Adolescent Gynecology

Natural Treatment For Hair Fall Problems And Herbal Cure For Alopecia Areata

Baldness or hair loss is usually something only adults need to worry about. But in a few cases, teens lose their hair, too — and it may be a sign that something’s going on.

Hair loss throughout adolescence can mean a person may be sick or just not consumption right. Some medications or medical treatments, like chemotherapy action for cancer, also cause hair loss.

People can still lose their hair if they wear a hairstyle that pull on the hair for a long time, such as braids.

Causes of Hair Fall

1.    Obstetric and gynecologic conditions such as post-partum and post-menopausal states or ovarian tumors
2.    Anemia – iron deficiency
3.    Thyroid disease
4.    Connective tissue diseases such as Lupus
5.    Nutritional – crash diets, bulimia, protein/calorie deficiency, essential fatty acid or zinc deficiency, malabsorbtion, hypervitaminosis A
6.    Stress – surgical procedures, general anesthesia, and severe emotional problems

Symptoms of Hair Fall

Loss of 50, 100, or even more hairs each day is part of the normal hair growth cycle. If you notice curiously large amounts of hair in your sink or tub, in your hairbrush, on clothing, or on pillows, you may be experience abnormal hair loss.

Other symptoms include contraction hair, a receding hairline, or bald patches.

Thinning of the whole head of hair is a symptom of hair loss that affect both men and women.

Both men and women may knowledge hair loss over the entire body, counting hair loss that occurs on the armpits, legs and even the eyebrows.

Hair that is continually shedding is one more symptom of hair loss among both men and women.

Treatment of Hair Fall

If hair loss is caused by a temporary situation such as medication, stress or insufficient iron, however, however, the hair loss will stop when its cause ends.

Hair loss due to infection may require oral antibiotics or antifungal. Alopecia areata can be treated with injection of steroids such as triamcinolone into the area. For all of the causes, early treatment works the best.

Hair loss treatment is always a big concern. It is loss of mechanism of your body and an indispensable ingredient of our identity.

The concern may be embroidered in special patients groups like people in sales and young persons seeking partners.
People are usually very eager to do amazing about hair loss treatment as quickly as possible.

Home Remedies for Hair Fall

1. Apply the white of a  raw egg on the hair for 30 minutes, and then wash it off with a shampoo. A combination of lemon juice and egg white could also be used to make stronger the roots of hair.
2. Massage the head with oil for 15-20 minutes and then clean with a shampoo. A hot oil massage with olive oil will also help.

3. Apply a mixture of lemon juice and juice of amla to the scalp. This also helps control dandruff in the hair

4. Boil neem leaves in water for an hour and let it cool. Wash the hair with this water. Alternately neem oil can be mixed with coconut oil and massaged where there is hair fall

5. The juice of fresh coriander can be massaged onto the scalp will reduce hair loss.

6. Ensure that you eat nutritious food, with plenty of leafy vegetables. Have a Soya milk drink and multivitamin tablets if you do not have time to have a fit breakfast.

7. Apply conditioner only to your hair not to the scalp or hair roots. The conditioner could damage your hair. Henna (mehandi) will help control hair loss.

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4.Sınıf DERS/Pediatrik ve Adolesan Jinekoloji -II


Dr.Süleyman Engin Akhan tarafından :İstanbul Tıp Fakültesinde 4.sınıflara anlatılan “Pediatrik ve Adolesan Jinekolojide Sık Görülen Patolojiler ve Tedavileri” başlıklı derse ait slaytlar.

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What Is Vaginal Cancer And Its Symptoms?

Vaginal cancer is the growth of malignant cells(cancer cells) in the vagina of the female. This kind of cancer is rare and it represents less than 2% of all gynecologic cancers. Most of this cases occur in women who’s age are over 50. However, there are some cases to appear in young women during adolescence or early adulthood, and a very rare case for young children under five years old. Vaginal cancer nowadays are highly treatable and curable especially if it is detected early and be treated right away.

Vaginal Cancer Prevention

According to conventional and traditional medicine, there is now way to prevent vaginal cancer but regular pelvic examinations and pap smears are advised to aid in the early detection and treatment for vaginal or cervical abnormalities that will lead to vaginal cancer. Female individuals whose mother took the drug DES during pregnancy is advised to have a periodic pelvic examinations and Pap smears of the vagina as well as the cervix at least once a year. Women are also recommended to have Colposcopy.

One of the most effective natural and alternative vaginal cancer treatment is the self-administered oxygen therapy on which almost of the European doctors recommend. Further studies confirm that microbes, harmful bacteria’s and viruses such as vaginal cancer, heart diseases and even aids, do not cause the disease by themselves. But when there is oxygen depletion in the body this said ailments spreads through out the natural habitat of the human body. When oxygen depletion occurs our body becomes acidic, which makes our own immune system weak and can be easily be taken down by all kinds of viruses and reproducing more harmful bacteria’s respectively. Doctor’s conclude and recommend the first line of defense is to make our system highly oxygenated. Explore and study more of this effective therapy.

For more information how to prevent and treat vaginal cancer follow on the link below:

Safe Cancer Treatment – Alternative Cure To Cancer

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Premenstrual Syndrome

            Premenstrual Syndrome (PMS) is a very common problem among women between the ages of twenty and fifty. The reasons for PMS are many, but the main physiological reason is that there are significant hormone level changes between the middle of a woman’s menstrual cycle and her period. The hormonal changes are to prepare the unfertilized egg to be discarded at the end of the cycle—this is why birth control pills usually comprise of one or more hormones to suppress fertilization. PMS usually occurs 1-2 weeks before menstruation, when the hormone cycle swings are the most active. Unfortunately, the side effects of this natural cycle can be very irritating and painful, both physically and emotionally. Symptoms of PMS may include: fluid retention, breast soreness, irritability, fatigue, mood swings, headaches, nausea, weight gain, and depression. In fact, there are now more than 150 identified symptoms of PMS (1). Up to half of all menstruating women have at least one or more PMS symptoms (2). PMS usually goes away before menopause, in a woman’s late 40’s or early 50’s (3).

            The two main hormones involved in the part of the cycle between ovulation and menstruation are estrogen and progesterone. During PMS, the hormone estrogen rises and progesterone falls. Too high of an estrogen / progesterone ratio can interfere with neurotransmitters in the brain that control mood and pain (4). PMS may be a part of the natural menstrual cycle in women, but it can be heavily influenced by other factors, such as: vitamin and mineral deficiencies, hypoglycemia (low blood sugar), significant environmental stress, yeast overgrowth, and food allergies and/or sensitivities. Excess caffeine and/or alcohol intake can also contribute to PMS symptoms (5).

            Different environmental influences on PMS can produce different symptoms. Some researchers theorize that there are four different types of PMS: A (anxiety), C (craving), D (depression), and H (hyperhydration, or bloating/tenderness). Some women may have only one type of PMS, some may have 2 or 3 types, and some may have all four types. PMS-A is associated with nervousness and muscle tension. PMS-C is associated with cravings for sweets, including chocolate, and simple carbohydrates. PMS-D is associated with emotional problems before menstruation. PMS-H is associated with breast tenderness and weight gain from water retention.

            There are several different drugs that are used to treat PMS. Progesterone suppositories are sometimes used to control PMS symptoms. Side effects of progesterone suppository administration are generally mild, but other methods of progesterone usage (oral or injection) may cause depression. One of the most common medications prescribed to treat PMS is fluoxetine, also known as Prozac or Serafem. Side effects of fluoxetine can include: anaphylaxis (severe allergic reactions), internal bleeding, anxiety, insomnia, and dangerous interactions with certain other psychiatric medications. Oral contraceptives may help some PMS symptoms, but may worsen symptoms in others. Physicians may sometimes prescribe tranquilizers, painkillers, and diuretics (water pills) if the symptoms are severe.

            Fortunately, there are many different natural supplements that can greatly reduce the symptoms of PMS, and in some women, can actually prevent the symptoms completely. One of the best supplement types to try for reducing PMS symptoms are the essential fatty acids. Supplementing with fish oil for two months markedly reduced PMS symptoms (6). Evening primrose oil can help people relieve fatigue, irritability, breast tenderness, and swelling (7). In another study, evening primrose oil (EPO) supplementation for three months helped half of the participants with otherwise treatment-resistant PMS symptoms (8).

