Tag Archives: education

GP-based care must be central to abortion law

GP-based care must be central to abortion law.

‘How will I find a thousand euro in two weeks?” The mother of three looked at me with a mixture of panic and despair. “We have Communion coming up and absolutely no money as it is . . .”

This woman’s face stays with me. It is the face of many Irish women as they learn the cost of an abortion in England. It is a face injured by the silent bite of austerity, while already coping with a job loss or mortgage default and now an unwanted pregnancy.

Affluent Irish women have always had abortions. They continue to exercise their right to travel. However, for many Irish women the right to travel now counts for very little. It is the feasibility of travel that is important and this is substantially determined by the availability of money.

Desperation, always a feature of Irish abortion, is now the dominant emotion felt by many women. Ask yourself how would you access €1,000 in less than two weeks without telling anyone the reason you needed the money?

The complete absence of any of the voices of the more than 150,000 Irish women who have had abortions was a striking feature of the Oireachtas hearings last month into proposed abortion legislation as a result of the European Court of Human Rights A, B and C ruling. The lack of a public voice obscures the fact that abortion is not a rare experience for Irish women.

I often wonder how many GPs actually do referrals for abortion,
legally they can, but how many actually do, or do they push women towards positive options or the IFPA, but is it know that over 1/3 of women who travel to the UK contact BPAS themselves with out going through services here first.

Rape, Abortion and Emergency Contraceptives

Last month a poll was released via the Sunday times which showed that 74% of those who took part stated that if a person is pregant from rape they should the right to an abortion, that is an abortion here in Ireland.

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And then we had the interview of Micheál Martin leader of Fine Fáil by http://www.thejournal.ie/ in which he states;

He also said that he would not favour widening legislation or changing the Constitution to include cases where a woman has become pregnant as a result of rape.

“Rape is a particularly difficult one. We do have options today that we didn’t have before in terms of the morning after pill and so forth,” he said.

Which says to me just how disconnected he and his party are on the reality of this issue.

With X Case legislation still not even a published bill after 21 years,
and with all the scaremongering about ‘floodgates’ and women lying about being suicidal to obtain an abortion, I would fear as to what would be said if we were currently trying to legislate for the right to an abortion if a person has been raped.

Would women be told well prove you were raped and to wait for their rapist to be prosecuted, when currently from when a person is charged with rape it could be 18months before the first day in court. I worry that there is a vested interest in trying to make any abortion legislation to be a series of hoops to hard to navigate and so well will continue to have 12 women a day traveling to the U.K.

The comments also show up the ignorance about the ‘morning after pill’ which I really wish we could stop calling it that as the new ones can be taken up to 120 hours later, time to start calling it emergency contraceptive, but even then it is not 100%.

Even if a person reports the rape and sees a dr with in 72 hours or even 120 hours emergency contraceptives are not 100% effective and they can still end up pregnant from that rape.

Which assumes they can get to see a medical professional who will prescribe it, that they can take it as there are women from whom it won’t be prescribed due to medical conditions and there is a barrier due to cost or having to travel or child care, or they could be in an abusive relationship were it’s just not possible for them to get away.

And that is with out going into those who go into shock and denial after they have been raped.

So the existence of emergency contraceptives does not solve the issue of people becoming pregnant after they have been raped.

I guess after all this time I am still staggered by the lack of knowledge out there about Emergency Contraceptives & contraceptives in general. I honestly think that our TDs should know better then the lack of knowledge Micheál Martin has displayed.

Women in Ireland are breaking the law to have medical abortions

Seizures of the abortion pill have been on going for the last 4 years in this country and women are ordering the medications and using them to end their pregnancies at home.

In doing this they face criminal charges for importing the medication with out a license and the charge of self preforming an abortion and that under the 1861 Offenses against the Person Act can carry a sentence of a life time in prison.

Claire ordered drugs online and had an abortion at home. This is her story… | Irish Examiner.

Her abortion will never appear on a list of official figures, but she does exist, it did happen and her story deserves to be told.

I get pretty concerned about this, I know that the abortion pill works well and a woman will haven an induced miscarriage over 1 to 3 days and it only works in the first 9 weeks of pregnancy but it still has risks and should only be taken and used with medical supervision which women in Ireland are not getting and if anything goes wrong it is difficult for women to get medical help.

