Tuesday, August 30, 2016

Chinese Women Travel Abroad for Egg Freezing

New York Times (Aug. 30, 2016): Chinese Women Head Overseas to Freeze Their Eggs, by Carolyn Zhang:

A growing number of single Chinese women are traveling abroad to freeze their eggs.  They want the option to become mothers even if busy careers and the lack of a stable partner cause them to delay having children.  Single women need to travel because China tightly controls access to assisted reproduction.  Infertility treatments for unmarried women are completely banned, making travel abroad necessary.  Even heterosexual couples must present proof of their marriage, proof of infertility, and a license to give birth.  Reproductive rights in this domain are trumped in China by concerns that reproductive technologies will have a negative impact on its population policies and will create a black market for human eggs.  It is also against China's moral code for unmarried women to bear children.  Nonetheless, the interest among unmarried women is high.  Brokerage firms have begun matching them with clinics abroad.  Continuing the trend, some American infertility clinics have opened offices in Chinese cities.   

August 30, 2016 in Assisted Reproduction, International | Permalink | Comments (0)

Friday, August 26, 2016

New Method of In-Vitro Maturation Offers Hope

International Business News (Aug. 23, 2016): Potent New Fertility Technique Prevents Side-Effects of In-Vitro Fertilisation for Women, by Léa Surugue:

A new method of in-vitro maturation of eggs promises to improve infertility treatment for some couples pursuing in-vitro fertilization.  IVM frees women from having to take as many hormonal injections as they prepare their ovulation cycles for the rigors of IVF.  Eggs are removed from their ovaries before the eggs are completely mature.  They are matured in the laboratory before being fertilized.  The new technique treats the harvested eggs with sythetic cumulin, a substance that is produced when women use hormones to boost their egg production as they prepare for IVF.  It appears the method could lead to more successful pregnancies than standard IVF.  In the meantime, more tests will have to be conducted before the new method can be offered to patients. 



August 26, 2016 in Assisted Reproduction | Permalink | Comments (0)

Thursday, August 25, 2016

Underage Abortion Does Not Destroy Adult Lives

Human Reproduction (July 7, 2016): Is Underage Abortion Associated with Adverse Outcomes in Early Adulthood? A Longitudinal Birth Cohort Study up to 25 Years of Age, by Suvi Leppälahti, et al.:

A recent study conducted in Finland followed all women born in 1987 (n=29,041) and queried whether having an abortion at less than eighteen years of age is associated with adverse socioeconomic and health outcomes in early adulthood as compared with giving birth to a child at less than eighteen.  The researchers looked at socioeconomic, psychiatric and risk-taking-related health outcomes up to twenty-five years of age after underage (<18 years) abortion (n = 1041, 3.6%) and after childbirth (n = 394, 1.4%). Compared with the external control group consisting of a group with no pregnancies up to twenty years of age, both pregnancy groups were disadvantaged already prior to the pregnancy.  The study found that "underage abortion was not found to be associated with mental health problems in early adulthood, and socioeconomic outcomes were better among those who experienced abortion compared with those who gave birth."  The study confirmed that teenage motherhood is linked with numerous adverse outcomes in later life, including low educational levels and poor physical and mental health.  The results of the study can be generalized to settings of high-quality social and health-care services, where abortion is accessible and affordable to all citizens. 

August 25, 2016 in Abortion, Pregnancy & Childbirth, Teenagers and Children | Permalink | Comments (0)

Wednesday, August 24, 2016

Dreams Dashed, and Danger, in Loss of Sperm

New York Times (Jul. 25, 2016): One Woman’s Crusade for Her Husband’s Sperm, by Tamar Lewin:

Sarah Robertson, a Californian who lost her husband to a rare disease at the age of twenty-nine, desired to have a child using the sperm he had stored in an infertility clinic. But when she went to retrieve it, she was told it had vanished. Aaron had been a carrier of a Marfan syndrome, and there is a fifty per cent chance that the diseases will be passed along to any children created with his sperm. In vitro fertilization will be required to ensure that any of her embryos chosen for gestation do not carry the genes linked to the disease. Robertson worries that the clinic may have misappropriated vials of her husband’s sperm and sold them to unwitting women and couples. She wants the clinic to warn those who purchased sperm from the clinic and to pay for testing and treatment of any children born. Attempts at mediation and negotiation have led nowhere. Robertson has now filed suit.  

