Why We Say No to the Rh Bill Updated Version

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    WHY WE SAY NO TO THEWHY WE SAY NO TO THE

    RH BILLRH BILL

    From the Medical ViewpointFrom the Medical Viewpoint

    (updated version)(updated version)

    Melissa Poblete, DMD, MHPEdMelissa Poblete, DMD, MHPEd

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    Medical science tells us when a new life beginsMedical science tells us when a new life begins (Embryology)(Embryology)

    Advances in technology enable us to see orAdvances in technology enable us to see orwitness fetal development like never beforewitness fetal development like never before

    33--D and 4D and 4--D Ultrasound, IntraD Ultrasound, Intra--uterineuterinePhotography, fetal monitors, fetal dopplerPhotography, fetal monitors, fetal doppler

    When does life begin?When does life begin?

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    When does life begin?When does life begin?

    AT CONCEPTIONAT CONCEPTION

    Which is also called FERTILIZATIONWhich is also called FERTILIZATION

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    From A.D.A.M. Medical Encyclopedia

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    Science Lesson!Science Lesson!

    Prior to fertilization:Prior to fertilization:

    You have haploid cells (the sperm and theYou have haploid cells (the sperm and the

    egg)egg)Haploid=containing half (23) of the numberHaploid=containing half (23) of the number

    of chromosomes in other cells of the bodyof chromosomes in other cells of the body

    (46)(46)

    only for reproductive cells (gametes)only for reproductive cells (gametes)

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    At fertilization:At fertilization:

    Haploid gametes combine together to formHaploid gametes combine together to forma diploid zygote,a diploid zygote, a genetically differenta genetically differentindividualindividual from the mother and fatherfrom the mother and father

    The zygote now has 46The zygote now has 46chromosomes(thats a new life!)chromosomes(thats a new life!)

    All the cells in his or her body will have 46All the cells in his or her body will have 46chromosomes except his or her futurechromosomes except his or her futuregametes (sperm cells or eggs)gametes (sperm cells or eggs)

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    What Medical Textbooks SayWhat Medical Textbooks Say

    Each human being starts his life, hisEach human being starts his life, his

    very being, as an ordinary cell calledvery being, as an ordinary cell called

    the zygote, measuring less than 0.2the zygote, measuring less than 0.2

    mm in diameter.mm in diameter.Essentials of Human Embryology, S.M.Essentials of Human Embryology, S.M.

    Bhatnagar et. al., 1983, OrientBhatnagar et. al., 1983, Orient

    Longman, IndiaLongman, India

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    What Medical Textbooks SayWhat Medical Textbooks SayThe male and female sex cells or gametesunite atThe male and female sex cells or gametesunite atfertilization to initiate the embryonic development of afertilization to initiate the embryonic development of anew individual.new individual.

    Fertilization takes place in the oviduct (fallopianFertilization takes place in the oviduct (fallopiantubes)... resulting in the formation of a zygotetubes)... resulting in the formation of a zygotecontaining a single diploid nucleus.containing a single diploid nucleus.

    Embryonic development is considered to begin at thisEmbryonic development is considered to begin at thispoint.point.

    This moment of zygote formation may be taken as theThis moment of zygote formation may be taken as thebeginning or zero time point of embryonicbeginning or zero time point of embryonicdevelopmentdevelopment."."

    Essentials of Human Embryology (pp. 1Essentials of Human Embryology (pp. 1--17)17)

    Larsen, W.J. 1998.Larsen, W.J. 1998.

    Churchill Livingstone, New York.Churchill Livingstone, New York.

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    What Medical Textbooks SayWhat Medical Textbooks Say"Zygote: this cell results from the union of an"Zygote: this cell results from the union of anoocyte(egg) and a sperm.oocyte(egg) and a sperm. A zygote is the beginningA zygote is the beginningof a new human beingof a new human being (i.e., an embryo).(i.e., an embryo).

    Human development begins at fertilizationHuman development begins at fertilization, the, theprocess during which a male gamete or sperm ...process during which a male gamete or sperm ...unites with a female gamete or oocyte(egg) ... tounites with a female gamete or oocyte(egg) ... toform a single cell called a zygote. This highlyform a single cell called a zygote. This highlyspecialized, totipotent(multispecialized, totipotent(multi--potential) cellpotential) cell marks themarks thebeginning of each of us as a unique individualbeginning of each of us as a unique individual..

    The Developing Human: Clinically OrientedThe Developing Human: Clinically Oriented

    Embryology by Moore, K. and T.V.N. Persaud.Embryology by Moore, K. and T.V.N. Persaud.1998. (6th ed.), W.B. Saunders Company,1998. (6th ed.), W.B. Saunders Company,

    Philadelphia. (pp 2Philadelphia. (pp 2--18)18)

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    Development of the BabyDevelopment of the Baby

    There are different terms for the new baby.There are different terms for the new baby.

    But these are just terms describing theBut these are just terms describing the

    stage of development :stage of development :

    zygote, morula, blastocyst, embryo, fetuszygote, morula, blastocyst, embryo, fetus

    But it is the very same baby!But it is the very same baby!

