Ectopic Pregnancy: The Truth

Ectopic Pregnancy: The Truth

by Klaus Vella Bardon 

In their increasingly aggressive campaign to promote abortion, Doctors for Choice again claimed that the criminal code has no provision for abortion under any circumstance, not even when a woman’s life is imminently at risk of death as a result of a pregnancy.

To prove their point, they stoop to any level and are now exploiting a relatively recent case of ectopic pregnancy.

An ectopic pregnancy is a non-viable pregnancy that occurs outside of the uterine cavity, most commonly in the fallopian tube.

As a pro-life activist, I checked the facts with the help of an expert of how this condition is treated in Malta

I was informed that there are basically three ways to deal with an ectopic pregnancy and that saving the mother is the top priority.

One either waits, or one treats the case medically, or, thirdly, as a last resort, it is removed surgically.

As in all sound medical practice, invasive treatment is kept to a minimum in the interest of the patient’s well-being.

Usually, unless otherwise indicated, the mother is kept under strict observation and, often, the body solves the problem on its own, unassisted medically.

The second line of treatment is the medical option where the drug methotrexate, that cuts short the pregnancy, is administered.

The use of methotrexate is also not so straightforward as its side effects and contraindications have to be taken into account. Yet, even here, one has to weigh the risks of taking methotrexate when the risk of surgery is higher.

Once the specialist treating the mother decides medically that the patient needs methotrexate, the decision is final.

There are formulary drugs and non-formulary drugs. Formulary are easily accessible, one just needs to prescribe them, like paracetamol or certain antibiotics.

Non-formulary are more difficult to access, not for ethical reasons but because of logistical and safety issues.

Being a dangerous non-formulary drug, methotrexate needs to be signed off by the specialist/consultant and head of department, then sent to the pharmacy where the drug is prepared and finally forwarded for its administration. The whole process takes time and some delay is inevitable as the use of drugs that carry certain grave risks must be controlled.

It is about time that the pro-abortion lobbyists make a serious attempt to respect the facts. We all have a very serious obligation to ensure that the public is given the truth, especially about such life and death matters.

Sadly, again and again, ethics is not the forte of the so called ‘pro-choice’ brigade.

It is profoundly unjust and dishonest that they grasp and manipulate any extreme case they can find in order to justify their false claim that anti-abortion laws place pregnant women at risk.

Klaus Vella Bardon – Balzan

_________________________________________________________________

It is disingenuous and entirely wrong for the self-styled “doctors for choice” to use the case of an unfortunate woman who suffered the traumas of an ectopic pregnancy as a “trojan horse” attempt at changing Malta’s abortion laws.

This poor lady (assuming the account in the Times of Malta is accurate) appears to have suffered additional distress as a result of what appears to have been bureaucratic delay in being given the correct treatment for her serious and potentially life-threatening problem, which is always to end the pregnancy. This case, in itself, establishes the fact that Malta’s abortion laws have nothing to do with the difficulties encountered and I cannot fathom how anyone could claim otherwise.

It should be evident that the solution to prevention of a similar future occurrence of this most regrettable incident must surely lie in modifying or speeding up the procedures already in place to ensure expeditious delivery of necessary treatment. I fail to see why the laborious process of parliamentary legislation should be required to achieve this desirable outcome.

There has never been any controversy about the need to terminate ectopic pregnancies. No pro-life institution, government or Church has ever challenged this fact.

Abortion, on the other hand, almost invariably involves the deliberate ending of a healthy, viable pregnancy. It is rarely carried out for what might be termed ‘good medical reasons’, the usual situations being ‘domestic arrangements’ or ‘economic hardship’. The minority associated with abuse/assault/foetal abnormality create tremendous difficulty all round as they are, inevitably, tragic situations to which there is no ‘happy or easy’ solution.

Malta’s would-be abortionists might like to ask themselves to explain the schizophrenic approach like-minded clinicians adopt towards pregnancy. If the baby is wanted, the foetus is happily referred to as ‘your baby/little boy/little girl’; on the other hand, if unwanted, it remains an ‘it’ and is treated like an unwanted wart, to be disposed of expeditiously.

Whither the Hippocratic oath, which, for thousands of years, included the line “I will not administer a pessary to a woman to induce an abortion”, until the evermore utilitarian approach the human race has adopted towards life led to its removal in around 1970?

Anton Borg – Gloucestershire, UK

 

This is a www.timesofmalta.com opinion piece

Ref: https://timesofmalta.com/articles/view/letters-to-the-editor-december-10-2020.837920

Ulipristal Acetate and liver-injuries by Bruno Mozzanega MD

Ulipristal Acetate and liver-injuries:

while Esmya is revoked, EllaOne is allowed in repeated self-administrations possibly exceeding UPA toxic-dosing with Esmya. – Bruno Mozzanega, MD – Assistant Professor Dept Woman’s and Child’s Health, University of Padua (Italy)

To the Editor of Journal of Hepatology,

Ulipristal Acetate (UPA), an antagonistic Selective Progesterone-Receptor Modulator (SPRM), is the active-principle of two drugs: Esmya and ellaOne. While Esmya for fibroid treatment has been revoked because of severe liver-injuries, the emergency-contraceptive EllaOne is allowed in repeated self-administrations possibly exceeding UPA toxic-dosing with Esmya.

ESMYA – Micronized-UPA, 5mg-tablets in blisters of 28. It was taken daily for three to six months to treat uterine fibroids, after EMA (European Medicines Agency) authorization in 2012. It needed medical prescription and treatment was supervised by experienced doctors. It reduced progesterone-induced fibroid growth.

Due to the appearance of serious liver injuries in 8 Esmya-treated patients, the EMA Pharmacovigilance-Risk-Assessment-Committee (PRAC) started an evaluation (EMA/791062/2017) [1] that concluded that UPA had a possible role in injuries. EMA recommended measures to minimize the risk (EMA/355940/2018) [2]: contraindication if liver problems; information to patients; liver-tests before, during and after treatment; repeated courses only to inoperable women.