August 24, 2016 in Assisted Reproduction | Permalink | Comments (0)

Tuesday, August 23, 2016

"Set and Forget" in the Battle Against Teenage Pregnancy

New York Times (Jul. 19, 2016): Winning the Campaign to Curb Teen Pregnancy, by Tina Rosenberg:

It is common knowledge that girls who get pregnant have a range of difficulties. They have trouble finishing school and often have babies at risk for health problems and who themselves will experience academic difficulty and incarceration.  The birthrate for teenage mothers in the United States has hit a new low.  It is now even lower than it was in the 1950s.  No one knows the cause of the drop in the birthrate, but it appears not to have to do with an increase in abortions (that rate has also dropped) but with an increase in contraceptive use. 

The drop in the birth rate may also have to do with the show “16 and Pregnant.” After it began airing on MTV in 2009, teen pregnancy rates dropped three times as fast as previously.  Such declines were most remarkable in regions where more teenagers were watching MTV.  Google searches for “how to get birth control” spiked on days following an episode’s airing.

Colorado appears to have embraced the data. The state offers long-acting reversible contraceptives cost-free to women and girls. These “set and forget” methods have become the most reliable forms of birth control. Some of the cost to the state is subsidized by Obamacare and Medicaid. The Medicaid program saves on the cost of unwanted births and the medical care of children in poverty. Colorado’s experiment has been a success. Now the challenge lies in convincing other states to follow suit.

August 23, 2016 in Pregnancy & Childbirth, Teenagers and Children | Permalink | Comments (0)

Monday, August 22, 2016

Discriminatory Infertility Treatment in New Jersey

New York Times (Aug. 9, 2016): Four Lesbians, Suing, Say New Jersey Rule on Fertility Treatment is Discriminatory, by Megan Jula:

Couples who need infertility treatment to have children often do not have the resources to pay for it. Insurance is an important resource for filling the gap between the cost of treatment and a couple’s finances.  Some states have laws that require insurers to provide coverage for some infertility treatment.  By and large, though, the mandates cover only those who can demonstrate failure to conceive after two years of unprotected heterosexual intercourse.  This leaves gay and lesbian couples without mandated coverage.

Two lesbian couples in New Jersey have sued the state, “claiming the mandate discriminates against their sexual orientation—essentially forcing infertile lesbian couples to pay for costly procedures to try to become pregnant.” They seek to recover the cost of their treatments, including artificial insemination and in vitro fertilization. 

California and Maryland’s mandates have been updated to require fertility coverage without regard to sexual orientation.

August 22, 2016 in Assisted Reproduction | Permalink | Comments (0)

Sunday, August 21, 2016

Texas has highest maternal mortality rate in developed world

Guardian (August 20, 2016): Texas has highest maternal mortality rate in developed world, study finds, by Molly Redden: 

From 2010-14 the rate of Texas women who died from pregnancy related complications doubled according to a  new study by the journal of Obstetrics and Gynecology.  The study also found that maternal mortality rates in U.S. increased in every state except California, but the increase in Texas was the most startling,  In Texas more than 600 women died for pregnancy related reasons between 2010-14.  According the study, Texas' maternal mortality rate is now higher than the rest of the developed world.

The study did not investigate the cause of the increase but noted that the increase was hard to explain “in the absence of war, natural disaster, or severe economic upheaval”.

Indeed, the report said it was “puzzling” that Texas’s maternal mortality rate rose only modestly from 2000 to 2010 before doubling between 2011 and 2012. The researchers, hailing from the University of Maryland, Boston University’s school of public health and Stanford University’s medical school, called for further study. But they noted that starting in 2011, Texas drastically reduced the number of women’s health clinics within its borders.

August 21, 2016 | Permalink | Comments (0)

Saturday, August 20, 2016

The Courts Begin to Call Out Lawmakers

New York Times (Aug. 18, 2016): The Courts Begin to Call Out Lawmakers, by Linda Greenhouse:

In this op-ed, Linda Greenhouse discusses why it is important for courts to call out legislators when they pass legislation with unconstitutional purposes.  Courts often defer to legislators when it is possible to find a facially neutral purpose for legislation, which allows laws that undermine constitutional rights to remain in effect.

