Arrival of RU486 in Australia a great leap forward for women

The Therapeutic Goods Administration (TGA) has registered RU486 (mifepristone linepharma) and GyMiso®(misoprostol) for wider use in Australia following an application for registration of the medicines by Marie Stopes International Australia. The registration has been a long time coming and this is a…

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The extension of women’s medical options for abortion is really important so this is a great step forward. Malloreigh/Flickr

The Therapeutic Goods Administration (TGA) has registered RU486 (mifepristone linepharma) and GyMiso®(misoprostol) for wider use in Australia following an application for registration of the medicines by Marie Stopes International Australia. The registration has been a long time coming and this is a great step forward for women’s reproductive rights in Australia.

The drugs facilitate a medical termination of pregnancy and there’s always been a desire to bring them to Australia. There have been studies in other countries demonstrating that it was safe to do so, but its introduction has been delayed here because of a deal struck between the Howard government and former senator Brian Harradine.

The deal he struck with the Howard government was to support government legislation with the proviso that the introduction of RU486 would be blocked. The idea was that it would have to go through both houses of parliament for approval, which in effect blocked its importation into this country.

We haven’t needed this kind of permission in recent years since government has changed. And there have been long-standing efforts by many reproductive rights organisations and family planning organisations to try to facilitate RU486 being brought into the country. What was needed was an industry partner to actually produce it and that’s taken some time.

The problem has been the fact that we’re a small country and a manufacturer is difficult to find. The same situation happened in New Zealand, where some doctors actually had to get together to have a collaboration with a French manufacturer to produce for their very small market. Australia has had a similar problem, it’s a small country and a small market and the drugs will be made available through MS Health, the not-for-profit pharmaceutical arm of Marie Stopes International Australia.

GPs who wish to prescribe the drugs can undergo online training and offer it as an option for women seeking termination. This will be particularly important in areas where there’s restricted access to surgical abortion or no abortion facilities. They would have back-up through Marie Stopes International should there be any need for it, that is support from after-hours Marie Stopes providers.

I should say that this is what I understand and hope at this stage – the announcement has only just been made and the devil is in the detail. It’s a very good step but everything depends on the organisation and the implementation. For example, GPs need good training, not just product training, but also noting time restrictions for women to have terminations set to a 49-day time limit, rather than the usual nine weeks and rural emergency hospital service training among other things. And it’s not on the PBS.

We should note that RU486 has been available in Australia since 2006 through the TGA Authorised Prescriber Scheme. But today’s announcement is potentially a great expansion of its use although a lot needs to be sorted out in terms of implementation. To use the example of abortion in Victoria: we’ve got legislation that says it’s decriminalised but if you don’t have the workforce and you don’t have implementation funds, the situation will be just as limited as it was prior to the legislative change.

Those of us interested in seeing this very important step being taken have known that it’s been coming for some time. But there are still members of parliament with very strong objections and I’m sure they’ve been watching the TGA very carefully and checking they dot every i, cross every t and jump every hurdle. But I’m not a member of the TGA or privy to their processes so I’m not sure really what the obstacles have been. I’m just delighted we’ve got here.

The general response will be what you always get to this issue. Abortion is highly emotive, there will be those who welcome it as an appropriate extension to women’s reproductive rights in Australia and there will be those who oppose it as facilitating the murder of babies.

From my point of view, one of the problematic things in Australia has been the contracting out of public hospital services to religious organisations. In Victoria, for example, religious organisations run hospitals without any associated requirements to provide a full range of reproductive services.

So there are hospitals here run by religious organisations that refuse to do sterilisations, vasectomies and abortions. This has meant that our access in public hospitals to abortion beds has really dropped. Other community-based organisations being able to offer the option of medical termination is extending women’s access, hopefully, to abortion in Australia should they need it.

This is potentially a great step forward should effective implementation follow. Public health, family planning and reproductive organisations will still always want to prevent abortion. But we know things go wrong. They just do. People have unprotected sex and they fall pregnant when they don’t want to. And we know that reducing unwanted pregnancies is going benefit women, their children, their families and communities.

The challenge in Australia is to extend sex education, make sure women know about and use emergency contraception, and in the end to make good quality abortion accessible. That’s why the extension of women’s medical options for abortion is really, really important.

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191 Comments sorted by

Comments on this article are now closed.

  1. John Coochey

    Mr

    Just out of interest what would be your position if a man who signed up for sex but found he was facing twenty three years of child support gave this to his partner and she aborted?

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    1. John Coochey

      Mr

      In reply to Rachael Dunlop

      Thanks for the tip I will bear that in mind but that was not actually my question.

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    2. Tim Scanlon

      Debunker

      In reply to John Coochey

      He had the choice to use a condom. He had the choice to get a vasectomy. He had the choice to have a trust-worthy partner.

      Women have to live with the consequences regardless. Often they don't have choices and often those choices aren't 100% effective. Give them the option.

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    3. Luke Weston

      Physicist / electronic engineer

      In reply to Tim Scanlon

      He didn't have a choice to get a vasectomy if the only surgeons or hospitals in the local community refused to perform a vasectomy on religious grounds.

      Reproductive rights, access to birth control, in the face of political or religious opposition, actually does effect men too.

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    4. Craig Minns

      Self-employed

      In reply to John Coochey

      You've struck an important point. at present all the focus is on female "reproductive rights", while men are seen to have no such rights, other than the right to have a vasectomy or use a condom. If a woman conceives, whether the man wants the child or not, every decision from that point on is out of his hands, including the big one: support.

      What's needed desperately is a reliable male oral or long-lasting injectable contraceptive so that young men are not financially tied to women for years…

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    5. John Coochey

      Mr

      In reply to Tim Scanlon

      Let us follow through on this. In the US it has been suggested that a man who is party to an unwanted pregnancy can tell the woman that she can have an abortion or continue with the pregnancy but if she does so she is on her own. She does not have to continue with the pregnancy, abortions are readily available so it becomes her responsibility. Your views?

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    6. emily vicendese

      undergrad

      In reply to Craig Minns

      Young men aren't "financially tied to women." They're financially tied to their children. Who do you think SHOULD support children, if not their own parents?

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    7. Stephen Prowse

      CEO at Wound CRC

      In reply to Luke Weston

      What a strange conversation, both men and women have reproductive rights and responsibilities which unfortunately are not always taken seriously. RU486 ads another element which is to be applauded.

      This should have happened years ago and if I recall correctly, was blocked at the time the current leader of the opposition was health minister and it was not clear if his religious beliefs played a part in that decision along with Senator Harradine. This should never have been a decision for male, Christian, conservative politicians but made on evidence.

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    8. Craig Minns

      Self-employed

      In reply to emily vicendese

      Actually, your comment shows some naivety. The man makes payments in the name of the mother, the CSA pursues him in the name of the mother, he has no way of knowing whether money he pays is spent on the child or not. The nominal beneficiary is the chld, but the actual beneficiary is the mother. It's akin to the "dowager empress" role: the child-monarch is nominally in charge, but the dowager makes the decisions and enjoys the perks.

      However, that wasn't the point of my comment. My point is that…

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    9. Craig Minns

      Self-employed

      In reply to John Coochey

      Sounds a lot like the sort of thing i've been advocating for some time. Why should a man have to endure a painful and intrusive surgical procedure simply so that he is at no risk of being taken advantage of by bedpartners? Why is it deemed reasonable for a woman to have the right to determine what happens to er body, but the man has no right to determine whether he participates in her decision?

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    10. Craig Minns

      Self-employed

      In reply to Craig Minns

      I see the nodding donkeys behind the scenes are busily clicking the red and blue buttons. Why bother folks? Why don't we take it as read that anything that talks about men in a positive light will receive lots of red marks and polemics about the perceived victimisation of women will receive lots of blue marks and you can save the trouble?

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    11. Sue Ieraci

      Public hospital clinician

      In reply to Craig Minns

      Craig Minns - unless the man is forcibly raped by a woman and forced to ejaculate inside her vagina, how do you figure that the man has "no right to determine whether he participates in her decision"?

      I am fascinated by John Coochey's concept above of "a man who signed up for sex". If each man did "sign up" before each sexual encounter that was capable of leading to conception, perhaps the form they signed could explicity warn about the consequences of unprotected sex. Better still, both (or all) individuals sign that they understand and accept the consequences. Sort of a pre-coital agreement...

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    12. Sue Ieraci

      Public hospital clinician

      In reply to Craig Minns

      Craig - why imagine that your down-raters must be mindless donkeys? Perhaps they genuinely and thoughtfully consider your posts to be "unconstructive" and not "insightful".

      You seem to be free to post and express yourself. Others are free to react and respond. Great, isn't it?