            Vitamin E can also be a powerful ally in the battle against PMS symptoms. One vitamin E study that used between 150-600 IU/day for a dose, significantly improved PMS symptoms in 3 of the 4 PMS types (9). In another study, women who took 400 IU/day of vitamin E for three months (three menstrual cycles) had significantly less PMS-related physical symptoms (10). Vitamin E and the mineral zinc taken together can also help reduce many PMS symptoms (11). The above example underscores the importance of taking a holistic approach to chronic illnesses like premenstrual syndrome—one supplement alone may not work, but a combination of supplements and lifestyle changes have a much better chance of working.

            The minerals calcium and magnesium are very important for muscle relaxation in all areas of the body. Supplementing with calcium and magnesium can help relieve cramping discomfort (12). Women who supplemented with 1000 mg/day of calcium resulted in 73% of women having fewer PMS symptoms (13). If someone chooses to supplement with this much calcium per day, they should include 100-500 mg/day magnesium, depending on their metabolic type (ask Dr. Jensen for more information about this).

            The B-vitamins are also very important to help smooth out PMS symptoms. Vitamin B6 supplementation can help reduce PMS symptoms in 70% of women (14). Many women choose to supplement with a lot of vitamin B6, over 100 mg/day, in order to treat their PMS symptoms. However, in some people, vitamin B6 at this dose can cause some side effects, like numbness in the extremities. Fortunately, supplementing with the standard amount of 50 mg of vitamin B6 for seven months significantly reduced emotional symptoms of PMS (15). Another important B-vitamin is B1 (Thiamin). It can improve mood (9), and may be a good supplement to use in helping PMS-related emotional symptoms. 

            There are also many different herbs that can help reduce PMS symptoms. However, only two appear to be both relatively safe and effective. The herb chasteberry (also called chaste tree, or vitex agnus-castus) is an effective remedy for PMS in over 50% of participants (16). Chasteberry should not be used with any other herbs or drugs that raise levels of the neurotransmitter dopamine. The herb Black Cohosh (Cimicifuga racemosa) is used by many German doctors to treat PMS symptoms successfully, most likely due to its anti-estrogenic effects (17).

 

References:

1. Reavley, N. The New Encyclopedia of Vitamins, Minerals, Supplements, and Herbs. New York, NY: M. Evan & Co., 1998. 

2. Feinstein, A. Healing with Vitamins. Emmaus, PA: Rodale Books, Inc., 1996.

3. Litin, S., ed. Mayo Clinic Family Health Book, 3rd Ed. New York, NY: HarperCollins Books, 2003.

4. The Healing Power of Vitamins, Minerals, and Herbs. Pleasantville, NY: Reader’s Digest Association, 1999.

5. Werbach, M. Nutritional Influences on Illness, 2nd Ed. Tarzana, CA: Third Line Press, 1996.

6. Harel, Z., et. al. Supplementation with omega-3 polyunsaturated fatty acids in the management of dysmenorrheal in adolescents. American Journal of Obstetrics & Gynecology (1996) 174: 1335-1338.

7. Larsson, B., Jonasson, A., & Fianu, S. Evening primrose oil in the treatment of premenstrual syndrome. Current Therapeutic Research (1989). 46(1): 58-63.

8. Ockerman, P., et. al. Evening primrose oil as a treatment of the premenstrual syndrome. Recent Advances in Clinical Nutrition (1986) 2:404-405.

9. PDR for Nutritional Supplements. Montvale, NJ: Thomson PDR, 2001. 

10. London, R., et. al. Efficacy of alpha-tocopherol in the treatment of the premenstrual syndromes. Journal of Reproductive Medicine (1987) 32(6): 400-404.

11. Stewart, A. Clinical and biochemical effects of nutritional supplementation on the premenstrual syndrome. Journal of Reproductive Medicine (1987) June, 32(6): 435-441.

12. Abraham, G., & Lubran, M. Serum and red cell magnesium levels in patients with premenstrual tension. American Journal of Clinical Nutrition (1981) Nov, 34(11): 2364-2366.

13. Thys-Jacobs, S., et. al. Calcium supplementation in premenstrual syndrome: a randomized crossover trial. Journal of General Internal Medicine (1989) 4(3): 183-189.

14. Brush, M. Nutritional approaches to the treatment of premenstrual syndrome. In: Nutrition and Health, Vol. 2: p. 203-209, 1983

15. Doll, H., Brown, S., Thurston, A., & Vessey, M. Pyridoxine (vitamin B6) and the premenstrual syndrome: a randomized crossover trial. Journal of the Royal College of General Practitioners (1989) Sep, 39: 326, 364-368.

16. Schellenberg, R. Treatment for the premenstrual syndrome with Agnus castus fruit extract: prospective, randomized, placebo-controlled study. British Medical Journal (2001) 322(7279): 134-137.

17. Bodinet, C., & Ferudenstein, J. Influence of Cimicifuga racemosa on the proliferation of estrogen receptor-positive human breast cancer cells. Breast Cancer Research and Treatment (2002) 76(1): 1-10.

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Adolescent Childbearing Factors as Determinant of Safe Motherhood in Abeokuta Metropolis of Ogun State, Nigeria

Introduction

        Adolescent parenthood often places the teen mother and her child at high risk for a variety of negative personal and social outcomes, one of which is an increased risk for abusive parenting (Schellenbach, Whitman and Borkowski, 1992). Adolescent mothers and their children are at a greater risk than children of adult mothers (Bolton, 2000).

          Women under 20 years of age are more likely to experience maternal complication than women ages 20 and above (Eure, Lindsay and Graves, 2002; Zabin and Kiragu, 1998). Among 50 developing countries surveyed, an average of 23% of adolescent women, including both married and unmarried women, have given birth or are pregnant. Adolescent childbearing is most common in sub-Saharan Africa, at 25% of women ages 15 to 19. In the Central African Republic, Chad, Guinea, Madagascar, Mali and Niger, over one-third of adolescent women are pregnant or have had a child (Eure, Lindsay and Graves, 2002).

          On average, among 16 surveys in Latin America and the Caribbean, 19% of all adolescent women have begun childbearing. The levels are highest in El-Salvador and Nicaragua, at 25%. In nine countries surveyed in Eastern Europe and Central Asia, about 8% of adolescent women are mothers.         

          Most adolescents who are married or in a union have begun childbearing. In Latin America and the Caribbean, on average, 80% of married adolescents have begun childbearing, and in sub-Saharan Africa, 73%. Among all developing countries surveyed, South Africa has the lowest proportion of married adolescents who have begun bearing children, at 50%. Elsewhere, the highest level of childbearing among unmarried women ages 15 to 19 is in Nicaragua, at 10%, Nigeria, at 30%, and Ghana at 29% (Eure, Lindsay and Graves, 2002).

          Predictors of higher incidence of adolescent childbearing among adolescent mothers have been examined in a variety of studies. Connelly and Strauss (1992) found that the mother’s age when her first child was born was a significant predictor of the occurrence of adolescent mothers. This relationship held even when other variables – such as income, race, education, number of children, and child’s age – were controlled. Bolton (2000) has pointed out that, there are numerous contextual similarities between adolescent parents and adolescent mothers – such as poverty, social isolation, and a poor understanding of child development – which may, collectively, provide the foundations for the development of parenthood.           

          Both Belsky (1980, 1993) and Azar (2001) agree that adolescent childbearing is almost always multiply determined, with numerous factors interacting to contribute to the onset of abusive behaviour. Therefore, a risk assessment that measures different areas of risk simultaneously may provide a more comprehensive picture of the characteristics associated with adolescent childbearing among adolescent mothers than do assessments that do not combine multiple components. In the present study four contextual risk factors (social support, maternal psychological adjustment, maternal preparation for parenting and child temperament) were examined in combination as predictors of adolescent childbearing in adolescent mothers.

          Psychopathology or personality disturbances in one or both parents has frequently been implicated in the development of adolescent child bearing (Azar, 1991; Wupe, 1987). Most importantly, adolescent parents tend to have more psychological problems than adult mothers (Wurtz-Passino et al, 1993). Therefore, reconceptualizing parental psychological risk for adolescent mothers in terms of psychological adjustment and obtaining a more general assessment of psychological functioning may be more useful than trying to predict behaviour based on the diagnosis of specific clinical disorders.

