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Director of women’s clinic: Abortion pill reversal is safe and effective

April 11, 2018 CNA Daily News 1

Denver, Colo., Apr 11, 2018 / 07:00 pm (CNA/EWTN News).- The director of a women’s clinic in Denver said that she has found an abortion pill reversal protocol to be safe and effective with her patients, following a recently published study on the procedure.

“Oftentimes in medicine, when we find that there is something that is actually making a difference and causing no harm, we will implement it into practice,” Dede Chism, a nurse practitioner and co-founder and executive director of Bella Natural Women’s Care in Englewood, Colo., told CNA.

The recent study, published in Issues in Law and Medicine, a peer-reviewed medical journal, examined 261 successful abortion pill reversals, and showed that the reversal success rates were 68 percent with a high-dose oral progesterone protocol and 64 percent with an injected progesterone protocol.

Both procedures significantly improved the 25 percent fetal survival rate if no treatment is offered and a woman simply declines the second pill of a medical abortion. The case study also showed that the progesterone treatments caused no increased risk of birth defects or preterm births due.

The study was authored by Dr. Mary Davenport and Dr. George Delgado, who have been studying the abortion pill reversal procedures since 2009. Delgado also sits on the board of the American Association of Pro-Life Obstetricians and Gynecologists.

“When it comes to saving the life of any human person, even when the chance is slim, isn’t it worth the effort, when the benefits outweigh any risk?” Chism said.

Medical abortions have become an increasingly common method of abortion in the United States, making up 30-40 percent of all abortions.

Medical abortions involve the taking of two pills – the first pill, mifepristone (RU-486) blocks the progesterone hormone, which is essential for maintaining the health of the fetus. The second pill, misoprostol, is taken 24 hours after mifepristone and works to induce contractions in order to expel the fetus.

Some women, after taking the first pill (mifepristone), experience regret and do not want to follow through with the abortion by taking misoprostol. Many doctors and providers, including Dr. Thomas Hilgers of the Pope Paul VI Institute, as well Chism, Delgado and Davenport, have found that they can improve the chances of a baby’s survival in these cases by flooding a woman’s system with more progesterone, in a hopes of overriding the progesterone-blocking effects of mifepristone.

The progesterone protocol is safe, Chism said, because it is a naturally occurring hormone in pregnant women that has been used for the treatment of pregnant women in various situations.

“What we’re trying to do is to bring the mom to a healthy progesterone level,” Chism said, whether that’s during an abortion pill reversal or monitoring a pregnant woman with low progesterone levels.

“We do this exact same thing in mom’s who’ve had early miscarriages that have a hard time conceiving and maintaining pregnancy,” she noted. “It’s common that women may not have enough progesterone on the back half of their cycle even to support a pregnancy, so what we’re trying to do is get them to a healthy progesterone level.”  

Because progesterone is known to be safe for pregnant women and unborn babies, the progesterone abortion pill reversal procedure is “common sense,” Chism added.

Critics of Delgado’s study argued that the peer-reviewed journal in which it was published is biased, because of its ties to the pro-life organization Watson Bowes Research Institute. Delgado told the Washington Post that he acknowledged this concern, but thought that his study would not get fair consideration from other journals due to political bias.

Delgado also told the Washington Post that he believed more research should be done, but that there should be nothing to stop doctors from using the progesterone protocol in the meantime.

“It hadn’t been studied formally in a big way, but we saw it was saving lives and had no alternatives. Were you going to wait when someone was dying in front of you?” he said.

“(T)he science is good enough that, since we have no alternative therapy and we know it’s safe, we should go with it,” he added.

Chism noted that the Bella clinic has treated several women who have sought abortion pill reversals. The progesterone protocol has been effective in women who have come in as soon as possible after taking the first dose of mifepristone, she said.

“We are currently in the midst of caring for a patient who took the abortion pill.  She is 4 weeks and 3 days from taking that first pill.  We were able to begin the reversal protocol in less than 24 hours from her initial dose. We did have a few scary days initially with bleeding and threatened loss of pregnancy, but she is now very stable with a normally growing baby,” she said.
 
