already. You have lost the battle and the war. #Booya (AZ Central)
  • OK, so, remember how the Repubs came up with the astronomically stupid idea to force women to see or have doctors describe the contents of their uterus via ultrasound before they could undergo an abortion? Well, the studies on the impact of this practice are in, and guess what? It turns out women already know what’s in their uteruses! A whopping 98.4 percent of those women went on to undergo their abortions anyway. What they saw wasn’t a shocking revelation! Those who thought women were too stupid to make an informed choice without seeing the embryo or fetus occupying their body were totally wrong. Shocker. (Slate)
  • President Obama is taking an unprecedented step in judicial history by nominating the first black lesbian federal judge, who will preside in the 7th Circuit, covering Illinois, Indiana, and Wisconsin. (The Root)
  • There’s a pretty active debate on whether or not MTV’s “16 and Pregnant” has had a direct effect on the downturn in teenage pregnancy rates. Speaking from a personal standpoint, it sure helped cement my commitment to staying childfree! (Time)
  • In related news, it ain’t cheap to have a baby. And after that, guess what? You have to spend money on it for at least 19 to 20 years. Minimum! (NBC News)
  • Further evidence that the health and wishes of a pregnant woman are trumped by the “rights” of a fetus: Marlise Munoz, a 33-year-old woman in Texas, suffered a tragic fall that resulted in her being on life support and clinically brain dead. Under Texas law, brain dead individuals are considered deceased. Unfortunately, that hasn’t stopped John Peter Hospital in Fort Worth from refusing to act in accordance with her personal end-of-life directive. Instead, they have forced her to remain on life support. Why? Because of the 19-week-old fetus still occupying her womb. Her family is suffering and understandably distressed. Her husband Erick is determined to fight this out in court. We’ll be watching and hoping. (RH Reality Check)
  • Just so you know, abortion is just like slavery! This message was brought to you by complete idiot Gov. Sam Brownback of Kansas. Who should be ashamed for equating hundreds of years of brutal whippings, back-breaking and unrelenting labor, rape, lynching, and all of the other unspeakable acts of cruelty inflicted upon blacks in this country to a woman exercising her right not to be forced to give birth and choosing not to carry a non-viable, non human being in her body. (Politico)
  • Is it a coincidence that the anti-contraception movement wasn’t on the radar of evangelicals until 2011, after Obama took office? HELL NO. (Salon)

Book Club: Crow After Roe

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Crow After RoeA new book by Robin Marty and Jessica Mason Pieklo takes readers on a tour of a disaster. It was a catastrophe that swept through much of the Midwest but also shook states like Arizona, Idaho, and Mississippi. Its widespread effects raised numerous health concerns as it made its way through much of the country, and its repercussions are still felt today. Undoing the damage could take years.

The disaster was not natural, but political. The 2010 midterm elections saw a wave of Republican victories, giving state legislatures a new makeup and a new agenda. Reacting to a recently elected Democratic president who had called himself “a consistent and strong supporter of reproductive justice,” conservative lawmakers introduced one bill after another to limit access to reproductive health care — especially, but not exclusively, abortion.

The defeat of Arizona’s 20-week abortion ban is a timely reminder of what activists can accomplish.

In Crow After Roe: How “Separate but Equal” Has Become the New Standard in Women’s Health and How We Can Change That (Ig Publishing, 2013), Marty and Pieklo, both reporters for the reproductive health and justice news site RH Reality Check, take a state-by-state look at the many bills that were introduced in the wake of the 2010 midterm elections. Those bills made the next year, 2011, a record year for state-level legislation to restrict abortion. States passed more anti-abortion laws in 2011 than in any year in the last three decades. What was quickly dubbed the War on Women continued into 2012. That year saw the second highest number of new state-level abortion restrictions. This year is shaping up to be much like the prior two, with new restrictions introduced in more than a dozen states, according to the Guttmacher Institute.

Marty and Pieklo argue that this onslaught of bad legislation has put women — especially poor, minority, and rural women — in a separate and secondary class of health care consumers who have little choice or control over their reproductive health. The authors posit that the goal of the many restrictions is to render abortion “legal in name only” — still legal, but largely unavailable. Continue reading →