          The importance of social support in the etiology of adolescent childbearing has also been identified (Azar, 2001; Belsky, 1980, 1993; Wolfe, 1985, 1987). Two common correlates of adolescent childbearing that reflect Belsky’s (1980) social support construct are the financial and emotional support available to the family. The socio-economic status (SES) of adolescent mothers and adult mothers frequently differs (Bolton, 2000). Lower SES of adolescent families are more highly represented in poor parenting. This over-representation may be due, in part, to the increased financial stress within families and the decreased availability of family-based financial resources to deal with unexpected expenses related to child care. The emotional support provided by the parents, peers, family, or spouse is also important in distinguishing adolescent mothers and adult mothers (Bolton, 2000; McKenny et al, 1991; Wolfe, 1987). Thus, both SES and emotional support are important aspects of social support reflecting the instrumental and interpersonal components important to a broad-based assessment of this construct.

          The third risk construct emphasizes the dysfunctional interaction patterns in adolescent childbearing. That is, a lack of knowledge of child development, unrealistic expectations, and a limited repertoire of skills for interacting with the child are predictive of adolescent child-bearing (Belsky, 1980; Bolton, 2000; de Lissovoy, 1973; McKenny et al, 1991; Schellenbach et al, 1992; Wolfe, 1985). In this way, a mother’s understanding and general expectations about her role as a parent, as well as her beliefs about how she is going to interact with her own child, may be early indicators of insufficient preparation for parenting, thus setting the stage for dysfunctional interaction with their children. This mental preparation for parenting termed cognitive readiness to parent by Borkowski and Colleagues (1992) – was found to be lower for teen than for adult mothers. Therefore, it is important to assess mothers’ preparation for parenting as a reflection of early predispositions towards dysfunctional parenting.

          Using the ideas from Wolfe’s (1987) theory, the two components of the psychological predisposition for aggression coping may mediate the relationship between the first four risk factors derived from Bolsky’s (1993) model – that is, social supports, maternal psychological adjustment, child temperament, and preparation for parenting – and the potential for adolescent childbearing. This mediational relationship may provide some understanding of the process through which maternal and early child factors increase the adolescent mother’s susceptibility to childbearing behaviours.

          Most research work on adolescent childbearing focused on the nature, causes, and prevalence. It is therefore, not to the knowledge of the researcher that studies linking adolescent childbearing and safe motherhood may have been conducted in Nigeria. It is against this background that this study becomes relevant in filling such missing gaps in our knowledge in the issue of adolescent childbearing and motherhood in Nigeria.    

Purpose of this Study

          The purpose of this research is to examine the predictive relationships between the contextual risk factors as social supports, maternal psychological adjustment, maternal preparation for parenting and child temperament serve to justify safe motherhood.

          In order to achieve the purpose of this research, the following research questions were answered at 0.05 alpha level.

1.           To what extent would adolescent childbearing attitudes (as social support, maternal psychological adjustment, maternal preparation for parenting and child temperament) when combined predict safe motherhood among adolescents of reproductive age in Abeokuta Metropolis of Ogun State, Nigeria?         

2.           What is the relative contribution of each of the factors to the prediction of safe motherhood among the adolescents?

Methodology

Research Design

          This study focused on adolescent childbearing factors as determinants of safe motherhood among adolescents of reproductive age in Abeokuta Metropolis of Ogun State, Nigeria. A descriptive survey research design was adopted in which questionnaire was employed in collecting data from the respondents on the variables involved in the study.

Participants

          The target participants for the study is made up all the Pre-degree female students of University of Agriculture, Abeokuta. A total of one thousand and two hundred (1200) female Pre-degree students were randomly drawn from the university Pre-degree female students to take part in the study. The range of participants’ age was between 16 years and 23 years with a mean age of 18.4 years and the standard deviation of 3.67.

Instrumentation

        Two instruments were used in the study.

(i)           Self-reporting Questionnaire on Adolescent Childbearing (SQAC) measures the social supports, maternal psychological adjustment, maternal preparation for parenting and child temperament. It has 25 items rated on a 4 point likert type scale. The respondents are to indicate their degree of agreement with each item by ticking Strongly Agreed (4); Agreed (3); Disagreed (2) and Strongly Disagreed (1). It has 0.64 and 0.69 as the internal consistency and revalidation reliability respectively.

(ii)          Motherhood Inventory (MI) measures the characteristics and values attached to the institution of motherhood. It has 20 items response format anchored on Partly True to very Untrue. The test-retest reliability of the inventory was found to be 0.66 and 0.71 respectively.

          All the two instruments were author-constructed and were considered valid through the favourable comments of experts in psychometrics on the suitability of the items.

Procedure for Data Collection

        The participants for the study were administered two questionnaires with the assistance of two research assistants and the University Guidance Counsellor. The collected questionnaires were scored and the data obtained from them were analysed to answer the research questions. On the whole, 1200 copies of the questionnaires were distributed and returned fully filled, giving a return rate of 100%.

Data Analysis

        The data collected were analysed using multiple regression and chi-square (X2) statistics to establish the relationship between adolescent childbearing and safe motherhood.

Results

        Results got from the data analysis are presented in Tables 1, 2 and 3.

Research Question 1:

        To what extent would adolescent childbearing factors when combined predict safe motherhood?

Table 1: Regression Analysis on Sample Data using A Combination of Independent Variables to Predict Safe Motherhood.

Multiple R:                 0.351

Multiple R-Square:     0.301

Standard Error:           3.37

Analysis of Variance

Sources of Variation

Df

SS

MS

F-Ratio

P-Value

Regression

3

5278.832

1759

5.10

<0.05

Residual

1196

517249.688

432.483

Total

1199

522528.512

                                                      

          Table 1 shows that the combination of the independent variables (social support, maternal psychological adjustment, maternal preparation for parenting and child temperament) in predicting safe motherhood among the adolescents yielded a coefficient of multiple regression (R) of 0.351, multiple correlation square (R2) of 0.301. The result shows that 30.1% of the variance in the prediction of safe motherhood is accounted for by the independent variables. The table also indicates that, the analysis of variance of the multiple regression data gave an F-ratio of 5.10 significant at 0.05 alpha level.

Research Question 2:

          What is the relative contribution of each of the factors to the prediction of safe motherhood among the adolescents?        

Table 2: Testing the Significance on Relative Contribution to the Prediction of Regression Weight of Independent Variables

S/N

Variables Description

Unstandardized Coefficients

Coefficients

Standardized

t-value

Sig.

B

Std Error

Beta

1

Social support

0.110

0.033

0.205

3.3

<0.05

2

Maternal psychological adjustment

0.124

0.037

0.288

3.3

<0.05

3

Maternal preparation for parenting

2.330

0.469

0.075

4.959

<0.05

4

Child temperament

0.144

0.044

0.022

1.2

NS

5

Constant

35.121

3.915

000

         

          Table 2 shows for each independent variable the standardized regression weight (B), the Standard Error Estimate (SEB), the Beta, the T-ratio, and the level at which the T-ratio, and the level at which the T-ratio is significant. As indicated in the table, the T-ratio associated with the four variables (social support, maternal psychological adjustment and maternal preparation for parenting) were significant at 0.05 alpha level. The contribution of child temperament can escalate threat and violence to the prediction of safe motherhood among adolescents of reproductive age. The degree of contribution of each of the variables in order of merit are: maternal preparation for parenting (B=2.330; t=4.959; p<0.05); social supports (B = 0.110; t = 3.3; P<0.05); maternal psychological adjustment (B = 0.124; t = 3.3; p<0.05); and child temperament (B = 0.144; t = 1.2; p>0.05).

Table 3: X2 Summary on Adolescent Childbearing Factors and Safe Motherhood. 