Greenhouse suggests that the Supreme Court's decision in Whole Woman's Health v. Hellerstedt and appellate decisions invalidating voter ID requirements in the North Carolina and Texas show a new willingness for courts to question legislative motives and to engage in a detailed consideration of facts to consider whether proffered facially neutral purposes for legislation are plausible. She writes

it’s worth stopping to observe a notable development this summer. In the face of spurious explanations for public policies that would foreseeably inflict real damage on identifiable groups of people, judges and justices are abandoning the traditional diffidence of the judicial role and expressing a new willingness to call out legislatures for what they are really doing, not just what they say they are doing.

Greenhouse describes how in both Whole Woman's Health and in the North Carolina case, the courts struck down laws based on findings that (1) there was an absence of a documented problem, (2) a particular practice was singled out for onerous requirements, (3) the legislators were aware of the likely negative impact on the exercise of constitutional rights and (4) there was a lack of evidence to support the neutral  justification for the law.  She suggests that these decisions may mark a new willingness for courts to strike down laws passed with unconstitutional motives.


August 20, 2016 | Permalink | Comments (0)

How Abortion Restrictions Harm Patient Care

Huffington Post (August 12, 2016): What It's Like to Provide Abortions Where Access is Almost Non-Existent, by Catherine Pearson:

Legal restrictions on abortion provision in different states can have a major impact on doctors' ability to provide care.  Dr. Erin King who practiced medicine in Chicago Illinois before moving to St. Louis, Missouri describes how restrictions in Missouri affect doctors and the patients they serve. 

In Chicago, abortion provision was part of Dr. King's OB/GYN residency and abortion was not viewed as separate from the other gynecology services she provided.  In St. Louis, patients who seek an abortion have to be referred out to abortion clinics which are often targeted by protesters who seek to intimidate providers and patients.  Many women from Missouri travel to the Hope Clinic in Granite City, Illinois which is near the Missouri border.  In addition to her private practice in Missouri, Dr. King is the Hope Clinic's Interim Exective Director.

I get asked a lot why I provide abortion care in Illinois, and not Missouri, and one of the main reasons is that [by working in a state with relatively few abortion restrictions], I’m able to treat my patients with the respect they deserve. I don’t have to put them through a certain consent process with mandated wording that may be very offensive to some women, or follow a set waiting period. I feel that women are smart and responsible and don’t need a lot of rules from the state about their bodies. Illinois has become a place that women can come get abortions with fewer burdens on them, and we can provide them with good medical care without having to do or say things that are offensive to them, or that imply they haven’t already thought really hard about their decision before they picked up the phone to make an appointment.

August 20, 2016 | Permalink | Comments (0)

Friday, August 19, 2016

The Obama Administration Fails to Take Action to Make Abortion Funding Available to Victims of War Rape

Ms. Blog (August 17, 2016): How Seven Words Deny Abortions to Women Raped in War, by Grant Shubin:

In 1973, Congress passed the Helms Amendment which prohibits the use of U.S. foreign aid to "fund abortions as a method of family planning."  Although the provision seems to allow funding for abortions where a woman's health is at risk or where pregnancy results from rape or incest, the George W. Bush administration interpreted the provision to prohibit all abortion funding.  Despite growing attention to the rape of women in war and conflict situations, the Obama administration has failed to take action to correct the Bush administration's interpretation of the Helms Amendment. 

The blanket restriction on abortion funding is inconsistent with international law and the Geneva Conventions.

At least two human rights committees at the United Nations have found that the mental and physical harm that comes with denying abortions for rape victims amounts to torture.  This is not like waterboarding or other types of torture Americans may be used to hearing about, this is grounded in discrimination: only women must continue medically dangerous or unwanted pregnancies; only women suffer the mental agony and physical trauma of unsafe abortions; only women have to risk their lives because of the intentional absence of a medical procedure—to which they have a right.

U.S. allies including France, Great Britain and the European Union have said that the Geneva Conventions require access to abortion for war rape victims.

