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UNMASKING THE GLOBAL ABORTION AGENDA MARY L. DAVENPORT, M.D. OUR LADY OF PEACE APRIL 24, 2010 AMERICAN ASSOCIATION OF PROLIFE OBSTETRICIANS AND GYNECOLOGISTS
WHY IS THERE A GLOBAL PUSH FOR ABORTION?
FEMINISM “ABORTION IS FOR WOMEN” ,[object Object],[object Object]
THE MYTH OF OVERPOPULATION ,[object Object]
THE REALITY:    Worldwide 83 countries and territories are now below replacement rate, and if *medium variant* fertility assumptions prove true, 56 nations will have negative population growth by 2050. PRI Review Sept/Oct 2003 ,[object Object]
Annual Growth Rate for Development Groups U.N. World Population Prospects: The 2002 Revision
National Fertility Rates
In May, 2009, George Soros, Bill Gates, Warren Buffet, Ted Turner, Michael Bloomberg, David Rockefeller, and Oprah Winfrey met to discuss philanthropic projects to curb the world’s population. DESPITE THE FACT THAT OVERPOPULATION IS A MYTH
Over 70 countries who protect women and children from abortion with a strict life of the mother exception are under pressure to legalize abortion. Countries in dark blue, pink, and orange are most at risk from attempts to change laws and policies restricting abortion.   WORLD ABORTION LAWS Map from  Center for Reproductive Rights
Worldwide Abortion Laws   Countries  That Restrict All Abortion or Allow Life of the Mother Exception (in Italic) Panama– PA/R/F  Papua New Guinea  Paraguay   Philippines  San Marino  Sao Tome & Principe  Senegal  Solomon Islands  Somalia  Sri Lanka  Sudan–R   Suriname  Syria–SA/PA  Tanzania  Tonga  Tuvalu  Uganda  United Arab  Emirates–SA/PA  Venezuela  West Ban & Gaza Strip  Yemen  Iraq Ireland  Kenya  Kiribati  Laos  Lebanon  Lesotho  Libya–PA  Madagascar  Malawi–SA  Mali-R/I  Malta  Marshall Islands–U  Mauritania  Mauritius  Mexico–◊R/F  Micronesia–U  Monaco  Myanmar  Nicaragua–x  Niger  Nigeria  Oman  Palau-U  Afghanistan  Andorra  Angola  Antigua & Barbuda  Bangladesh  Bhutan–R/I/+  Brazil–R  Brunei Darussalam   Central African Rep.  Chile–x  Congo (Brazzaville)  Côte d'Ivoire  Dem. Rep. of Congo  Dominica  Dominican Republic  Egypt  El Salvador–x  Gabon  Guatemala  Guinea–Bissau  Haiti  Honduras  Indonesia  Iran
ABORTION IS FOR WOMEN ,[object Object],[object Object]
Suction Abortion
RU-486 (Mifepristone) Image downloadedhttp://www.time.com/time/covers/0,16641,20001009,00.html
RU-486  - “The Abortion Pill”   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early articles presenting RU-486 as panacea for women’s health problems ,[object Object],[object Object],[object Object],[object Object]
Medical Abortion Time Line ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early RU-486 Trials: France  Netherlands, U.S. (RU-486  alone ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Improved Results for Complete Abortions with Prostaglandin added to RU-486 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mifeprex-Misoprostol 1989-2001 ,[object Object],[object Object],[object Object]
Early termination of pregnancy with mifepristone  (RU 486) and the orally active prostaglandin misoprostol   ,[object Object],[object Object],[object Object],[object Object],[object Object]
DANIELLE HASSOUN, M.D  MEDICAL ABORTION EXPERT IN RESIDENCE,  IPAS ,[object Object],[object Object]
California of the 1970’s:   The Self-Help Movement
Medical Abortion in Europe  1990’s ,[object Object],[object Object],[object Object],[object Object]
Predominant Medical Abortion Regimen: France and U.S. Clinical Trials ,[object Object],[object Object],[object Object],[object Object]
RU-486 Key Complications Emotional/Psychological Reactions  ,[object Object],[object Object],[object Object],Image downloaded http://i.dailymail.co.uk
U.S. Experience with Two-drug Regimens ,[object Object],[object Object],[object Object],[object Object]