“I think the fact that we have now over 300 successful reversals is evidence that it works,” she added. “This isn’t make-believe and it isn’t coincidental.”

Chism added that it is common practice in medicine to share information about protocols that have yet to undergo even more rigorous prospective studies, if they have been shown to be safe and effective in case studies.

Some critics also argued that the study was unnecessary since only a small percentage of women actually seek and follow through on abortion pill reversals.

“We’re not causing harm, and even if the possibility of saving a baby is small, even if the population who desires it is small, is it not worth it to recognize it?” Chism countered. “Isn’t it beautiful that there could be a possibility that just maybe could change and help you out when you’ve made a decision that you’ve regretted?”

Telling women that a safe and effective protocol exists is a matter of informed consent, Chism added.

“To tell someone that there is (no reversal), that this medical abortion is permanent and irrevocably irreversible, that’s not a true statement,” she said. “To be able to tell a patient that it may be possible in some circumstances to reverse an abortion pill, I think that is simply informed consent.”

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News Briefs

Paul Ryan announces retirement from Congress

April 11, 2018 CNA Daily News 0

Washington D.C., Apr 11, 2018 / 09:48 am (CNA/EWTN News).- Speaker of the House Paul Ryan (R-WI) will not run for reelection this November, he announced on Wednesday. Ryan’s departure confirms rumors that began swirling in mid-December 2017. He will retire in January, at the conclusion of his term.

Ryan, who is a Catholic, was first elected to Congress in 1998, and became the speaker of the house in October of 2015. He has become known for his conservative views and was Mitt Romney’s running mate in the 2012 presidential election.

In his speech announcing his retirement, Ryan cited his three teenage children as one of the main reasons why he would be leaving Congress. His eldest daughter is 16 years old, he said, the same age he was when his father passed away.

“What I realize is, if I am here for one more term, my kids will only have known me as a weekend dad,” he said.

“I just can’t let that happen.”

Regardless, Ryan insisted that he has “no regrets” from his tenure in Congress, and that he put all of his being into his work. He insisted that the current political climate did not influence his decision to retire from Congress.

On Twitter, President Donald Trump offered praise for Ryan, even though the two have butted heads in the past. Trump said that Ryan was a “truly good man” who will “leave a legacy of achievement that nobody can question.”

<blockquote class=”twitter-tweet” data-lang=”en”><p lang=”en” dir=”ltr”>Speaker Paul Ryan is a truly good man, and while he will not be seeking re-election, he will leave a legacy of achievement that nobody can question. We are with you Paul!</p>&mdash; Donald J. Trump (@realDonaldTrump) <a href=”https://twitter.com/realDonaldTrump/status/984066131303583746?ref_src=twsrc%5Etfw”>April 11, 2018</a></blockquote> <script async src=”https://platform.twitter.com/widgets.js” charset=”utf-8″></script>
Former Speaker of the House Nancy Pelosi (D-CA) also offered praise for Ryan, saying in a statement that, “Despite our differences, I commend his steadfast commitment to our country. During his final months, Democrats are hopeful that he joins us to work constructively to advance better futures for all Americans.”

<blockquote class=”twitter-tweet” data-conversation=”none” data-lang=”en”><p lang=”en” dir=”ltr”>.<a href=”https://twitter.com/NancyPelosi?ref_src=twsrc%5Etfw”>@NancyPelosi</a> reacts to Paul Ryan's retirement. <a href=”https://t.co/ceagNZpH48″>pic.twitter.com/ceagNZpH48</a></p>&mdash; Sahil Kapur (@sahilkapur) <a href=”https://twitter.com/sahilkapur/status/984072202344640514?ref_src=twsrc%5Etfw”>April 11, 2018</a></blockquote>
<script async src=”https://platform.twitter.com/widgets.js” charset=”utf-8″></script>

Ryan has talked about his Catholic faith numerous times during his two decades in Congress. He spoke at this year’s March for Life in Washington, D.C. and has spoken out in favor of religious freedom and pro-life legislation.