On September 4th 2020, a further review by EMA-PRAC confirmed that UPA 5mg can cause liver injury, including the need for liver transplantation. Since it was not possible to identify which patients were most at risk or measures that could reduce the risk, the PRAC concluded that the risks outweighed its benefits and Esmya should not be marketed in the EU (EMA/455818/2020) [3].

The strict post-marketing surveillance made it possible to link Esmya-administration to side-effects. The time from Esmya first-intake to hepatic failure ranged from few days to six months [4].

ELLAONE – Micronized-UPA, 30mg single-dose tablets, authorized for emergency contraception.

Both the 2018 and 2020 EMA-PRAC Reports on Esmya-related risk 2,3 specify that with ellaOne there is no concern about liver injury.

When the Members of EMA-CHMP (Committee-Human-Medicinal-Products) recommended ellaOne for marketing-authorization in 2009, they acknowledged that UPA accumulates in tissues, with a high tissue-to-plasma ratio (EMEA/261787/2009,page 13) [5]. They acknowledged that repeated UPA-administrations (even scheduled monthly) lead to a progressive accumulation in the liver, eventually resulting in liver-toxicity. Consequently, EMA-CHMP authorized single-dose administration and warned against repeated self-administration.

However, in 2015 this scenario changed: the EMA-CHMP removed the warning against repeated self-administration and made ellaOne-supply “not subject to medical prescription” (EMA/73099/2015) [6]. Since then, the repeated self-administration of ellaOne in the same cycle is allowed and suggested as safe, without any medical supervision.

Up-to-date, no cases of hepatotoxicity have been reported after single-dose administration of ellaOne; however, the patient 2 in Meunier’s series [4] evidenced severe liver injury after taking Esmya (UPA 5mg) for 3 days (15mg=half ellaOne) to 26 days. Women on Esmya-treatment were strictly surveilled, while those taking ellaOne are unidentified: eventual adverse events could hardly be attributable to an undocumented drug-self-administration.

Indeed, liver-toxicity seems due to UPA-accumulation, while circulating levels of either UPA or its metabolites [7] have no impact on safety. The life-threatening DILI (drug-induced-liver-injury), including autoimmune hepatitis, associated with UPA in post-marketing surveillance may be partially explained by UPA physiochemical (high lipophilicity) and pharmacokinetic (hepatic metabolism, long half-life, inhibition of liver transporters, reactive metabolite formation) features [8].

The most challenging form of DILI is the so-called idiosyncratic one: it is unpredictable, usually unrelated to the dose and is characterized by a variable onset-time. DILI is an important public health issue: not only it strengthens the importance of the post-marketing phase, when urgent withdrawal sometimes occurs for rare unanticipated liver-toxicity, but also shows the imperfect predictivity of pre-clinical models and the lack of validated biomarkers beyond traditional, non-specific, liver-function tests [9].

The removal of the warning against repeated use was requested and obtained by HRA-Pharma, basing on HRA2914-554 Study (Report-pages 6-9) [6] that examined the effect of repeated administration of ellaOne on ovulation, menstrual cycle and safety. EllaOne was given weekly (Q7D, twelve women) or every 5 days (Q5D, eleven women) for 8 consecutive weeks since the first day of the menstrual cycle. No safety-issues emerged for those 23 women, suggesting that, should ellaOne be used more than once in the same cycle, the safety profile is similar to that for a single administration [6]. The repeated self-administration of EllaOne in the same cycle was authorized as safe [6].

Overlooking the fact that almost every woman had normal ovulations during the repeated self-administration of ellaOne, officially presented as anti-ovulatory [10], the total UPA-dosing for women was 270mg in Q7D and 360mg in Q5D. These amounts are presented as safe, but are equal to or greater than Esmya-dosing in the same 8 weeks, UPA 280mg: the UPA-dosing leading two patients to liver transplantation [4]; besides, the single UPA-bolus to liver was six time-higher than with Esmya.

The burden of DILI is likely underestimated: clinical trials are usually underpowered to identify rare idiosyncratic events and most data come from post-marketing retrospective studies. DILI occurs only in a small fraction of exposed-subjects [9]: with UPA the percentage was 1/10.000: 8 out of 80.0000 Esmya-patients, but ellaOne is taken by millions of women every year and repeated-self-administration cannot be quantified. EllaOne is not subject to medical prescription, so no data are available for post-marketing evaluation.

Liver-toxicity due to Esmya-administration were still unreported in 2015, when the EMA-CHPM removed the warning against the repeated self-administration of ellaOne, but nowadays it seems difficult to state that ellaOne-self-administration is always safe. The PRAC-EMA assessed definitively that UPA has a direct responsibility in inducing liver-injuries 2,3. Besides, it is commonly known that ellaOne can be taken repeatedly by millions of women whenever unprotected-sex-intercourse recurs, in whichever period of the cycle (ellaOne Package-Leaflet). In the light of the above, it is easy to argue that repeated self-administration can lead to a total UPA-intake even exceeding the UPA-amounts responsible of the dramatic DILI officially 2,3 attributed to Esmya. As well, it is easy to argue that nothing can either discourage or only restrict ellaOne-repeated self-administration: not only women are not informed about its risks, but, furthermore, they are reassured that even closely-repeated self-administrations are as safe as a single-tablet self-administration [6].

The overall metabolic impact of Ulipristal and/or its side-effects are still unknown. EllaOne frequent self-administration for subsequent contraceptive-emergencies is authorized as a correct and safe behaviour, but is likely to present a danger, in the absence of medical supervision, due to the progressive UPA-accumulation in the liver.

CONCLUSIONS

The repeated-self-administration of ellaOne, micronized-UPA 30mg, likely can be associated with hepatotoxicity in unaware women. However, further investigations are required to understand the underlying pharmacological mechanisms, to define the UPA-toxic-thresholds and to assure women the best protection.