    And when the baby is born he or she isAnd when the baby is born he or she iscalled a neonate, infant, toddler, etc.called a neonate, infant, toddler, etc.

    He or she is still the very same baby!He or she is still the very same baby!

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    What Medical Textbooks SayWhat Medical Textbooks SayHow does the cell (zygote) develop?How does the cell (zygote) develop?ThroughThrough a chronicle of development, characterizeda chronicle of development, characterized

    by theby the gradual and sequential development of agradual and sequential development of awide variety of structureswide variety of structures,, nowhere present to startnowhere present to startwithwith, by cellular processes of multiplication,, by cellular processes of multiplication,migration, differentiation, and assembly of diversemigration, differentiation, and assembly of diversecell types, leading to the formation of organs andcell types, leading to the formation of organs andsystems.systems.

    Essentials of Human Embryology, S.M. Bhatnagar et.Essentials of Human Embryology, S.M. Bhatnagar et.al., 1983, Orient Longman, Indiaal., 1983, Orient Longman, India

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    Your existence started at the point of conceptionYour existence started at the point of conception

    Fetal Development is part of theFetal Development is part of the continuouscontinuous

    timeline of your growth as a human beingtimeline of your growth as a human being

    Therefore, any contraceptive that works afterTherefore, any contraceptive that works after

    fertilization or conception kills a human being orfertilization or conception kills a human being or

    is called an abortifacient (causes abortion, evenis called an abortifacient (causes abortion, even

    though an early one)though an early one)

    If something stopped you from implanting in yourIf something stopped you from implanting in your

    mothers womb, YOU WOULD NOT BE HERE!mothers womb, YOU WOULD NOT BE HERE!

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    What the MedicalWhat the Medical

    Professionals SayProfessionals SayThe critical event that assigns humannessThe critical event that assigns humanness

    is conception. All subsequent changes areis conception. All subsequent changes are

    those of increased size and complexity,those of increased size and complexity,

    not an alteration of the essential nature ofnot an alteration of the essential nature of

    the fetus.the fetus.

    Dr. D. BradyDr. D. Brady--West, DMWest, DM

    Medical Practitioner, JamaicaMedical Practitioner, Jamaica

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    What Medical Textbooks SayWhat Medical Textbooks Say

    EmbryologyEmbryology is the study of the prenatal period ofis the study of the prenatal period ofcreation of an individual starting from conception tocreation of an individual starting from conception tothe birth of a child.the birth of a child.

    Growth in the prenatal and postnatal periods is aGrowth in the prenatal and postnatal periods is acontinuous processcontinuous process. The event of birth marks the. The event of birth marks thedifference between the two periods and entailsdifference between the two periods and entails

    sudden and drastic changes in respiration andsudden and drastic changes in respiration andcirculation.circulation.

    Obstetrics is essentiallyObstetrics is essentially applied embryologyapplied embryology. The. Theproblems of normal and abnormal labor, antenatalproblems of normal and abnormal labor, antenataland postnatal care can be readily tackled with anand postnatal care can be readily tackled with an

    understanding of embryology.understanding of embryology.

    Essentials of Human Embryology, S.M. Bhatnagar et.Essentials of Human Embryology, S.M. Bhatnagar et.al., 1983, Orient Longman, Indiaal., 1983, Orient Longman, India

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    Which contraceptives can stop aWhich contraceptives can stop a

    fertilized egg from implanting?fertilized egg from implanting?Intrauterine device (IUD)Intrauterine device (IUD)-- has both prehas both pre--fertilization and postfertilization and post--fertilization effectfertilization effect

    Oral contraceptive pills and injectables (as aOral contraceptive pills and injectables (as athird effect)third effect) First effect: stops ovulation (not all of the time)First effect: stops ovulation (not all of the time)

    Second effect : prevents sperm from migrating to theSecond effect : prevents sperm from migrating to thefallopian tubefallopian tube

    Third effect: prevents implantation of fertilized eggThird effect: prevents implantation of fertilized egg(when breakthrough ovulation occurs, as prevention(when breakthrough ovulation occurs, as preventionof ovulation is not 100% foolproof)of ovulation is not 100% foolproof)

    Emergency contraceptivesEmergency contraceptives-- prevent implantationprevent implantation; rejection of an implanted embryo; rejection of an implanted embryo

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    IUDIUD mechanism of actionmechanism of action--there isthere is

    a posta post--fertilization effectfertilization effectThere are many potential mechanisms of action for the intrauterineThere are many potential mechanisms of action for the intrauterinedevice (IUD), which vary by type of IUD (inert, copper, or hormonal).device (IUD), which vary by type of IUD (inert, copper, or hormonal).On the basis of available data for fertilization rates and clinicalOn the basis of available data for fertilization rates and clinicalpregnancy rates, the relative contribution of mechanisms actingpregnancy rates, the relative contribution of mechanisms actingbefore or after fertilization were quantitatively estimated. Thesebefore or after fertilization were quantitatively estimated. Theseestimates indicate that, although prefertilization effects are moreestimates indicate that, although prefertilization effects are moreprominent for the copper IUD,prominent for the copper IUD, both prefertilization andboth prefertilization andpostfertilization mechanisms of action contribute significantlypostfertilization mechanisms of action contribute significantlyto the effectiveness of all types of intrauterine devices.to the effectiveness of all types of intrauterine devices.