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    13. Craig Minns

      Self-employed

      In reply to Sue Ieraci

      "unless the man is forcibly raped by a woman and forced to ejaculate inside her vagina, how do you figure that the man has "no right to determine whether he participates in her decision"?"

      I've already explained that Sue, do you normally have this much trouble understanding simple English?

      Howevr, just for you, here it is again in simple language:

      1They decide to have sex (you'll note they BOTH decide)
      2 Neither of them explicitly want children as a result of their encounter
      3 She conceives…

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    14. John Coochey

      Mr

      In reply to Craig Minns

      I have a friend who "fathered" three kids after he had a vasectomy. No the operation did not fail but he had assets and a good income. I believe that when he told his sexual encounters this two terminated the pregnancy. There is the old definition of a "Cad" is someone who does not tell his wife he has had a vasectomy until after she tells him she is pregnant. And of course some UK studies show false paternity rates of twenty per cent with up to forty in working class communities and that was based only on blood types.

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    15. Craig Minns

      Self-employed

      In reply to Craig Minns

      Screwed up a cut and paste.
      That should have read

      "Even if he explicitly told her that he doesn't want kids before they had sex, after they had sex and as soon as she tells him she is pregnant, she can decide to continue the pregnancy and he is bound by that decision. "

      The other version doesn't make sense, sorry.

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    16. Craig Minns

      Self-employed

      In reply to Sue Ieraci

      "Perhaps they genuinely and thoughtfully consider your posts to be "unconstructive" and not "insightful"."

      If so, they're free to comment, as you point out. Instead, they sit in the shadows, nodding and clicking, but without sufficient courage of their convictions to express their reasons.

      Pathetically weak, in my view: not even heckling, just cat-calls.

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    17. Dale Bloom

      Laboratory Analyst

      In reply to Craig Minns

      Well perhaps men should help support their progeny... a fairer model of financial distribution would be helpful, but how many women squander child support, I wonder?

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    18. Dale Bloom

      Laboratory Analyst

      In reply to John Coochey

      I think that research has been shown to be false, John. I can't recall where i saw it now but the figure was far less than 20% and it was a study in one hosppital anyway. It's probably far less a figure than the infddelity of men i'm guessing anyway. Not that women are angels...

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    19. Peter de Lissa

      logged in via Twitter

      In reply to Craig Minns

      Well the readers of this page are given the option of providing support for your comments or not. Seems like you've been hoist by your own petard.

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    20. Craig Minns

      Self-employed

      In reply to Peter de Lissa

      Sorry, I don't see your point. I don't have any problem with their choice to support my view or otherwise, I'd simply like them to add to the conversation by expressing their reasons.

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    21. Tim Scanlon

      Debunker

      In reply to Luke Weston

      Good point Luke, one I hadn't considered. I feel like singing the Monty Python song Every Sperm is Sacred.

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    22. Tim Scanlon

      Debunker

      In reply to John Coochey

      It takes two to tango. Responsibilities and consequences should be discussed like adults. My views on another individual's circumstances is hardly relevant.

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    23. John Coochey

      Mr

      In reply to Dale Bloom

      My recollection is that it was asserted to be false in a newspaper article there were at least three separate studies. What would be your view about compulsory DNA tests at birth?

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    24. Dale Bloom

      Laboratory Analyst

      In reply to John Coochey

      I think that might be a subject of a court order in a paternity suit, don't see any reason for I to be compulsory.

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    25. John Coochey

      Mr

      In reply to Craig Minns

      One issue I think related is that until recently sperm donas were anonymous to allay fears about paternity suits (as has happened in the US) but casual sex with a woman who claims she is using contraception and refuses to have an abortion can lead to 23 years of child support. This may explain why sperm donas dropped to almost zero when changes were made in Victorian law to allow children to track down their biological parents.

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    26. Craig Minns

      Self-employed

      In reply to Dianna Arthur

      "Imagine chewing gum and walking - well everyone - even you, can click on the -ve and +ve flags AND write a comment as well. "

      However, the net number of ticks often vastly exceeds the total number of commenters.

      Maths is grand 'n' all...

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    27. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Craig Minns

      Indeed math is grand, as is evidence. A quick scan of these pages indicates at least 15-20 commentators. At this point in time only two comments exceed more than that number of net ratings, -25 and -30. Most are single digit. So your definition of "often" and "vastly" are misaligned with the commonly held interpretations of those words. And in any case, a poster:lurker ratio of even 1:2 is exceptionally good for a web forum.

      But all that aside, what's your point? There's nothing wrong with people having an opinion without needing to climb on the soapbox. We all vote but we don't all run for office.

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    28. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Paul Savage

      Oops, miscounted - there are three over 20. The point remains the same.

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    29. Craig Minns

      Self-employed

      In reply to Paul Savage

      "what's your point?"

      I've already made that quite clear, I think.

      "There's nothing wrong with people having an opinion without needing to climb on the soapbox."

      No, there isn't, but if people don't express the reason for their marking red or blue, there is no possibility of the view or behaviour that might offend being changed. nor is there any chance of an exchange of views, which is the whole purpose of this site. I think it's a sadly limited mode of interaction.

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    30. Craig Minns

      Self-employed

      In reply to Craig Minns

      Too funny, some nodding donkey disapproves of the correction above.

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    31. Craig Minns

      Self-employed

      In reply to Dale Bloom

      I can't see why it shouldn't be compulsory. It's not expensive or intrusive and could be easily accomplished with existing sampling protocols for the child and mother, although the father would have to cooperate in providing a sample. Perhaps it should be "opt-out" at the discretion of the putative father? I could see a person in a long-term, happy relationship deciding it is unnecessary. I probably wouldn't have bothered in any of my wife's pregnancies, but I reckon I'd be fool not to if it was a short-term or fairly new relationship or one that was already troubled.

      If the determination is made early enough, there is no impact on the child's well-being and the proper father can have the opportunity to have a role in the child's life, if that's what is wanted. Leaving it until the child is more grown and has established a relationship with the faux-father is unnecessarily disruptive, I think.

      I can't see a downside, but I'm sure somebody will disabuse me.

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    32. Sue Ieraci

      Public hospital clinician

      In reply to Dianna Arthur

      And another possibility....

      There is red, and there is blue. It's quite possible that the views of those who rubricate are represented in the posts they mark as insightful, but they choose not to chime in with "yep, I think that too".

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    33. Dale Bloom

      Laboratory Analyst

      In reply to Craig Minns

      Something to do with consent you need a court order to enforce testing.

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    34. Dale Bloom

      Laboratory Analyst

      In reply to Dianna Arthur

      Perhaps the red voters are communists.

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  2. Lynne Newington

    Lynne Newington is a Friend of The Conversation.

    Researcher

    How often would it have to be taken? Everytime intercourse takes place? If already taking contraceptives .......
    if not taking contraceptives...
    I would hate to think of the toll to productivity system and it would eventually.
    Our poor young women of today.

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    1. Sue Ieraci

      Public hospital clinician

      In reply to Lynne Newington

      Lynne - you may be confusing "morning after pill" (a type of retro-contraception) with "medical termination" (to terminate an established pregnancy).

      Morning-after contraception is hormonoal suppression of ovulation.

      RU486 suppresses endogenous progesterone secretion, which stops an embryo from developing.

      Essentially, the effect of RU486 is like having a spontaneous miscarriage.

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    2. Lynne Newington

      Lynne Newington is a Friend of The Conversation.

      Researcher

      In reply to Sue Ieraci

      Your right Sue I am, the spontaneous miscarriage is the operative word, but that being said, one wouldn't be sure they had conceived in the first place taking it for no benefit, plus the possibility of having side affects after long use.
      Questionable for just chance encounters surely.
      It doesn't matter, my comment wasn't in the right vein, thanks for enlightening me.
      I don't know why men can't have some responsability in the scheme of things anyway.
      If a woman does she's to blame, if she doesn't she's to blame what the hell.
      I wonder what Mary of Magdala would choose to do, but then she must have taken something herself, or maybe the high priests who condemned her were all clued up.

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    3. Sue Ieraci

      Public hospital clinician

      In reply to Lynne Newington

      Lynne - again - morning-after pill is for "chance encounter" - RU486 would only be prescribed once conception had been confirmed - by pregnancy test. I can't imagine any "long use".

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  3. Joel Mayes

    Bicycle Mechanic

    Great news. A safe and effective measure of emergency contraception can only be a good thing.

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    1. Alexandra Kent

      Doctor

      In reply to Joel Mayes

      Joel, whilst I agree 100% with your sentiment it is worth clarifying that RU486 is a medical method of terminating a confirmed pregnancy rather than a method of emergency contraception. It is an alternative to a surgical termination. As Sue Ieraci has previously explained, both methods carry some risks, as do all medical procedures.