Information to women and to the Medical Community seems mandatory to preserve women’s health.

REFERENCES

  1. EMA/791062/2017 – https://www.ema.europa.eu/en/documents/referral/esmya-article-20-procedure-review-started_en.pdf

View in Article 

  1. EMA/355940/2018 – https://www.ema.europa.eu/en/documents/referral/esmya-article-20-procedure-esmya-new-measures-minimise-risk-rare-serious-liver-injury_en.pdf

View in Article 

  1. EMA/455818/2020 – https://www.ema.europa.eu/en/documents/referral/ulipristal-acetate-5mg-medicinal-products-article-31-referral-prac-recommends-revoking-marketing_en.pdf

View in Article 

  1.  
  • Meunier L.
  • Meszaros M.
  • Pageaux G.P.
  • Delay J.M.
  • Herrero A.
  • Pinzani V.
  • et al.

Case Report. Acute liver failure requiring transplantation caused by ulipristal acetate.

Clin Res Hepatol Gastroenterol. 2020; 44 (Epub 2020 Mar 4): e45-e49https://doi.org/10.1016/j.clinre.2020.02.008

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  1. EMEA/261787/2009 – https://www.ema.europa.eu/en/documents/assessment-report/ellaone-epar-public-assessment-report_en.pdf

View in Article 

  1. EMA/73099/2015 – https://www.ema.europa.eu/en/documents/variation-report/ellaone-h-c-1027-ii-0021-epar-assessment-report-variation_en.pdf

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  1.  
  • Pohl O.
  • Osterloh I.
  • Gotteland J.P.

Ulipristal acetate – safety and pharmacokinetics following multiple doses of 10–50 mg per day.

Journal of Clinical Pharmacy and Therapeutics. 2013; 38: 314-320

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  1.  
  • Gatti M.
  • Poluzzi E.
  • De Ponti F.
  • Raschi E.

Liver Injury with Ulipristal Acetate: Exploring the Underlying Pharmacological Basis.

Drug Saf. 2020 Aug 3; (Online ahead of print)https://doi.org/10.1007/s40264-020-00975-8

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  • Raschi E.
  • De Ponti F.

Strategies for Early Prediction and Timely Recognition of Drug-Induced Liver Injury: The Case of Cyclin- Dependent Kinase 4/6 Inhibitors.

Front. Pharmacol. 2019; 10: 1235https://doi.org/10.3389/fphar.2019.01235

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  • Mozzanega B.
  • Nardelli G.B.

UPA and LNG in Emergency Contraception: the information by EMA and the Scientific Evidences indicate a prevalent anti-implantation effect.

Eur J Contracept Reprod Health Care. 2019; 24 (10.1080/13625187.2018.1555662. Epub 2019 Jan 18): 4-10

View in Article 

Article Info

Publication History

Accepted: November 24, 2020

Received in revised form: November 23, 2020

Received: September 23, 2020

Publication stage

In Press Journal Pre-Proof

Footnotes

I declare no conflict of interest, neither any financial support

Identification

DOI: https://doi.org/10.1016/j.jhep.2020.11.041

Copyright

© 2020 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.

ScienceDirect

Access this article on ScienceDirect

This is a Journal-of-hepatology.eu letter to the editor piece  

Ref: https://www.journal-of-hepatology.eu/article/S0168-8278(20)33828-9/fulltext#%20

‘Covid-19 saved a lot of babies’: Women’s shelter

‘Covid-19 saved a lot of babies’: Women’s shelter

During the months when the Coronavirus pandemic was at its peak, Dar T’ghanniqa T’Omm (Mother’s Embrace Home) received a number of calls from both local and foreign women, overwhelmed and panicked when they found out they were pregnant.

To contain the spread of the pandemic, flights were suspended from 21 March up until 1 July, leaving women who found themselves in an unwanted pregnancy feeling concerned, panicked and alone.

During that period, the women’s shelter received nearly 80 calls from women coming from different backgrounds and situations needing support and reassurance. “We received all kinds of calls; including mothers who gave birth but had no more money because they had been made redundant, so we would provide them with food and support. There were also women who had unplanned pregnancies and were not sure what the next steps were,” said Christie.

She explained that, during COVID-19, many mothers felt stressed and in a state of shock when they found out they were pregnant. “We were there for these mothers every step of the way. We supported them, accompanied them to any appointments they had, we just wanted to make sure that the mothers felt safe.”

The helpline also received calls from women who were considering an abortion. “We always leave the decision up to the mother; we never tell them what to do or judge them. Our councillors speak to these women to see what they need and how we can help, but at the end it is always up to the mother to decide.”

She explained that some women, and also men, call the helpline after the abortion has taken place. “We have received calls from men, some of whom felt guilty for pushing their partner to have an abortion, or who needed support themselves after their partner had an abortion. Whatever the case, we support them, and our councillors help them to grieve and come to terms with their guilt.”

We go through the whole journey with these mothers

The shelter, which was set up back in 2018, is run by Life Network Malta, a pro-life NGO, which welcomes women and mothers experiencing crisis pregnancies. The shelter currently hosts five mothers.

Christie explained that the Foundation began receiving a number of calls from mothers who needed help and that at the time there was no specific shelter which helped homeless pregnant women who are more likely to have an abortion. “We had mothers who would want to carry out their pregnancy but were scared of losing their accommodation, or else mothers who were kicked out by their parents who disapproved of the pregnancy. We are there to help them and provide the support they and their child need.”

She said that mothers who come to the shelter not only find a roof over their head but also are provided with the support and information they need as new mothers. She explained that she, volunteers and councillors work together to provide the mothers with a caring support system. “We become a family, we help the mothers throughout their journey and the shelter is run in a household manner.”