    Mechanisms of action of intrauterine devices: update andMechanisms of action of intrauterine devices: update andestimation of postfertilization effects.estimation of postfertilization effects.

    Am J Obstet Gynecol.Am J Obstet Gynecol. 2002; 187(6):16992002; 187(6):1699--708708StanfordStanford JB; MikolajczykJB; Mikolajczyk RTRT

    Department of Family and Preventive Medicine, University of UtahDepartment of Family and Preventive Medicine, University of UtahHealth Research Center, Salt Lake City 84108, USA.Health Research Center, Salt Lake City 84108, USA.

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    Plus: Hormonal contraceptives arePlus: Hormonal contraceptives are

    not safe for women!not safe for women!They increase the risk for venousThey increase the risk for venous

    thrombosis (blood clotting in the veins)thrombosis (blood clotting in the veins)

    They increase the relative risk ofThey increase the relative risk ofdeveloping breast cancer, according todeveloping breast cancer, according to

    cancer research journals (not thecancer research journals (not the

    reproductive health journals)reproductive health journals)-- becausebecause

    breast cells are affected by syntheticbreast cells are affected by synthetichormoneshormones

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    Netherlands: 1524 OC users vsNetherlands: 1524 OC users vs

    1760 non1760 non--usersusersCurrently available oral contraceptivesCurrently available oral contraceptives

    increased the risk of venous thrombosisincreased the risk of venous thrombosis

    fivefold compared with nonfivefold compared with non--useuse

    The venous thrombotic risk of oral contraceptives,The venous thrombotic risk of oral contraceptives,

    effects of oestrogen dose and progestogen type:effects of oestrogen dose and progestogen type:

    results of the MEGA caseresults of the MEGA case--control studycontrol study

    British Medical Journal.British Medical Journal.

    2009 Aug 13;339:b29212009 Aug 13;339:b2921

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    US study of 116,608 womenUS study of 116,608 women

    from 1989 to 2001from 1989 to 2001Current use of oral contraceptives carries an excessCurrent use of oral contraceptives carries an excessrisk of breast cancer. Levonorgestrel used inrisk of breast cancer. Levonorgestrel used intriphasic preparations may account for much of thistriphasic preparations may account for much of thiselevation in risk.elevation in risk.

    Oral contraceptive use and breast cancer: a prospectiveOral contraceptive use and breast cancer: a prospectivestudy of young women.study of young women.

    Hunter, DJ et alHunter, DJ et al

    Cancer Epidemiology, Biomarkers & PreventionCancer Epidemiology, Biomarkers & PreventionJournalJournal ;; 2010 Oct;19(10):24962010 Oct;19(10):2496--502. Epub 2010 Aug 27.502. Epub 2010 Aug 27.

    (American Association for Cancer Research)(American Association for Cancer Research)

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    Synthetic progestins increase riskSynthetic progestins increase risk

    of developing breast cancerof developing breast cancerThere is now considerable evidence that using aThere is now considerable evidence that using a

    combination of synthetic progestins and estrogenscombination of synthetic progestins and estrogensin hormone replacement therapy (HRT) increases thein hormone replacement therapy (HRT) increases therisk of breast cancer compared with estrogen alone.risk of breast cancer compared with estrogen alone.Furthermore, the World Health Organization hasFurthermore, the World Health Organization hasrecently cited combination contraceptives, whichrecently cited combination contraceptives, whichcontain synthetic progestins, as potentiallycontain synthetic progestins, as potentiallycarcinogenic to humans, particularly for increasedcarcinogenic to humans, particularly for increasedbreast cancer risk.breast cancer risk.

    Disruption of androgen receptor signaling by syntheticDisruption of androgen receptor signaling by syntheticprogestins may increase risk of developing breastprogestins may increase risk of developing breast

    cancer.cancer.FASEB(Federation of American Societies for Experimental Biology)FASEB(Federation of American Societies for Experimental Biology)

    Journal. 2007 Aug;21(10):2285Journal. 2007 Aug;21(10):2285--93. Epub 2007 Apr 5.Birrell SN,93. Epub 2007 Apr 5.Birrell SN, et alet al.Dame Roma Mitchell Cancer Research Laboratories, The.Dame Roma Mitchell Cancer Research Laboratories, The

    University of Adelaide, Hanson Institute, PO Box 14, Rundle Mall,University of Adelaide, Hanson Institute, PO Box 14, Rundle Mall,South Australia, 5000, Australia.South Australia, 5000, Australia.