Five deaths from toxic shock from Clostridium sordelli infection (four in California) led to a CDC investigation. Fischer, M.et.al., “Fatal Toxic Shock Syndrome Associated with  Clostridium sordelli  after Medical Abortion,”  NEJM  353 (2005): 2352-2360 Greene, M.F., M.D., “Fatal Infections Associated with Mifepristone-Induced Abortion,  NEJM  353 (2005): 2317-18)
Holly Patterson  1985-2003
RU-486: Why did deaths and other adverse events begin to occur in the U.S. and elsewhere after 2001, in contrast to the European experience from 1991-2001 ? ,[object Object],[object Object],[object Object]
Requirements for RU-486 Use Why much less stringent after release? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RU-486: LAX STANDARDS AFTER RELEASE IN THE U.S. ,[object Object],[object Object],Margaret Crosby ACLU Attorney
New RU-486 protocols by Reproductive Health Advocacy Organizations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MEDICAL ABORTION MOVES TO THE U.S. ,[object Object],[object Object],[object Object]
Lawrence Lader 1919-2006 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abortion Rights Mobilization (ARM) ,[object Object],[object Object],[object Object]
ARM TRIALS: LOWER DOSE, VAGINAL ADMINISTRATION, LATER GESTATION ,[object Object],[object Object],[object Object],[object Object]
Reproductive Health Advocacy Organizations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reproductive Health Advocacy Organizations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gynuity Health Projects ,[object Object],[object Object],[object Object],[object Object],[object Object],Beverly  Winikoff, MD, MPH
Center for Reproductive Health Research and Policy, UCSF Felicia Stewart, MD  1943 -2006 Philip Darney, MD, MPH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
IBIS  ,[object Object],[object Object],[object Object],[object Object],[object Object],CHARLOTTE ELLERTSON 1966-2004
IBIS ,[object Object],[object Object]
The side effects of misoprostol (e.g. vomiting, diarrhea, and abdominal cramping) may be similar to the initial symptoms of toxic shock syndrome associated with  C. sordelli .” Fischer, M.et.al., “Fatal Toxic Shock Syndrome Associated with  Clostridium sordelli  after Medical Abortion,”  NEJM. 2005   “That’s a real issue  where a young woman has to figure out if she’s beyond these so-called normal side effects…to serious adverse events. You have to figure it out, be able to call for help.” Monty Patterson, father of Holly Patterson
Oriane Shevin   1971-2005 ,[object Object],[object Object],[object Object]
Rebecca Tell Berg  1987-2003
MEDICAL ABORTION: THE FINNISH EXPERIENCE ,[object Object],[object Object],[object Object],[object Object],[object Object],Ninimaki M et al.  Obstet Gynecol  2009. 114(4): 795-804.
Medical Abortion as a percentage of all abortions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THE EXPANSION OF MEDICAL ABORTION WORLD-WIDE
IPAS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Bixby team members dance with traditional Ethiopian birth attendants at a misoprostol training for postpartum hemorrhage
 
EngenderHealth ,[object Object],[object Object]
 
Strategies to Promote Medical Abortion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
History of Misoprostol   ,[object Object],[object Object],[object Object],[object Object],Image downloaded from http://www.drug3k.com/img2/cytotec_10623_6_(big)_.
MISOPROSTOL: AN EMERGING TECHNOLOGY FOR WOMEN’S HEALTH ,[object Object],[object Object],[object Object]
Drug Availability
A comparison of medical management with misoprostol and surgical management for early pregnancy failure   ,[object Object],[object Object],[object Object],[object Object],[object Object],Zhang J ,  Gilles JM ,  Barnhart K ,  Creinin  MD ,  Westhoff  C ,  Frederick MM  ,  NEJM,  2005.