The volunteers and councillors provide the mothers with the necessary life skills, such as time and money management. “We even help them send CVs … whatever we can do we help them as much as possible.”

Christie recalls how, during COVID-19, the mothers had to remain inside the shelter and how one mother had to go into labour on her own in the hospital. “Unfortunately, we had to cut down the amount of volunteers coming in but we continued counselling sessions online or over the phone; we never stopped.” She said that she kept going to the shelter because she realised that the mothers felt lonely at times and the staff came up with different activities to do inside during that time.

The shelter also donated to 38 families in need. It provided food, baby milk, nappies, clothes and other items which mothers might need.

Anti-human rights? We support a mother to give birth to her child

In recent news, Voice for Choice, a pro-choice NGO working for reproductive rights have expressed its disappointment that the government donated €130,000 to Dar Tghannieqa T’Omm. “By providing funds to LifeNetwork Malta, the government is supporting an anti-human rights agenda, and this is completely unacceptable,” it said.

When asked for her opinion on the comment, Christie asked how a Foundation which is supporting a mother can be anti-human rights. “All I can say is how am I, or the Foundation, who are supporting a mother to give birth to her child, anti-human rights? If that child is not born, then they are not obliged to any of the rights we keep fighting for.”

Christie highlighted that the extra funding donated by the government will help pay for care workers to come and stay at the home during the week. Funding will also help with keeping up maintenance of the house, and providing a better programme for the mothers.

This is a independent.com.mt opinion piece

Ref: https://www.independent.com.mt/articles/2020-07-12/local-news/Covid-19-saved-a-lot-of-babies-Women-s-shelter-6736225085

 

Protests across Ireland following late-term abortion report release

Protests across Ireland following late-term abortion report release

Pro-life protests have taken place across Ireland in response to the shocking revelations about the nature and extent of the late-term abortions now occurring in Ireland.

Published in the British Journal of Obstetrics and Gynaecology, September 2020, a report confirmed that babies are being aborted via foeticide, where the baby receives a lethal injection of potassium chloride into the heart. Doctors in the report described late-term abortion as “‘brutal’, ‘awful’ and ‘emotionally difficult’, referring to it as ‘stabbing the baby in the heart’, and held themselves responsible for the death of the baby”.

The shocking study was raised in a debate on Thursday 4th December in the Dáil (the Irish Parliament). The Minister for Health, Stephen Donnelly, failed to show up to answer questions from concerned TDs (Members of Parliament).

Niamh Uí Bhriain of the Life Institute, the group organising the pro-life vigils said: “There can be no cover-up in relation to these absolutely appalling revelations and the horrific treatment of babies in late-term abortions”.

“During the 2018 referendum, voters were assured that late-term abortions would not take place. They were told that in the case of an advanced pregnancy and where the baby had a severe anomaly, the baby would simply be delivered. This study has shown those claims to be untrue. The paper notes that ‘Ireland’s legislation is without gestational limits so creating opportunity for late TOP (termination of pregnancy) following FFA (fatal foetal anomaly)”. The horrific reality is that babies are being given lethal injections into the heart in late-term abortions and babies are also surviving abortions and not receiving care”.

“We will not allow the Health Minister to sweep this under the carpet. He must investigate and then he must take action to stop this barbaric practice from happening”.

Shocking and unspeakable

Independent TD for Tipperary, Mattie McGrath, said the report made for “grim reading”. He said what was revealed in the paper was shocking, unspeakable and had to end. He added that the Minister for Health during the time of the referendum, Simon Harris, dismissed concerns from TDs on this issue in 2018.

Carol Nolan, Independent TD for Laois Offaly, said TDs were assured that babies would never be born alive after abortion and left without care but that it was now happening. “What are you going to [do] about this?” she asked the government, adding that it was shameful that the Health Minister was not here to take questions. “It’s barbaric and shameful.” she said.

The pro-life protests took place in Carlow, Cork, Donegal, Dublin, Galway, Kerry, Kildare, Laois, Leitrim, Limerick, Mayo, Navan, Trim, Offaly, Roscommon, Sligo, Waterford, Wexford and other centres.

Late-term abortions in Ireland

Abortion legislation in Ireland permits abortion throughout all stages of pregnancy if the baby has a disability such that doctors can form a ‘reasonable opinion’ that the baby is likely to die within the first 28 days of his or her life.

Late-term abortions typically use a procedure known as ‘foeticide’, whereby the baby is killed in the womb, before inducing labour so that the mother gives birth to a dead child. This involves the injection of potassium chloride directly into the baby’s heart to end the baby’s life.

The Royal College of Obstetricians and Gynaecologists (RCOG) says that “failure to perform foeticide could result in live birth and survival, an outcome that contradicts the intention of the abortion”.

The administration of potassium chloride in executions in the USA is considered so painful that it is necessary to first administer an anaesthetic before its use. There is, however, no such obligation to use painkillers in late-term abortions, despite the mounting evidence that the unborn baby is capable of experiencing pain and distress.

Spokesperson for Right To Life UK, Catherine Robinson, said: “Irish pro-lifers are absolutely right to protest against the extremity of abortion as revealed in this report. Through its interviews with those who actually perform abortions, the report shines a light on the total inhumanity of the whole process, and many people in Ireland are rightly disgusted”.

“It is particularly shameful that the former Minister for Health, Simon Harris, dismissed these kinds of concerns during the referendum and the current Minister for Health, Stephen Donnelly, has not presented himself to face questions on this”.

 

This is a Righttolife.org opinion piece

Ref: https://righttolife.org.uk/news/protests-across-ireland-following-late-term-abortion-report-release

 

UK Government rejects pressure from assisted suicide lobby to review law

UK Government rejects pressure from assisted suicide lobby to review law

The Government has announced it has no plans to review the law on assisted suicide or to issue a call for evidence.

In response to a Parliamentary question, the Government announced that “any change to the law in this area must be for individual Parliamentarians to consider as an issue of conscience, rather than a decision for Government”.