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    Continued:Continued:

    Disruption of androgen action by synthetic progestinsDisruption of androgen action by synthetic progestins

    may havemay have serious deleterious side effects in theserious deleterious side effects in thebreastbreast, where the balance between estrogen, where the balance between estrogensignaling and androgen signaling plays a critical rolesignaling and androgen signaling plays a critical rolein breast homeostasis.in breast homeostasis. Here, we review the role ofHere, we review the role ofandrogen signaling in the normal breast and in breastandrogen signaling in the normal breast and in breast

    cancer and present new data demonstrating thatcancer and present new data demonstrating thatandrogen receptor function can be perturbed by lowandrogen receptor function can be perturbed by lowdoses of MPAdoses of MPA(medroxyprogesterone acetate), similar to(medroxyprogesterone acetate), similar todoses achieved in serum of women taking HRT.doses achieved in serum of women taking HRT. WeWepropose thatpropose that the observed excess of breastthe observed excess of breast

    malignancies associated with combined HRTmay bemalignancies associated with combined HRTmay beexplained, in part, by synthetic progestins such asexplained, in part, by synthetic progestins such asMPA acting as endocrine disruptors to negate theMPA acting as endocrine disruptors to negate theprotective effects of androgen signaling in theprotective effects of androgen signaling in thebreast.breast.

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    Philippine dataPhilippine data--UP Manila studyUP Manila study

    Women who are currently on combined oral contraceptives or whoWomen who are currently on combined oral contraceptives or whohave used them in the last 10 years are at a slightly increased riskhave used them in the last 10 years are at a slightly increased riskof having breast cancer diagnosed and additional cancersof having breast cancer diagnosed and additional cancersdiagnosed tend to be localized to the breast. There is no evidencediagnosed tend to be localized to the breast. There is no evidence

    of an increased risk 10 or more years after stopping useof an increased risk 10 or more years after stopping usePostPost--menopausal women are at an increased risk of having breastmenopausal women are at an increased risk of having breastcancer diagnosed while on hormone replacement therapy (HRT)cancer diagnosed while on hormone replacement therapy (HRT)and in the 5 years after stopping use, relative risk was increased byand in the 5 years after stopping use, relative risk was increased by2.7% for each year of use. There is no evidence of an increased2.7% for each year of use. There is no evidence of an increasedrisk of breast cancer 5 or more years after stopping HRTrisk of breast cancer 5 or more years after stopping HRT

    Cancer and the PhilippineCancerControl ProgramCancer and the PhilippineCancerControl ProgramNgelangel,CA and Wang, EHMNgelangel,CA and Wang, EHM

    Japanese Journal of Clinical Oncology (2002)Japanese Journal of Clinical Oncology (2002) 32(suppl 1):32(suppl 1): S52S52--S61.doi:S61.doi: 10.1093/jjco/hye12610.1093/jjco/hye126

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    On the Philippine Breast Cancer Network:On the Philippine Breast Cancer Network: "Some of the"Some of thecauses of breast cancer ...causes of breast cancer ... can only be controlled bycan only be controlled by

    political and social actionpolitical and social action aimed ataimed at reducing thereducing theproduction, use, transportproduction, use, transport and disposal ofand disposal ofagentsagents that directly or indirectly affect breast cancerthat directly or indirectly affect breast cancerrisks.risks.""-- Environmental Health Perspectives, SeptemberEnvironmental Health Perspectives, September19981998

    Following this recommendation above, logically, theFollowing this recommendation above, logically, thegovernment must reduce the production, use, transportgovernment must reduce the production, use, transportand disposal of hormonal contraceptives.and disposal of hormonal contraceptives.--becausebecausehormonal contraceptives directly increase breast cancerhormonal contraceptives directly increase breast cancerrisk.risk.

    Yet the RH bill will include these breastYet the RH bill will include these breast--cancercancer--riskrisk--increasing hormonal contraceptives together with theincreasing hormonal contraceptives together with thepurchase of essential medicines (Section 10) for allpurchase of essential medicines (Section 10) for allnational and local hospitals!national and local hospitals!

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    Also,IUDs can cause puncturing ofAlso,IUDs can cause puncturing of

    body parts and lifebody parts and life--threateningthreatening

    bacterial infectionsbacterial infections

    IUD in large intestineIUD in large intestinefrom Journal of the Society of Laparoendoscopic Surgeonsfrom Journal of the Society of Laparoendoscopic Surgeons

    2010 Jul2010 Jul--SepSep

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    IUD in bladderIUD in bladder

    Canadian Urology Association JournalCanadian Urology Association Journal 2010 Oct;4(5):E1412010 Oct;4(5):E141--3.3.Intravesical migration of an intrauterine device detected inIntravesical migration of an intrauterine device detected in

    a pregnant woman.a pregnant woman.

    Tosun M,Tosun M, Celik H,Celik H, Yavuz E,Yavuz E, Cetinkaya MB.Cetinkaya MB.

    Department of Obstetrics and Gynecology, Ondokuz Mayis,Department of Obstetrics and Gynecology, Ondokuz Mayis,Samsun, Turkey.Samsun, Turkey.

