Noted ob-gyne says contraceptives not abortifacients
Updated May 26, 2009 12:00 AM
Philstar.com
MANILA, Philippines – A leading Filipino obstetrician and gynecologist has stressed in an interview that contraceptives, in particular
oral contraceptive pills, are not abortifacients because their action is to prevent ovulation and consequently conception, thus no abortion occurs.
Citing the debate over pending legislation that aims for greater availability and access to reproductive health (RH) education and services in the country, Dr. Santiago del Rosario, a former president of the Philippine Medical Association (PMA) and the Philippine Obstetrical and Gynecological Society (POGS), says
assertions that contraceptives are abortifacients amount to disinformation, and data used to support such claims are speculative at best and contrary to scientific evidence.
“If taken as prescribed, contraceptive pills prevent ovulation or the production of an egg, so that there is nothing for sperm cells to fertilize, hence there is no pregnancy and there will be no abortion,” he explains. “If you analyze the reproductive chain, there is nothing to abort. Before prescribing contraceptive pills, the doctor makes sure that the patient is not pregnant, using reliable diagnostic procedures. There is no pregnancy, much less abortion. If the pills are taken as prescribed during the first five days of menstruation, the possibility of accidental ovulation (not pregnancy) is very small, and this is addressed by advising the patient to add seven days more of abstinence, or to use another contraceptive method during those seven days.”
He adds, “When a particular hormone pill in use is too weak for an individual patient, there is bleeding, signaling that escape ovulation may become a risk in a few days. The patient is advised to abstain or use a second contraceptive method to avoid only even the risk of escape ovulation, and not pregnancy.”
According to the highly respected ob-gyne,
the term “contraceptive” is actually a misnomer, since contraceptive pills actually prevent ovulation, not conception. “It would be more accurate to call them anti-ovulation pills or anti-ovulants rather than contraceptives,” Dr. Del Rosario points out.
“Those who oppose the reproductive health legislation have often repeated that contraceptive or hormonal pills are abortifacients. This is not correct. It spreads wrong information about contraceptive pills by calling them abortifacients. This disinformation can confuse and mislead lay people.”
Dr. Del Rosario is currently the chair of the PMA Commission on Ethics and Medical Practice. He represents the PMA and the POGS in legislative proceedings on health concerns. Both the PMA and the POGS support the passage of the RH legislation.
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