The announcement came after a question from assisted suicide supporter, Andrew Mitchell MP.

Assisted suicide campaigners have been putting pressure on the Government to undertake a review of the current law on assisted suicide.

The Government’s response is consistent with the continued Parliamentary rejection of assisted suicide legislation at the beginning of this year.

Through the courts

Parliament has consistently rejected attempts by the assisted suicide lobby to introduce assisted suicide. The Marris-Falconer Bill was defeated in 2015, with 330 to 118 voting against introducing assisted suicide.

Assisted suicide supporters have since attempted to pass assisted suicide legislation through the courts. All such attempts have so far failed. Last year, the high court said the courts were not the place to decide moral issues. In a ruling concerning a man with motor neurone disease who wanted to be assisted in suicide, the court said: “In our judgment the courts are not the venue for arguments that have failed to convince parliament”.

Similarly, at the beginning of this year, the Lord Chancellor Robert Buckland QC confirmed the Government has “no plans” to introduce assisted suicide legislation.

Support among Parliament, the courts and doctors for changes in assisted suicide legislation, which protects the most vulnerable, remain low. A recent BMA survey found that 84% of doctors in palliative medicine would not be willing to perform euthanasia on a patient should the law ever change.

Pushing the boundaries

Calls for the legalisation of assisted suicide come at the same time as a global pandemic and lockdowns, which are having an adverse effect on many people’s mental health. In October of this year in Canada, a 90-year-old woman was euthanised because she said she couldn’t cope with another lockdown.

Countries, like Canada, which have already legalised the practice, reveal that the motivations for assisted suicide are largely social and not medical. For example, in 2019 Canada reported that more than a third (34%) of those who opted for “medical assistance in dying” cited concerns of being a burden to family or carers. A further 13.7% cited “isolation or loneliness” as their reason for procuring an assisted suicide.

While proposed changes to assisted suicide legislation would likely not permit an assisted suicide under these circumstances, other countries which have introduced supposedly restricted assisted suicide and euthanasia legislation, have seen an expansion of their laws as medical professionals and activists push the boundaries of acceptable practice.

Euthanasia has been legal in the Netherlands since 2002. The law permits voluntary euthanasia for anyone over the age of 16, and children aged 13-15 can be euthanised with their parents’ consent. Earlier this year, the Dutch government said it would be changing the regulations to allow doctors to end the lives of terminally ill children between the ages of one and twelve. Non-voluntary euthanasia is already available for Dutch babies before the age of one.

Right To Life UK’s spokesperson, Catherine Robinson, said, “This latest Government rejection of calls to change the law on assisted suicide is welcome news. Throughout the COVID-19 restrictions, many people are suffering and sadly, some have ended their own lives. To introduce assisted suicide in England and Wales at this time would have particularly disastrous consequences for the most vulnerable in our society”.

 

This is a RightToLife.org opinion piece

Ref: https://righttolife.org.uk/news/government-rejects-pressure-from-assisted-suicide-lobby-to-review-law

Pregnant woman’s life never at risk says Head of obstetrics at Mater Dei Hospital

Treatment ‘delay’ is under review

Head of obstetrics at Mater Dei Hospital says pregnant woman’s life never at risk

The head of obstetrics and gynaecology at Mater Dei Hospital is looking into a woman’s claim that her life was “needlessly put at risk” because it took two days for her to receive authorization to use a medicine that would end her ectopic pregnancy, which can be fatal.

“The delay is not normal and the case is being looked into,” Yves Muscat Baron said. “The patient’s life was never put at risk as she was kept under continuous surveillance. We will, however, take the opportunity to look into how the system can be improved.” He said about one to two per cent of pregnancies are ectopic, amounting to 25-35 per year. These cases are treated either surgically, by removing the fallopian tube, or medically by administering a medicine called methotrexate, which has been available at Mater Dei since 2018.

The use of methotrexate is still not common. There have been about four cases this year, Muscat Baron said. “Surgical interventions impact fertility,” he said. There is no guarantee that methotrexate works. It may have to be repeated and, in some cases, surgery may still have to be resorted to as medical treatment may not be sufficient.”

“She was kept under continuous surveillance”

Muscat Baron stressed that the stage at which a patient goes to hospital is key in deciding on the type of treatment to administer.

The decision depends on the condition of the patient. “The decision-making process involves the specialist on call and the firm caring for the patient,” he said. The woman’s story was last week made available to the media by the NGO Doctors for Choice in Break the Taboo, a pro-choice collection of abortion experiences from Malta. An ectopic pregnancy occurs when an egg implants itself outside of the womb, usually in a fallopian tube.

Doctors for Choice have long insisted that the management of ectopic pregnancies is compromised by the country’s total legal ban on abortion. Methotrexate is technically illegal because the law criminalises all ways of inducing a miscarriage. The anonymous woman claimed it took two and a half days for methotrexate to be approved in her case, putting her life and fertility at risk. She said the scan and bloods showed she was a good candidate for the relatively new treatment without the need for surgery. Asked about the delay last week, the health ministry explained that, once the case fits the criteria, a request form for methotrexate medicine is signed by the consultant or a delegate and countersigned by the chairman or a delegate of the obstetrics and gynaecology department, in a procedure which “usually takes few hours”. Doctors for Life have pointed to the excellent track record of the hospital: no pregnant mother had lost her life in the last 10 years.