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    IUD: Penetration into theIUD: Penetration into the

    descending colon (large intestine)descending colon (large intestine)Case: a patient visited our hospital and complained of aCase: a patient visited our hospital and complained of avague lower abdominal pain that had been present forvague lower abdominal pain that had been present forthree months. She had an intrauterine device (IUD)three months. She had an intrauterine device (IUD)inserted five years earlier.inserted five years earlier. The abdominal XThe abdominal X--ray,ray,computed tomography and colonoscopy revealed thatcomputed tomography and colonoscopy revealed thatthe IUD had penetrated into the descending colon. Wethe IUD had penetrated into the descending colon. Wetried to remove the IUD by colonoscopy but failed duetried to remove the IUD by colonoscopy but failed dueto pain, so we removed the IUD surgically.to pain, so we removed the IUD surgically.

    Penetration of the descending colon by a migratingPenetration of the descending colon by a migrating

    intrauterine contraceptive device.intrauterine contraceptive device.J Korean Soc Coloproctology.J Korean Soc Coloproctology. 2010 Dec;26(6):4332010 Dec;26(6):433--6. Epub6. Epub

    2010 Dec 31.Park JM,2010 Dec 31.Park JM, et al.et al.

    Department of Internal Medicine, Good GangDepartment of Internal Medicine, Good Gang--An Hospital,An Hospital,Busan, Korea.Busan, Korea.

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    IUD: Ovarian abscess fromIUD: Ovarian abscess from

    actinomycosisactinomycosisCase: a 35Case: a 35--yearyear--old female with an intrauterineold female with an intrauterinedevice (IUD) who appeared in the emergencydevice (IUD) who appeared in the emergencydepartment with clinical characteristics ofdepartment with clinical characteristics ofappendicitis. Ultrasound and computed tomographyappendicitis. Ultrasound and computed tomographywere performed, revealing an ovarian tumorwere performed, revealing an ovarian tumorformation and acute appendicitis. The patientformation and acute appendicitis. The patientunderwent exploratory laparotomy, unilateralunderwent exploratory laparotomy, unilateralovarectomy due to acute abscess and finallyovarectomy due to acute abscess and finallyappendectomy.appendectomy. The role of IUD as a factor in theThe role of IUD as a factor in thedissemination of the infection is very important.dissemination of the infection is very important.

    Actinomycosis of the appendix and pelvis: a caseActinomycosis of the appendix and pelvis: a casereport. J Reprod Med.report. J Reprod Med. 2008; 53(9):7112008; 53(9):711--33

    PeitsidisPeitsidis P et alP et al

    Department of Obstetrics and Gynecology, AlexandraDepartment of Obstetrics and Gynecology, Alexandra

    General Hospital, Athens, Greece.General Hospital, Athens, Greece.

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    IUD: Pseudomonas: abscesses ofIUD: Pseudomonas: abscesses of

    ovary and fallopian tube and pelvisovary and fallopian tube and pelvisCase: a 35Case: a 35--yearyear--old woman with an IUD for 6 yearsold woman with an IUD for 6 yearswith pelvic inflammatory disease (PID) . Authorswith pelvic inflammatory disease (PID) . Authorsimplemented antibiotic therapy. Her clinical courseimplemented antibiotic therapy. Her clinical courseworsened, and exploratory surgery revealed a rightworsened, and exploratory surgery revealed a righttubotubo--ovarian abscess with multiple loculated pelvicovarian abscess with multiple loculated pelvicabscesses. Culture of the IUD found heavy growth ofabscesses. Culture of the IUD found heavy growth ofPseudomonas aeruginosa.Pseudomonas aeruginosa.

    Pseudomonas aeruginosaPseudomonas aeruginosa--infected IUD associated withinfected IUD associated withpelvic inflammatory disease. A case report.pelvic inflammatory disease. A case report.

    J Reprod Med.J Reprod Med. 2002; 47(12):10352002; 47(12):1035--77KingKing JA; OlsenJA; Olsen TG; LimTG; Lim R; NycumR; Nycum LRLR

    Department of Obstetrics and Gynecology, David GrantDepartment of Obstetrics and Gynecology, David GrantMedical Center, Travis Air Force Base, CA 94535, USAMedical Center, Travis Air Force Base, CA 94535, USA

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    Pelvic actinomycosis from IUDPelvic actinomycosis from IUD

    -->death>deathCase: 49Case: 49--yearyear--old woman who had been using an intrauterineold woman who had been using an intrauterinecontraceptive device for 20 years. The pelvic actinomycosis incontraceptive device for 20 years. The pelvic actinomycosis inher case led to sepsis and consequently to her death.her case led to sepsis and consequently to her death.Colonisation with Actinomyces israeli in women using IUD mayColonisation with Actinomyces israeli in women using IUD mayamount up to even 20%amount up to even 20%..