He has clashed with leaders of the U.S. bishops on other issues, notably the 2017 tax reform bill. Ryan championed the bill, while leaders of the U.S. bishops’ conference called parts of it “unconscionable,” saying it “appears to be the first federal income tax modification in American history that will raise income taxes on the working poor while simultaneously providing a large tax cut to the wealthy.”

Ryan did not announce what his plans are once he leaves Congress.

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News Briefs

Commentary: The peripheries of our own vision

April 10, 2018 CNA Daily News 0

Washington D.C., Apr 10, 2018 / 04:21 pm (CNA).- While Pope Francis’ latest apostolic exhortation focuses on joy and holiness in everyday life, one passage has drawn sharp reactions from Catholics on the left and the right.

“Our defense of… […]

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News Briefs

Condom distribution at Catholic hospital stops after Cincinnati archdiocese speaks up

April 10, 2018 CNA Daily News 0

Cincinnati, Ohio, Apr 10, 2018 / 02:19 pm (CNA).- A county-run needle exchange program hosted in a Catholic hospital’s parking lot has stopped distributing condoms, following action from Archbishop Dennis Schnurr and the Archdiocese of Cincinnati.
 
“This matter was addressed and favorably resolved last week, as soon as it came to the attention of the archdiocese,” Mike Schafer, director of the archdiocese’s communication and mission promotion department, told CNA April 9.
 
“Condom distribution is no longer part of the Hamilton County Public Health Harm Reduction Program, run from their van parked in the Mercy Health – Clermont Hospital parking lot,” he said. “Archbishop Schnurr engaged with Mercy Health leadership on this issue, with the resulting decision being to disallow condom distribution on hospital property.”  
 
The archdiocese was unaware that condom distribution was part of the Hamilton County Public Health Program until the fact was brought to its attention by CNA inquiries, said Schafer.

Mercy Health is not owned or operated by the Archdiocese of Cincinnati. Rather, its sponsors include the Sisters of Mercy, the Sisters of the Humility of Mary, and the Franciscan Sisters of the Poor. The system has hospitals in Ohio and Kentucky.

The Mercy Health – Clermont Hospital in Batavia, Ohio had been hosting in its parking lot a van that was part of a county-run needle exchange program. As part of its harm reduction strategy, the program offered condoms, as well as injection equipment and other health services, the Cincinnati Enquirer reported.

“After engaging in further discussion with Archbishop Schnurr from the Archdiocese of Cincinnati, we have asked the Hamilton County Health Department to discontinue the availability of condoms in the van,” Mercy Health spokesperson Nanette Bentley told CNA April 10. “The Hamilton County Public Health Department needle exchange program van will continue to serve the community, providing needle exchange and access to testing and resources.”

In April 3 comments to CNA, Bentley had described the program as “a harm reduction program aimed at reducing the spread of sexually transmitted diseases, including HIV and Hepatitis C.”

“The program includes needle exchange, access to testing and condoms as a holistic approach to harm reduction,” she had said, noting that clients would enter the Hamilton County Public Health property when they entered the van. The van was staffed only by county employees.

Previous news reports on the exchange program noted that condoms were distributed at the Mercy Health location, but not in a similar program hosted at two facilities of the Kentucky-based St. Elizabeth Healthcare system. That health system is sponsored by the Diocese of Covington.

The National Catholic Bioethics Center, which handles inquiries on Catholic bioethics issues, has always argued against condom distribution, Catholic bioethicist John Brehany, the center’s director of institutional relations, told CNA.

“One reason is that Pope Paul VI’s 1968 encyclical Humanae Vitae teaches that every sexual act must retain its essential openness to procreation,” he said. In addition, “if someone has a dangerous disease, really, the better ethical action is not to expose someone else to it at all.”

