Children
RU-486 gets FDA approval
The "abortion pill" moves a woman's choice into the home. Will anti-abortion forces follow?
After more than a decade in limbo, the pro-choice community finally received word on Thursday that mifepristone — now known as Mifeprex and formerly known as RU-486 or the “abortion pill” — had been approved by the Food and Drug Administration.
“It’s a great public health advantage that American women will no longer be deprived of this safe, private alternative to a surgical abortion,” said Wendy Chavkin, M.D., MPH, professor of public health and OB/GYN at Columbia University Medical School. “An earlier abortion is a safer abortion, which makes it a boon for women’s health. And obviously, it will improve women’s experiences dramatically if they no longer have to run a gantlet of harassment to end their pregnancy, which is what happens in many parts of the country.”
Mifeprix can be taken within 49 days of the beginning of a woman’s last menstrual period to terminate an early pregnancy. Long available in France, the United Kingdom and Sweden among other countries, Mifeprix blocks the hormone progesterone that is needed for a pregnancy to be carried to term, then causes uterine contractions, terminating a pregnancy in its early days.
Women can take the medication in the privacy and comfort of their own homes (all the while under doctor’s supervision). This change — the fact that women can be in their own beds or on the couch rather than in a clinic or even a doctor’s office — is a watershed that will surely bring about a dramatic change in the landscape of abortion rights in this country.
The Mifeprix regimen consists of three pills: Two are swallowed on Day 1 of treatment and one is swallowed on Day 3. Women will be required to visit their doctor’s offices on Day 1 and Day 3, and again on Day 14, to ensure that the procedure is complete. Studies have shown that 4.5 to 8 percent of women will need surgery or a blood transfusion to complete the procedure. Side effects can include nausea, heavy bleeding and cramping.
Some say that the prolonged treatment with RU-486 — up to three days — makes it too inconvenient to displace surgical abortion. But research indicated that privacy is extremely important to those who choose to terminate their pregnancies.
In addition to avoiding the harassment of anti-abortion protesters waving pictures of fetuses, women who use the abortion pill are likely to have more access to a physician who can prescribe Mifeprex than they would to a doctor who would perform a surgical abortion.
Indeed, 31 percent of gynecologists who do not currently perform surgical abortions said they will make RU-486 available to their patients, according to a recent survey from the Kaiser Family Foundation. More notably, while only 5 percent of family practice physicians routinely perform surgical abortions, 31 percent said that they would prescribe the drug to their patients if it were approved by the FDA.
The approval comes after a national upsurge in recent years of anti-abortion sentiment made it seem nearly impossible for RU 486 to be approved. It took more than 10 years, and extensive studies, for the FDA to approve the drug without draconian conditions for its use.
John Timothy Finn, director of Pro-Life America, sees the drug’s approval as “a tragedy for women and babies. This drug will cause even greater trauma to women who have abortions than surgical abortions do.”
Recent research doesn’t support this. A June study in the American Journal of Obstetrics and Gynecology showed that out of 326 women who had abortions, those who took Mifeprex to terminate their pregnancies were twice as likely to report they were highly satisfied as the women who had surgical abortions.
“The face of the political opposition to abortion rights will change with this medication’s availability,” says Chavkin. “It makes it harder for the anti-abortionists to harass or intimidate patients or physicians.”
Finn said his organization will encourage priests and pastors to warn people from their pulpits about this new form of abortion.
As James Bruggeman, head of the Stone Kingdom Ministries in Asheville, N.C., put it, it’s “A sign of the downward spiral of morality in America.”
While Finn mentioned boycotting the pharmaceutical company that produces Mifeprex, he did not know the name of the company. (Mifeprex will be manufactured by Danco Laboratories, a small company in New York.) He did vow, though, that his organization would continue to protest Planned Parenthood, which he called “the No. 1 abortion provider in the country.” Now that the procedure is taking place in women’s homes, he did state that he and the members of his organization will not actually go to private homes to “counsel” a woman about her decision, “unless she was a friend or relative.”
Indeed, this would be a difficult strategy to pursue, given that women will now be able to choose to privately terminate their pregnancies without visiting a doctor with a “reputation” among anti-abortion groups for performing surgical abortions.
The FDA’s action, coming just before the presidential election, prompted an unequivocal response from candidate George W. Bush, whose father banned the drug in the U.S. during his time in office. “People on both sides of the abortion issue can agree that we should do everything we can to reduce the number of abortions,” Bush said in a statement, “and I fear that making this abortion pill widespread will make abortions more and more common, rather than more and more rare.”
According to the Associated Press, health experts report that the availability of RU-486 in Europe over more than a decade has not increased the number of abortions, but only provided an alternative method. In fact, the most recent survey done by the Centers for Disease Control and Prevention on the national rate of abortions indicated that, despite the availability of the abortion pill, the overall rate of abortion did not go up. In fact, the study, which included for the first time data on medical abortions, revealed that, contrary to the threats of anti-abortion activists that the availability of an abortion pill would cause the abortion rate to rise, the overall rate of abortion did the opposite. It went down.
Cary Barbor is a freelancers whose work has appeared in CBS Healthwatch, Women's Sports and Fitness, and Walking, among other publications. More Cary Barbor.
A death that was also a birth
As a midwife, I've spent the last 30 years taking care of women in pregnancy. But nothing prepared me for this
(Credit: Clara via Shutterstock) The call came early in the morning. The 3-month-old granddaughter of my neighbor had finally succumbed to the illness she was born with. I am a midwife, but this call wasn’t about a birth. This time the call was from the mortuary.
