The 1981 presidential valediction

WDS Thomas

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
As official spokesman for the association, your public comment is governed by association policy. Most certainly personal views that are at variance with association policy must remain exactly that – personal views that are not expressed publicly. In reality, that wasn’t a problem for me. But I do want to respond to a letter-to-the- editor published in the Aug. 15th issue of CMAJ. The letter requests a motion of censure against me for misusing the position of president to espouse my personal views on abortion . . .There was nothing of any substance in my Halifax speech that was not in keeping with CMA policy. . . the author of the letter obviously based his comment on incomplete mass media reporting of my speech or a lack of understanding.


Thomas WDS. The 1981 presidential valediction. Can Med Assoc J. 1981;125(8):904, 907-908, 913-914.

(Editorial) Wilful exposure to unwanted pregnancy?

Carol A Cowell

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The WEUP syndrome (otherwise known as “Wilful Exposure to Unwanted Pregnancy”) has been well documented in a number of psychiatric publications. . .

. . . Abortion is not an emergency procedure and the lowering of the legal age of consent has had virtually no effect on the availability of the operation to the adolescent patient. . . .

. . . .does the “open approach” and provision of effective contraception mean to young people that you personally endorse premarital sexual experimentation and does this influence their behaviour? My answer is an unequivocal “No”; they make their own choice with or without your approval, and whether or not they are “outfitted” beforehand with effective contraception.

. . To the question “What was your main reason for having an abortion?” the following answers were given: “too young” (55%), “wanted to finish school” (15%), “wanted a child but couldn’t keep it” (12%), “pressure advice from parents (7%), “don’t want the kid (child)” (7%), other (4%). From our follow-up data regarding the girls’ assessment of what for them was the best solution (i.e. term delivery or abortion), 93.3% said that abortion was the best solution, with some 4.3% saying that it was not and 2.4% providing no answer. . .


Cowell CA. (Editorial) Wilful exposure to unwanted pregnancy?. Can Med Assoc J. 1974 Nov 16;111(10):1045, 1047.

(Correspondence) Abortion

Wena VP Williams

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
In the 20th century it is unrealistic to teach children that babies are made through acts of sexual intercourse and not to teach them when they become adolescents how to make love without making an unwanted baby. . . Contraceptives should be easily available to every boy and girl who is sexually active and responsible enough to admit it by seeking birth control. . . .It is socially irresponsible for a doctor to condemn a girl for asking for the pill, or to refuse it to her in the hope that it will stop her from having sexual intercourse . . . . He must also know that his denial of the pill to a girl forces her to adopt less effective methods of birth control or to use no method at all, and that when she subsequently becomes pregnant and asks for abortion the blame is as much his as it is that of the girl or her boyfriend.


Williams WV. (Correspondence) Abortion. Can Med Assoc J. 1974 Feb 02;110(3):261-262.

(Correspondence) Iatrogenic pregnancy

Michael J Ball

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
On a number of occasions in the past year I have referred patients for therapeutic abortion where pregnancy had occurred following temporary discontinuation of oral contraceptives on medical advice. . . Last year the Medical Handbook of the International Planned Parenthood Federation was distributed widely to Canadian physicians by the Department of National Health and Welfare. In this authoritative source it is stated: “The earlier views, that oral contraceptives should not be used for more than two (later changed to four) years without a break are no longer tenable.”


Ball MJ. (Correspondence) Iatrogenic pregnancy. Can Med Assoc J. 1972;107(8):727. Available from:

(Correspondence) The “morning-after pill”

Michael J Ball

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
A course of post-coital estrogens, in adequate dosage, is a highly effective and safe (though misnamed) form of post-coital contraception that deserves to be more widely known and prescribed. Both unwanted pregnancies and the demand for abortion could be reduced by its widespread use in emergency situations.


Ball MJ. (Correspondence) The “morning-after pill”. Can Med Assoc J. 1971;105(3):240.

(Editorial) The abortion situation

CMAJ

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
One certainty at least about the situation as regards the liberalization of abortion in Canada is that the problem it presents is not going to go away. . . . one cannot but conclude that the dilemma posed by this state of affairs cannot be dismissed by the ingemination of ready-made phrases such as “rights of the fetus” and “reverence for life”, no matter how respectable these may sound. One suspects that sometimes such phrases are used to rationalize inflexible attitudes and spare a probing of deeper motivation. In some instances they may well suffice for individual physicians who wish to dissociate themselves completely from the issue. But they will not satisfy society at large, to whom another set of slogans (“every baby a wanted baby” and “a woman has the right to the control of her own body”) has a stronger appeal. . . Has not the time come, therefore, for society, including the medical profession, to admit the state of affairs that prevails and face up to its obligations? . . . No serious person believes that abortion should be considered as an alternative to the regular practice of birth control. The by-no-means negligible morbidity associated with abortion and the occasional fatality, apart from the demands it makes on hospital and medical staff, make it much too costly when simple means of conception control are readily available. . . the escape from this dilemma is not in saying that birth control should have been used. . . [advocates sex education as described in Brave New World]. . . as long as human beings are sometimes careless and irresponsible, even if they are no longer ignorant, unwanted pregnancy will occur and the question of its termination, if we have the respect for motherhood we profess, will have to be faced.


CMAJ. (Editorial) The abortion situation. Can Med Assoc J. 1971 May 22;104(10):941.

(Correspondence) Abortion Law Reform

GW Theobald

British Medical Journal, BMJ
British Medical Journal

Extract
Parliament must clearly decide whether they are mainly concerned with preventing the birth of defective children or with accommodating pregnant women. If they intend to move further than they have done in Scandinavia and give ” abortion rights ” to women they will have to set up special abortion clinics staffed by ” committed” gynaecologists. . . the profession, for its part, must devise simpler and more effective means of birth control and of sterilization, and perhaps be willing to offer the latter to all women who have had two or more children.


Theobald G. (Correspondence) Abortion Law Reform. Br Med J. 1966;1(5493):977-978.