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A 44-year-old mother says she was shocked when she gave birth to her third child on a Derbyshire street. Jane Eadie, from Langley Mill, said she had no idea she was pregnant and thought she was suffering from food poisoning. She said she believed that she had gained weight over the last nine months because she had stopped taking some pills and thought she had started the menopause.
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The oldest recorded natural pregnancy was a woman who was 57 years old in California in the late 90's. These kinds of studies are not new — as previous reports from Ireland and Chile, for example, have shown that those pro-life nations have better maternal mortality rates than nations with legalized abortion. The new study, conducted in 32 Mexican states and published today in the open access version of the British Medical Journal (BMJ Open) challenges the notion that abortion is better for women’s health. The study, conducted by the MELISA Institute along with an international panel of researchers, compared a standard indicator of maternal health known as maternal mortality ratio (MMR) between 18 states with less permissive legislation and 14 states with a more permissive law, during a 10-year study period between 2002 and 2011 (see infographic 1 below, click to enlarge).

According to Monique Chireau, OBGYN and epidemiologist at Duke University “diversity of abortion legislation and the availability of virtually complete vital records in every Mexican state allowed for a unique natural experiment assessing whether populations exposed to less permissive abortion legislation also exhibited higher MMR. Chireau pointed out that an important methodological advance in the Mexican study was the ability to identify and disaggregate deaths from abortions without a clear cause or when illegal procedure is suspected. For John Thorp, OBGYN and researcher from the University of North Carolina at Chapel Hill, results are not entirely unexpected. In order to understand why states with less permissive abortion laws exhibited lower maternal deaths, authors assessed the influence of 10 additional variables on the MMR in each state. According to Joseph Stanford, MD and researcher at the University of Utah, access to prenatal care, skilled attendance at birth, and emergency obstetric care are key factors in reducing maternal deaths. For Fernando Pliego, PhD and sociologist from Universidad Autonoma de Mexico, this study shows that disparities in the level of women’s education, fertility rate, and violence against women play a major role in the maternal health of a population. Poverty indicators, such as access to clean water and sanitary sewer coverage also appeared associated to MMR. An increase in pregnancies at advanced age and a higher frequency of low birth weight also appeared explaining the differences in MMR among Mexican states. For molecular epidemiologist Elard Koch, PhD and lead author of the research, an epidemiologic correlation does not necessarily imply causation. Finally, the authors propose a list of 7 evidence-based public health recommendations to decrease maternal mortality in Mexico and other developing countries (see infographic 3).

We are strong advocates of the personal, social and environmental benefits of natural parenting.
After years of raising my boys as a single mom, I remarried a wonderful man who had never had a child of his own. Five more losses, turned down for donor egg, foster care and adoption due to my age and losses - we have accepted that there will be no more babies in our house.
It confirmed that Mexican states with less permissive abortion laws exhibited 23% lower overall maternal mortality and up to 47% lower mortality from complications of abortion.
The researcher added that in the United States of America, a study conducted in 23 states by researchers from Stanford University, and published in the Journal of Public Health Policy, showed that less permissive legislation was associated to lower rates of complications due to abortion. Altogether, these variables explained almost 90% of the differences in mortality observed in the study. Thus, in the light of these results, it cannot be concluded that making abortion legislation less permissive will automatically decrease maternal deaths. The sociologist added that poor women’s education level is one of the more robust predictors of MMR with some states exhibiting literacy rates lower than 80%.

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