August 19, 2016 | Permalink | Comments (0)

Thursday, August 18, 2016

Richards: WP Fails to Credit Reproductive Justice Leadership to Repeal Hyde Amendment

(August 17, 2016) The Washington Post recently profiled Planned Parenthood Federation of America (PPFA) President Cecile Richards, highlighting PPFA's efforts to repeal the Hyde Amendment and restore full Medicaid coverage for abortion.  In a letter written to the Post, Richards states that the article "overstated" her role and "did not do justice to our broad movement."  She writes:

As with any bold movement, ours is being fueled by a generation of activists and leaders — primarily women of color — who are challenging the country, and all of us, to be unapologetic champions for the rights of all people to access abortion and reproductive care with a lens of social justice. The roots of this supposedly newfound boldness lie in the reproductive justice movement, which formally began 22 years ago this November, and which generated the growth across the country of organizing primarily led by women of color that has turned conventional attitudes and organizations on their heads.

Richards notes that the work to address the oppression of women of color did "didn’t start with Planned Parenthood. And many justifiably feel we have been late to the show."  She states that it is time that reproductive justice leaders and women of color led organizations "get the recognition and credit that is long overdue."

August 18, 2016 | Permalink | Comments (0)

Wednesday, August 17, 2016

It's Time to Make 'Women's Work' Everyone's Work

The Atlantic (August 3, 2016): It's Time to Make 'Women's Work' Everyone's Work, by The Atlantic 

Screen shot 2016-08-15 at 7.56.17 AMIn such a simple yet powerful video interview, Anne Marie-Slaughter contends  that the women's movement is missing an "emphasis on caregiving policies."  Slaughter asks why we have failed to recognize that traditional women's work is just as important as traditional men's work.  She argues that cultivating the idea that breadwinning and caregiving are equally as important in a successful household is key in achieving true equality. 

August 17, 2016 in Culture, Parenthood, Politics | Permalink | Comments (0)

Tuesday, August 16, 2016

SCOTUS Denies Trans Teen’s Use of Boys Bathroom

The Daily Beast (August 4, 2016): SCOTUS Denies Trans Teen’s Use of Boys Bathroom, by Samantha Allen: 

Gavin Grimm, a 17 year old transgender boy, had his right to use the boy's bathroom at school placed on "temporarily on hold" by SCOTUS.   In a 5-3 decision, the Court granted an emergency stay of a 4th Circuit ruling allowing Gavin to use the boys room while the Court decides whether or not to grant review of the case.  If Court denies the request, the Fourth Circuit's decision will go into effect.  If it grants review, Gavin will have to wait several months for the case to be briefed and argued before the Court issues a decision.  Either way, his lawyers are upset that their client has to use a single stall bathroom that no other student in the school is required to use until the Court decides whether to take the case. Set against a slew of similar cases across the U.S., this case is sadly not the first of it's kind, nor does it look like it will be the last. Gavin's lawyers  stated: 

“I woke up this morning and couldn’t believe that we had to tell our client that the court considered it an ‘emergency’ to stop  him from using the restroom,” said Chase Strangio, the ACLU staff attorney who started the #LoveForGavin hashtag.


August 16, 2016 in In the Courts | Permalink | Comments (0)

Monday, August 15, 2016

Planned Parenthood Will Start Registering Voters At Its Clinics

The Huffington Post (August 5, 2016): Planned Parenthood Will Start Registering Voters At Its Clinics, by Laura Bassett: 

A new campaign launched by Planned Parenthood called "My Vote, My Voice" aims to engage voters by helping patients of the non-partisan organization register to vote. The volunteer-based effort will register voters at Planned Parenthood clinics, as well as on college campuses and online. The campaign hopes to specifically engage voters that are otherwise commonly disenfranchised in the American political system:

The launch of the campaign is tied to the 51st anniversary of the Voting Rights Act― a 1965 law that aimed to protect African-Americans from legal barriers that affected their right to vote.

“Our purpose is to engage historically disenfranchised communities,” said Erin Carhart, the Planned Parenthood manager of  youth organizing. “Our hope is to encourage folks to participate in democracy.”