        

Variable Description

X2 Cal

Df

X2 tab

Sig (2 tailed)

1

Social support

16.986

3

7.81

0.001

2

Maternal psychological adjustment

29.762

3

7.01

0.000

3

Maternal preparation for parenting

33.956

3

7.81

0.000

4

Child temperament

5.969

3

7.81

0.113

* Significant at 0.05 alpha level

          The result on table 3 shows that each of the independent variables made significant contribution to the prediction on safe motherhood at 0.05 alpha level. This implies that there is a strong relationship between those factors and safe motherhood. The contributions of each of the variables shows that maternal preparation for parenting (X2 = 33. 956) has the most potent variable followed by maternal psychological adjustment, (X2 = 29.762); social supports (X2 = 16.986); and child temperament (X2 = 5.969) in that order.   

Discussion of Findings

        The major goal of this study was to find out the influence of adolescent childbearing factors as determinants of safe motherhood.

          It is on the above premise that the findings of the present investigation is reported. The result on Table 1 showed that adolescent childbearing factors either collectively or relatively predict safe motherhood. The joint combination of the four variables when taken together and regressed against safe motherhood account for 30.1% of the variance (R-square = 0.201). This is statistically significant as corroborated by the analysis of variance result of 5.10. This result agree with the findings reported by Bolton (2000); Eure, Lindsay and Graves (2002); Belsky (1980, 1993) and Azar (2001). This agreement was also supported by Wolfe (1987) and Belksky (1980).

          Maternal preparation for parenting was shown to significantly relate to safe motherhood. This result agrees with Borkowski and colleagues (1992). The result obtained in the study also showed that social support was a significant contributor to the prediction of safe motherhood. This finding supports the report of Bolton (2000); Azar (2001); Belsky (1980, 1993) and Wolfe (1985, 1987). Maternal psychological adjustment was considered significant in this study. This finding supports the work of Wolfe (1987) and Belsky (1980). Child temperament was not found to significantly predict safe motherhood. This result was however at variance from the work of Belsky (1980 and Wolfe (1987).

Conclusion and Recommendations

        Adolescent childbearing in any society of the world has been viewed as a social and health problem that requires urgent attention of well-meaning citizens. It is on this premise that the following recommendations are provided:

(i)           The government of Nigeria should as a matter of urgency adopt a National Adolescent Reproductive Health Policy.                   

(ii)          Youth centres be opened to provide information on family planning, reproductive and sexual health, and STIs and their treatment.

References

Azar, S.T. (1991). Models of child abuse: A metatheoretical analysis. Criminal Justice and Behaviour, 18, 30-46.

Azar, S.T. (2001). Child abuse and unrealistic expectations: Further validation of the parent opinion questionnaire. Journal of Consulting and Clinical Psychology, 54, 867-868.  

Belsky, J. (1980). Child maltreatment: An ecological approach. American Psychology, 35, 320-335.

Belsky, J. (1993). Etiology of child maltreatment: A developmental ecological analysis. Psychological Bulletin, 114, 413-434.

Bolton, F.G. (2000). “Normal” violence in the adult child relationship: A diathesis-stress approach to child maltreatment within the family. Family Abuse and Its Consequences (pp. 61-75). London: England Sage Publications.

Connelly, C.O. and Strauss, M.A. (1992). Mother’s age and risk for physical abuse. Child Abuse and Neglect, 16, 709-718.    

de Lissovey, V. (1973). Child care by adolescent parents. Children Today, 2, 22-25.       

Eure, C.N., Lindsay, M.K. and Graves, W.L. (2002). Risk of adverse pregnancy outcomes in young adolescent in an inner city hospital. American Journal of Obstetrics and Gynecology 186(5): 918-920.

McKenny, P.C., Kotch, J.B. and Broune, D.H. (1991). Correlates of dysfunctional parenting attitudes among low income adolescent mothers. Journal of Adolescent Research, 6, 212-234.

Schellenbach, C.J., Whitman, T.L. and Borkowski, J.G. (1992). Towards an integrative model of adolescent parenting. Human Development, 35, 81-99.

Wolfe, D.A. (1985). Child-abuse parents: An empirical review and analysis. Psychological Review, 97, 463-482.

Wolfe, D.A. (1987). Child abuse: Implication for child development and psychopathology (Vol. 10). Newbury Park, C.A.: Sage Publication. 

  

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Natural Cure for Uterine Bleeding and Treatment

Most women experience abnormal uterine bleeding at least once during their reproductive years. The most ordinary times those women knowledge heavy menstrual period are during the first few years of menstruation during adolescence and during the final two to three years of menstruating before menopause.
Abnormal uterine blood loss (AUB) is accountable for as many as one-third of all outpatient gynecologic visits, with the bulk of cases just after menarche or in the perimenopausal period [1,2]. It can be caused by a wide variety of local and universal disease or related to drugs (table 1).
However, most cases are related to pregnancy, structural uterine pathology (e.g., fibroids, polyps, and adenomyosis), an ovulation, a disorder of hemostasis, or neoplasia. Trauma and infection are less common.

The terminology and assessment of premenopausal women with AUB will be reviewed here. The evaluation and organization of postmenopausal bleeding and abnormal bleeding in adolescents are discussed separately.
(See “The assessment and association of uterine bleeding in postmenopausal women” and “Definition and assessment of abnormal uterine bleeding in adolescents”.)
Causes of Uterine Bleeding
It may be cause by imbalance in the hormonal-endometrial relationship. Because in which persistent and unopposed stimulation of the endometrial by estrogen occurs. If progesterone emission is absent then estrogen secretion continues.
When ovulation doesn’t occur, then endometrial is randomly broken down, and exposed vascular channels cause prolonged and excessive bleeding. But in most cases of abnormal uterine bleeding, endometrial shows no pathologic changes.
Symptoms of Uterine Bleeding
Uterine growths sometimes produce a heavy menstrual flow or spotting between periods. PCOS makes period absent or irregular. Post menopausal vaginal blood loss may be a sign of uterine cancer.
•    Heavy bleeding: Heavy bleeding is classified as a 50% increase in normal flow or soaking through more than 10 tampons or sanitary pads in a day. Bleeding that lasts longer than a week is also considered heavy.
•    Spotting: Episodes of get through bleeding that occur between regular menstrual periods is called spotting.
•    Absent periods: Periods may discontinue once they contain started (called secondary amenorrhea), or they may never begin in the first place (called primary amenorrhea).
•    Irregular periods: Getting a short or light phase every two to three weeks in its place of one monthly period is considered to be irregular. Bleeding after menopause, as well, is irregular and should be investigated correct away.
Treatment of Uterine Bleeding
“I have had my period almost constantly for the last 13 months. I’ve gone to 2 doctors and they both seem to agree that I am too young to have a hysterectomy. I am 50 years old.
I have always had a heavy period. In adding to the constant period I also have a prolapsed uterus and I have problems with my bladder sticking out slightly. I have a modest pain (It would have to incapacitate me before I would complain).
I have had back evils on and off for of my adult life (the last 10 years being the worst). Another major problem is anemia caused by the constant loss of blood. I had a D&C 2 months ago. My period in progress approximately one month later and I’ve had it ever as (this past week it is almost back to normal (meaning heavy at times).
I started PremPro® when my period started after the D&C. I thought the PremPro® was suppose to stabilize the period. I have approximately 1 week of medicine left. How long should I wait previous to I tell the doctor that a hysterectomy is warranted?
I was thinking that if I still have a steady period for the next several months would a hysterectomy be sensible? At present I am using a pessary which is serving with the bladder/uterus problem. I am taking iron pills and vitamin B-12. “Lyn

Be the first to comment - What do you think?  Posted by - April 17, 2010 at 8:24 am

Categories: Adolescent Gynecology   Tags: , , , ,

Birth Control and the Christian

Recently we received a call from a man who inquired if we had

anything we could send him on birth control. He and his wife were

discussing the subject, and he was looking for information which

could clear up the matter. It so happens that in 1986 we

published a booklet entitled “Family Planning and God’s

Word.” We have decided to reprint the portion of that

booklet which deals with birth control methods.




There are tremendous pressures upon couples today to practice

some form of family planning. Only a few decades ago most couples

gave little thought to the matter, but this is no longer the

case. Also in the last few decades there has been a tremendous

increase in the methods of birth control available, thus making

family planning easier.




It is not our intention to address the question of family

planning in general. What we desire to do with this article is

demonstrate how the various methods of birth control work and to

show that there are some forms which no Christian should use.

Beyond that, we believe the decision to practice birth control is

a personal matter.




