Welcome to the land ofCreative Definitions• Defining “Safe” and “Unsafe” abortions.
Welcome to the land ofCreative Definitions• e word “safe” implies certainty ofoutcome, usually means risk-free.• But abortions are lethal for the unbornchild, and may carry greater short and longterm risks for the mother livebirth.• Yet, WHO mixes legal and medicaldefinitions to imply legal= “safe” and pushlegalization worldwide.
W.H.O. “Unsafe Abortion”• Sedgh, et. al. Inducedabortion: estimated ratesand trends worldwide.Lancet Oct, 2007.• “Unsafe” = abortion byunskilled, not meetingminimum medicalstandards.• “ese includeabortions in countrieswith restrictiveabortion laws…”
W.H.O. “Unsafe Abortion”• Sedgh, et. al. Inducedabortion: estimated ratesand trends worldwide.Lancet Oct, 2007.• “For estimation purposes,safe abortions weredefined as those that meetlegal requirements incountries in whichabortion is legallypermitted under a broadrange of criteria.”
• “When performed within thelegal framework, the safety of theprocedure will depend on therequirements of the law, and theresources and medical skillsavailable.• In some countries, lack of resourcesand possibly skills may mean that evenabortions that meet the legal andmedical requirements of thecountry would not necessarily beconsidered sufficiently safe inhigh-resource settings.”
• “e estimates given inthis document areintended to reflect inducedabortions that carrygreater risks than thosecarried out officially forreasons accepted in thelaws of a country.”
• is dishonesty in definition allowsWHO and UNFPA to campaign forworldwide legalization of abortionusing the euphemism “safe” abortion.• But what does the medical literatureshow as risks of legal abortion?
Statistical analysis from 1960 to 2007. The peak ofMM ratio was observed in 1961. Therapeutic abortionwas legal from 1931 to 1988.274 deathsMMR per 100,000 live births118 deathsTherapeutic abortion wasderogated and any way ofabortion was prohibited47 deaths4 deaths
Abortion Mortality (MMR), Chile focus 1986 to 200717.2Therapeutic abortion wasderogated and any way ofabortion was prohibitedMMR per 100,000 live births118 deaths47 deaths1.7
Rate per 100,000 live birthsIlliteracy rate, pregnancy women (rate per 100,000 live births), Chile1960-2007
%Percentage of births delivered by skilled birth attendant,Chile 1960-2007
Variable Beta SE p-valueFertility rate 6.27 7.81 0.42Average of schooling years (women) - 27.4 3.39 < 0.001GDI per capita US$ (ppp) 0.007 0.002 0.006Births delivered by skilled birthattendant (%)-2.58 0.80 0.002Matrons (per 10,000 live Births) 0.21 0.74 0.77Number of Primary Care units - 0.003 0.02 0.90Abortion Period (1960 to 1988) - 3.27 8.73 0.71Primiparous women (%) - 1.79 1.39 0.20