      Safe and effective emergency contraception in the form of the “morning after pill” (essentially a larger dose of standard oral contraceptives) is already available and has been for a very long time. Where possible, it is surely preferable to avert an unwanted pregnancy before it occurs, rather than have to consider a termination by whatever method at a later stage - a decision which I believe no woman or her partner takes lightly and which carries a not insignificant risk.

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  4. Luke Weston

    Physicist / electronic engineer

    As far as I'm aware (correct me if I'm wrong, I'm not a gynaecologist), it's cheaper, safer, less invasive, requires less people with specialist medical expertise, and less access to medical resources, eg. medical equipment, anaesthetics and other drugs, resources for sterilisation and aseptic preparation of surgical equipment/materials, etc. compared to conventional abortion. Obviously the benefits are great.

    It should be available universally, particularly in less developed less affluent parts of the world too.

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    1. evan mcdonald

      contractor

      In reply to Luke Weston

      Has anyone else realised that with the addition of just two letters - G & R, this drugs name is cyber shorthand - R U 4 GR8 6. Serendipitous or evidence of an immoral conspiracy?? .......( yes, I'm laughing )

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    2. Debbie Garratt

      Executive Director

      In reply to Luke Weston

      Luke, the incidence of adverse events from the use of RU486 is substantially higher, with recent Australian research showing that 1 in 18 women require hospitalisation following its use, compared to 1 in 250 women requiring hospitalisation following surgical abortion. Hardly safer.

      The other issue is that this regimen of drugs is marketed as being a useful solution for rural and regional women, yet these are the same groups of women less likely to have access to emergency medical and surgical…

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    3. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie Garratt - how does the hospitalisation rate compare with that for spontaneous abortion?

      "Surgical" abortions are carried out using either suction or D&C (dilatation and curettage) of the uterine contents. These may not be done in "hospitals" but they are done in procedural facilities.

      If only 1 in 18 women using RU486 have to go to hospital, that is far less than the 100% of surgical abortion recipients who have to do to some procedural facility.

      RU486 (mithepristone, a steroid that…

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    4. Debbie Garratt

      Executive Director

      In reply to Sue Ieraci

      Sue, the 1 in 18 refers to hospitalisations following complications from RU486, most often haemorrhage. This would then often require a D&C. The issue is that this is in addition to the medical abortion which many women have described as both more painful, and more traumatic than they had anticipated.

      This figure represents adverse events, not initial visits such as you infer from your example of 100% of women attending a facility for a surgical abortion.

      RU486 is not a single drug…

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    5. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie - I understand that many women receive a combination of mifepristone and misoprostol - this is to increase the chance that the miscarriage is expelled from the uterus. Indeed, some women are given RU486 to manage incomplete passage of uterine tissue following either spontaneous miscarriage or surgical abortion.

      Did you know that about 10% of all pregnancies around the world end in miscarriage, and that 100% of all miscarriages involve pain and bleeding (to varying extents)?

      Bleeding…

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    6. Grendelus Malleolus

      Senior Nerd

      In reply to Debbie Garratt

      "current research suggests up to 30% of women suffer serious and prolonged mental health problems following surgical abortion"

      Debbie do you have a reference for that?

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    7. Debbie Garratt

      Executive Director

      In reply to Sue Ieraci

      Sue, there is a difference between 'normal' bleeding and haemorrhage requiring intervention as I am sure you know. 1 woman in every 18 women who had a medical abortion in order to avoid a surgical procedure was hospitalized for a surgical procedure as a result of excessive bleeding.

      The fact is that miscarriage and abortion are both different in intent and in the psychological outcomes for women so I am not sure it is helpful to confuse the two.

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    8. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie - I have cared for many many women having miscarriages. There is no such thing as "normal" bleeding.

      Women having spontaneous miscarriage can have cramps and tolerable blood loss (these may not need medical care), they can have severe pain and heavy bleeding with clots, and they can have so-called "cervical shock" with severe pain and haemorrhage due to tissue being stuck in the cervical opening, preventing the uterus from clamping down.

      Nor is spontaneous miscarriage a single entity - some women are devastated by the loss of a pregnancy, others are relieved. I expect the same sort of range occurs with induced abortion.

      1 in 18 women needing D&C after a medical miscarriage would be no big thing - it means that 17 out of 18 needed nothing further. Do you know the rate of D&C following spontaneous abortion?

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    9. Sue Ieraci

      Public hospital clinician

      In reply to Grendelus Malleolus

      It is interesting to know that a high rate of women have serious mental health issues following spontaneous miscarriage.

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  5. Luke Weston

    Physicist / electronic engineer

    It didn't take long for these clowns to pipe up.

    http://www.acl.org.au/2012/08/mr-adverse-effects-to-women-of-ru-486-down-played-as-abortion-provider-granted-import-license/

    "Women facing un-supported pregnancy should be offered real choices by our society, not a dangerous chemical to poison their un-born child."

    Sounds like the same stupid, vapid rhetoric we might expect to hear from crazed anti-pharma conspiracy theorists and anti-vaccination activists.

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  6. Mark Amey

    logged in via Facebook

    Another important use of this drug, which is often not discussed, is the termination of a pregnancy where the foetus has already died. These pregnancies often spontaneously abort, but, where this doesn't occur, the poor woman faces induction of labour, and/or uterotomy, in a later pregnancy, with all of the risks of anaesthetic and so on.

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  7. Brendon Dunn

    Preacher

    Roughly half of the babies who will be killed by this drug are girls.
    A drug specifically designed to end the life of these young women is hardly a "great leap forward for women".

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    1. evan mcdonald

      contractor

      In reply to Brendon Dunn

      All of the people that take this drug will BE WOMEN! Now what does that do for your half baked statistical UNreason?

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    2. Brendon Dunn

      Preacher

      In reply to evan mcdonald

      Let's see if I've understood you correctly.
      100% of the people who wilfully kill their own baby girls using RU486 "will BE WOMEN". Therefore, this is a "great leap forward for women".
      I see.

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  8. Dianna Arthur

    Dianna Arthur is a Friend of The Conversation.

    Environmentalist

    A big congratulations to the Marie Stopes International Australia for making this safer and more convenient form of contraception more widely available. This is of particular significance for women and their partners in rural areas where obtaining abortions is difficult do to lack of GP's.

    Of course better than taking a drug is for men to use condoms (and lube) which protect them and their partner from STD's as well as unwanted pregnancy. Thus sparing their partner from having to take a drug at all.

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    1. Craig Minns

      Self-employed

      In reply to Dianna Arthur

      Is it really better? Condoms significantly reduce the sensation available to the man, they have a high failure rate and they are highly dependent on being properly worn. One of the reasons they are not a panacaea is that men are reluctant to use them, because of that loss of sensitivity. Would you be as supportive of a female contraceptive that removed a significant part of the enjoyment of sex for women?

      I do agree that men are poorly served by the current solutions. The sooner a male chemical contraceptive can be developed the better. I expect that when it does eventuate there'll be a significant drop in birth rates, since at present the man has little say in whether a pregnancy occurs or proceeds if it does occur.

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    2. Craig Minns

      Self-employed

      In reply to Craig Minns

      What precisely did the button-clickers find so offensive about this comment?
      the only thing I can come up with is that some are quite concerned at the idea of men having the ability to decide whether they wish to participate in her pregnancy?

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    3. Peter de Lissa

      logged in via Twitter

      In reply to Craig Minns

      Perhaps they were annoyed when the commenter ignored that the point made about condoms related to protection against STD's.

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    4. Craig Minns

      Self-employed

      In reply to Peter de Lissa

      I don't think so. I made the point that they need to be properly worn and have a high failure rate.

      Any other ideas?

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    5. Dave Hawkes

      Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health

      In reply to Craig Minns

      Hi Craig,
      You appear to be very concerned about a man's right if a child is conceived. May I make a couple of suggestions;

      1. I assume you know where babies come from, because there is a 100% foolproof way of avoiding unwanted pregnancy - abstinance (and a few others which revolve around avoiding penile/vaginal sex)

      2. Every act we undertake has risk, driving a car, sexual intercourse with/without birth control, eating sushi etc, if you think the risk of a woman having a child is too big a risk to take then refer to point 1.

      Cheers

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    6. Craig Minns

      Self-employed

      In reply to Dave Hawkes

      I assume you know where babies come from, because there is a 100% foolproof way of avoiding unwanted pregnancy - abstinance (and a few others which revolve around avoiding penile/vaginal sex)"

      Yes, indeed so. However, given that I and presumably you are humans, we enjoy sex, so I don't think that's much of an option. Certainly none of the women I've been involved with would have stuck around for long if there wasn't any sex, I suspect.