BIRTH CONTROL METHODS CHRISTIANS




SHOULD NOT USE




We have said that family planning is not something to which we

can give a simple “yes” or “no” answer. In

many aspects it is something that each couple must decide alone

before God. Yet at the same time, there are several forms of

birth control which are clearly condemned by Scripture and which

therefore a Christian is not free to use.




In the following section we will discuss abstinence, abortion,

and some kinds of birth control devices–the IUD, certain birth

control pills, and the new anti-progesterone pill (RU-486).




ABSTINENCE IS NOT A PROPER FORM OF BIRTH CONTROL






“Now concerning the things whereof ye wrote unto me:

It is good for a man not to touch a woman. Nevertheless, to

avoid fornication, let every man have his own wife, and let

every woman have her own husband. Let the husband render unto

the wife due benevolence: and likewise also the wife unto the

husband. The wife hath not power of her own body, but the

husband: and likewise also the husband hath not power of his

own body, but the wife. Defraud ye not one the other, except

it be with consent for a time, that ye may give yourselves to

fasting and prayer; and come together again, that Satan tempt

you not for your incontinency.” (1 Corinthians 7:1-5)






If a couple decides family planning is God’s will for them,

the question of method still must be answered. What about

abstinence? Some decide to abstain from sexual relations in order

to avoid conception. The New Testament does not allow such an

arrangement on a long-term basis. In I Corinthians 7 the Apostle

Paul says that one purpose for marriage is to protect men and

women from fornication. In marriage, couples are entirely free to

satisfy themselves. There is nothing unspiritual about relations

between marriage partners.






“Marriage is honourable in all, and the bed

undefiled… ” (Hebrews 13:4)








“Drink waters out of thine own cistern, and running

waters out of thine own well. Let thy fountains be dispersed

abroad, and rivers of waters in the streets. Let them be only

thine own, and not strangers’ with thee. Let thy fountain be

blessed: and rejoice with the wife of thy youth. Let her be

as the loving hind and pleasant roe; let her breasts satisfy

thee at all times; and be thou ravished always with her

love.” (Proverbs 5:15-19)






Abstinence within marriage is not good. It is dangerous! It

is, in fact, disobedience to God’s Word. The Bible commands

Christian couples not to defraud one another sexually.






“Let the husband render unto the wife due

benevolence: and likewise also the wife unto the husband. The

wife hath not authority over her own body, but the husband:

and likewise also the husband hath not authority over his

body, but the wife. Defraud ye not one the other …” (1

Corinthians 7:3-5)






The husband is responsible to satisfy the wife’s physical

needs; she is responsible to satisfy his. The only exception is

for the purpose of fasting and prayer, and this is only to be for

a time–not a permanent or long-range agreement, but a temporary

one for special periods of concentrated prayer. Any other

abstinence brings increased danger of Satan using the natural

desires of the flesh to create situations of temptation.






” … except it be with consent for a time, that ye

may give yourselves to fasting and prayer; and come together

again, that Satan tempt you not for your incontinency [lack

of self control].” (1 Corinthians 7:5)






Thus, except for brief periods agreed upon by husband and wife

for prayer and fasting, abstinence is not to be used as a birth

control method.




ABORTION IS NOT A PROPER METHOD OF BIRTH CONTROL






“Can a woman forget her sucking child, that she

should not have compassion on the son of her womb?

YEA….” (Isaiah 49:15)






It is almost strange that in speaking to Christians about

family planning, we would have to deal with the matter of

abortion being morally wrong. But the fact is that many large

Christian denominations today support “pro- choice.”

Many Christian leaders are not giving a sure warning against this

great evil. In fact, some who call themselves evangelical are

beginning to support abortion for some cases. For example,

Intervarsity Press published a book in 1985 called Brave New

People by Gareth Jones. Consider some quotes from this book–






“If abortion is contemplated, a reasonable decision

will take into account the fetus, and also the parents and

siblings” (p. 157).








“In this instance it has to be decided whether

abortion will benefit the fetus” (p. 158).








“No biblical passage speaks of humans possessing

personhood before birth” (p. 169).








“I am prepared to admit there may be circumstances

where, very regretfully, even Christians may have to

contemplate an abortion” (p. 173).














“Unfortunately, some families cannot cope with such a

challenge, and a compromise must be reluctantly adopted,

namely, termination of the pregnancy [abortion] … God’s

love for the weak … requires comparable concern for the

abnormal and for those likely to be rejected by society”

(p. 179).






Because of pressure from various sides Intervarsity stopped

distributing the book. But it has already been published by

another Christian publisher, Eerdmans, and is supported by many

who claim to be evangelical Christians.




LIFE BEGINS AT CONCEPTION




For the Bible-believer there can be no doubt on this issue.

Scripture tells us that human life begins at conception. The

moment the sperm unites with the egg, a brand new human life has

begun. Many say it is not possible to know exactly when the

embryo becomes fully human; thus it should be called a child. The

Bible leaves no such confusion. Consider the following:




“Behold, I was shapen in iniquity; and in sin did my

mother conceive me.” (Psalm 51:5)




In Psalm 51 David is showing his repentance for the adultery

with Bathsheba and the murder of her husband. In verse five he

acknowledges that he was sinful from the moment of conception.

This is reaffirmed by the Apostle Paul in Romans

5:12–”Wherefore, as by one man sin entered into the world,

and death by sin; and so death passed upon all men, for that all

have sinned.” Ever since Adam and Eve rebelled against God,

their fallen nature has been passed on from generation to

generation through the father’s seed.




But notice that David spoke of himself in a personal way even

when considering his conception. He said I was shapen in

iniquity; and in sin did my mother conceive me. It was David

himself who was conceived.






“Thou has covered me in my mother’s womb. I will

praise thee; for I am fearfully and wonderfully made … My

substance was not hid from thee, when I was made in secret,

and curiously wrought in the lowest parts of the earth. Thine

eyes did see my substance, yet being unperfect; and in thy

book all my members were written, which in continuance were

fashioned, when as yet there was none of them.” (Psalm

139:13-16)






For Bible-believers, this amazing passage leaves no question

whatsoever regarding whether or not an embryo is a real human

child. The writer, David, says that it was God that formed him in

the womb of his mother and that God knew all about him even while

he was growing from conception–before his little heart started

beating at three weeks after conception, before the little buds

of arms and legs appeared at four weeks after conception, before

his little brain divided into two sections at five weeks after

conception, before his eyes took shape at six weeks after

conception–”when as yet there was none of them,” God

knew him. The impregnated egg in the womb of David’s mother’s was

only a tiny, microscopic-size thing, but that impregnated egg was

known by God as David, the future king of Israel and

great-great-grandfather of the Lord Jesus Christ.




We see that when an impregnated egg is cut off in some way so

that it dies, the death of a distinct individual human being has

taken place. It is true that many eggs for various reasons

naturally fail to become attached to the mother’s uterine wall

after impregnation and do not therefore mature to birth. But man

has nothing to do with that. It is the same with life after

birth. Men die in many ways, natural and unnatural. Often that

cannot be stopped. But if someone takes a knife or a poison and

ends the life of an individual, it is murder. If the murderer

argues that the one he has killed would die anyway, or that

people die every day so we should not be so concerned, his

argument would not be acceptable. He has murdered a human being

and will be punished. Likewise, if someone stops the growth of a

tiny embryo though drugs or some other way, that person has

killed a tiny individual already known by God.






“If men strive, and hurt a woman with child, so that

her fruit depart from her, and yet no mischief follow: he

shall be surely punished, according as the woman’s husband

will lay upon him; and he shall pay as the judges determine.

And if any mischief follow, then thou shalt give life for

life, eye for eye, tooth for tooth, hand for hand, foot for

foot, burning for burning, wound for wound, stripe for

stripe.” (Exodus 21:22-25)






Note that the Bible says the woman’s unborn fruit is a CHILD.

God calls it a child, and if that unborn child is hurt, God

required that the one who caused the hurt to be punished.






“As thou knowest not what is the way of the spirit,

nor how the bones do grow in the womb of her that is with

child: even so thou knowest not the works of God who maketh

all.” (Ecclesiastes 11:5)






Again, the Bible says the tiny, unborn creature growing in the

womb of a woman is a CHILD. It is not a blob of protoplasm, or a

thing, or an undeveloped human. It is a child even while the

little bones are being formed.