August 15, 2016 in 2016 Presidential Campaign | Permalink | Comments (0)

Sunday, August 14, 2016

Trump's Assassination Dog Whistle Follows Familiar Pattern

Rolling Stone (August 9, 2016): Trump's Assassination Dog Whistle Was Even Scarier Than You Think, by David Cohen:

Donald Trump's recent comment that maybe there is something that Second Amendment people can do if Hillary Clinton "gets to pick her judges" has been heavily criticized for potentially inciting violence. David Cohen categorizes the comment as "stochastic terrorism" a form of terrorism very familiar to those who combat anti-abortion violence.

According to Cohen, stochastic terrorism

means using language and other forms of communication "to incite random actors to carry out violent or terrorist acts that are statistically predictable but individually unpredictable."

Let's break that down in the context of what Trump said. Predicting any one particular individual following his call to use violence against Clinton or her judges is statistically impossible. But we can predict that there could be a presently unknown lone wolf who hears his call and takes action in the future.

Valerie Tarico described how stochastic terrorism occurs following the Colorado Springs murders at Planned Parenthood. She described how (1) a public figure demonizes a person or group of persons, (2) the target is gradually dehumanized, "depicted as loathsome and dangerous- arousing a combustible combination of fear and moral disgust," (3) violent images and use of righteous religious language are used that stop short of an explicit call to arms and (4) "[w]hen violence erupts, the public figures . . . [claim] no one could possibly have foreseen the 'tragedy.'"

Cohen writes

In the world I'm most familiar with, the world of anti-abortion violence, we see this again and again from leaders of the anti-abortion movement. Tarico's post linked above is one example. . . . Following Trump's comments, we all have to hope (and, if it's your cup of tea, pray) that it doesn't come to this – that the lone wolves out there don't read this as urging someone to take the next step in the cycle.

August 14, 2016 | Permalink | Comments (0)

Friday, August 5, 2016

New Stategies Set in Motion to Dismantle Abortion Liberty

National Public Radio (July 20, 2016): Anti-Abortion Groups Take New Aim with Diverse Strategies, by Julie Rovner: 

In the wake of the Supreme Court's decision in Whole Woman's Health v. Hellerstedt, anti-abortion forces are reconsidering whether the strategy they have pursued for the last several years was ill-conceived.  A new strategy among some groups is to lobby legislatures, at both the federal and state levels, to ban abortion after roughly twenty weeks of pregnancy and to ban all dilation and evacuation abortions.  A federal bill to this effect passed the House but was defeated in the Senate.

But some anti-abortion groups want to continue fighting for TRAP (targeted regulation of abortion providers) laws and remain convinced that there is a way to formulate such laws that will pass constitutional scrutiny.  Thus, the anti-abortion movement is currently divided into two camps, those who want to continue the battle to shut down abortion care clinics in the guise of fighting for women's health, and those who desire a renewed focus on banning abortion outright.    

Anti-abortion forces remain convinced that they are winning the fight, despite recent setbacks and despite the social justice leanings of the up and coming generation of millennials.  They view the question of who will inhabit the White House come next January as the factor that will be the most decisive in the short term.  

August 5, 2016 in Abortion, Congress, State Legislatures | Permalink | Comments (0)

Thursday, August 4, 2016

Louisiana Is New Front in Abortion Rights Battleground

Truthout (July 20, 2016): Louisiana Becomes Latest Front in National Battle over Abortion, by Katie Klabusich: 

In the wake of Whole Woman's Health v. Hellerstedt, opponents of abortion have had to lay down their swords in several jurisdictions.  Clinics in Mississippi, Wisconsin, Texas and Alabama will remain open, their admitting privileges and ambulatory surgical center provisions eviscerated.  Advocates will now use the holding of Whole Woman's Health to argue against a raft of restrictions beyond the ones at issue in the case.

Louisiana holds the 2016 record for abortion-restricting laws, having passed seven, including a 72-hour waiting period and a ban on abortion after 20 weeks of pregnancy.  Other laws ban research on the aborted fetuses, prohibit dilation and evacuation, ban medication abortion de facto, and attempt to police the reasons a woman chooses to end her pregnancy.  If the laws take effect, the battle for access to safe abortion care will continue to rage. 