      "Every act we undertake has risk, driving a car, sexual intercourse with/without birth control, eating sushi etc, if you think the risk of a woman having a child is too big a risk to take then refer to point 1."

      Alternatively, I could do as I have already done and express a hope for effective male chemical contraception.

      Are you sure you're a scientist, David? I've rarely met any whose imagination was quite so limited.

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    7. Craig Minns

      Self-employed

      In reply to Sue Ieraci

      Why didn't you just say you had nothing to say, Sue?

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    8. Dave Hawkes

      Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health

      In reply to Craig Minns

      As I said it is a matter of risk vs reward. As for a male contraceptive pill, I do hope one comes along but there are a lot of biological factors which make it much more difficult than a female pill. In addition, a male pill wouldn't stop HIV-1, Hep B, Hep C, and so on.

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    9. Peter de Lissa

      logged in via Twitter

      In reply to Craig Minns

      DA- "Of course better than taking a drug is for men to use condoms (and lube) which protect them and their partner from STD's as well as unwanted pregnancy"

      CM- "Is it really better?"

      Yes, a condom is really better at protecting against STD's than a contraceptive drug. How about this for an idea- your preceding comment need only have consisted of the first three words, rather than wasting more to reinforce an obvious point.

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    10. Craig Minns

      Self-employed

      In reply to Peter de Lissa

      "Yes, a condom is really better at protecting against STD's than a contraceptive drug"

      However, this conversation is about contraception, not prophylaxis.

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    11. Craig Minns

      Self-employed

      In reply to Dave Hawkes

      "As for a male contraceptive pill, I do hope one comes along but there are a lot of biological factors which make it much more difficult than a female pill"

      Diffilcult is not impossible. There may need to be a range of variants, just as for the female version. If it can be managed it will change gender politics significantly, I suspect.

      " In addition, a male pill wouldn't stop HIV-1, Hep B, Hep C, and so on. "

      Nor does the female version.

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    12. Craig Minns

      Self-employed

      In reply to Dianna Arthur

      "condoms do dull sensation for me as well"

      I've heard that before from women, hence the invention of the various textured types, which are thicker and hence reduce the man's sensation still more.

      "Did you ever consider that women have feelings? Down there? "

      Nah, never crossed me mind love. I just wish she'd shut up her yappin' while I do me business...

      What a fatuous question, Dianna.

      "you are all about you"

      I don't think I've actually mentioned myself in many of my posts, but…

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    13. Sue Ieraci

      Public hospital clinician

      In reply to Dianna Arthur

      Dianna - it's a "causal" fling that we are all concerned about - Freudian slip, perhaps...

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    14. Dale Bloom

      Laboratory Analyst

      In reply to Craig Minns

      Sue's right as per usual.

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    15. Dave Hawkes

      Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health

      In reply to Craig Minns

      Hi, You can't have it both ways. You want to share control over a pregnancy but don't want to abstain from sex, declaring that you want to wait for a male conraceptive pill. I suggested it could be a long wait and that it wouldn't stop STDs as you had earlier stated you didn't feel condoms were a favorable method of contraception. It comes down to if you want to have sex but don't want STDs or pregnancy then all solutions will be less than ideal for you.

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    16. Craig Minns

      Self-employed

      In reply to Dave Hawkes

      "You want to share control over a pregnancy but don't want to abstain from sex"

      Yes. If the pregnancy occurs in a situation in which there was a clear intent to avoid it then there has to be a question about what responsibility and what rights apply to the parties. At present, the male partner has lots of implied responsibilities but no right to say "I don't want to be a father". The woman has the right to choose not to be a mother, however, and her decision binds him.

      "It comes down to if…

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    17. Dale Bloom

      Laboratory Analyst

      In reply to Craig Minns

      if a woman gets pregnant and wants to keep it the man cannot have any right over the foetus. if he did it would be coercion or assault on the bearer of the foetus. That's the way it is. that's the lottery. damned if you do damned if you don't.
      the problem is that the product of this is a squalling red faced human being, then it's yours, my friend, for the next 18 years. or possibly longer if it likes you. at tleast you will have fulfilled your biological potential.

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    18. Jonathan Maddox

      Software Engineer

      In reply to Craig Minns

      I have an alternative theory. I find it mildly offensive that you should question whether a non-invasive contraception technique is better than a potent drug whose purpose is to cause haemorrage in the internal organs of the female partner. Others may find it offensive that you should question whether it's better to prevent sperm and egg meeting, than to cause the death of an embryo after conception.

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    19. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Jonathan Maddox

      Interesting perspective Jonathan, but do you not think that's a false dichotomy? The choice between contraception and abortion is never a real choice at any point in time. Obviously contraception is only a choice before pregnancy and abortion only after. I don't think any sane woman would consistently and consciously choose abortion as a kind of post facto contraception. That's not really practical and would be pretty uncomfortable and inconvenient.

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    20. Craig Minns

      Self-employed

      In reply to Jonathan Maddox

      " I find it mildly offensive that you should question whether a non-invasive contraception technique is better than a potent drug whose purpose is to cause haemorrage in the internal organs of the female partner."

      Actually, I haven't commented on RU486 at all. However, since you have raised it, I have to say that I reckon it's a Good Thing. You may not have noticed, but women tend to "haemorrhage" monthly. They have a special organ that is specifically designed to slough its endometrium in the absence of a blastocyst/embryo, or the presence of one improperly implanted.

      I don't accept that a blastocyst/embryo is "alive" to be killed, any more than a chicken's egg is a chicken. I eat both regularly, by the way and I can assure you there is a significant amount of "chickenness" missing from the egg.

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    21. Craig Minns

      Self-employed

      In reply to Craig Minns

      Sorry I should have said "specifically evolved", not "designed".

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    22. Craig Minns

      Self-employed

      In reply to Paul Savage

      This is precisely why I am so interested in the development of a simple, effective male contraceptive medication. Once conception occurs, the male can no longer influence the process other than through violence against the female, which has been the cause of deaths and serious injury to young women especially. it seems to me that giving him a reliable means of ensuring he reamins childless if he so wishes would be good for everyone. I'm not sure why the feminists are so exercised by the idea.

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    23. Craig Minns

      Self-employed

      In reply to Dianna Arthur

      Apparently I'm huge in the nodding-donkey world, where expression of one's views consists of silently nodding, bumping one's nose against one of a pair of buttons with each stroke. I'm sure it can't be good for the donkeys.

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    24. Craig Minns

      Self-employed

      In reply to Dianna Arthur

      "you wonder why you receive so many red flags."

      Not at all, I'm quite aware that some people prefer cat-calling to proper comment and that the sort of feminist women who gravitate to academic careers are high on the list. I've been observing the same thing on various forums for years.

      Personally, I reckon that's sad. You obviously think it's a good thing, because you think that the anonymous clickers "support" you.

      Where we differ is that I am interested in the ideas, you're interested in having a social experience. Ever thought about just going out and meeting people for that?

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  9. Greg Byrne

    logged in via Facebook

    If this pill did not kill a living human being it would be none of my business what anyone did with it. The fact is that the unborn child is a living human being and I think that we need to give some thought to the victims as well as to the wider society which is in danger of losing its commitment to human rights. At a time when material living standards are all important it's easy to forget the importance of maintaining high standards on human rights and a strong sense of right and wrong.

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    1. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Greg Byrne

      Greg, while I appreciate this is the usual anti-choice rhetoric, a zygote or an early embryo is no more a "living human being" than any other cell in the body. It is certainly a "potential" human being but not an actual one. For a really good essay on the philosophical, legal, social, and biological perspectives on whether an embryo or even a foetus is a human being see:

      http://mypage.direct.ca/w/writer/fetusperson.html

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    2. Debbie Garratt

      Executive Director

      In reply to Paul Savage

      Paul, every other cell in a woman's body contains her own DNA, the very thing that makes each of us unique. The zygote, embryo, fetus, baby.. contains its own DNA. These terms are developmental, not suggestive of lack of humanity. Whilst you might want to make an argument on whether or not the unborn are persons, your current statement is scientifically flawed.

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    3. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Debbie Garratt

      On the contrary, you are reiterating the very point I was trying to make. Every other functioning cell in the woman's body contains her DNA, is living, and is human. That does not make any of those cells "human beings". In the same way, the mere fact that a zygote is a living human cell containing DNA does not make it a human being.

