Polonium

Friday, February 5, 2010

Lessons on "reproductive health" from Europe

Since the fall of Poland’s communist regime, maternal mortality in that country has plunged by more than 75%. Infant mortality is down by almost two-thirds, and the rate of premature births has dropped by well over a half. The reduction in premature births is important because premature children are prone to all sorts of medical and social afflictions. Perhaps the most serious of these is a much greater chance of being born with cerebral palsy than full-term babies.

Why has Poland made such strides in improving both maternal and infant health? Certainly not by spending a lot of money on “reproductive health services,” to use the preferred euphemism. Poland is a poor country, much poorer than either Canada or its immediate European neighbours. The money simply isn’t there for any lavish program to improve maternal and infant health. The only change that could have produced such a dramatic improvement is the documented decline in the induced abortion rate.

Since 1989, Poland has virtually banned induced abortion. According to official statistics, the annual legal abortion rate has plummeted from well over 100,000 in the 1980s to a few hundred in the 1990s, and that very low rate has been maintained up to the present. There is little evidence of a widespread resort to illegal abortion, nor have significant numbers of Polish women gone to other countries seeking abortions.