by
Samantha Singson
August 21,
2008
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LifeNews.com Note: Samantha Singson writes for the Catholic Family and Human Rights Institute. This article originally appeared in the pro-life group's Friday Fax publication.
New
York, NY (LifeNews.com/CFAM) -- The World Health Organization
(WHO) launched an initiative recently to boost a program for menstrual
regulation in Bangladesh. WHO states that the objectives of this program
are to ensure the quality of [menstrual regulation] and to share
the knowledge of safe motherhood.
Menstrual regulation, also known as "menstrual extraction"
(ME) is billed as a family planning method for women who missed their
regular menstrual period and who strongly suspect that they are pregnant
but cannot or do not want to wait for the results of a pregnancy test.
Critics
charge that menstrual regulation is a technique used to provide abortions
in countries, like Bangladesh, where abortion is illegal.
A fund of $2.73 million, which was established with funding from the
Netherlands Ministry of Development Cooperation and in partnership
with the government of Bangladesh and non-governmental organizations
working on menstrual regulation, will support projects over a four-year
period starting this year.
Since there may not be an actual pregnancy to terminate, menstrual
regulation is sometimes available in countries that prohibit abortion.
If
the woman was pregnant at the time the menstrual extraction is performed,
the evidence of an abortion is either destroyed during the procedure
or easily disposed of. Menstrual regulation is sometimes regarded
as a cross between "foresight contraception" and "hindsight
abortion."
Bangladesh has allowed menstrual regulation since the 1970s.
A
memo from 1979 established menstrual regulation as an "interim
method of establishing non-pregnancy" for a woman at risk of
being pregnant, whether or not she is actually pregnant.
Officials touted the menstrual regulation initiative as a positive
step to help Bangladesh achieve Millennium Development Goal 5 to reduce
maternal mortality by three-quarters.
The
maternal mortality rate in Bangladesh is decreasing, but is still
one of the highest in the world. According to the UN Childrens
Fund (UNICEF), of the 2.5 million women who become pregnant each year,
an estimated 370,000 develop fetal complications which the health
facilities in the country are neither equipped nor able to handle.
Proponents of the WHO initiative assert that the decreasing maternal
mortality rate can be primarily attributed to increased family planning
services, including menstrual regulation. They argue that making menstrual
regulation more widely available reduces the maternal deaths, decreasing
the likelihood that a woman would recourse to an unsafe abortion.
UNICEF cites lack of access to emergency obstetric care, lack of skilled
birth attendants, and maternal malnutrition as the primary causes
of maternal death in Bangladesh, not unsafe abortion. According to
UNICEF statistics, half of Bangladeshi women of reproductive age are
underweight and in 2001, only 11.8 percent of deliveries were assisted
by qualified medical personnel.
Critics of the WHO initiative charge that the menstrual regulation
program may lead to fewer deliveries, and thus lower the maternal
mortality rate, but it will not make womens deliveries any safer.
The WHO is currently reviewing project proposals from interested organizations
and research institutes working on menstrual regulation.
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