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    4. Joshua Portelli

      I

      In reply to Paul Savage

      Paul, while I appreciate this is the usual pro-choice tactic (its amusing to read those who cry the mantra of choice, often utilise a false dilemma) to devalue the living organism within the womb through cherry-picking philosophical, legal, social, and biological interpretations, there is one simple question that no-one, with all of their philosophical, legal, social, and biological perspectives seem to be able to define or explain or have the courage to commit to: when does the living organism within…

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    5. Debbie Garratt

      Executive Director

      In reply to Paul Savage

      In that case Paul, how many 'cells' constitutes a human being? With almost every bodily organ in place and functioning within the time frame allowed for the use of the drug RU486, what is being aborted, if not a human being?

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    6. John Coochey

      Mr

      In reply to Paul Savage

      If you are correct this relates to my still unanswered question where a male does not want to become a father and gives this or a similar drug to his previous partner. Surely this must be acceptable if it is just a zygote?

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    7. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Joshua Portelli

      Joshua:

      "when does the living organism within a womb, become human?"

      An entirely moot point.

      Until birth a baby is part of a woman and part of her often difficult decision whether or not to continue with a pregnancy.

      A decision which has nothing to do with you, or anyone else apart from the father, however ultimately the decision rests with the person who is pregnant.

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    8. Joshua Portelli

      I

      In reply to Dianna Arthur

      Dianna:

      "An entirely moot point."

      Ah, not sure of your english comprehension capacity, but the ? (question mark) at the end of the sentence, makes it, well, a question. So, seeing as this is a forum and there is a consensus of opposing ideas, it's obvious that a question is subject to debate, dispute, or uncertainty, and typically not admitting of a final decision. Thanks for your contribution though.

      "Until birth a baby is part of a woman and part of her often difficult decision whether…

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    9. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Joshua Portelli

      Really? You still need to unpack that whole debate in 2012? Well if you are asking my opinion I would say that the living organism within a womb becomes human when it becomes viable to live as a separate human entity. Practically speaking that would be at around a minimum of 20-23 weeks. Prior to that a foetus is actually a parasite -- no value implications there, just using the strict biological definition of the term -- with the potential to become human.

      Even if you could convince me that…

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    10. John Coochey

      Mr

      In reply to Dave Hawkes

      Yes but it won't affect her just the zygote.

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    11. Joshua Portelli

      I

      In reply to Dianna Arthur

      Diana:

      Clutching at straws now? Having quoted from a previous comment of mine in your previous post it's amusing that you now need to redefine what I write to somehow distract from the comment you react to but can't reply to.

      Perhaps you are unaware but there is freely available content on the internet about how to communicate effectively. I am sure there would be TAFE courses in the area in which you live?

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    12. Ingrid Bailey

      Project Manager

      In reply to Debbie Garratt

      Debbie, this IS about REAL CHOICES. Choices. No one is saying if you fall pregnant that you MUST use this drug. No one is saying if you fall pregnant that you MUST decide on termination. And actually sometimes, women fall pregnant for reasons that aren't their choice. Todd Akin stole your thunder last week with regards this type of Flat Earth rhetoric. I defend your right to your opinion, but seriously, this article is about choices that our Government(s) insist on taking away from us. In this…

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    13. Joshua Portelli

      I

      In reply to Dianna Arthur

      Diana:

      If you find it insulting that people are aware of your distractionary and deflective tactics, no wonder you are seeking relevance through undermining the opinions of others as opposed to actually engaging in meaningful dialogue.

      A statement of fact does not make what is being reported negative or positive. As they say, beauty is in the eye of the beholder.

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    14. Joshua Portelli

      I

      In reply to Paul Savage

      "..viable to live as a separate human entity.. around a minimum of 20-23 weeks. Prior to that a foetus is actually a parasite.."

      Viable, entity and parasite. All terms with "value implications" which we can easily ignore to strictly consider their grammatical definition.

      So in saying that, how does Stephen Hawking compare? Is his humanity related to his physical independence or is it measured by other potentials and abilities that are on offer from his being? Are these abilities and potentials…

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    15. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to John Coochey

      John, that's idiotic and you should know it. How can you seriously suggest that secretly drugging a woman to force a miscarriage doesn't affect her? Even if she wasn't aware of the pregnancy, the physical effects of the miscarriage are pretty significant don't you think? Misogynist sarcasm isn't helpful.

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    16. John Coochey

      Mr

      In reply to Paul Savage

      But we still have to examine the ethics of only one parent having the right to terminate the pregnancy. The side effects of an abortion must be the same no matter who causes it.

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    17. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Joshua Portelli

      So many red herrings, I think you have a talent for it. I might have to just respond in point form.

      - The Stephen Hawking straw man argument fails because I never said that ongoing humanity relates to physical independence, rather that the onset of being a human being does. Nice try though.

      - Amazing advances in neonatal care over the past 50 years has not managed to reduce the viability time for a baby much more than a week or two on average. I can't discount the possibility that this might…

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    18. Debbie Garratt

      Executive Director

      In reply to Ingrid Bailey

      Ingrid, there is enough quality evidence to convince me and many other researchers and health professionals that the use of RU486 does not constitute a 'safe' choice for many women. All I have done is offer the research. I have no clue what you are talking about with regard to online training or flat earth rhetoric. Or is this the kind of throw away comment that appears when people run out of rationale for their position.. like trying to google up religious affiliations..

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    19. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      No, Debbie, you have offered no such research.

      The most recent MJA - just released, contains a thorough review of the evidence of safety of this drug. There is a vast amount of data supporting the safety of medically-induced miscarriage. There are also guidelines for good practice - for example, ensuring that the women who chooses to miscarry at home has a suitable support person and access to pain relief if required.

      Medical miscarriage is miscarriage - the symptoms are the same. Some women have severe pain or bleeding, some don't. Some will subsequently need a D&C, some don't. Just like spontaneous miscarriage. Except, with an induced miscarriage, you can predict the onset time and arrange to be in a safe and comfortable place (unlike spontaneous miscarriage).

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    20. John Coochey

      Mr

      In reply to Dave Hawkes

      Remain at a loss for words, because if it is part of the woman's body why should the sperm dona pay eighteen per cent of his gross income for the next twenty three years? I note that Victoria has virtually run out of sperm donas since he law was changed allowing them to be identified. Men seem to be taking my position it is not worth the risk if there are further changes which would be obvious.

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    21. Ingrid Bailey

      Project Manager

      In reply to Debbie Garratt

      Debbie: You are entitled to your opinion, as are your fellow researchers and health professionals who hold similar hypothesis. Often people become quite emotionally attached to their thesis. Most people I think realise that scientists and doctors are not akin to a god-like all knowing entity(s). Similarly, most people also realise that with any science that for a hypothesis to be valid it either needs to be proven or disproven. You appear to be making some very broad and general comments on both…

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    22. Debbie Garratt

      Executive Director

      In reply to Ingrid Bailey

      'Hmmmm. Debbie, you chose to post from the position of using an email account which makes your intent extraordinarily clear'

      My 'intent' if anything at all.. as I rarely do other than post as myself, is always to be transparent and honest. Would you prefer a pseudonym or some kind of subterfuge?

      'No Debbie, you are not a victim and you are entitled to have an opinion'.

      I have never considered myself a victim, but thank you .. I guess.

      ' I don't know you personally, but I do know the…

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    23. Tim Scanlon

      Debunker

      In reply to Debbie Garratt

      Um, that is incorrect: http://www.sciencedaily.com/releases/2009/07/090715131449.htm
      Humans have multiple DNA types in the body. There are also several conditions where individuals have multiple DNA types, which has come to light as a result of murder and rape cases. This is without the inclusion of all the different organisms that live within and on the human body.

      Thus, to say that the foetus is somehow a separate entity based upon the idea of DNA differences completely ignores the fact that the human body is a microcosm of life.

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    24. Jonathan Maddox

      Software Engineer

      In reply to Dianna Arthur

      I could not agree more.

      The question of continuing a pregnancy must be a POSITIVE choice on the part of the prospective mother. Her womb is hers alone, her unborn child is her responsibility alone, and she must give her consent to its occupation of her womb.

      Whether, or when, the unborn child is "human" is not the relevant question. It never was relevant.

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    25. Jonathan Maddox

      Software Engineer

      In reply to Debbie Garratt

      What is being aborted?

      A pregnancy. An active effort on the part of a woman's body to bring a new life into the world. She is withdrawing her consent.

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    26. Craig Minns

      Self-employed

      In reply to Jonathan Maddox

      "The question of continuing a pregnancy must be a POSITIVE choice on the part of the prospective mother."

      Absolutely. It should also be a POSITIVE choice on the part of the father to decide whether he wishes to take part in her decision.

      "her unborn child is her responsibility alone"

      Actually, it's not. The law is quite clear on the concept of shared parental responsibility.

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  10. Debbie Garratt

    Executive Director

    While one of the world’s largest providers of abortion services adds to its ability to generate more income through the availability of training of doctors and the supply of drugs to procure abortions, Australian women are once again supposed to be thankful for an additional solution to their primarily psychosocial problems.