Still this piece is brave and taboo breaking and it is wonderful to see that we are starting to hear the real stories of women, the choices they making and the risks they are having to take in a country which holds an embryo has the same rights as we do.

Abortion Training for Irish Doctors.

A little while ago I wrote about Irish Abortion Providers and what type they may be and how “even with all the Drs we train in this country none of them are trained to carry the procedures needed.”

There has thankfully been some movement on this.

http://www.irishexaminer.com/ireland/doctors-offered-uk-abortion-training-219561.html

Doctors offered UK abortion training

Tuesday, January 15, 2013

Two Irish medical students have applied for a course offering training in abortion care at a London clinic.

The one-week externships, at the largest London clinic of the British Pregnancy Advisory Services in Richmond, will allow students witness how abortion procedures are carried out.

According to Medical Students For Choice, which supports the BPAS programme, it gives students the opportunity to learn about aspects of women’s healthcare that are not part of routine medical training courses in Ireland.

“At the moment in Ireland, there is a lot of stuff they don’t go over [in medical education] such as how to do it [abortions] and the circumstances in which an abortion can be performed,” said MSFC member Amelia Reid. “A lot of medical students are scared about finding themselves in a situation where they need to know what to do to save a life.”

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A BPAS spokeswoman said the only criteria for taking part in the course was that the medical student had completed one year of medical school, had a basic medical knowledge, an understanding of confidentiality and ethics, and was able to explain in writing why they wanted to take part. She said they were not looking for students “at an advanced point in their studies”, although such students would not be excluded.

The spokeswoman said students would get a “complete overview” of the patient’s experience at the clinic, from pre-abortion counselling to choices for contraception afterwards.

She said BPAS opened the course to applicants in Irish medical schools after last year’s course — the first British course run by BPAS — attracted considerable attention from Ireland. As part of the course, students will also work with Antenatal Choices and Results, a charity that supports parents whose unborn baby is diagnosed with foetal anomaly.

Richard Lyus, who will mentor students on the BPAS scheme, said they were looking ahead “to a time when the law enables doctors in Ireland to provide abortion care to all women who need it”.

“We hope these placements will give Ireland’s next generation of doctors important insight into the needs of women in this situation, which they can make use of in the course of their careers,” said Dr Lyus.

Ms Reid said MSFC has a presence in all of the medical schools in Ireland, with the exception of University College Cork.

She said approximately 250 students in Ireland joined MSFC’s database since it set up here two years ago and that it hoped to provide financial assistance to Irish students accepted on the BPAS course. The educational aspect of the course is provided free of charge, courtesy of BPAS.

If you want to know more about Medical Students For Choice you can find them here:
http://www.msfc.ie/

And if you want to know more about Doctors For Choice you can find them here:
https://www.facebook.com/pages/Doctors-For-Choice-Ireland/522714117761585
https://twitter.com/Doctors4Choice

Irish abortion providers…

I was reading this, this morning and those 3 words jumped out at me. I am pretty certain I have never seen those 3 words in that configuration before. Here is where they came from and the context.

http://m.guardian.co.uk/commentisfree/2012/dec/20/on-abortion-we-need-spirit-of-67

When, this week, you read a headline saying, Ireland to legalise abortion; or see a statement from the Catholic church saying “Irish abortion reform is a ‘licence to kill innocent babies'”, you should treat it with great scepticism. For a start, nobody has suggested changing the law, nobody’s legalising anything, and innocent babies have more to fear, as ever, from the Catholic church, than from any Irish abortion providers.

Nobody has suggested, even out of respect for the recently killed Savita Halappanavar, the slightest modification in the law, so that an abortion might be permitted in a case where the mother would probably die without it, and the foetus would probably die regardless. There are no new ideas, and no concessions to anybody – all that’s been mooted is the codification of a supreme court ruling, so that the abortion provision they do have is no longer just precedent, it’s actually enshrined in law.

The rest of the the piece written by https://twitter.com/zoesqwilliams explains the legal and historical back drop to the legal situation on abortion. If you like the writers of Jezebel need to brush up on the facts, please do take the time to read the rest of it.