This is a timesofmalta.com article written by Claudia Calleja

Ara kif tista’ tagħmel differenza b’dan il-kalendarju

Ara kif tista’ tagħmel differenza b’dan il-kalendarju

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This is a www.newsbook.com.mt opinion piece

Ref: https://newsbook.com.mt/ara-kif-tista-taghmel-differenza-bdan-il-kalendarju/?fbclid=IwAR0Jo0KdeIeGlDZm2sZtu51SjY7yjaQaPAfdlTzEp4Pj0sWTCqvVlh5PVTY

Watch out for your rights! – Arthur Muscat

Watch out for your rights! – Arthur Muscat

Equality ministry is antagonising many citizens, institutions and organisations

It would be a very condemnable undertaking but you may wake up one morning short of money and decide to stage a bank robbery. Rest assured that if you eventually action your criminal plan and get caught, unless and until your guilt is proven, beyond reasonable doubt in a court of law, your innocence status is protected.

If the ministry responsible for equality has its way, this fundamental human right will be taken away from you. In respect of equality and discrimination offences that you may be accused of allegedly committing, two acts being currently discussed in a parliamentary committee will remove this fundamental human right.

For such alleged offences you will now be a priori considered guilty and you will remain so unless and until you manage to disprove your accuser and prove your innocence.

Furthermore, facing your accuser, you will have to prove your innocence not in our established law courts, with all the guarantees of impartial and experienced magistrates and judges, no, not at all. In respect of such offences you will be tried by a sort of board made up of four lawyers plus a lay person, appointed to judge and sentence you on the basis of a majority vote.

The four lawyers on this board must each have five years’ work experience in issues relating to the right to equal treatment and non-discrimination. Explicitly, the fifth lay member must have at least five years’ experience working in this equality ‘sector’.

Now don’t we all know about the prevalent mindset of most operators in this ‘sector’? Is anyone convinced of the impeccable credentials of such members for impartiality? These people, judges in what will be a court of law, will have the power, if you do not manage to prove your innocence, to slap you with a whopping €10,000 fine, plus a tarnished reputation.

In addition to setting up the board, these acts will endow an existing Equality Commission with further very extraordinary powers. For example, measures for the advancement of gender balance, in public and private institutions, will fall within the remit of this commission with extremely enhanced enforcement powers. The filling of vacancies in the public sector may, or will, through quotas, be made subject to gender balance considerations.

Powerful lobbies of ‘minority groups’ have run away with a preposterous and exaggerated discrimination and equality agenda– Arthur Muscat

Due to such quotas, as imposed, inferior male applicants, to fill quotas, may take precedence over better qualified and meritorious females. Gender balance may, or will be made to, take precedence over meritocracy and this is how these acts will mess up another human right, a right to be considered on your worth and not on your gender. This intrusion into the right to select on merit may extend into the private sector in, for example, appointments to the board of directors of private companies.

It has been established that the proposed ‘equality act 2019’ and the ‘human rights and equality commission act 2019’ go far in excess of EU discrimination and equality legal requirements. It appears that particular ambiguous and experimental clauses of these acts will be scrutinised by EU observers eager to see the outcome of this intrusion into delicate and risky unexplored territory.

Is Maltese society so far advanced and liberal on these issues to become the leader and inspiration to the rest of Europe? I am not at all convinced, more so when I recall that, way back, former minister Helena Dalli flippantly expressed herself in the sense that, to her, a vast section of the Labour electorate was unable to comprehend the outrageous implications of particular proposed pieces of legislation.

Few people are realising how powerful lobbies of ‘minority groups’, seemingly controlled by extremists, facing a ministry engaged in a vote harvesting exercise, have run away with a preposterous and exaggerated discrimination and equality agenda. To be fair, many entities are now reacting as their members will be negatively affected by these acts as drafted. Doctors, pharmacists, conscientious objectors, employers, Church authorities, education professionals, so many focused NGOs, and significantly so many citizens have raised serious objections to these acts and are currently engaged in fighting their cause.

No doubt, we do need some updated legislation to counter persistent unacceptable and shameful treatment of women and minority groups. We do need to make possible clear and timely justice procedures to victims of discrimination and inequality. We need effective rules and more resources that will strengthen the ability of a commission like the NCPE to continue influencing society to change, to make people behave in a fair and non-discriminatory manner.

However, it is one thing to influence and educate towards ethical behaviour but it is completely something else to bully, push and coerce towards arbitrarily defined behaviours and this backed up by an abusive legal framework.

We should be careful before we invent additional tribunals that we do not need, tribunals that do not feature due guarantees of fairness and impartiality to accused citizens.

The positive features of our judicial set-up need to be strengthened, more appointments of, and training for, judges and magistrates, more streamlined and timely judicial proceedings that will make justice more expeditious, less costly, less intimidating and easily accessible to all.

Surely from a jurisdictional angle competently tackling issues of discrimination and equality is not an unreachable objective.

The ministry responsible for equality must understand that these acts, with their many aggressive and erroneous clauses and definitions, are antagonising so many citizens, institutions and organisations. Equality and prevention of discrimination, correctly considered, are issues that should have us converge and unite and not cause alienating confrontations.

Short of completely dropping them, the ministry must definitely revisit these two draft acts and erase those passages that threaten the rights and perturb the peace of mind of the vast majority of citizens.

 

This is a timesofmalta.com opinion piece

Ref: https://timesofmalta.com/articles/view/watch-out-for-your-rights-arthur-muscat.835799

Modern Day Eugenics: Who Lives and Who Dies?

Modern Day Eugenics: Who Lives and Who Dies?

By Fr. Shenan J. Boquet|

November 30th, 2020|

In the early 20th century, eugenics was widely supported among the educated classes all across the West. Eugenicists fancied themselves benefactors of the human race, putting to use the most cutting-edge science to eradicate human suffering, and to “improve” the human race.

By giving nature a helping hand, carefully encouraging the reproduction of the “fittest” members of the human race, and discouraging the reproduction of the “unfit,” eugenicists believed they could rapidly create a race of strong, healthy, and super-intelligent human beings. No longer would the state and society be burdened with “moral degenerates” (the memorable term used by eugenicist Margaret Sanger), the mentally disabled, and those prone to costly and painful diseases.