 

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News Briefs

What a CUA symposium said about “Humanae Vitae”

April 10, 2018 CNA Daily News 2

Washington D.C., Apr 10, 2018 / 05:00 am (CNA/EWTN News).- The Catholic University of America played host last week to a symposium celebrating the 50th anniversary of Blessed Paul VI’s encyclical Humanae vitae, reflecting on the prophetic nature of the document, and on the lessons it still offers.

“In 1968, our university was at the center of a controversy regarding the document in the church in the United States,” said Catholic University of America President John Garvey during the symposium. “The fact that 50 years later, we’re hosting a conference to draw attention to what we now see as the wisdom Paul VI might be seen as a sign of the times.”

Humanae vitae took the world by storm when it was published in 1968. In the height of the sexual revolution, then-Pope Paul VI wrote that the use of prophylactics and hormonal birth control – which had only been on the market in the United States for less than a decade, and wasn’t legal for unmarried women until just three years prior – was morally unacceptable in the marital act.

“Consequently,” wrote Paul VI, “it is a serious error to think that a whole married life of otherwise normal relations can justify sexual intercourse which is deliberately contraceptive and so intrinsically wrong.”

The encyclical was not universally well-received, and former CUA professor Fr. Charles Curran led a dissent of nearly 100 theologians who were opposed to the content of Humanae vitae. Cardinal Donald Wuerl of the Archdiocese of Washington described the nation’s capital as one of the “largest flashpoints of opposition” to the document.

The majority of the speakers at the symposium argued that in retrospect, Pope Paul VI was a man ahead of his time, and was able to accurately discern the negative effects that widespread contraceptive use would have on society.

Despite its rather unique history with the encyclical, CUA Dean of Theology and Religious Studies Fr. Mark Morozowich told CNA he considers it a “natural thing” for the college to have played host to the symposium.

“We view ourselves as a theologate–that is, working in lock step with USCCB and under, certainly, the direction of our own shepherd, Cardinal Donald Wuerl,” he explained. The university in the past has played host to similar conferences concerning other encyclicals, as well as one on the anniversary of the Protestant reformation.

Planning for the conference took about a year and a half, said Fr. Morozowich. He was part of the team who selected the speakers and the topics for the symposium.

“I think it is an important thing to understand the historical milieu out of which that document came, and out of which the very sort of reactions with all the tumult and society that was going on, explained Morozowich.

One of the major themes touched on by the speakers at the symposium was the prophetic nature of the encyclical, particularly in light of last year’s viral “#MeToo” movement, through which people shared stories of being sexually assaulted and harassed. Morozowich told CNA that he believes #MeToo is a sign of larger problems concerning the sexual revolution.

“It was a document that many are hailing today as being prophetic,” he said. “I think the #MeToo movement is a real symbol of the failure of the sexual revolution. It was a failure of liberation for feminists, because it wasn’t the real, concrete entering in to a dignified relationship. So when we look at Humanae vitae, it’s calling for clarity about what human sexuality is.”

One conference attendee said that she believed that the encyclical had an important message for modern women: that they don’t need to change themselves with hormones or implants in order to suppress their fertility. What’s more, she said, Humanae Vitae is a message of hope.

Humanae vitae has a critical message today for all women, because Humanae vitae affirms that women are good as they are,” said Kat Talalas, communications director at Women Speak for Themselves.

“At a time where men and women increasingly feel alienated from each other, Humanae vitae affirms the good of married love. It shares the hopeful message that the romance of total unity open to new life is what we are made for, and can help provide the love, creativity, and connectedness human beings crave.”

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News Briefs

Legalizing assisted suicide harms those with depression, Hawaii bishop says

April 9, 2018 CNA Daily News 1

Honolulu, Hawaii, Apr 9, 2018 / 04:24 pm (CNA/EWTN News).- Hawaii became last week the most recent US state to legalize assisted suicide, and the islands’ bishop has written about the shortsightedness of permitting some residents to end their lives.

“I find it ironic that the act of taking one’s life, which people have been doing quite autonomously for thousands of years, is now only to be sanctioned if one has the permission of one’s ‘health’ care provider, the State legislature and the governor,” Bishop Larry Silva of Honolulu wrote in a March 28 editorial as the bill was being considered.