So this morning with my coffee I find myself wondering what Irish abortion providers would look like, ok so say with a wave of a magic wand we have legislation, even the most conservative legislation along the lines with which the majority of people agree. That is abortion to protect the life and health of women including cases of rape/incest and terminations for fatal fetal complication. What happens next?

Well medical policies and procedures would have to be introduced along with guidelines and best practices and insurance policies amended as well, which is a massive amount of paper work.

Currently even with all the Drs we train in this country none of them are trained to carry the procedures needed.
This point gets made time and time again by Drs for choice and Medical Students for Choice. So even when such legislation is passed there will be a long waiting time before a woman would get the timely treatment she needed and most likely will end up with the HSE paying for her to travel and have the procedure in the UK. Like they had to do in the case of Miss D.

So would we see private clinics being set up as Irish abortion providers?

This may cause a whole new get of issues. Part of the Ruling by the EU court of Human Rights in the ABC cases was that MS C right to privacy was breached and with Ireland being such a small place I would worry that such places would be heavily picketed as the anti choice lobbists have been known to picket family planning clinics here and take pictures of people going into them. It will still be that those who can afford to go privately will have more choice and privacy and may still choose to leave the country.

Irish abortion providers, I would prefer if they were just part of the general OB/GYM services in this country, but even these services suffer from the policies and practices which have them as an add on service and not part of holistic health care for women.

Even when we have less restriction on abortion in this country there will be still so much work to be done on ensuring women and transmen have the health care they need.

The Snapper and Ireland’s attitudes to “unmarried mothers” and unplanned pregnancy..

Last night while radio and tv stations broadcast debates on the announcement by government to bring in legislation in relation to the X Case (which is 20 years overdue), Roddy Doyle‘s The Snapper was also broadcast.

While the film was released in 1993 the book was written in 1990. Back when condoms were for sale with prescription only, the morning after pill was not legal and the Magdalen Laundries were still up and running. Sharon Curly was lucky her parents loved her and she was not sent ‘away’ either to relatives or to a laundry to have the child and to have it put up for adoption. In 1990 a unmarried mother was becoming less and less of a scandal and The Snapper helped break down some of those taboos.

With the availability of abortion in the UK the moral standards in Ireland changed, being an un married mother was preferable to the other choice women were making. to travel. So to limit that the taboo was lessened and financial supports put in place to include these new families long with widows/widowers/deserted spouses.

Eventually we stopped called them ‘unmarried mothers’ but single parents, and then lone parents, but with the greater access to contraception and the morning after pill (which in it’s current form only became legal here in 2001) there is now a move to remove those supports. So women are damned if they have the baby or damned if we don’t.

There is still so much ignorance about contraception, we don’t have comprehensive health based sex and sexuality eduction in our schools. What is doled out is ad hock and influenced by staff and the ethos of the school and the majority of schools are patroned by education trusts which are at least christian and usually catholic.

Many people (and a fair % of them are men)  seem to think that all women can use hormonal contraception and that it is 100% effect and so women who end up pregnant must want to be or are too stupid to use contraception correctly. This lack of education is a social issue and does lead to assumptions and stigma.

We have moved on a fair bit from the early 90s but we still have far to go, at part of that has to be about the rights of children who are born from unplanned pregnancy and their rights and the father’s rights and the many presumptions made in the family courts. These days the term ‘unmarried father’ or single Dad or is at least heard.

But we will have a long way to go and comments made in the Dáil this week show it’s even harder when our TDs come out with comments stilling saying that lone parents are the reason we are in a recession and not the golden circle of Anglo Irish Bank.

http://www.irishexaminer.com/opinion/columnists/colette-browne/facts-about-lone-parents-rubbish-claims-they-abuse-welfare-system-217380.html

Facts about lone parents rubbish claims they abuse welfare system

By Colette Browne

Wednesday, December 19, 2012

SOME of you halfwits have been blaming bankers and politicians for savage cutback, but righteous truth merchant, and Fine Gael TD, Derek Keating, has finally had the courage to identify the real cause of our current woes — single mothers.

What were you fools thinking, believing that dapper fraudsters in designer suits had led us to our current sorry impasse when clearly young women pushing buggies are the real reason the country is going to hell in a handcart.