The Center for Reproductive Rights has sued to block these laws immediately, citing the unconstitutional burden they impose upon women and providers.  Commenting on the case, CRR's president Nancy Northrup remarked, "'Louisiana politicians are trying to do what the US Supreme Court just ruled decisively they cannot: burying women's right to safe and legal abortion under an avalanche of unjustified and burdensome restrictions." 

August 4, 2016 in Abortion, State Legislatures | Permalink | Comments (0)

Wednesday, August 3, 2016

Study Suggests Absence of Link Between I.V.F. and Breast Cancer

New York Times (July 19, 2016): I.V.F. Does Not Raise Breast Cancer Risk, Study Shows, by Catherine Saint Louis: 

The use of estrogen and progesterone in in vitro fertilization has in the past stoked fears that the procedure could place patients at risk of developing breast cancer.  A retrospective analysis published in 2008 found found "a potential increase in breast cancer among I.V.F. patients older than 40."  But later studies, in Israel and Australia, suggested more of a danger for younger women.  Some believed that infertility itself might be linked to breast cancer.

Several studies conducted in recent years, however, suggest that the fear is unfounded.  The most comprehensive of these studies, published in July in the Journal of the American Medical Association, found "no increased risk among women who have undergone I.V.F."  The study likewise found no increased risk among women who had less invasive treatments for infertility.  Oddly, the study emphasized what appeared to be a reduced risk of breast cancer among women who have submitted to I.V.F. multiple times.  

The JAMA study is not conclusive.  More research needs to be conducted, including on the risk of breast cancer in postmenopausal women who have had I.V.F. 



August 3, 2016 in Medical News, Science | Permalink | Comments (0)

Tuesday, August 2, 2016

Cloned Sheep Appear to Age Normally

New York Times (July 26, 2016): Dolly the Sheep's Fellow Clones, Enjoying Their Golden Years, by Joanna Klein: 

Dolly, the first cloned sheep, born in 1996, appeared to be older than her years and was put down at just age six after being diagnosed with osteoarthritis and tumors in her lungs.  Other cloned mammals have developed diabetes or been plagued with obesity.  Several jurisdictions have reacted to these development by passing restrictive legislation:

Not only did many countries, including Canada and Australia, ban reproductive cloning in animals, but the United Nations banned all kinds of cloning in humans in 2005.  Last year the European Union made importing food from cloned animals or their offspring illegal.

But four other sheep created from the same cell as Dolly was are now old and, in contrast to Dolly, are enjoying healthy lives.  About sixty in human years, they show a normal incidence of heart disease, type two diabetes, and osteoarthritis.  Their longevity appears to answer the lingering question whether cloned animals age prematurely.  The data are reflected in studies of cloned cattle and mice.  One conclusion that might be drawn is that "once cloned animals survive the first few years of life, they won’t die any sooner than other animals."

Scientists think that safe and efficient cloning procedures will emerge in five to ten years.  One hope is that improved cloning techniques will help us grow food for the ever-growing human population, protect endangered species, and perfect new medical therapies.

August 2, 2016 in Science | Permalink | Comments (0)

Monday, August 1, 2016

Sperm Banks under Fire

New York Times (July 28, 2016): Sperm Banks Accused of Losing Samples and Lying about Donors, by Tamar Lewin:

 A spate of lawsuits accuses sperm banks of deceiving and harming their patients.  The allegations have arisen in cases alleging that sperm banks have mishandled sperm, even losing it in some cases, and have failed to put protocols in place to proven the transmission of genetic disorders.  Other cases allege that sperm banks have sold sperm that was never meant to be donated in the first place and have misled consumers about donors' characteristics.  

The law requires very little of sperm banks.  The FDA requires only that sperm be tested for infectious diseases.  Banks are not required to verify the information provide by donors or to set limits on the number of children a sperm donor may sire.  The American Society for Reproductive Medicine's position is that there is no need for more regulation of sperm banks.  

The lawsuits are evidence of dissatisfaction with sperm banks' practices, in an era when parents are more willing to be open with their children about their genetic origins.  Still, the problem of sperm-donor anonymity persists.  A significant number of donor-conceived children have tried in recent years to gain access to information about their biological fathers.  The law provides no mandate for such access.  Donor-conceived children are left to discover the information on their own, with success often dependent on their tenacity.    

August 1, 2016 in Assisted Reproduction | Permalink | Comments (0)