“Listen, O isles, unto me; and hearken, ye people,

from far; The Lord hath called me from the womb; from the

bowels of my mother hath he made mention of my name … And

now, saith the Lord that formed me from the womb to be his

servant….” (Isaiah 49:1,5)














“Then the word of the Lord came unto me, saying,

Before I formed thee in the belly I knew thee; and before

thou camest forth out of the womb I sanctified thee, and I

ordained thee a prophet unto the nations.” (Jeremiah

1:4,5)






The passage in Isaiah refers prophetically to the Lord Jesus

Christ, and possibly also refers to Isaiah himself. The similar

passage in Jeremiah speaks of the prophet’s relationship with God

before his birth. Notice again that we see that God called them

even before they were born, and it was God who formed them in the

womb of their mothers. Those who interfere with the process of

growth after the mother’s egg has been fertilized are interfering

with God’s work of forming a human being that is known of God.

This is a very serious matter.




If we asked Isaiah’s mother or Jeremiah’s mother what was in

their wombs, they would have answered, had they known the

prophecies which were to follow, “This is Isaiah,”

“This is Jeremiah.” Regarding the Lord Jesus Christ,

the Bible leaves no question whatsoever. “Now the birth of

Jesus Christ was on this wise: When as his mother Mary was

espoused to Joseph, before they came together, she was found with

child of the Holy Ghost” (Matthew 1:18). Later the angel

told Joseph that the child’s name would be Jesus and “that

which is conceived in her is of the Holy Ghost” (Matthew

1:20,21).




As soon as Mary conceived her firstborn son by the

supernatural power of the Holy Spirit, He was called a CHILD. And

this was at the very earliest stages of the process of growth in

the womb.






“…and he shall be filled with the Holy Ghost, even

from his mother’s womb.” (Luke 1:15)






It is true that John the Baptist was no ordinary child, but

the fact that he was filled with the Holy Ghost even before his

birth proves clearly that he was fully a human being. If anyone

had aborted that little being in Elisabeth’s womb, that one would

have been the murderer of John the Baptist.




“And it came to pass, that, when Elisabeth heard the babe

leaped in her womb; and Elisabeth was filled with the Holy

Ghost.” (Luke 1:41)




This passage shows from the Bible’s side what even medical

doctors are discovering–that the unborn infant is aware of

things outside the womb and responds to them. In this case, the

unborn baby was John the Baptist. Remember that he was already

filled with the Holy Spirit, and he knew of the situation which

was happening outside the womb when the mother of his Lord and

Savior met his own mother, Elizabeth. Notice, too, that the

unborn one here is called a BABE.




With these Scripture references before us we have but two

choices–we can reject the Bible and its teaching or we can

acknowledge that the fertilized egg is a tiny human being, known

by God, and the mysterious and marvelous growth which will occur

during its nine months in the womb is the direct process of God

working to form that baby according to His own plan and purpose.

Any time, therefore, someone interferes with the growth of an

embryo he is committing murder.




BIRTH CONTROL PILLS AND IUDS ARE NOT PROPER METHODS OF

BIRTH CONTROL




Having considered abstinence and abortion, there are yet some

other birth control methods which, when considered in light of

Bible teaching, are forbidden to Christians. In brief, any method

of birth control which cuts off the growth of the already

fertilized egg is a form of abortion and is therefore murder. We

have seen that according to the God’s Word the human life begins

at conception–at the moment when the male sperm joins with the

mother’s egg. At that time a new and unique human life begins its

eternal journey, having become a living soul through the

mysterious working of Almighty God. We have seen that the Bible

teaches this. Not all modern scientists would agree that the

newly conceived embryo is a human being at that point in time,

but all agree that it is a new and unique life which has begun

its explosive growth toward full development.




Scientists also know that a new human life begins at

conception (fertilization). In an excellent book entitled The

Position of Modern Science on the Beginning of Human Life

(copyright 1975, Scientists for Life) we read this brilliantly

simple and clear explanation on page 15–






“When did your life begin?” The answer to this

question can be phrased simply by going backward in time.

Before you were an adult, you were an adolescent, and before

that a child, and before that an infant. Before you were an

infant–i.e., before you were born–you were a fetus, and

before that an embryo. Before you were an embryo, around the

time of your implantation, you were a blastocyst, and before

that a morula, and before than a zygote or fertilized ovum.

However, you were never a sperm or an unfertilized ovum.

Therefore, while life is continuous, your life began when the

nucleus of your father’s sperm fused with the nucleus of your

mother’s ovum, or at fertilization. [The Christian News

(Jan. 13, 1986), p. 8]






Because of newly discovered methods of research such as the

electron microscope, scientists can now observe the tiny cells

and genes which make up a living body. They have actually

observed the formation of the human being from the time the genes

of the mother and father are united. Consider the following

description of what happens during the first few weeks after

conception:






“In the [first seven weeks] the cells perform their

most intricate maneuvers, arranging into patterns that give

the embryo its human form. Toward the end of the third week a

gutterlike groove in the back folds into a neural tube–the

future nervous system. As the tube closes, the brain takes

shape, already differentiating into hind-, mid- and

forebrain. The five-week embryo, ONLY ONE-THIRD OF AN INCH

LONG, is a marvel of miniaturization: limb buds are sending

out shoots whose dimples mark the nascent [beginning to form]

hands and feet, and the hindbrain has grown stalked eye cups.

By the seventh and eighth weeks, the embryo’s face looks

human, limbs hinge on joints, hands splay into fingers and

primitive external genitals appear … After eight weeks

almost all of the internal organs are in place and the

embryo, SCARCELY AN INCH LONG, looks like a tiny person.








“At this point [eight weeks after conception!], 95

percent of the known structures, features and organs, from

tiny nerves to fingers and muscles, are there,” says Dr.

Ronan O’Rahilly, an embryologist at the University of

California at Davis(Newsweek, Jan. 11, 1982, p. 37).






THREE STAGES OF DEVELOPMENT




In thinking about birth control methods, it is important to

understand something about this process whereby the mother’s egg

is fertilized and then grows into a fully developed child.




The process can be divided into three stages–1)

Fertilization, 2) Implantation, 3) Growth.




In FERTILIZATION, the father’s sperm penetrates the

mother’s egg. This happens in the mother’s uterine tube near the

womb. It is at that point in time that the genes of the mother

and father are joined to make the new human life of their

offspring. At this stage the developing child is called in

medical terms a “zygote,” which is a Greek word meaning

“yoked together.”




Next the tiny, growing person continues its travel to the

uterus where it becomes attached to the uterine wall. This is IMPLANTATION

and occurs between day 5 and 8 and is completed by day 9 or 10 (The

Merck Manual, Fourteenth Edition, p. 1708).




The developing child is now called an “embryo,”

which is from a Greek word meaning “to swell.” That’s a

very good term, because the cells of this newly created little

being are multiplying at a breathtaking rate. For a very short

time the developing embryo draws its sustenance directly from the

uterus until the placenta and umbilical cord are developed.




After this, nothing is left but GROWTH as the baby’s

body rapidly forms. After approximately eight weeks the child is

called by the medical term “fetus,” which is from the

Latin word meaning “offspring.”




The “incredibly intricate and beautiful process of

conception” is described by a medical doctor as follows–






“First, there is the ovary, deep within the body,

that, propelled by some unknown force, turns once a month

towards the funnel-like opening at the end of the fallopian

tube. On the surface of the ovary is a tiny bubble, a

blister, that contains the one egg that alone, for some

mysterious reason, has emerged from a field of 250,000 to

ripen that month.








“Suddenly the bubble bursts. Triggered by a surge of

luteinizing hormone, an eloquent chemical messenger from the

brain, the ovary contracts sharply and the ripe egg bursts

forth. The fringed projections at the end of the fallopian

tube reach out like fingers to grasp the ovum [egg] and draw

it into the narrow tunnel of the tube. In a dreamlike,

slow-motion ballet, thousands of tiny, undulating cilia

caress the ripening egg and gently move it along on its

four-inch, four-day journey to the womb.








