Blog Posts

Contraception Reduces Abortion: The Evidence

Some who conflate contraception with abortion and oppose both are gloating over a study from Spain. It reports that as contraceptive use increased, the abortion rate went up.

The researchers concluded only that the reasons for the increase in abortion await further investigation, which is the responsible thing for scientists to say when they do not know yet.

However, the conflaters quickly decided that it must be because people were having more feckless, casual, irresponsible sex; because they can't be trusted to learn how to use family planning methods effectively; and of course because so many of those contraceptives are really abortifacients.

Other hypotheses are far more plausible.

The bulk of the available evidence shows that in almost all situations worldwide, contraception reduces abortion rates.

One observed exception: if contraceptive services are increased, but they do not keep pace with people's desire & need for smaller family sizes, the abortion rate may go up, temporarily, and then finally decline when programming catches up. Scaling up family planning programs in anticipation of such an increase can help prevent it. In other words, more contraception does result in fewer abortions.

The bulk of the scientific evidence also shows that IUDs and hormonal contraceptives truly prevent conceptions rather than implantations. Please read this report from Family Health International, as well as this testimony from the World Health Organization from the debate in the Philippines over reproductive health legislation. The International Consortium for Emergency Contraception publishes this informative fact sheet on EC.

Other possible factors for the increased abortion rate in Spain merit investigation. For example, how prevalent were reproductive coercion and other forms of violence against the women studied? Women who are subjected to gender-based violence are far more likely to experience contraceptive sabotage, unintended pregnancies, and abortions.

And how did providers and communities educate, motivate, and support contraceptive users? Were they advised on how to share decisionmaking about family planning with their partners? On how to close the gap as much as possible between common use and correct and consistent use effectiveness rates?

These factors are harder to research than rates of contraceptive prevalence and abortion, but such research could boost the lifesaving effects of more family planning access.

Blog Posts, Past Actions

Not Impossible

Marge Berer, editor of the journal Reproductive Health Matters, makes this highly problematic claim: "In my opinion, it is only possible to be anti-abortion if you will never be the one left holding the baby, nor be around to see or take responsibility for what happens to those who are." Really?

What about All Our Lives supporters and kindred spirits, in the present and in the past, who not only believe but live their lives as if prolife means what it says: the taking on, not the disavowal, of such active, thorough responsibilities? We can't possibly exist?

If respect and reverence for all life means anything, it means that you bother to hold the baby, or at the very least offer your helping hands to any and all baby holders, in your own family, community, nation, planet. You not only bear witness to their situations-you do whatever you can to ease their difficulties.

And that set of conjoint responsibilities begins towards both mother and child as soon as you know about the pregnancy. In fact, you should have long since already assumed the responsibilities that began well before the present pregnancy.

With the mother's and the father's own conceptions and beyond, with nonviolent and fully socially supported parenting, with sex education for all stages of life, with measures to prevent and abolish reproductive coercion and violence against women, with complete, informed, voluntary access to family planning.

Marge Berer, we do exist. We are not impossibilities by definition-let alone decree. And if you would like our help in reducing abortion, just ask.