Chapter A. APB (Abortion-Preterm-Birth) risk Overview
A preterm birth is a birth that occurs before 37 full weeks (259
days) of gestation. Such newborn are at increased risk for handi-
caps (e.g.s. asthma, cerebral palsy, blindness, low IQ). Very pre-
term newborn are at even higher risk of handicaps; depending on the
researchers, 'very preterm' birth is defined as birth before 35, 34,
or 32 weeks' gestation. There are over fifty (50) studies that have
reported that previous induced abortions 'significantly' increase a
woman's risk of later having a preterm or low birth weight newborn.
Being at least 95% confident of increased risk (i.e. 'significance')
is the 'gold standard' of medical research. NO studies have reported
that previous induced abortions 'significantly' reduce subsequent
prematurity risk compared to women without prior induced abortions.
If one limits one's view to studies that achieve the 'gold standard'
, the evidence for prematurity risk from induced abortions is 100%
lopsided in favor of higher risk.
Do any leading PB (preterm birth) experts support the APB risk?
Yes, three world renowned experts: Professor Barbara Luke, Judith
Lumley (PhD), Emile Papiernik (MD). Is the APB risk biologically
plausible? Yes, via incompetent cervix and infection of the genital
/urinary track, two known side effects of induced abortion surgery.
What other evidence is there? Most studies that looked for it, found
that the more the number of prior induced abortions, the higher the
risk of subsequent prematurity. Researchers term this 'dose/response'
. Bottom line: the APB risk is VERY credible.
Since women 'consented' to the induced abortion, did they consent
to elevated risk of preterm birth? No, most consent forms list
infection risk and some list incompetent cervix risk (e.g. cervical
laceration) but NONE list a major consequence of these risks: higher
risk of a subsequent preterm birth. Thus, women signing consent
forms did NOT consent to a higher risk of a later preterm birth.
Since induced abortion is usually an ELECTIVE (!) procedure, women
must be informed of a credible health risk such as APB; ie. the APB
risk need only to shown to be credible and CONCLUSIVE proof is NOT
required for warnings on consent forms of possible prematurity risk.
Cerebral Palsy (improper balance, posture, and motion) is a very
serious handicap and can be extremely expensive for parents of
children with CP. Extremely premature U.S. infants (weighing under
3 pounds, 5 ounces) have about forty-six times the risk of CP as
the general newborn population.32 Since induced abortion boosts
prematurity risk, abortion is a credible risk for a future newborn
having CP. But it must be mentioned that pregnant women with in-
fections have a higher risk of having a newborn with CP, even if the
infant was born full-term.27
Can a woman with an induced abortion history prior to the birth
of a newborn with cerebral palsy (or other handicap) win a law suit
alleging 'medical negligence' or 'battery'? This 'brief' will only
seriously address the medical aspects of this question.
copyright Brent Rooney ( [email protected] )