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A28    SCIENCE
              Thursday 12 OcTOber 2017


















            Women’s health docs say Trump ignores birth control science



            By    RICARDO     ALONSO-                                                              government policy.           explained  Lawrence,  the
            ZALDIVAR                                                                               Here’s  a  look  at  examples  ob-gyn.  “If  you  don’t  ovu-
             Associated Press                                                                      from the Trump birth control  late, there is no egg to get
            WASHINGTON  (AP)  —  The                                                               rules  that  are  raising  ques-  fertilized.  It’s  not  blocking
            Trump administration’s new                                                             tions:                       implantation.”
            birth  control  rule  is  raising                                                      THE MORNING-AFTER PILL       EFFECTIVENESS  OF  BIRTH
            questions  among  some                                                                 Emergency  contraception  CONTROL
            women’s  health  experts,                                                              is  birth  control  for  use  af-  The  Trump  administration
            who say it overlooks known                                                             ter  unprotected  sex,  often  takes issue with the science
            benefits  of  contraception                                                            called  the  “morning-after  behind the Obama-era de-
            while selectively citing data                                                          pill.” Referring to the morn-  cision  to  require  most  em-
            that raise doubts about ef-                                                            ing-after pill as well as intra-  ployers to cover birth con-
            fectiveness and safety.                                                                uterine devices or IUDs, the  trol as preventive care.
            “This rule is listing things that                                                      regulations  state  that  the  It suggests that some stud-
            are  not  scientifically  vali-                                                        Food and Drug Administra-    ies the Obama administra-
            dated, and in some cases                                                               tion  “includes  in  the  cat-  tion relied on did not show
            things that are wrong, to try                                                          egory  of  ‘contraceptives’  a  direct  cause-and-effect
            to  justify  a  decision  that  is    In this Aug. 26, 2016, file photo, a one-month dosage of   certain  drugs  and  devices  link  between  increased
            not  in  the  best  interests  of   hormonal  birth  control  pills  is  displayed  in  Sacramento,   that may not only prevent  birth control use and a de-
            women  and  society,”  said   Calif. The Trump administration’s new birth control rule is   conception   (fertilization),  cline  in  unintended  preg-
            Dr.  Hal  Lawrence,  CEO  of   raising questions among some doctors and researchers.   but  also  may  prevent  im-  nancy.
            the  American  Congress  of                                          Associated Press  plantation of an embryo.”    But  Adam  Sonfield  of  the
            Obstetricians  and  Gyne-    teaching,  they  also  dive   of  women’s  health  policy  Because  of  that,  “many  Guttmacher  Institute  said
            cologists,  which  represents  into medical research and   at  the  nonpartisan  Kaiser  persons and organizations”  solid research does in fact
            women’s health specialists.  scholarly  studies  on  birth   Family  Foundation.  “You  believe  emergency  con-    exist. His organization’s work
            Two  recently  issued  rules  control. It’s on the science   can  make  an  argument  traception  methods  cause  on  reproductive  health  is
            — one addressing religious  that the Trump administra-    that  you  don’t  agree  be-  “early  abortion,”  the  regu-  cited  by  opposing  sides  in
            objections  and  the  other,  tion  is  being  challenged.   cause  of  your  religious  or  lations add.           the political debate.
            moral  objections  —  allow  Doctors  and  researchers    moral  objections,  but  that  But  Princeton  researcher  George  Washington  Uni-
            more employers to opt out  say  the  administration  ig-  is a different discussion.”  James  Trussell  said  that  versity  public  health  pro-
            of  covering  birth  control  nored  studies  that  didn’t   In a statement, Health and  while studies years ago sug-  fessor  Susan  Wood,  a  for-
            as  a  free  preventive  ben-  support its conclusions and   Human  Services  Depart-  gested  the  morning-after  mer  women’s  health  chief
            efit  for  women  under  the  stretched others.           ment spokeswoman Caitlin  pill  might  affect  the  lining  for  the  FDA,  said  there’s
            Obama  health  care  law.  “The  interpretation  is  very   Oakley  responded  to  crit-  of  a  woman’s  uterus  and  very  clear  clinical  data
            Although  the  regulations  selective in terms of the sci-  ics,  saying:  “The  rules  are  interfere  with  the  implan-  that  contraception  pre-
            ultimately concern matters  ence  that  they  use,”  said   focused  on  guarantee-    tation  of  a  fertilized  egg,  vents pregnancy. Why else
            of conscience and religious  Alina  Salganicoff,  director   ing  religious  freedom  and  more  recent  studies  have  would  the  FDA  approve
                                                                      conscience protections for  not found such an effect.     birth control pills?
                                                                      those Americans who have  “The preponderance of the  THE SEXUAL REVOLUTION
                                                                      a  religious  or  moral  objec-  evidence,  and  certainly  The  Trump  administration’s
                                                                      tion  to  providing  certain  the most recent evidence,  rule suggests there may be
                                                                      services based on their sin-  is that there is no post-fertil-  a link between birth control
                                                                      cerely held beliefs.”        ization effect,” said Trussell.  and promiscuity.
                                                                      The administration also says  That’s  not  reflected  in  the  It cites a study finding that
                                                                      some parts of the rules are  administration’s rule.       between  1960  and  1990,
              Tour to the Red Light       Lipstixaruba@outlook.com    meant to illustrate the sorts  “The  actual  medical  evi-  “as  contraceptive  use  in-
              District with a Private                                 of  concerns  that  religious  dence is that it blocks ovu-  creased, teen sexual activ-
              Guide & a FREE bottle      (297) 630-5329               objectors  may  have,  and  lation,”  or  the  release  of  ity outside of marriage like-
              of wine...
                                                                      don’t  necessarily  reflect  an  egg  from  the  ovaries,  wise increased.”q
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