Planned Parenthood founder Margaret Sanger was an enthusiastic proponent of eugenics. She openly advocated the forcible sterilization of the unfit, and the involuntary collection of such people into internment camps, where they would spend their entire lives in forced labour. She claimed that these methods were necessary, for the sake of “peace.” In various Western countries, including the United States, some of these recommendations were carried out. In the U.S. tens of thousands of people deemed “unfit” were forcibly sterilized.

Eugenics received a huge public relations blow, however, when Hitler took its principles further than most were willing to go, killing millions of Jews, the mentally handicapped, gypsies, homosexuals, and other unwanted individuals, in the name of “purifying” the race. After Hitler’s atrocities were exposed, the less brutal, but still profoundly inhumane experiments in eugenics being carried out by other Western nations fell out of favour.

Velvet Eugenics

Nowadays, however, people often speak of eugenics as a thing of the past – a failed experiment.

This is wrong. Not only has eugenics not failed, but it is also a more potent force than ever before. The explosion in popularity of assisted reproduction techniques means that every day, parents all around the world choose what kind of baby they would like to have. While in some cases this is restricted only to a choice between a boy and a girl, some IVF clinics are offering to test embryos for such things as intelligence, susceptibility to certain diseases, eye colour, etc. Those embryos – human beings – that do not meet the chosen criteria are unceremoniously discarded as waste, i.e. destroyed, murdered. They are treated as commodities, products, and judged to be unequal in dignity to their parents.

The same utilitarian, commercial, and eugenic treatment of human reproduction is found in clinics that offer artificial insemination. Women or couples who choose to become pregnant in this way, must first browse catalogues of sperm donors, selecting donors for desirable characteristics such as artistic ability, IQ, physical build, looks, etc.

These forms of eugenics are dressed up in the respectability of white lab coats, and presented in the language of modern marketing and “choice.” However, the same mentality that motivated Margaret Sanger – i.e. the reduction of the value of human beings to certain qualities they possess – is present. And in the case of IVF, the end result is often the same: i.e. a dead human being.

One thinker – Garland-Thomson – refers to this modern form of eugenics as “velvet eugenics.” As the author of a recent in-depth article on the problem in The Atlantic summarizes, “Like the Velvet Revolution from which she takes the term, it’s accomplished without overt violence [Note: I disagree with her here. True, the violence is not “overt,” in the sense that it is hidden in IVF and abortion clinics; but modern eugenics is deeply violent]. But it also takes on another connotation as human reproduction becomes more and more subject to consumer choice: velvet, as in quality, high-calibre, premium-tier. Wouldn’t you want only the best for your baby—one you’re already spending tens of thousands of dollars on IVF to conceive?”

“It turns people into products,” says Garland-Thomson.

Down Syndrome: The ‘Canary in the Coal Mine’

However, one particularly brutal form of eugenics is the practice of testing unborn children for various diseases, and then, should they test positive, aborting them, often quite late in the pregnancy. While this is always a horrific evil, there is something viscerally jarring about the degree to which this has been perpetrated on people with Down syndrome.

While Down syndrome unquestionably comes with many detrimental health problems, many people with Downs also live long, productive, and happy lives. In fact, an overwhelming majority of people with Downs describe themselves as ‘happy’– far more than those without Downs. And yet, in many countries around the world, Down syndrome is practically going extinct. Some medical experts are hailing this as some kind of a medical triumph. This is a farce. If the extinction of a disease by killing everyone with that disease is a triumph, we could achieve the “miracle” of eradicating all disease in a matter of days. We don’t, because killing a person with a disease, is not a solution to that disease.

One country that has attracted a lot of attention on this issue is Denmark, in which only a tiny handful of people with Down syndrome are born every year. Many of these are born only because in utero testing failed to detect the disease, or because the parents weren’t deemed at risk, and didn’t bother getting the testing in the first place. Only rarely do the parents of a child diagnosed with Downs choose to give birth to that child.

The article in The Atlantic mentioned above provides a fascinating in-depth look into the moral quagmire of this issue. While the publication and the author are clearly pro-choice, nevertheless, the article seriously wrestles with the issue, and provides some fascinating insights and conclusions. I urge you to read it, if you have the time.

The author calls Down syndrome the “canary in the coal mine” for selective reproduction. As she writes: “Recent advances in genetics provoke anxieties about a future where parents choose what kind of child to have, or not have. But that hypothetical future is already here. It’s been here for an entire generation.”

Testing for Downs is relatively accurate, which means that a large percentage of children with Downs are detected before birth. In many Western countries, the default position is to abort that child, basing the decision on a “quality of life” definition and determining the child’s life unworthy of living.

The irony, however, is that we currently live in something of a golden age for people with Downs. Treatment options are better than they ever have been. People with Downs live longer than they ever have. Most persons with Downs will learn to read and write, and many of them will work paying jobs.

The author of the article rightly questions why, in light of this, abortion has become the default position, and whether there may be some other way we should be looking at the issue.

Fear and Control

One theme that emerges strongly in the article is the degree to which fear plays a part in the decision to abort. However, as the author notes, this fear often simply doesn’t match the reality of what life with a child with Downs is like. That is, when couples receive a diagnosis of Downs, their imagination often immediately leaps to the worst-case scenario. The decision to abort, to end the life of their child, is made based upon this worst-case.

As the sister of one man with Downs who was interviewed in the article notes, “If you handed any expecting parent a whole list of everything their child could possibly encounter during their entire life span—illnesses and stuff like that—then anyone would be scared.” Her mother agrees, adding, “Nobody would have a baby.”

One researcher in the U.S., David Wasserman, a critic of eugenic selective abortion, has made the excellent point that (in the words of The Atlantic author) “prenatal testing has the effect of reducing an unborn child to a single aspect—Down syndrome, for example—and making parents judge the child’s life on that alone.”

This is the dark side of our society’s pursuit of perfection, and perfect control.