    Whilst the research undertaken by Marie Stopes own medical director found that the ‘..regimen is an effective option for Australian women’, with minimal adverse effects…

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    1. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Debbie Garratt

      Debbie

      Are you the same Debbie Garratt who is linked to claims that condoms are only 50% successful in protecting against STD's and unwanted preganancy? The same Director of Real Choices with links to the Catholic Church?

      According to:

      http://www.smh.com.au/national/todays-lesson-condoms-in-the-classroom-cause-controversy-20091202-k6fc.html

      "Real Choices Australia operates the program, Choices Decisions Outcomes, mainly in government schools across Australia. One of its directors and…

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    2. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie Garratt - your comments seem to misunderstand the mechanism of action of RU486 (mithepristone) - it essentiall stimulates a miscarriage.

      The features of all types of miscarriage include pain and bleeding in various degrees. The pain is from the cervix dilating and the uterus contracting to expel its contents. The bleeding is from the uterine contents coming out.

      Sometimes, a blot clot or piece of tissue can get stuck in the opening of the cervix, preventing uterus from clamping down. This is seen occasionally in spontaneous miscarriage, and is treated by removing whatever is in the cervix through a speculum (anyone capable of performing a Pap smear can do this).

      Contraception and abortion are emotive and compex issues, but exaggerating the harm of this drug doesn';t make the discussion any more rational.

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    3. Debbie Garratt

      Executive Director

      In reply to Sue Ieraci

      Sue, I have already corrected your error that RU486 is a single drug further up. I am reporting the research for which I have provided links. I am not exaggerating the research findings which you are free to read for yourself.

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    4. Debbie Garratt

      Executive Director

      In reply to Dianna Arthur

      Dianna, I am that Debbie Garratt, however I have never made these claims, nor would Mr Kaye return any of my phone calls or emails at the time he made these false claims. Guess you can't trust everything you read in the media.

      Real Choices Australia also has no links to the church, catholic or otherwise, although given the amount of credit the church gets for our valuable work, perhaps we could ask them for some funds. :-)

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    5. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie - I've already answered you above.

      I have read a lot of the research already. I also have some knowledge and pathophysiology and pharmacology.

      All women who have miscarriages - whether spontaneous or medically induced - will have pain and bleeding. These are not complications, they are part of hte process of a no-longer-living feotus and its surrounding tissue exiting the uterus. In a surgical abortion, it is sucked or scraped out. IN a miscarriage, it comes out through a dilated cervix, assisted by uterine contractions. Hence pain and bleeding. That;s how it works.

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    6. Debbie Garratt

      Executive Director

      In reply to Dianna Arthur

      Well the article isn't entirely false... The bits where I tried to tell them the facts were true! No, we don't have an association with Melinda Tankard Reist either, although Melinda has produced some very valuable work on women and abortion and her book, Giving Sorrow Words provides valuable and compassionate insight into the lived experiences of women suffering after abortion.

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    7. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Debbie Garratt

      Debbie

      You are not conversing with a teenager here, but a mature experienced woman who had an abortion while married (quelle horreur) because I was in an abusive marriage and did not want a child brought into such toxic relationship. I have no regrets. Nor do friends of mine who have had abortions. Of course, there will be some women who do regret - not all women are the same.

      Once again you are using scare tactics to promote your anti-abortion agenda.

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    8. Debbie Garratt

      Executive Director

      In reply to Dianna Arthur

      Dianna, I haven't mistaken you for a teenager. Nor am I engaged in the use of scare tactics. In fact I am very vocal about the need to be evidence based and to never engage in the manipulation of women. The fact that a significant percentage of women suffer after abortion should not be denied, nor should the experiences of those women be denied representation just because some women do not suffer.

      I am not shocked at the fact that you have had an abortion. I am glad that you have reconciled…

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    9. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      And BTW, Debbie - you might want to read up on your pharmacology.

      RU486 is a synthetic steroid that binds to progestoerone receptors. It is a single drug, called Mifepristone.

      To increase the success rate of medical miscarriage, it is often combined with another drug - a prostaglandin called Misoprostol.

      They are two separate drugs.

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    10. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      "Nor am I engaged in the use of scare tactics."

      but

      ""current research suggests up to 30% of women suffer serious and prolonged mental health problems following surgical abortion"

      and

      " there is a difference between 'normal' bleeding and haemorrhage requiring intervention".

      Hmmmmm.

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    11. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Debbie Garratt

      Debbie

      I know you don't think I am an ignorant teenager and would appreciate you stop treating myself and other women on TC as if we are.

      " Sadly, post abortive women with a negative experience are often denied the opportunity to have their stories heard and accepted by those most loudly proclaiming support of women's rights. "

      Who is denying women the freedom to talk about their abortion experiences? We are discussing them right here and right now. Safe abortion and support after such surgery…

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    12. Joshua Portelli

      I

      In reply to Dianna Arthur

      What does the persons association have to do with this topic and her ability to participate? The individual has identified themselves and aired their relation, or lack of, to your boorish attack.

      Either state what you know and allow it to be critiqued or stop bullying the individual.

      http://bit.ly/Q6GRaZ (google results of "Melinda Tankard Reist Debbie Garratt").. something really sinister going on there in that publicly viewable interweb-thingy-mah-bob!

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    13. Rachael Dunlop

      Post-doctoral fellow at University of Technology, Sydney

      In reply to Sue Ieraci

      I agree with these comments. In my opinion (in some cases) abortion is portrayed as an intervention that will cause women to spiral into depression and harbour guilt for an extended period. This is not the case for all women. Using phrases such as "..you won't know when" and "you might abort on a bus.." contribute to this and contradict the evidence I have seen.

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    14. Debbie Garratt

      Executive Director

      In reply to Dianna Arthur

      Dianna, you have managed to prove my point more clearly than I have been able to explain it. As soon as someone begins to talk about the negative aspect of abortion, produces evidence that it can be harmful or suggests that things are not as rosy as they seem in the land of 'womens healthcare', the usual response is to begin to look for religious links or some other suspicious affiliation for the purpose of discrediting them.

      This forum isn't unique for that. It is expected. The facts…

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    15. Debbie Garratt

      Executive Director

      In reply to Sue Ieraci

      Sue, I have presented peer review published research. I haven't fabricated it. That isn't considered a scare tactic in most people's worlds. I also believe in any kind of research that 30% is a very significant percentage. Even if it was only 10%, are you really prepared to ridicule the 9000 women in Australia each year who are traumatised and suffering?

      If you are indeed a health professional, how can you not understand the difference between what would constitute an expected 'norm' and something that requires a surgical intervention to correct. And how on earth the statement of this fact constitutes scare tactics eludes me.

      I have offered you some information. I understand it doesn't interest you. That's okay. Have a lovely weekend.

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    16. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie - you say that you are only interested in the facts, and yet you have posted many assertions and errors. You claim to have "corrected my error" about RU486 and yet it was your assertion that was wrong. You seem to make bold statements without knowing much about either the effects of this substance or the range of spontaneous miscarriages.

      I have no idea who you are, and it's not my concern what your affiliations are.

      I don't hold disdain for people who cannot bring themselves to accept any form of abortion - so long as they don;t prevent the access of others.

      What you have done repeatedly, however, is distort and exaggerate the effects of medical miscarriage.

      You are not a victim of anyone here. The reactions to your comments are not about your affiliations - they are about your erroneous and exaggerated assertions.

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    17. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie, because I am a health professional, I do understand the range of presentations of miscarriage - from tolerable at home to "requires a surgical intervention to correct."

      You started trying to tell me that medical miscarriage caused haemorrhage and therefore was worse than surgical abortion. I explained to you that haemorrhage is part of the nature of miscarriage.

      And, as a health professional, I don't ridicule anyone who is suffering mental distress related to pregnancy or its outcome - be it distress after spontaneous miscarriage, distress after induced abortion, or distress during or after birth. WHere have you seen me ridiculing anyone who is suffering distress?

      Yes, you have "offered me some information". But most of it was erroneous, and I have offered you corrections.

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    18. Paul Savage

      Theme Leader, Biotechnology at CSIRO

      In reply to Debbie Garratt

      Debbie, I don't think anyone could be characterized as an "abortion advocate". You're showing your colors to suggest that. Dianna, myself, and others are advocates of choice. I doubt anyone would consider abortion to be a preferred choice, but just that it should be *a* choice.

      People like yourself who elevate the "unborn baby's" rights over a woman's do so from the emotional but biologically inconsistent perspective that an early stage fetus is actually a "person". More often than not these beliefs are grounded in religious dogma, regardless of how the arguments are dressed up.