“Guided by a direction-finding mechanism whose nature

we can only guess at, the sperm swim up past the barrier of

the cervix, into the womb itself. They must then navigate the

entire length of the uterus and swim into the narrow upper

reaches of the dark fallopian tube to meet and fertilize the

egg.








“The process is precisely orchestrated, the co-

ordination of the myriad of biologic details staggeringly

complex. It is, for instance, only at this time of the month

that mucus produced by her cervix will allow sperm to pass

through the cervix and into the womb. At other times of the

month, the molecules of the mucus form a crosshatched pattern

to block the sperm lest they reach an egg too young or too

old to be properly fertilized, thus producing a deformed

baby. At the right moment, though, the molecules of the mucus

realign themselves, forming microscopic tunnels to aid the

sperm on their journey.








“The biochemical communications system that

orchestrates all this is so sophisticated that it makes the

technology of beaming planetwide transmissions off orbiting

satellites look like child’s play. When the sperm finally

meet the egg, they secrete a series of enzymes that soften

the outer shell of the egg and make it permeable. Meanwhile,

other chemicals secreted in the tube have completed the

ripening of the egg so it is ready to accept the sperm that

has managed to permeate the outer shell. The sperm and ovum

lock genetic arms, a mating of a still more complex

biochemistry, and the mingled DNA and RNA of the mother and

father create a blueprint from which a unique human being

will grow.








“Once fertilized, the egg completes its journey down

into the uterus. The uterus, notified of the impending

pregnancy through an elaborate chemical communications

system, has grown thick and rich” (Woman/Doctor: The

Education of Jane Patterson, M.D., New York: Avon Books,

1983).






As we have said, any process whereby we interfere purposefully

and knowingly to stop the growth of the fertilized egg, which is

already a newly created, unique human being, is abortion. If the

fertilized egg is not allowed to implant in the uterus, it is

being killed. The only difference between this and a later

abortion is the size and stage of development of the tiny human

offspring.




BIRTH CONTROL METHODS THAT RESULT IN

ABORTION




Many of our readers will probably be thinking, as we did not

long ago, that birth control pills and similar devices act to

PROHIBIT fertilization. Actually, as we will see from medically

proven facts, birth control pills have the potential to produce

an abortion AFTER fertilization. The IUD, birth control pills and

the new anti-progesterone pill are actually abortion devices,

since they prohibit implantation, thereby acting to destroy the

already-living, rapidly developing, microscopic embryo.




In an article entitled “Contraceptives: On Hold” in

the May 5, 1986 issue of Newsweek, several types of birth

control devices are discussed which are still in the development

stage. After describing one drug which blocks the preparation of

the uterus for the implantation of an already fertilized egg,

this statement is made: “Many experts believe that the

present anti- abortion climate would make it an unlikely prospect

for the U.S. market, SINCE, IN EFFECT, IT INDUCES AN

ABORTION.”




That birth control drugs can produce early abortions of the

newly fertilized egg is therefore a fact known and acknowledged

by those who understand how the drugs work. Yet these facts are

not widely known outside of medical circles, and many are

ignorant of these things. It is hoped that the following will

receive a wide hearing.




The following shocking material was published by Lutherans for

Life. The medical facts are written by J.C. Willke, M.D.,

Chairman of the National Right to Life Committee in America.




The I.U.D.




What is the mechanism of action of the IUD? It would seem at

this time that medical opinion has crystallized to a near

unanimity. The presence of this foreign body within the cavity of

the uterus produces a foreign body reaction. This is a local,

sterile (usually), inflammatory reaction, which alters the normal

body fluids within the uterus. It changes what had been a

friendly environment, for the migration of sperm and the

subsequent implantation of the new human being, to an unfriendly

environment. Some have described the intrauterine fluid produced

as containing “sterile pus.” This unfriendly fluid

environment can have an influence on the sperm migrating into the

uterus and tubes, and quite clearly does have an influence on

later implantation.




Not too much has been said or written to indicate that the

sperm are incapacitated in their passage through the uterus, for

if they were, fertilization could not occur. Most of the research

done tells us the same thing. A substantial number of sperm do

pass through the uterine cavity, proceed out to the ovary, and

FERTILIZATION CAN AND DOES OCCUR.




What is quite plain is that, following fertilization, the

process does not proceed to a normally implanted pregnancy. What

are the mechanisms postulated as to why she does not “get

pregnant”? Overwhelmingly, almost all medical studies have

demonstrated various mechanisms that prevent implantation into

the nutrient lining of the womb, due to the foreign body and

inflammatory reaction caused by the IUD. The end result, however,

in almost every case, when fertilization does occur (an

occasional pregnancy is carried to full term and delivery with

the IUD still in the uterus), IT IS FOLLOWED BY A PROCESS THAT

ENDS IN THE DESTRUCTION OF THE DEVELOPING NEW HUMAN IN THE UTERUS

THROUGH HIS OR HER INABILITY TO IMPLANT. THIS CAN BE ACCURATELY

DESCRIBED AS AN ABORTION. CLEARLY, ALMOST ALL CURRENT EVIDENCE

INDICATES THAT THE IUD’S MAJOR EFFECT IS TO ACT TO PREVENT

IMPLANTATION.




The fact that it is described as a “contraceptive”

agent is because of a change in the meaning of words by the Food

and Drug Administration and the American College of Obstetrics

and Gynecology a decade ago, when they redefined the word

“conception” to mean implantation. Under these semantic

gymnastics it is a “contraceptive,” but everyone

familiar with the function understands thoroughly that its action

is that of an abortifacient.




One other relevant medical comment should be made. In all

likelihood, the IUD possibly could be withdrawn from the market

within a reasonable period of time for it has serious side

effects. The “sterile pus” mentioned above does not

always remain sterile. At times it becomes infected, resulting in

varying degrees of inflammation of the female organs and at times

sterility. All practicing physicians in the United States were

notified several years ago, if they were to insert one specific

type of IUD, the Dalcon Shield, into a woman, that it was their

legal obligation to inform her that this might make her

permanently sterile. To protect from a possible later malpractice

suit, such consent should be in writing. In the face of such

concern, this specific type of IUD was removed from the market.

Whether or not other types of IUD’s will remain on the market

indefinitely is an open question. It is at least possible that

they may be removed for medical reasons before any law can do so

(The Christian News, Jan. 13, 1986).




THE PILL




The `pill’ consists now of over 30 different varieties of

chemical combinations of the synthetic equivalent of the female

hormones estrogen and progesterone, as well as the so-called

`mini-pill’ which contains progesterone alone. Understanding that

there are different degrees of actions with different pills, that

one has more of this effect and the other has more of that

effect, they can, to some extent at least, be described

generically.




The combination pills basically exert three actions in

`preventing’ pregnancy. The first effect of the contraceptive

pill is to prevent ovulation or release of the ovum from the

ovary. This has been described as `freezing’ of the ovary. Even

if the sperm do reach the ovary, fertilization cannot occur

because the ovum has not been released. This action is accurately

described as temporary sterilization, but in common usage it is

usually spoken of as `contraceptive’ action.




The first contraceptive pill, Enovid, contained ten milligrams

of estrogen- like hormone. It was believed that its physiological

function was almost totally that of temporary sterilization.

Enovid-5 was then marketed, to be followed by Enovid E (2.5 mg.).

Since that time lower and lower does of estrogen have been

presented to the consumer so that now does of 0.5 mgm. and 0.35

mgm. are commonly used.




The well known reason for the reduction of the estrogen dosage

was to try to minimize the threat of blood clot complications.




Paralleling the reduction of the estrogen dosage, however,

there has been the development of breakthrough ovulation, as the

lower doses have apparently not been successful in completely

suppressing ovulation.




WITH BREAKTHROUGH OVULATION IT IS NOW GENERALLY ACCEPTED THAT

ACTUAL FERTILIZATION OCCURS AT TIMES IN THOSE TAKING THESE PILLS,

but as described below, these women do not ordinarily `get

pregnant.’ [This means the fertilized egg is not allowed to

become implanted in the mother's uterus; it is killed.]




The second action is one of thickening of the mucous plug at

the cervical opening. This normally happens at the beginning and

at the end of a menstrual cycle, with the plug melting away at

mid-cycle, and being replaced by an egg white-like substance

containing nutrient fluids, which are `friendly’ to the passage

of sperm. The combination pill prevents this from occurring at

mid-cycle, maintaining the plug, and as such probably exerts true

`anti-fertilization’ action by preventing entrance of the sperm.