Misoprostol as the primary agent for medical abortion in a low-income urban setting. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Borgatta L et al..  Contraception . 2004
Efficacy of two intervals and two routes of administration of misoprostol for termination of early pregnancy: a randomised controlled equivalence trial ,[object Object],[object Object],[object Object],[object Object],Von Hertzen et. al,  Lancet,  2007
Two and One Drug Regimens: The Reality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
MISOPROSTOL ABORTION ,[object Object],[object Object]
 
[object Object],[object Object]
IBIS REPRODUCTIVE HEALTH CARE: “MEDICATION ABORTION”
www.womenonwaves.org Women on Waves: How can I do an abortion? The Borndiep Portugal, 2004
UNDP/ UNFPA/ WHO/ WORLD BANK Special Programme of Research, Development and Research Training in Human Reproduction Social Science and Operations Research in Sexual and Reproductive Health CALL FOR PROPOSALS/CONCEPT PAPERS FOR RESEARCH ON EXPANDING ACCESS TO MEDICAL ABORTION IN DEVELOPING COUNTRIES We are particularly interested  in moving beyond formative research and into operations /intervention studies that test the feasibility of various approaches to expanding access.     APRIL, 2010
UNIVERSITY OF MEXICO   SCHOOL OF MEDICINE
A risk reduction strategy to prevent maternal deaths associated with abortion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Briozzo L et. al.,  Int J Gynaecol Obstet , 2006
Availability of medical abortion pills and the role of chemists: a study from Bihar and Jharkhand, India ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abortion practice in the northeast Caribbean: "Just write down stomach pain" ,[object Object],[object Object],[object Object],[object Object],Pheterson  G ,  Azize  Y .,  Reprod Health Matters . 2005
Mexico City, 2006
THREE PREGNANT MINORS IN LATIN AMERICA ,[object Object],[object Object],[object Object]
Ending the silent pandemic of unsafe abortion is an urgent public-health and human rights imperative. David Grimes in “ Unsafe abortion: the preventable pandemic”,  The Lancet , 2006.
Hospital admissions resulting from unsafe abortion: estimates from 13 developing countries Susheela Singh .  The Lancet , 2006 . ,[object Object],[object Object],[object Object],[object Object],[object Object]
Unsafe abortion: the preventable pandemic ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],United Nations (UN)  European Union (EU) African Union (AU)  Organization of American States ( OAS) INTERNATIONAL PRESSURE TO CHANGE LAWS ON ABORTION
MILLENIUM DEVELOPMENT GOALS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Universal Declaration of Human Rights ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SAFE MOTHERHOOD ,[object Object],[object Object],[object Object],[object Object],[object Object]
MDG 5 IMPROVING MATERNAL HEALTH ,[object Object],[object Object],[object Object]
WOMEN DELIVER CONFERENCE LONDON, 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object]
WOMEN DELIVER OBSTACLES TO UNIVERSAL ACCESS TO REPRODUCTIVE HEALTH ,[object Object],[object Object],[object Object],[object Object],[object Object]
Problems with “Women Deliver”  ,[object Object],[object Object],[object Object]
More Problems with “Women Deliver”   ,[object Object],[object Object],[object Object]
WILL BETTER ACCESS TO ABORTION  REDUCE MATERNAL MORTALITY? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What kills mothers? “The Global Burden of Disease 2004” W.H.O
How can Maternal Health be improved? ,[object Object],[object Object]
How can Maternal Health be improved? ,[object Object],[object Object]
How can Maternal Deaths be decreased? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IS THE SITUATION HOPELESS? ,[object Object],[object Object],[object Object],[object Object],[object Object]
GROUPS FIGHTING THE ABORTION AGENDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OFFICIAL RESPONSES TO DEMOGRAPHIC DECLINE ,[object Object],[object Object],[object Object],[object Object]
DEMOGRAPHIC WINTER The Decline of the Human Family ,[object Object]
KOREA ,[object Object],[object Object],[object Object],[object Object],[object Object]
GYNOB  ,[object Object],[object Object],[object Object],[object Object]
Mexico City Policy ,[object Object],[object Object],[object Object]
 
“ Close them all down..” Dr. Jean Kagia, Kenyan obstetrician

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Unmasking the global abortion agenda

  • 1. UNMASKING THE GLOBAL ABORTION AGENDA MARY L. DAVENPORT, M.D. OUR LADY OF PEACE APRIL 24, 2010 AMERICAN ASSOCIATION OF PROLIFE OBSTETRICIANS AND GYNECOLOGISTS
  • 2. WHY IS THERE A GLOBAL PUSH FOR ABORTION?