Now, there are some who would argue that single mothers in this country have historically had enough odium heaped upon them and their children by pious politicians, but Mr Keating has decided the time is right to dump another digger-load of sanctimony over their heads.

In an extraordinary rant in the Dáil on Wednesday night, before voting for the many regressive measures contained within the Social Welfare Bill, the Fine Gael TD revealed that he had done some research of late and was appalled by what he found.

Budding anthropologist Mr Keating said he has discovered a sinister subset of single mothers, those with “three and four children”, who only stop spreading their legs to stick out their hands to ask for more benefits.

“I came across a case recently and when I examined it I noted multiple such cases. I discovered young women who find themselves caring, not for one child or two, but for three and four children by multiple fathers who are uncaring and failing in their duties of care and support with the consequences picked up by the taxpayer,” he thundered.

This proliferation of promiscuous women and feckless fathers “who do not accept their responsibilities”, is creating “a new lifestyle of welfare economy” which is “morally and socially wrong”.

While Mr Keating was quick to note that there were some “deserving” cases in receipt of social welfare, he said the State simply couldn’t afford to continue to support these naïve, wastrel women and their exponentially increasing broods.

Unfortunately for Mr Keating, the only thing he seems to have failed to uncover, in all of his painstaking research, is any evidence to support his judgmental dirge.

So lone parents are still being rebuked, reviled and scapegoated, but sure shouldn’t they be grateful that they are not locked away for the good of the rest of us, to work as slave labour for nuns and to have the honour of washing the sheets from the Áras, while the babies are adopted and under Irish law still have no legal right to find out who their parents are.

We still have so much growing up as a nation and as a people to do and we need to do it with compassion.

Review of expert group report from Rte Primetime.

Reporter Oonagh Murphy reported on the excerpts of the report from the Expert group set up to review the X Case ruling.

http://www.rte.ie/player/ie/search/?q=primetime

It seems that the expert group reports back that the options are to put in place guidelines, legislation or regulations.

Guidelines, which can be put in place quickly can be easily amended but they would have no legal force behind them and would not meet the recommendations of the EU court of human rights.

Legislation would meet the recommendations of the EU courts of human rights, but it will mean time spent drawing them up, time spent debating for it to be passed. Legislation will take more time and has a lack of flexibility in the future as medical advances are made.

Regulations in conjunction with legislation may offer flexibility but will have to be backed with legislation which will allow the regulations to be changed as needed.

It was also reported that the X Case only deals with the risk to the life of the woman rather then the risk to health and as a result cases like those of Savita may not be covered by anything which the government put in place.

Tuesday the 27th of November has been given for the publication of the report.

SOLIDARITY REQUEST : if you are outside Ireland how to get involved.

SOLIDARITY REQUEST:

Protest the death of Savita Halappanavar in Ireland

PLEASE SIGN AND SEND THE E-MAIL BELOW TO THE FOLLOWING:

To: Taoiseach Enda Kenny (Irish Prime Minister)

cc: Tánaiste Eamon Gilmore (Irish Deputy Prime Minister and Minister of Foreign Affairs)

E-mails:

taoiseach@taoiseach.gov.ie

enda.kenny@oireachtas.ie

eamon.gilmore@oir.ie

Copy also to the Irish Embassy in your country. Find contact details here:
http://www.dfa.ie/home/index.aspx?id=285

Re: Death of Savita Halappanavar in Galway

Honourable Taoiseach,

We are writing to you to express our concern about the recent death of Savita Halappanavar, who was repeatedly denied an abortion in Galway. This tragic case demonstrates once again that the prohibition of abortion in Ireland is not just undermining the autonomy of the women across the country, it is leading to unacceptable suffering and even death.

Savita Halappanavar made repeated requests for an abortion after presenting at University Hospital Galway on 21 October while miscarrying during the 17th week of her pregnancy. Her requests were refused, and she died one week later after several days in agonising pain and distress.

The situation of Savita Halappanavar provides the clearest possible evidence that laws that permit abortion only to save the life of a woman, such as the Irish law, are clinically unworkable and ethically unacceptable. There are numerous clinical situations in which a serious risk posed to a pregnant woman’s health may become a risk to her life, and delaying emergency action only increases that risk. There is only one way to know if a woman’s life is at risk: wait until she has died. Medical practitioners must be empowered by law to intervene on the grounds of risk to life and health, rather than wait for a situation to deteriorate.