    [Pelvic actynomycosis as the result of a long standing use of an[Pelvic actynomycosis as the result of a long standing use of anintrauterine device. Case report]intrauterine device. Case report]

    Ginekol Pol.Ginekol Pol. 2007; 78(12):9952007; 78(12):995--77

    GrabiecGrabiec M; et alM; et al

    Katedra i Klinika Ginekologii Onkologicznej i PielegniarstwaKatedra i Klinika Ginekologii Onkologicznej i PielegniarstwaGinekologicznego, Uniwersytetu Mikoaja Kopernika w Toruniu,Ginekologicznego, Uniwersytetu Mikoaja Kopernika w Toruniu,Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy.Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy.

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    Are these medically safe devices?Are these medically safe devices?

    NO!NO!Section 2: The RH Bill says that the State shallSection 2: The RH Bill says that the State shall

    guarantee universal access to medically safe,guarantee universal access to medically safe,legal, affordable, effective, quality RH carelegal, affordable, effective, quality RH careservices, methods, devices, supplies.services, methods, devices, supplies.

    They are alsoThey are also not legalnot legal since our 1987 Constitutionsince our 1987 Constitutionstates in Article 2, Sec 12:states in Article 2, Sec 12:

    Section 12. The State recognizes the sanctity ofSection 12. The State recognizes the sanctity offamily life and shall protect and strengthen thefamily life and shall protect and strengthen the

    family as a basic autonomous social institution. Itfamily as a basic autonomous social institution. Itshall equally protect the life of the mother andshall equally protect the life of the mother andthe life of the unborn from conception.the life of the unborn from conception.

    Remember: IUDs have a postRemember: IUDs have a post--fertilization effect!fertilization effect!

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    Lets take a look at fetalLets take a look at fetal

    development!development!

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    4-week old baby in the womb

    Intrauterine PhotographsIntrauterine Photographs

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    Intrauterine PhotographsIntrauterine Photographs

    6-week old baby in the womb

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    Intrauterine PhotographsIntrauterine Photographs

    8-week old baby in the womb

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    Intrauterine PhotographsIntrauterine Photographs

    Feet of 11-week old baby in

    the womb

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    Intrauterine PhotographsIntrauterine Photographs

    20-week old baby in the womb

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    Intrauterine PhotographsIntrauterine Photographs

    22-week old baby in the womb

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    Intrauterine PhotographsIntrauterine Photographs

    24-week old baby in the womb

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    Ordinary UltrasoundOrdinary Ultrasound

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    33--D UltrasoundD Ultrasound

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    44--D UltrasoundD Ultrasound

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    The RH bill includes hazards of abortionThe RH bill includes hazards of abortionin RH education(Section 16, 10in RH education(Section 16, 10thth topic).topic).Abortion is hazardous to women, yes,Abortion is hazardous to women, yes,

    BUT:BUT:Remember:Remember: abortion is 100% hazardousabortion is 100% hazardousto a babyto a baby!!

    There is no such thing as a safeThere is no such thing as a safeabortion!abortion!

    We cannot let abortion be condoned by aWe cannot let abortion be condoned by alaw!law!

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    All patients who have committed a crime,All patients who have committed a crime,

    whether they are men or women, deservewhether they are men or women, deserve

    compassionate and humane treatmentcompassionate and humane treatment

    when they have medical emergencies orwhen they have medical emergencies or

    complications stemming from the crimecomplications stemming from the crime

    they committed.they committed.

    But the victim of the crime (the unbornBut the victim of the crime (the unbornbaby) must never be forgotten!baby) must never be forgotten!

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    The complication of abortion in an unborn baby isDE

    ATH!

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    More than condoning: in Sec.2 in its DeclarationMore than condoning: in Sec.2 in its Declarationof Policy the RH bill states: The State shallof Policy the RH bill states: The State shalleradicate discriminatory practices, laws anderadicate discriminatory practices, laws andpolicies that infringe on a persons exercise ofpolicies that infringe on a persons exercise ofreproductive rights.reproductive rights.

    In countries where abortion is legal, abortion ISIn countries where abortion is legal, abortion ISpart of reproductive rightspart of reproductive rights

    Eradicate laws?Eradicate laws? this paves the way forthis paves the way forlegalization or decriminalization of abortion evenlegalization or decriminalization of abortion evenif the Bill states that abortion remains illegalif the Bill states that abortion remains illegal

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    How is abortion done?How is abortion done?

    Babies die through abortion by:Babies die through abortion by:

    Chemical abortionChemical abortion-- taking /placingtaking /placing

    pampalaglag; taking chemotherapy drugs;pampalaglag; taking chemotherapy drugs;

    contraceptive pills and emergencycontraceptive pills and emergencycontraceptives that prevent implantation;contraceptives that prevent implantation;

    emergency contraceptives that cause theemergency contraceptives that cause the

    implanted embryo to dieimplanted embryo to die

    Surgical abortionSurgical abortion-- by doctors with no conscienceby doctors with no conscience

    Trauma to the womb/babyTrauma to the womb/baby-- by hilotby hilot

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    Why is Abortion Wrong?Why is Abortion Wrong?