  • 3.
  • 4.
  • 5.
  • 6. Annual Growth Rate for Development Groups U.N. World Population Prospects: The 2002 Revision
  • 8. In May, 2009, George Soros, Bill Gates, Warren Buffet, Ted Turner, Michael Bloomberg, David Rockefeller, and Oprah Winfrey met to discuss philanthropic projects to curb the world’s population. DESPITE THE FACT THAT OVERPOPULATION IS A MYTH
  • 9. Over 70 countries who protect women and children from abortion with a strict life of the mother exception are under pressure to legalize abortion. Countries in dark blue, pink, and orange are most at risk from attempts to change laws and policies restricting abortion. WORLD ABORTION LAWS Map from Center for Reproductive Rights
  • 10. Worldwide Abortion Laws Countries That Restrict All Abortion or Allow Life of the Mother Exception (in Italic) Panama– PA/R/F Papua New Guinea Paraguay Philippines San Marino Sao Tome & Principe Senegal Solomon Islands Somalia Sri Lanka Sudan–R Suriname Syria–SA/PA Tanzania Tonga Tuvalu Uganda United Arab Emirates–SA/PA Venezuela West Ban & Gaza Strip Yemen Iraq Ireland Kenya Kiribati Laos Lebanon Lesotho Libya–PA Madagascar Malawi–SA Mali-R/I Malta Marshall Islands–U Mauritania Mauritius Mexico–◊R/F Micronesia–U Monaco Myanmar Nicaragua–x Niger Nigeria Oman Palau-U Afghanistan Andorra Angola Antigua & Barbuda Bangladesh Bhutan–R/I/+ Brazil–R Brunei Darussalam Central African Rep. Chile–x Congo (Brazzaville) Côte d'Ivoire Dem. Rep. of Congo Dominica Dominican Republic Egypt El Salvador–x Gabon Guatemala Guinea–Bissau Haiti Honduras Indonesia Iran
  • 11.
  • 13. RU-486 (Mifepristone) Image downloadedhttp://www.time.com/time/covers/0,16641,20001009,00.html
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. California of the 1970’s: The Self-Help Movement
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Five deaths from toxic shock from Clostridium sordelli infection (four in California) led to a CDC investigation. Fischer, M.et.al., “Fatal Toxic Shock Syndrome Associated with Clostridium sordelli after Medical Abortion,” NEJM 353 (2005): 2352-2360 Greene, M.F., M.D., “Fatal Infections Associated with Mifepristone-Induced Abortion, NEJM 353 (2005): 2317-18)
  • 28. Holly Patterson 1985-2003
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45. The side effects of misoprostol (e.g. vomiting, diarrhea, and abdominal cramping) may be similar to the initial symptoms of toxic shock syndrome associated with C. sordelli .” Fischer, M.et.al., “Fatal Toxic Shock Syndrome Associated with Clostridium sordelli after Medical Abortion,” NEJM. 2005 “That’s a real issue where a young woman has to figure out if she’s beyond these so-called normal side effects…to serious adverse events. You have to figure it out, be able to call for help.” Monty Patterson, father of Holly Patterson
  • 46.
  • 47. Rebecca Tell Berg 1987-2003
  • 48.
  • 49.
  • 50. THE EXPANSION OF MEDICAL ABORTION WORLD-WIDE
  • 51.
  • 52.
  • 53.  
  • 54.
  • 55.  
  • 56.
  • 57.  
  • 58.
  • 59.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.  
  • 68.