“My wonder at this apparent contradiction is compounded when I think of how, until now, we have prided ourselves on helping people not take their own lives. We have suicide prevention programs and hotlines, and have always considered suicide a tragedy that wreaks havoc on so many survivors who feel grief and frustration that they were not able to prevent this ‘autonomous’ decision from being made.”

The “Our Care, Our Choice Act” was signed into law by Governor David Ige April 5. Hawaii’s Senate passed the bill 23-3 March 29, and the House of Representatives had approved the bill earlier this year by 39-12.

A similar bill has passed the Hawaii state Senate in 2017, but failed in the House.

The law allows a terminally ill person to receive a prescription for a lethal medication if two doctors find that the person has fewer than six months to live and is mentally competent. The patient must undergo a mental health evaluation to determine that they are not “suffering from conditions that may interfere with decision-making, such as a lack of treatment of depression,” according to the AP.

The patient must make two requests for the life-ending medication, with a 20-day waiting period between requests, and sign a written request witnessed by two people, one of whom cannot be related to the patient.

A doctor may dispense the medication, but it may only be self-administered.

The law includes criminal penalties for tampering with a request for lethal medication or coercing such a prescription.

Ige emphasized the freedom of choice the law will provide for terminally ill patients.

“It is time for terminally ill, mentally competent Hawaii residents who are suffering to make their own end-of-life choices with dignity, grace and peace,” he said. “It does make sense to give the patient a choice to request the medication, obtain it and take it, or ultimately change their mind.”

Bishop Silva pointed out that under the law, the death certificate of one who commits assisted suicide will list as the immediate cause of death their terminal disease.

“In other words, it will lie about the real immediate cause of death, which is freely and deliberately ingesting a poison into one’s system,” he wrote. “If we call it another name besides suicide, then it may become respectable. Under no circumstances should we call it what it is, since certain insurance benefits may not be available to one’s estate if one commits suicide. So let’s also lie to the insurance company by calling it ‘death with dignity’ or some other title that will make it sound more respectable.”

The bishop also wrote that “As a spiritual leader, I also must raise the question of whether someone who deliberately, with documentable soundness of mind and determination of will, violates God’s basic commandment ‘Thou shalt not kill’ may be flirting with a fate worse than a debilitating terminal illness … God does allow us the autonomy to make such decisions, but he warns us of the dire consequences – and relentlessly attempts to turn us away from such self-destructive decisions.”

Bishop Silva said, “While our State Legislature may not base its decisions on eternal consequences, it should still think beyond the individual terminally ill person. What of family members who will have to live with the weight of their own consciences regarding this very unnatural process?”

He also questioned the law’s effects on those suffering depression: “Won’t this suggest to them that if life becomes too burdensome, checking oneself out of it sooner than later is a legitimate option?”

“If this door to choosing death is opened, will insurance companies and health care facilities continue to provide very expensive but ingenious treatments, developed over generations by scientists, technicians, and medical personnel? Or will the ‘bottom line’ lead them to refuse these expensive treatments because the patient has the choice of a much quicker and less expensive death?”

The bishop also raised the question of conscience protections for medical personnel and pharmacists who consider suicide to be gravely immoral.

Bishop Silva’s editorial echoed concerns about assisted suicide which have been raised by Pope Francis.

In June 2016, the Pope called assisted suicide a feature of the “throwaway culture” which offers a “false compassion” and treats a human person as a problem.

“True compassion does not marginalize anyone, nor does it humiliate and exclude – much less considers the disappearance of a person as a good thing,” the Pope told the directors of the orders of physicians of Spain and Latin America. He criticized “those who hide behind an alleged compassion to justify and approve the death of a patient.”

In addition to Hawaii, physician-assisted suicide is legal by law in the District of Columbia, Washington, Oregon, California, Vermont, and Colorado; and in Montana through a state supreme court ruling.  A bill to legalize assisted suicide is under consideration in Indiana.

In September the New York State Court of Appeals upheld the state’s ban on assisted suicide.

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