After abortion: This Country Banned Abortion and a 69.2% Reduction In Maternal Death Rates Resulted

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Wednesday, January 21, 2015

This Country Banned Abortion and a 69.2% Reduction In Maternal Death Rates Resulted

It took me a while, but I finally found the non-pro-life website links for this information.

Chile now has a lower maternal mortality rate than even the U.S., and one that is lower since it banned abortion.

That's a link to the actual May 2014 published study (and here's another unbiased link). We wanted to avoid the sometimes-sensational articles that covered this from last August through December (those didn't provide links to the real study).

Women's Education Level, Maternal Health Facilities, Abortion Legislation and Maternal Deaths: A Natural Experiment in Chile from 1957 to 2007
Elard Koch, Institute of Molecular Epidemiology (MELISA), Center of Embryonic Medicine and Maternal Health, Faculty of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile, Department of Primary Care and Family Medicine, Faculty of Medicine, University of Chile, Santiago, Chile, Doctoral Program, Division of Epidemiology, School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
John Thorp, Department of Obstetrics and Gynecology, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, United States of America
Miguel Bravo, Institute of Molecular Epidemiology (MELISA), Center of Embryonic Medicine and Maternal Health, Faculty of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
Sebastián Gatica, Institute of Molecular Epidemiology (MELISA), Center of Embryonic Medicine and Maternal Health, Faculty of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
Camila X. Romero, Department of Primary Care and Family Medicine, Faculty of Medicine, University of Chile, Santiago, Chile
Hernán Aguilera, Department of Primary Care and Family Medicine, Faculty of Medicine, University of Chile, Santiago, Chile
Ivonne Ahlers, Department of Primary Care and Family Medicine, Faculty of Medicine, University of Chile, Santiago, Chile
Published: May 4, 2012 DOI: 10.1371/journal.pone.0036613
Results
During the 50-year study period, the MMR [Maternal Mortality Rate] decreased from 293.7 to 18.2/100,000 live births, a decrease of 93.8%. Women's education level modulated the effects of TFR, birth order, delivery by skilled attendants, clean water, and sanitary sewer access. In the fully adjusted model, for every additional year of maternal education there was a corresponding decrease in the MMR of 29.3/100,000 live births. A rapid phase of decline between 1965 and 1981 (−13.29/100,000 live births each year) and a slow phase between 1981 and 2007 (−1.59/100,000 live births each year) were identified. After abortion was prohibited, the MMR decreased from 41.3 to 12.7 per 100,000 live births (−69.2%).

In "Getting it Right on Abortion in Chile: A Necessary Correction in The Guardian", Dr. Koch successfully corrects The Guardian in an error they'd made in reporting these findings. Bottom line:

...maternal deaths due to abortion complications decreased 99% between 1957 and 2009 in Chile, and the downward mortality trend was continuous before and after abortion ban in 1989. Currently, less than 3% of all maternal deaths are related to an abortive outcome (mainly secondary to ectopic pregnancy and/or other pathologic conditions), additionally decreasing from 10.8 to 0.39 per 100,000 live births between 1989 and 2009.

In that article, Dr. Koch also provided links to more of his related research:

Int J Womens Health. 2012; 4: 613–623.
Published online Dec 5, 2012. doi: 10.2147/IJWH.S38063
PMCID: PMC3526871
Fundamental discrepancies in abortion estimates and abortion-related mortality: A reevaluation of recent studies in Mexico with special reference to the International Classification of Diseases
We found significant overestimations of abortion figures in the Federal District of Mexico (up to 10-fold), where elective abortion has been legal since 2007. Significant overestimation of maternal and abortion-related mortality during the last 20 years in the entire Mexican country (up to 35%) was also found. Such overestimations are most likely due to the use of incomplete in-hospital records as well as subjective opinion surveys regarding induced abortion figures, and due to the consideration of causes of death that are unrelated to induced abortion, including flawed denominators of live births.

While that study concluded that changing the legal status of abortion might not decrease overall maternal mortality rates in Mexico as it has done in Chile,

Rather, maternal health in Mexico would greatly benefit from increasing access to emergency and specialized obstetric care. Finally, more reliable methodologies to assess abortion-related deaths are clearly required.

Statistics are only as good as the methodologies to accurately assess abortions and abortion-related maternal deaths. It's something to ponder whenever reading about broad-brush conclusions on either side of the issue. If anyone is overestimating either statistic, it's clearly not helpful to base conclusions or decisions on those incorrect estimates.

But it's what Boston Globe columnist Ellen Goodman and Senator Barbara Boxer have long done and (almost) gotten away with.

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Wednesday, January 21, 2015

This Country Banned Abortion and a 69.2% Reduction In Maternal Death Rates Resulted

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