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    19. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Sue Ieraci

      @ Debbie Garratt

      All I have done is present facts that there is no ideal solution. In no way have my comments supported your anti-abortion agenda. If you are so concerned about women's mental health then you could use your skills in assisting women with post-natal depression. This illness has repercussions for the baby as well as the mother and the rest of her family.

      @ Paul Savage

      Indeed I am in favour of choice and fully admit that my buttons are pushed when people attempt to limit choices, such as attending schools with misinformation about forms of contraception.

      @ Sue Ieraci

      My reasons for establishing Debbie Garratt's background was in order to determine her agenda more clearly, as she is very good at spin. However, she has not fooled you for a minute, but has had and continues to have undue influence over young people's understanding of the consequences and responsibilities of sex.

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    20. Sue Ieraci

      Public hospital clinician

      In reply to Sue Ieraci

      (This is the spot reserved for Debbie Garratt to come back after her "Sue, I have already corrected your error "

      with

      "yes, I was mistaken. RU486 (mifepristone) is a single drug, often used together with another drug.")

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    21. Debbie Garratt

      Executive Director

      In reply to Sue Ieraci

      Sue, the error is in trying to respond in any kind of cohesive manner on an ipad. I am sure your own spelling error if mifeprestone (more than once), is a similar error, not a lack of spelling ability. RU486, whilst it is the 'name' of the drug mifeprestone, is in common use to refer to the regimen given women, which is a combination of 2 drugs. To be clearer, I absolutely should have written 'the RU486 regimen or similar. My apologies for the misunderstanding. Women are not routinely, in any clinic I have researched, only given mifeprestone.

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    22. Debbie Garratt

      Executive Director

      In reply to Joshua Portelli

      Apparently my 'associations' have everything to do with my ability to participate Joshua (not an accusation toward you, just an observation.) I have even been accused of having a sinister agenda by using both my real name and my organisation's email address as opposed to a pseudonym. Now even transparency and honesty aren't good enough for some.

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    23. Debbie Garratt

      Executive Director

      In reply to Paul Savage

      Paul, I have not elevated the rights of the unborn above that of the woman. I have made no comment in this regard at all. My 'beliefs' did not develop in any way from a 'grounding in religious dogma'. This is however a common way for people to attempt to undermine and dismiss opinions, research and 'beliefs' from any person they consider has an ideologically different position from their own.

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  11. Renate Klein

    Associate Professor of Women's Studies (retired)

    Angela - you don't have to be anti-abortion (or a man!) to be unimpressed by RU486/PG abortion.
    I've said for many years that it is a second-rate drug cocktail which leads to a long drawn-out painful and dangerous abortion experience for women...it could happen at home, on the bus...and she could bleed to death - as some women have. Its use in rural areas without the back up of a hospital for potential emergency is especially problematic.
    Check my 31 August 2012 blog http://www.spinifexpress.com.au/Blog/ which is an extended version of an article published 30 August 2012 at http://www.smh.com.au/opinion/society-and-culture/should-ru486-be-available-on-the-pbs-20120830-252zg.html#ixzz254uc6xzq
    and my co-authored book RU486: Misconceptions, Myths and Morals (pb and eBook at Spinifex Press)

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    1. Rachael Dunlop

      Post-doctoral fellow at University of Technology, Sydney

      In reply to Renate Klein

      Renate, I don't think there is much likelihood you will abort on a bus. Unless you decide to take the pill and then catch one. Women are advised the window where in which the miscarriage will take place. Why do you say it's second rate? I thought the stats for success were about the same as a surgical abortion? If women have all the information provided they should make the choice.

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    2. Debbie Garratt

      Executive Director

      In reply to Rachael Dunlop

      Rachael, both international and Australian research show a significantly higher incidence of adverse events following medical abortion with RU486 compared to surgical abortion, with the added psychological trauma of active participation and commonly viewing the expelled fetus. The recent Australian research found that 1 in 18 women require admission to hospital following their use of RU486 compared to 1 in 250 following surgical abortion. RU486 is also marketed as being a more available to women in rural and regional areas where their access to appropriate medical and surgical care for adverse effects may also be more limited, even though recommendations for use of the product include that a woman is nearby emergency care.

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    3. Renate Klein

      Associate Professor of Women's Studies (retired)

      In reply to Rachael Dunlop

      Rachael, no woman knows when the procedure starts to work and how long it will take. So she could indeed be on a bus when she starts bleeding uncontrollably or starts have massive contractions or feels very sick...for some women it works well, but for others it's dreadful. And no woman knows how she will react. So very dangerous for a woma in the bush...even more so when she's trying to hide that she is undergoing an abortion...Success rates less: 91% to 93% depending on which research you read. Suction abortion 99%

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    4. Rachael Dunlop

      Post-doctoral fellow at University of Technology, Sydney

      In reply to Renate Klein

      Renate, I have seen the detailed information provided by Marie Stopes and it describes in details what will happen from the first pill to the second taken after a minimum of 24 hrs. So it is misleading to say no woman knows. There is a window in which this will happen and this is clearly explained by the literature I have seen. The language you use is bordering on scaremongering in my opinion. The literature from Marie Stopes which quotes the WHO says medical is up to 98% effective versus 99% for surgical.

      If you provide woman with accurate non-scaremongering information it should be for them to decide.

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    5. Debbie Garratt

      Executive Director

      In reply to Rachael Dunlop

      Maarit Niinimäki, M.D., et. al., “Immediate Complications after Medical Compared with Surgical Termination of
      Pregnancy,” 114 Obstetrics & Gynecology (Oct. 2009): 795-804.
      available here: http://journals.lww.com/greenjournal/toc/2009/10000#-1022802690 11th article under 'Original Research'

      Ea Mulligan and Hayley Messenger, “Mifepristone in South Australia: The First 1343 Tablets,” Australian Family
      Physician (May 2011): 342-345. available here: http://www.racgp.org.au/afp/201105/201105mulligan.pdf

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    6. Sue Ieraci

      Public hospital clinician

      In reply to Renate Klein

      Ms Klein - are you aware that "medical abortion" is essentially the same, pathologically, as a spontaneous miscarriage?

      There is a big difference - though, in that the RU486 will have its effect at a predictable time, whereas a spontaneous miscarriage could occur at any time during the first trimester, and sometimes later.

      Women could be on a bus, driving a train, teaching school, lecturing at university when their miscarriage starts. It doesn't suddenly kill them - they get cramps first, then some bleeding, more bleeding, sometimes clots. ABout 10% of pregnancies result in miscarriage. I'm not aware of anyonein our society dying from one.

      SHould all pregnant women just stay home for their whole pregnancy in case they start to bleed on a bus?

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    7. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie Garratt - you seem to be missing something fundamental here.

      As I've explained above, women taking Mifepristone as essentially having a miscarriage, passing the uterine contents spontaneously.

      Those having a surgical abortion are having the uterine contents sucked or scraped out.

      If you look at the paper you cited, you will see that the Mifepristone group have more bleeding, while the surgical group have more surgical complications.

      This is self-evident. Of course the women miscarrying…

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    8. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Sue Ieraci

      Sue

      I have to applaud your response. Having had a (natural) miscarriage while stuck in gridlock traffic.... one of those "causal events" :)

      The scare tactics by those who disapprove of RU486 is appalling, that "Real Choices" is permitted access into schools is of great concern. Sex education is fraught enough without this campaign of obfuscation.

      See link below an example of the videos Real Choices have shown provides the type of misinformation being presented.

      http://www.youtube.com/watch?v=yc1EkBgDmTc

      The quality of the video is as poor as their argument.

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    9. Debbie Garratt

      Executive Director

      In reply to Dianna Arthur

      Dianna, the quality of the video reflects the quality of our budget sadly. With the marketing Bridget of other organizations I'm sure the standard would improve. The particular video you link to however is Dr Priscilla Coleman, who is the worlds most published researcher on abortion issues. (in peer reviewed journals). And whilst I'm sure you will google up some of the same rubbish about her as you did about me, Dr Coleman is also an expert witness in the United States courts, testifying on issues related to abortion, so in spite of the detractors, there are those who greatly respect the facts. The same facts you refer to as 'poor argument'.

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    10. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Priscilla Coleman's publications are nothing if not controversial. Following publication of her meta-analysis in the British Journal of Psychiatry, she was roundly criticised for both the conduct of the meta-analysis and for failing to declare her interest as an anti-abortion campaigner.

      Let's face it - PREGNANCY is associated with a high rate of mental morbidity - including reactions to spontaneous miscarriage, post-natal depression and other conditions.

      Clearly there are many people who do not accept pregnancy termination being induced or carried out under any circumstances. It would be facile to argue that the alternative - completing the pregnancy and raising the child - is without its own consequences, however.