I have spent the last 30 years taking care of women in pregnancy, birth and beyond. I use my hands to help bring life into this world. Over the past few years, however, I found myself using those very same hands in the performance of a Taharah, a Jewish ritual that prepares a dead woman for burial. Birth, life, joy, beginnings vs. death, decay, finality. Such a contrast! What could be more different? And yet, somewhere in my consciousness, there was a commonality. Caring for a woman in her life, preparing a woman for birth had a parallel in preparing a woman for burial. The act of helping a woman and her baby through their many transitions seemed analogous to helping the soul transition from this plane of existence to the next.
Continue Reading CloseTova Hinda Siegel is a writer who lives in Los Angeles. More Tova Hinda Siegel.
“Why won’t you answer me?”
Kids' questions may be annoying -- but they're more crucial to learning than we've ever thought. An expert explains
(Credit: Bonita R. Cheshier via Shutterstock) Children can ask a lot of very annoying questions. Starting at about 2 years of age, they begin barraging their parents with endless queries, from “Are we there yet?” to “Why is the moon round?” — questions that often seem more like desperate ploys for parental attention than anything else. And, to make things worse, cooperative parents are often treated to a relentless barrage of follow-up questions, many of which involve one word: “Why?” Is this process infuriating? Yes. But is it crucial to their development? Far more than most of us think. And furthermore, the frequency and form of those questions can tell us a lot, not only about how children learn but also about cultural and class differences in America.
Continue Reading Close
Thomas Rogers is Salon's Arts Editor. More Thomas Rogers.
Child acting’s new golden age
From Chloe Grace Moretz to "Shameless," kids aren't just getting more roles -- they're actually good. What changed?
Chloë Moretz in "Hick" “Never work with children or animals” is an old W.C. Fields chestnut that, for a while in the ’90s and ’00s, everyone outside of children’s entertainment seemed to be holding sacred. Child actors were off on their own in a parallel entertainment universe created by Disney and Nickelodeon, while adults held down the fort in dramas and reality shows. There were some notable exceptions, like Haley Joel Osment and Christina Ricci, but by and large, children were almost entirely absent from grown-up entertainment.
Continue Reading CloseMichael Barthel is a PhD candidate in the communication department at the University of Washington. He has written about pop music for the Awl, Idolator, and the Village Voice. More Michael Barthel.
My dad’s 30-year coming out
I thought my father kept secrets because he was gay. Turns out all parents have a walled-off life -- and that's OK
Gideon Lewis-Kraus (Credit: Rose Lichter Marck) I must’ve been eight or nine the one time my dad took me along to meet Bart. This was somewhere near Tompkins Square Park. What I recalled was a shaggy shock of blue hair, and feelings of both elation and terror: On the one hand thrilled to be old enough to be taken along one night to the city to meet a guy with blue hair, and on the other frightened of the jagged dark in the Alphabet City of the late ’80s. In my memory Bart looked like Warhol, but maybe that was just part of the dream pedigree I had for my dad, the one that looked to White and Genet and not “Will & Grace.” But I did think that my dad once said he’d gone with Bart to sell drugs to Allen Ginsberg, so maybe in this case my retrospective fantasy — that if he’d had a secret life, it could at least have been an exciting one, something worth escaping his surface life for — was accurate. I remembered hearing for the first time about AIDS, and I remembered my dad walking around for some months, maybe years, as though accompanied by ghosts. It was selfish and obscene for me to look back and want his secrets, the secrets I’d come here to try to clear up, to have hidden amazing things: It meant I have at best ignored and at worst aestheticized the fact of what must have been unimaginable pain. Like any gay man of his age, he’d watched a great number of his close friends die of AIDS, but unlike many of those men, he was not able to talk about it to the people closest to him, the people he lived with. Maybe the reason he liked “Will & Grace” and not so much White and Genet — though, now that I think of it, I did give him “The Married Man” once and he told me it was the best novel he’d ever read — was that all he wants now is to be normal and happy. He wanted to marry Brett and drink boxed wine and take Yoshi out for walks and watch “Mamma Mia!” until their DVD player caught fire. I myself had never been less than loathsome on the subject of “Mamma Mia!” and I felt terrible about it, but I didn’t want to digress into overemphatic apology, and I would stand by my derision of “Mamma Mia!”
Continue Reading CloseGideon Lewis-Kraus is the author of "A Sense of Direction: Pilgrimage for the Restless and Hopeless." He has written for Harper's, the Believer, McSweeney's, Bookforum and other publications. More Gideon Lewis-Kraus.
When your child is gay
Kids are coming out at younger and younger ages -- and parents need to help them. Here's how VIDEO
(Credit: Benjamin Wheelock) When HuffPo blogger Amelia’s son came out to her, she went down to her city’s LGBT community center to inquire about any youth groups that might be open to him. “They told me, ‘We have a support group for ages 14 and up,” she recalls. “I said, ‘My kid is 7.’”
Even down at the local LGBT center, it’s still unusual to think of a young child as gay. Childhood is, after all, a fairly neutral time, one in which the concept of love is reserved largely for parents and ice cream. But just because a kid isn’t yet engaged in the stream of romantic attachment, it doesn’t follow that he isn’t developing his sense of self. Who you are is not a single adolescent rite of passage like a bar mitzvah or quinceañera. Every gay adult was once a child. And in every classroom and playground in America right now are our future gay adults. So how do we raise those children – and all our children — in a way that acknowledges and accepts that?
Continue Reading Close
Mary Elizabeth Williams is a staff writer for Salon and the author of "Gimme Shelter: My Three Years Searching for the American Dream." Follow her on Twitter: @embeedub. More Mary Elizabeth Williams.
Page 1 of 67 in Children