  • 69. IBIS REPRODUCTIVE HEALTH CARE: “MEDICATION ABORTION”
  • 70. www.womenonwaves.org Women on Waves: How can I do an abortion? The Borndiep Portugal, 2004
  • 71. UNDP/ UNFPA/ WHO/ WORLD BANK Special Programme of Research, Development and Research Training in Human Reproduction Social Science and Operations Research in Sexual and Reproductive Health CALL FOR PROPOSALS/CONCEPT PAPERS FOR RESEARCH ON EXPANDING ACCESS TO MEDICAL ABORTION IN DEVELOPING COUNTRIES We are particularly interested in moving beyond formative research and into operations /intervention studies that test the feasibility of various approaches to expanding access. APRIL, 2010
  • 72. UNIVERSITY OF MEXICO SCHOOL OF MEDICINE
  • 73.
  • 74.
  • 75.
  • 77.
  • 78. Ending the silent pandemic of unsafe abortion is an urgent public-health and human rights imperative. David Grimes in “ Unsafe abortion: the preventable pandemic”, The Lancet , 2006.
  • 79.
  • 80.
  • 81.
  • 82.
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 90.
  • 91. What kills mothers? “The Global Burden of Disease 2004” W.H.O
  • 92.
  • 93.
  • 94.
  • 95.
  • 96.
  • 97.
  • 98.
  • 99.
  • 100.
  • 101.
  • 102.  
  • 103. “ Close them all down..” Dr. Jean Kagia, Kenyan obstetrician

Editor's Notes

  1. Exporting of Roe vs. Wade Contracpetive mentality led to legalized abortion leads to abortion efforts worldwide
  2. Suicide – again carefully screened women with intense care still one attempted suicide!
  3. Now working in US with Ipas.
  4. Suicide – again carefully screened women with intense care still one attempted suicide!
  5. The Population Council obtained U.S. patent rights to mifepristone from Roussel-Uclaf, but was embroiled in legal disputes. Various manufacturers withdrew during 1994-1997. ARM developed its own version of RU-486, produced by an American manufacturer whose identity was closely guarded; copying RU-486 for testing was allowed as long as there was no intent to market it ARM testing sites were developed in Rochester, Nebraska, Vermont; more added with funding from the John Merck fund 607 unique adverse events reported to the FDA between September 2000 and September 2004 The FDA estimates that between 1 and 10 % of Adverse Events are reported through the Adverse Event Reporting System. Therefore 6,000-60,000 adverse events The most frequent serious (CTCAE 3) and life-threatening (CTCAE 4) adverse events were Hemorrhage (210 pts.), Infection (46 pts.), Missed diagnosis of ectopic pregnancy (17 pts) Fetal malformation 23% of ( 3 of 13 documented cases from second trimester) Gary MM, Harrison DJ. Ann Pharmacother . 2006. Gary MM, Harrison DJ. Ann Pharmacother . 2006.
  6. The Reproductive Privacy Act will provide women with greater access to…abortion, by allowing an expanded pool of qualified clinicians to participate in pregnancy... Women will have a range of options available to control childbearing, including … medical terminations of very early pregnancies. These new techniques promise to change the landscape of abortion: a private choice may be a private act at home .”