Modern science comes to us wrapped in a mythology – the mythology of perfect control. This mythology promises us that if we just use the scientific method the right way, we can eradicate all pain and uncertainty in our lives. This promise in turn leads us to have certain expectations. We expect easy, predictable lives. And when science fails to deliver on its promises – as it inevitably will – our whole world is shattered.

Often, we respond by desperately seeking to wrest control back. For parents with an unborn child with Downs, this often means that they will be tempted (and often strongly encouraged by doctors and family) to “erase the problem,” instead of welcoming life, accepting the challenge to love, and experiencing the learning and personal growth that always come from embracing life’s difficulty.

The Black Heart of Eugenics

Every child should be welcomed and loved. To welcome a child into the world requires a leap of faith. It is a leap that should come with no conditions.

As the Bible tells us, every child is created in the image and likeness of God. No characteristic can alter that – no disease, no handicap, not even any sin or crime, can efface that dignity. Humans are not beasts. It is acceptable to select and breed animals for certain characteristics, since humans have authority to use animals for certain, specific purposes. But humans can never be reduced in this way to something-to-be-used. To do so is to do incomparable violence to their immeasurable value, which is not found in their usefulness, but in their being.

The author of The Atlantic article, while maintaining loyalty to the pro-choice worldview, does a decent job of highlighting the beauty and humanity of those with Downs, and contrasting it with the fear and rejection that meet children diagnosed with Downs.

The mother of one family featured in the article runs a charity intended to provide couples with accurate information about Downs. She herself has a grown son with Downs.

In the article, she describes one case where someone sent her a link to a documentary with the heartless title, Død Over Downs (“Death to Down Syndrome”). Her son, she said, was peering over her shoulder when she opened the link. When he read the title, “his face crumpled. He curled into the corner and refused to look at us. He had understood, obviously, and the distress was plain on his face.”

The author concludes, “The decisions parents make after prenatal testing are private and individual ones. But when the decisions so overwhelmingly swing one way—to abort—it does seem to reflect something more: an entire society’s judgment about the lives of people with Down syndrome. That’s what I saw reflected in Karl Emil’s face.”

As a society, we must do better than this.

Every life is precious, without exception. No life should ever be viewed as unworthy or unwelcomed.

We once believed that we destroyed the beast of eugenics on the beaches of Normandy in World War II. But we hadn’t killed it; instead, we simply thrust it underground, and then allowed it to creep back into our hospitals, laboratories, and universities. To eradicate eugenics, we must drive a knife into the very heart of its poisonous philosophy. That means that we must reject the core premise of the culture of death – that the worth of human beings can be measured by what they do, or some characteristic they have, instead of what they are. Instead of expanding our sense of control, we must expand our hearts. We must help parents of children diagnosed with Downs, and other diseases, to reject fear, and live in hope, the hope that comes of unconditional love.

 

Baby Molly Sets World Record: Born 27 Years After She Was Frozen as an Embryo

Baby Molly Sets World Record: Born 27 Years After She Was Frozen as an Embryo

An East Tennessee baby whose birth was facilitated by the National Embryo Donation Center (NEDC) has made history with her arrival. Molly Everette Gibson, the daughter of Tina and Ben Gibson, spent more than 27 years as an embryo in frozen preservation, setting the new known record for the longest-frozen embryo to ever come to birth, according to research staff at the University of Tennessee Preston Medical Library.

Molly was frozen on October 14, 1992. She was thawed by NEDC Lab Director & Embryologist Carol Sommerfelt on February 10, 2020 and transferred to Tina’s uterus by NEDC President & Medical Director Dr. Jeffrey Keenan on February 12, 2020. She was born October 26, 2020, weighing 6 lbs. 13 oz. and measuring 19 inches long.

What makes all of this even more special is that Molly broke her own sister’s record!

Fellow NEDC baby Emma Wren Gibson, born in 2017, had been frozen for more than 24 years, holding the known record for longest-frozen embryo to come to birth until Molly’s arrival. Both girls were frozen together as embryos and are full genetic siblings.

“I think this is proof positive that no embryo should ever be discarded, certainly not because it is ‘old!’” said Dr. Keenan. “This is also a testament to the excellent embryology work of Carol Sommerfelt. She is perhaps the preeminent embryologist in the country when it comes to thawing frozen embryos. And of course it’s a testament to how good God is, and to His infinite goodness and love.”

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“When Tina and Ben returned for their sibling transfer, I was thrilled that the remaining two embryos from the donor that resulted in Emma Wren’s birth survived the thaw and developed into two very good quality embryos for their transfer,” said Sommerfelt. “It was even more thrilling to learn 11 days later that Tina was pregnant.  I rejoiced with Tina and Ben as we all anxiously waited for the arrival of their second child.”

Sommerfelt added, “When Molly Everette was born on October 26, she was already 28 years old from the standpoint of the time the embryos had been frozen. This definitely reflects on the technology used all those years ago and its ability to preserve the embryos for future use under an indefinite time frame.  It also shows the reason the NEDC mission is so important, giving all donated embryos the best chance for life.”

The faith-based NEDC has gained distinction as the world’s leading comprehensive embryo adoption program, with more births facilitated (more than 1,000) through embryo adoption than any other organization or clinic. Its dual purpose is to protect the lives and dignity of frozen embryos that would not be used by their genetic parents and to help other couples build the families they have longed for via donated embryos. Embryos have been donated to the NEDC from all 50 states and couples have traveled to Knoxville from all over the United States as well as some foreign countries for their embryo transfers. Our website is www.embryodonation.org.

This is a LifeNews.com opinion piece

Ref: https://www.lifenews.com/2020/11/30/baby-molly-sets-world-record-born-27-years-after-she-was-frozen-as-an-embryo/?fbclid=IwAR0FdJhYlVh0tpL7wdYkGDCyLkI0iXLAafbEkszaT2-l1hQ8O0th1wqRxrU