You will be aware that the European Court of Human Rights, as well as a number of United Nations human rights bodies, have called upon the Irish government to bring its abortion law in line with international human rights standards. Had these calls been heeded before now, the death of Savita Halappanavar would have been prevented.

With the death of Savita Halappanavar, Ireland joins the ranks of countries worldwide where abortion is denied to women and leads to their deaths.

We call on your government to take urgent and decisive steps to reform the legislation that led to the death of Savita Halappanavar. Until the Irish legal system is reformed the lives, health and autonomy of women across Ireland are in jeopardy.

Yours faithfully,

Virgin selling condoms in Ireland.

http://www.virgin.com/richard-branson/blog/the-day-we-were-arrested-for-selling-condoms-in-dublin

The day we were arrested for selling condoms in Dublin

By Richard Branson –
Nov 19, 2012

When we were asked by the Irish Family Planning Association (IFPA) if we would let them sell condoms in our Dublin Virgin Megastore, we were happy to oblige. In May 1990 the IFPA were convicted for selling condoms in the Megastore and fined £400.

The IFPA appealed the conviction on Valentine’s Day 1991 and I testified on their behalf. On arriving late in Dublin, a policeman offered me an escort – and was shocked when I directed him straight to court! The judge increased the fine to £500 and warned future infringement could result in imprisonment. A certain rock band known as U2 stepped in to pay the fine.

It wasn’t until 1993 that laws restricting the sale of condoms in Ireland were overruled, while laws banning abortion are still in place. There are lots of groups, including the IFPA, still campaigning inside and outside of Ireland for sensible abortion laws.

I remember this, I also bought condoms in there, for myself and for friends. Chemists didn’t sell them unless you had a prescription from a dr. Condom vending machines were illegal, HIV/AIDS were a fact of life and still condoms were illegal here in except under very limited guidelines.

I remember when it became possible to by them and they had to sell them to anyone over the age of legal consent, but it was still a case of running the gauntlet and getting a very unwelcome reception in the chemist. Picking one in the city center or one which family and neighbors would not use and even then you could be left standing, for years condoms were strictly behind the counter and you had to ask for them.

And even then the assistant could say they had to check with the dispensing chemist I and certainly was a few times left standing, for anything from 20mins to a half hour, as it was clear they didn’t want to sell them to me and were hoping I would just leave.

Boots chemist changed that, condoms were on the floor of the shop, you could go and read the boxes and pick out what you wanted and mix them in with other purchases, for those reason alone they quickly became the place to go buy them where ever they opened up all over the country.

These days most pubs have condom machines in them, they are more available in a range of places all over the country. Attitudes have changed as well.
It’s seen a sensible to have them and not as immoral for women have have them.

These days I know I can go an buy a 2 for 3 offer on condoms and get 3 boxes of what I fancy with no one blinking an eye lid, compared to being treated like I had just asked for the head of the baby jesus and if I hung around long enough, I would eventually get them only when exiting the chemist to hear someone declare that I must be a Whore.

It was 19 years ago, in 1993 the laws changed, took longer for attitudes to change, but I am for ever thankful for the work the IFPA have done over the years and for people like Richard Branson and those who ran the stall in the Dublin Virgin Megastore for being so brave and bold.

Legislate for X, a reply from Patrick Nulty.

Recieved on the 15/11/2012 16:00

Dear [Sharrow]

First of all thank you very much for your email. I fully support the need for the legislation on the X case and have done so for some time.

Last April legislation was presented to the Dail to bring in this law which I voted For. I believe this is twenty years overdue.

As recently as November 14th I raised the matter directly with Enda Kenny at the order of business in the Dail.

Here is a link to a statement I released yesterday following the tragic death of Savita which is a tragedy which should never have happened – http://www.patricknulty.ie/?p=1532

I also requested that the issue be debated in the Dail yesterday which forced the Minister for Health to come in and explain himself.

I believe that it is a disgrace that 20 years on this matter has not been addressed and is it is a fundamental issue of equality for women. I will do everything in my power to campaign for change on this crucial issue.

Yours Sincerely,

Patrick Nulty TD