  7. Unapproved antibiotic, diuretic (label) 2006 - Describing the cover-up at the factory, Ms. Zhou, the regulator who led the investigation, said workers did not tell investigators that vincristine sulfate — a drug too toxic for use in spinal injections — had been stored in a refrigerator with materials for other drugs. China’s former top drug regulator approved substandard medications, such as an antibiotic resulting in 10 deaths, in return for bribes totaling millions of dollars. regulator was killed
  8. “ Medication abortion refers to the family of safe and effective methods for terminating an unwanted pregnancy…The term medical refers to physician based practices and/or medical necessity.” “ Aspiration abortions are …simple procedures that…are consistent with the scope of practice of most primary care physicians and advance practice clinicians who serve women of reproductive age.” Contraception, 2004 “ Could American women use mifepristone-misoprostol pills safely with less medical supervision?” Evidence suggests that most women can handle most steps of the medical abortion process themselves , effectively and safely. The utility of clinic visits to ingest mifepristone and misoprostol is questionable. For many women, even the follow-up visit could perhaps be replaced by telephone follow-up , combined with home pregnancy tests. DO-IT-YOURSELF ABORTION Harper C, Ellertson C, and Winikoff B. Contraception, 2002 Why “Ibis”? Ibises, like storks, are associated in many cultures with fertility. The birds also represent forbidden women's health knowledge, including of contraception and abortion. Scholars attribute the association to the birds' curved bills, perhaps resembling clyster syringes used by midwives. The ibis is also the incarnation of the Egyptian lunar deity Thoth. Like the messenger god Hermes, Thoth was also responsible for writing, law, logic, and calculations
  9. A risk reduction strategy to prevent maternal deaths associated with abortion Study performed in Montivideo, Uruguay; abortions illegal since 1938 Women offered “before abortion” and “after abortion” visits at clinic per strategy of the Incintivas Sanitarias ; incomplete abortions given suction curettage 675 women used misoprostol in the first and early second trimester Results: no maternal deaths, no serious complications; one minor infection and two cases of hemorrhage Incomplete abortions initially 30%; later 18% Abortion practice in the northeast Caribbean: "Just write down stomach pain“ Three-year study in 2001-2003 of abortion practice on several islands of the northeast Caribbean: Anguilla, Antigua, St Kitts, St Martin and Sint Maarten In depth interview of 26 physicians; 16 performed abortions despite illegality Women travelled to preserve anonymity More women are self-inducing abortions with misoprostol to avoid doctors, high fees and public stigma Survey of 209 chemists (pharmacists) in India 34% stocked mifepristone and misoprostol Demand existed for less expensive alternatives Men bought most prescriptions OTC sales occurred Conclusion: chemists needed information, written materials, promotion of pregnancy tests and to encourage women to see providers “ The best course is to increase the availability of low-cost, safe abortion services at primary care level.”
  10. Seminar brought together 60 international leaders, academics and activists in population control in 2001 Review of research on multiple uses of misoprostol including miscarriage, obstetrical hemorrhage and labor induction.
  11. re-ignited the population argument to justify their beliefs. Prior to the 1967 Abortion Act, Professor Potts was the physician on the Executive Committee of the Abortion Law Reform Association and served as the medical voice for the Committee, arguing for abortion reform in the British first western doctor to do outpatient vacuum aspiration abortions He was a founder of Ipas and of Family Health International, where he was president and CEO for 12 years currently is working on the obstetric and gynaecological uses of misoprostol in developing countries.  
  12. Registered in Nigeria and Uganda WHO includes pills in Mama Kit
  13. Induced abortion does not protect the human life (Article 3) Induced abortion does not protect the motherhood and childhood (Article 25) Induced abortion does not respect the family as natural and fundamental group unit of the society.  In addition, an individual reproductive right does not exist, because it does not exist a right over the children; they are human persons and are not mere objects or possessions of their parents (Article 16 and the preamble of human dignity)
  14. Let’s look at reproductive age people, men and women, by geographical area. *We find similar distributions for causes of deaths throughout the world, with the exception of tropical regions, which have an excess of deaths from infectious and parasitic diseases. *Africa in particular has a large number of deaths from HIV/AIDS. The white area is maternal and nutritional conditions. It would seem evident that the biggest impact on overall mortality would be to decrease infectious diseases, and especially to decrease the rate of HIV infection.
  15. Ambiguous terms: “Family Planning” What does this include: Natural family planning Artificial contraception? Induced abortion?
  16. Congressional hearing on Mexico City Rule included pro-life testimony from Kenyan obstetrician and gynecologist jean kagia , MD, who compared efforts to legalize abortion in Africa with an earlier era's damaging and long-lasting influence by non-African outsiders. "The promotion of and effort to legalise abortion in Africa is a foreign agenda and a form of recolonisation," Dr. kagia said. "Poor women around the world need help providing for their children, not eliminating them," "They deserve authentic help, not the phony substitute of more abortions."