    Because it is a sin against GodBecause it is a sin against God

    Because it is murder in Gods eyesBecause it is murder in Gods eyes

    Killing another human life shows contempt forKilling another human life shows contempt forGod, who created that lifeGod, who created that life

    The 6The 6thth Commandment: You shall notCommandment: You shall not

    murder (Exodus 20:13)murder (Exodus 20:13)

    Abortion takes away another human life thatAbortion takes away another human life thatis made in the image of Godis made in the image of God

    Abortion is the ultimate power grabAbortion is the ultimate power grab-- to chooseto choose

    between life and death.between life and death.

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    Why Is Abortion Wrong?Why Is Abortion Wrong?

    Because it is the shedding of innocent blood andBecause it is the shedding of innocent blood and

    God hates the shedding of innocent bloodGod hates the shedding of innocent blood

    Prov 6:16Prov 6:16--19 There are six things the LORD19 There are six things the LORD

    hates, seven that are detestable to him:hates, seven that are detestable to him:haughty eyes, a lying tongue,haughty eyes, a lying tongue, hands that shedhands that shed

    innocent bloodinnocent blood

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    Why is Abortion Wrong?Why is Abortion Wrong?

    Because it is ethically wrongBecause it is ethically wrong

    EthicsEthics-- a set of moral principles adopted by aa set of moral principles adopted by aprofession or a society; defines right or wrongprofession or a society; defines right or wrong

    It is immoral to kill, thats why its a crime toIt is immoral to kill, thats why its a crime tomurder or kill another human being after he ismurder or kill another human being after he isborn, from birth to natural death.born, from birth to natural death.

    In the same way, it is immoral to kill anotherIn the same way, it is immoral to kill anotherhuman being before he or she is born, when hehuman being before he or she is born, when he

    or she is still in the womb.or she is still in the womb.It is immoral to choose who may live and whoIt is immoral to choose who may live and whomay not.may not.

    Ex. HolocaustEx. Holocaust-- Nazis chose death for the JewsNazis chose death for the Jews

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    What the MedicalWhat the Medical

    Professionals SayProfessionals Say

    If the fetus is a human being, then theIf the fetus is a human being, then the

    killing of the fetus (abortion) is homicide.killing of the fetus (abortion) is homicide.

    Dr. D. BradyDr. D. Brady--West, DMWest, DM

    Medical Practitioner, JamaicaMedical Practitioner, Jamaica

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    Why is abortion wrong?Why is abortion wrong?

    Because our Constitution upholds lifeBecause our Constitution upholds life

    In the Philippines, the State protects theIn the Philippines, the State protects the

    life of its citizens from conceptionlife of its citizens from conception

    The State shall equally protect the life ofThe State shall equally protect the life of

    the mother and the life of the unbornthe mother and the life of the unborn

    from conception.from conception. (Article II, Sec. 12 of the(Article II, Sec. 12 of the

    1987 Constitution)1987 Constitution)

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    Why is abortion wrong?Why is abortion wrong?

    Because in the Philippines, abortion is a crimeBecause in the Philippines, abortion is a crime

    The Revised Penal Code punishes abortion as aThe Revised Penal Code punishes abortion as a

    crime with fines and imprisonment both for thecrime with fines and imprisonment both for the

    woman and the health professional whowoman and the health professional whocommitted the crime of abortioncommitted the crime of abortion

    Revised Penal Code, Book Two,Title EightRevised Penal Code, Book Two,Title Eight--

    CRIMES AGAINST PERSONS,CRIMES AGAINST PERSONS, Chapter OneChapter One--

    DESTRUCTION OF LIFE, Section TwoDESTRUCTION OF LIFE, Section Two-- InfanticideInfanticideand abortion. Article 255and abortion. Article 255--259259

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    Why is abortion wrong?Why is abortion wrong?

    Because abortion kills babies and hurts womenBecause abortion kills babies and hurts womenPostPost--abortion syndrome= postabortion syndrome= post--traumatic stress disorder:traumatic stress disorder:guiltguilt---->major depression, anger, nightmares,>major depression, anger, nightmares,hallucinationshallucinations

    Why is there guilt? Because a life was killed.Why is there guilt? Because a life was killed.

    Why dont we feel guilt when we have a mole, aWhy dont we feel guilt when we have a mole, agallbladder or an appendix removed? Because they aregallbladder or an appendix removed? Because they arepart of our bodies. But a baby is a different life from ours.part of our bodies. But a baby is a different life from ours.

    Chemical and surgical abortion cause manyChemical and surgical abortion cause manycomplications in women: uterine perforation, lifecomplications in women: uterine perforation, life--threatening bleeding, infertility, septicemia or lifethreatening bleeding, infertility, septicemia or life--threatening infection of the bloodthreatening infection of the bloodThere is no such thing as a safe abortion becauseThere is no such thing as a safe abortion becauseabortion is 100% fatal to babies.abortion is 100% fatal to babies.

    Abortion tears apart bodies of children!Abortion tears apart bodies of children!

    Abortion is never an act of compassion.Abortion is never an act of compassion.