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    11. Rachael Dunlop

      Post-doctoral fellow at University of Technology, Sydney

      In reply to Renate Klein

      Renate, with respect to your comments re: women in the bush, RU486 will be prescribed in consultation with a GP, thus I would think they will take any such risks which you describe into consideration. I also note that 24 hr advice and support from the Marie Stopes staff will be available.

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    12. Luke Weston

      Physicist / electronic engineer

      In reply to Rachael Dunlop

      Damn straight Rachael, If women have all the information provided they should make the choice, and not the sort of "all the information provided" you would get from the family planning equivalent of Meryl Dorey.

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    13. Grendelus Malleolus

      Senior Nerd

      In reply to Luke Weston

      And sadly those places do exist Luke! One near us called Pregnancy Problem House promises to provide lots of information and support, but mentions nowhere on their website who they are affiliated with. They were raising funds recently for a new ultrasound machine - the intent being to show pregnant girls their baby so they would become more emotionally inclined against abortion.

      I cannot imagine they would provide "all the information" - at least without a distinct bias.

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    14. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Grendelus Malleolus

      They call themselves "Pregnancy Problem House" - are you serious?

      Surely you jest? Off to do some sleuthing....... shuffles back, shakily holding much needed cuppa. They are for real:

      Naming pregnancy as a problem is a deliberate attempt to attract women who for whatever reason are seeing pregnancy as well, a problem, who may be in the process of considering an abortion. These women who already have problems are then met with advice like:

      >>If you've recently taken a pregnancy test or missed…

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    15. Debbie Garratt

      Executive Director

      In reply to Dianna Arthur

      'Just like it did with Debbie Garrat, who resented the suggestion that her background may be investigated or that she may be affiliated with any of these sham family planning groups'

      Dianna, I do not resent my background being investigated. If that were the case I would not be using my name or organisation's name. All I have suggested, very politely, is that what you read in the media is not always correct. I don't have anything to hide and have been very open.

      Discussion about ideology or different opinions on what might be beneficial for women, are not enhanced by personal undermining, or desperately seeking out hidden agendas that simply don't exist.

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    16. Sue Ieraci

      Public hospital clinician

      In reply to Debbie Garratt

      Debbie - I don't doubt your sincerity. As I said before, you are entitled to your views.

      However, as they say, you are not "entitled to your own facts".

      As some one who has both studied pharmacology and managed many women experiencing miscarriage, I happen to be on firmer ground here than I might be in many other fields - so I can legitimately spot errors in this area.

      By all means put your ideology or philosophy, but you aren't entitled to personal opinions on the facts.

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    17. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Debbie Garratt

      I must've misunderstood some earlier comments of yours then. Apologies.

      And of course you are free to discuss your opinions - but not so free so present them as facts.

      Oh, dear I look like I am parroting Sue's post - just noticed it. I guess this is how you are presenting yourself; you are opposed to RU486 on grounds that are demonstrably philosophical/political rather than for reasons of risks RU486, which is not perfect but has been available for many years in other first world nations without the damage you claim it causes.

      Tell me, are there any circumstances where you would support a woman to have an abortion?

      Straight forward question do you support freedom of choice?

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    18. Sue Ieraci

      Public hospital clinician

      In reply to Rachael Dunlop

      There is a good practical review in the most recent issue of MJA. The Cairns group describe how they manage the whole episode, including being fairly conservative about who is advised that in-centre surgical TOP is preferable.

      As the authors of the review note, the medical back-up required is the same as for a spontaneous miscarriage.

      Given that spontaneous miscarriage is very common (I understated it before - it's actually up to 15-20% of all conceptions), I hear no outcry that pregnant women shouldn't spend their first trimester in the bush in case they miscarry. ALthough ideologically different, it's medically the same process. Hence the need to separate ideological/philosophical arguments (which are perfectly legitimate) from facts about safety.

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    19. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Sue Ieraci

      I appreciate your clarification that RU486 is not a contraceptive (preventative of contraception) but, is instead a less invasive form of abortion.

      I guess this is why there is so much controversy - a safer, more convenient form of abortion is quite a slap in the face of anti-choice advocates.

      I guess this is why there is so much deliberate obfuscation of the facts surrounding this treatment - it is the only weapon anti-choicers have; apart from placing girls and women as less important than a foetus.

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    20. Renate Klein

      Associate Professor of Women's Studies (retired)

      In reply to Rachael Dunlop

      Dear Rachael what Marie Stopes says on their website in the best-case scenario. Far from being true for everyone...as i said NO woman knows how she will react, and when reaction will begin. That's why its so very dangerous for women in remote areas without emergency backup should a blood transfusion be necessary or if she develops high fever...women have died from Sepsis (like the woman in Australia in 2010). Also, many research studies list success rates in the low 90 percents, not high 90s. This is not 'scaremongering', it's being more realistic about thus drug combination.

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    21. Renate Klein

      Associate Professor of Women's Studies (retired)

      In reply to Rachael Dunlop

      OK picture yourself driving back to your remote Outstation home somewhere in rural Queensland. You took RU486 pills and then 2 days later the prostaglandin...no reaction. 300 km from the latest town you start bleeding heavily, develop a rapid fever, get the shakes and feel utterly nauseous and sick...how is Marie Stopes 24 Helpline going to help you??? (YOu might not even get a signal...) Let's assume that perhaps you did not tell your partner/husband that you simply could not face having another child...so you might not want to tell him about the abortion....The Flying Doctors might save your life if you are lucky. Of course what I've described is a rare case but women have had emergencies after taking RU486/PG ... it is simply not good enough to not talk about the dangers of this type of abortion... it is not the panacea, especially not for women in the bush.

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    22. Dianna Arthur

      Dianna Arthur is a Friend of The Conversation.

      Environmentalist

      In reply to Renate Klein

      @Renate Klein
      What a load of scaremongering.

      The odds of a pregnant rural woman haemorrhaging through natural causes are far greater than a pregnant rural woman haemorrhaging through induced miscarriage by use of RU486.

      Do you have hard evidence that most miscarriage haemorrhaging is caused by RU486 than by natural causes?

      Or do you just make stuff up to suit your agenda?

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    23. Dania Ng

      Retired factory worker

      In reply to Debbie Garratt

      Hey Debbie, I wanted to jump in here to offer some support, as I have read with some concern the bullying behaviour of some of those who responded to your efforts to explain the dangers of this horrible drug. My advice is that it is a waste to spend too much time on such simpletons. This is a publication in which if you air any doubts about the veracity of the quasi-science peddled in it, then you'll be immediately mobbed, accused of being irrational, insulted, patronised. Besides, on important social…

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  12. Emilia Kate Terzon

    logged in via Facebook

    I'm confused by this. As far as I'm aware, you've been able to get RU486 through Marie Stopes clinics for quite a few years. So is this legislation making MS the distributor to other hospitals now?

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    1. Renate Klein

      Associate Professor of Women's Studies (retired)

      In reply to Emilia Kate Terzon

      Yes their private firm MS Health will import it and then sell it to pharmacies. Doctors who have done on-line trainiing (!!!) will be allowed to write scripts. Women then presumably fill scripts and away they go...DYO abortion in the backyard. I truly hope their will be more controls imposed!
      Up to ths decision a clinic had to have an authorised prescriber license from Therapeutic Goods Administration.

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    2. Sue Ieraci

      Public hospital clinician

      In reply to Renate Klein

      Renate Klein - your "DYO abortion in the backyard" seems to misunderstand the process - it is much more like a DYO spontaenous miscarriage, which many women already do on their own (well, with the support of their families).

      The danger from both surgical abortions and "backyard" jobs relates to the intrusion of instruments internally - risking both rupture/trauma and infection from dirty instruments. Neither of these things operates with the drug option.

      About 1 in 10 pregnancies result in miscarriage - some early, some late. SOme women have a small amount of pain and bleeding and recover with no treatment needed. SOme need strong pain relief, some have a D&C to make sure all the tissue has been removed.

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    3. Rachael Dunlop

      Post-doctoral fellow at University of Technology, Sydney

      In reply to Renate Klein

      Renate, it is my understanding that patients are provided with 24 hr advice via Marie Stopes staff. In addition, they are required to return to receive an ultrasound to ensure the abortion has been completed. Hardly a "back-yard" job.

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  13. Markie Linhart

    Rouleur

    Two words (or maybe three if you so wish):
    ABOUT _______ TIME…
    You can mark me down on this, I don't care because it's something I've believed should happen more easily since Howard conspired with Harradine to get his votes in the senate and effectively gagged the RU486 legislation.
    Yes it has been available since then, but it has never the less put many a teenage girl at the mercy of the local chemist…

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