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    Abortion promises power Abortion promises power

    brings powerlessness.brings powerlessness.Abortion promises freedom Abortion promises freedom

    brings lifelong bondage.brings lifelong bondage.

    Abortion promises a better role for women bringsAbortion promises a better role for women brings

    destruction.destruction.Abortion promises to save relationships destroysAbortion promises to save relationships destroysthem instead.them instead.

    Abortion promises "reproductive health" bringsAbortion promises "reproductive health" bringsinfertility and death.infertility and death.

    From a speech by Dr. Janice CrouseFrom a speech by Dr. Janice Crouse

    At the January Life Breakfast, Jan.22, 2008At the January Life Breakfast, Jan.22, 2008

    Illinois, USAIllinois, USA

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    How do we uphold the sanctity ofHow do we uphold the sanctity of

    life?life?

    As human beings created by GodAs human beings created by God

    We must oppose abortion, because weWe must oppose abortion, because we

    are all former fetuses.are all former fetuses.

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    How do we uphold the sanctity ofHow do we uphold the sanctity of

    life?life?

    As Christians who love and follow ChristAs Christians who love and follow Christ

    PRAYPRAY

    for women and their babiesfor women and their babies

    abortion will stopabortion will stop

    that God would expose those who commit the crimethat God would expose those who commit the crime

    of abortionof abortion

    Speak up for the defenseless (Proverbs 31:8)Speak up for the defenseless (Proverbs 31:8)

    Rescue the dying who are being dragged to theirRescue the dying who are being dragged to their

    deaths (Proverbs 24:11)deaths (Proverbs 24:11)

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    How do we uphold the sanctity ofHow do we uphold the sanctity of

    life?life?As health professionalsAs health professionals

    We must not view pregnancy as a disease orWe must not view pregnancy as a disease orepidemic.epidemic.

    We must always consider the fetus as a patient.We must always consider the fetus as a patient.

    We must never consider abortion as a part ofWe must never consider abortion as a part ofhealth care. Abortion takes away a human lifehealth care. Abortion takes away a human lifeand therefore can never be an act of caring. Itand therefore can never be an act of caring. Itmust not be part of health care.must not be part of health care.

    We must never recommend the use ofWe must never recommend the use ofabortifacient drugs (drugs that cause abortion).abortifacient drugs (drugs that cause abortion).

    We must never recommend an abortion.We must never recommend an abortion.

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    How do we uphold the sanctity ofHow do we uphold the sanctity of

    life?life?As a Filipino:As a Filipino:

    Actively support proActively support pro--life lawslife laws

    Speak up against abortion in our countrySpeak up against abortion in our country

    Actively resist the legalization of abortion or theActively resist the legalization of abortion or the

    decriminalization of abortiondecriminalization of abortionActively resist charter change that will seek to strike outActively resist charter change that will seek to strike outprotection of the unborn from conceptionprotection of the unborn from conception

    Actively resist the use of abortifacient or abortionActively resist the use of abortifacient or abortion--causing methods of artificial contraceptioncausing methods of artificial contraception

    Consider our large population a blessingConsider our large population a blessingPrevent the development of collective blindness of ourPrevent the development of collective blindness of oursociety to the humanity of the unborn and to the evil ofsociety to the humanity of the unborn and to the evil ofabortion .This blindness is pervasive in most Westernabortion .This blindness is pervasive in most Westernsocieties.societies.

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    How do we uphold the sanctity ofHow do we uphold the sanctity of

    life?life?

    As a young personAs a young person

    Teach your generation about the sanctityTeach your generation about the sanctity

    of human lifeof human life

    Rescue the unborn generationRescue the unborn generation

    Teach the next generation about theTeach the next generation about the

    sanctity of human lifesanctity of human life

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    ConclusionsConclusions

    We say no to the RH bill! But not because we are antiWe say no to the RH bill! But not because we are anti--health or antihealth or anti--women. We want women and children towomen. We want women and children tobe healthy, but not through the RH bill with all itsbe healthy, but not through the RH bill with all itsoppressive and immoral provisions.oppressive and immoral provisions.

    We reject the RH bill because we believe life begins atWe reject the RH bill because we believe life begins atconception. The RH bill will promote and upholdconception. The RH bill will promote and upholdabortifacient contraceptives, contraceptives that are alsoabortifacient contraceptives, contraceptives that are alsoharmful to women.harmful to women.

    We reject the RH bill because of its utter disregard forWe reject the RH bill because of its utter disregard for

    the life of the aborted baby through the oftthe life of the aborted baby through the oft--repeatedrepeatedphrase management of postphrase management of post--abortion complications.abortion complications.

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    Conclusions:Conclusions:

    We uphold the sanctity of life,We uphold the sanctity of life,

    Because we fear God.Because we fear God.

    Because we are made in Gods image.Because we are made in Gods image.Because we love our country.Because we love our country.

    Because we love women and children.Because we love women and children.

    Because we value health of the born andBecause we value health of the born andthe unborn.the unborn.

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