The third function of the combination pill is

anti-implantation or anti- nidatory. When this is the function

that is dominant in the particular month, there is sperm passage,

there is fertilization and migration of the new human through the

tube and into the uterus, but implantation does not occur. This

is because THE ACTION OF THE PILL HAS `HARDENED’ THE LINING OF

THE UTERUS, CREATED A HOSTILE ENVIRONMENT, AND THE MULTICELLED

TINY HUMAN BEING CANNOT IMPLANT. THIS FUNCTION IS ONE OF AN

ABORTION AT ONE WEEK OF LIFE.




There is no definitive medical agreement as to what percentage

of times this function occurs, in which women and with which pill

(The Christian News, Jan. 13, 1986).




THE MINI-PILL




The mini-pill is a form of birth control pill, different from

the combination of estrogen and progesterone above. This contains

only a small dose of progesterone. It is taken daily, 30 days a

month, rather than the 21-7 schedule for the combination pill. It

allows a menstrual flow to occur monthly while the pill is being

taken. There is considerable controversy as to whether or not its

action is primarily in preventing implantation, as other

mechanisms of action have been suggested, but general scientific

opinion at this time is in substantial agreement. It would seem

that IT DOES ALLOW A SUBSTANTIAL AMOUNT OF BREAKTHROUGH

OVULATION, AND PRESUMABLY AT TIMES FERTILIZATION. WHEN

FERTILIZATION OCCURS IT “PREVENTS” PREGNANCY BY AN

ANTI-IMPLANTATION ACTION. THIS ACTION IS BEST DESCRIBED AS AN

ABORTIFACIENT EFFECT.”




THE MORNING AFTER PILL




DES or Diethylstilbestrol is a synthetic estrogen. Given in

high dosage, in the days immediately following intercourse, it is

known as the morning- after pill. What is its function? This is

best illustrated by giving two examples.




In the first, a woman is raped at midnight Saturday and is

given DES at 2 a.m. in a hospital emergency room. Within a few

hours there is a high level of estrogen in her blood. Her body

was programmed to ovulate 24 hours later at midnight Sunday. The

high level of estrogen blocks that ovulation, fertilization does

not occur, and she does not get pregnant. This effect is one of

temporary sterilization.




In the second case, rape also occurs at midnight Saturday and

the medication is given at 2 a.m.. This woman, however, has

ovulated several hours before the rape. The ovum awaited. It was

fertilized. She also does not “get pregnant” but the

mechanism of action is quite different. The drug had

“hardened” the lining of the womb. THE MULTICELLED TINY

BOY OR GIRL, AT ABOUT ONE WEEK OF LIFE, COULD NOT IMPLANT AND

DIED. THIS MECHANISM WAS AN ABORTION.




Which mechanism occurs in any specific case may well not be

known, but THE STERILIZING ACTION WILL PROBABLY OCCUR TWO OR

THREE TIMES FOR EVERY ABORTIVE ACTION.




Other medications, such as a shot of progesterone are often

used in place of DES, as well as other forms of estrogen. Without

going into detail one can say that their mechanism of action is

substantially the same” (The Christian News, Jan. 13,

1986).




PROSTAGLANDINS




As is well known, these substances cause the onset of strong

uterine contractions and delivery of whatever size baby the

uterus contains. If used before viability [before the baby is

able to live outside the womb], this is the equivalent of

abortion.




The first form licensed, Prostin F2 alpha, carried a directive

from the FDA [Food and Drug Administration] that limited its use

to the induction of mid-trimester abortion only. Subsequently,

Prostin A2 and 15M have been licensed. These have now been

authorized for use for several therapeutic medical conditions

(uterine inertia, non-malignant Hyatidaform mole and missed

abortion). [This study was reviewed before publication by Matthew

Bulfin, M.D.; Thomas Hilgers, M.D.; and Richard Schmidt, M.D.] (The

Christian News, Jan. 13, 1986).




The fact that modern birth control pills can and at times do

function as an abortifacient (although they will often use

different words than abortifacient) is freely admitted by The

Food and Drug Administration, by medical books such as Physicians’

Desk Reference (PDR) and Nursing ‘85 Handbook; by

pro-abortion books such as My Body, My Health by Felicia

Stewart, M.D; by pro-abortion groups such as Planned Parenthood;

by drug companies in the literature which accompanies the pill,

and by some non- medical reference books such as Random House

College Dictionary. Quotes from these sources follow:




“How the IUD prevents pregnancy is not completely

understood. Several theories have been suggested. IUD’s seem to

interfere in some manner with the implantation of the fertilized

egg in the uterine cavity. The IUD does not prevent

ovulation” (The Federal Register, Part III, May 10,

1977, Department of Health, Education and Welfare–Food and Drug

Administration, “Intrauterine Devices,” p. 23781).




In describing the mechanism of Parke-Davis’ Norlestrin family

of birth control pills we read this notice in the PDR:




“Although the primary mechanism of action is inhibition

of ovulation, alterations in the genital tract, including changes

in the cervical mucus (which increase the difficulty of sperm

penetration) and the endometrium (WHICH REDUCE THE LIKELIHOOD OF

IMPLANTATION) MAY ALSO CONTRIBUTE TO CONTRACEPTIVE

EFFECTIVENESS” (Physician’s Desk Reference, Medical

Economics Company, copyright 1985, p. 1548).




This same notice is given for the Lo/Ovral and Nordette family

of birth control pills marketed by the Wyeth company (PDR, pages.

2255 and 2266).




“Progestogen … also causes endometrial changes that

PREVENT IMPLANTATION OF THE FERTILIZED OVUM” (Nursing ‘85

Drug Handbook, Spring House Corporation, 1985).




“In a natural cycle, the uterus lining thickens under the

influence of estrogen during the first part of the cycle, and

then matures under the influence of both progesterone and

estrogen after ovulation. This development sequence is not

possible during a pill cycle because both progestin and estrogen

are present throughout the cycle. EVEN IF OVULATION AND

CONCEPTION DID OCCUR, SUCCESSFUL IMPLANTATION WOULD BE

UNLIKELY” (Felicia Stewart, M.D.; Felicia Guest; Gary

Stewart, M.D. and Robert Hatcher, M.D.; My Body, My Health,

Consumers Union, pgs. 169,170).




“The endometrium (uterine wall) is definitely affected by

oral contraception … THE CHANGE MAY PREVENT IMPLANTATION OF THE

BLASTOCYST [the fertilized egg, the newly created

offspring]” (Planned Parenthood, Grant Application submitted

on September 1, 1982).




“For example, THE PILL MAY AFFECT THE MOVEMENT OF THE

FERTILIZED EGG TOWARD THE UTERUS OR PREVENT IT FROM IMBEDDING

ITSELF IN THE UTERINE LINING” (Changing Times,

“What We Know About the Pill,” July 1977, p. 21).




“Birth control pill: an oral contraceptive for women that

INHIBITS ovulation, fertilization, or IMPLANTATION OF A

FERTILIZED OVUM, causing temporary infertility” (Random

House College Dictionary, revised edition, copyright 1982, p.

137).




HOW OFTEN DOES THE BIRTH CONTROL PILL CAUSE AN ABORTION?




One question many people immediately ask is, “How often,

granted that every type of modern birth control pill can and

sometimes will function as an abortifacient, how often do they

function that way? Is it 10% of the time? Is it .00001% of the

time? Is it a percentage which is high enough to be significant

in my attitude toward the pill?”




Absolute percentages are impossible to obtain. There are too

many variables. Yet doctors and scientists are able to obtain

realistic estimates from their research. Here are some figures:




1. Planned Parenthood in their grant application state that

the hormones in the mini-pill “prevent ovulation and

corpusluteum formation in approximately 1/3 of the cycles.”

That means that 67% of the time women using the mini-pill have a

real possibility of a “silent abortion” on any given

month.




2. Albert D. Lorincz, M.D. in The Pill–How Does It Work?

cites a study in which 1200 women were given .5 mg daily of

progestogen (an amount equivalent to many birth control pills).

Yet 60% of these women ovulated. That means that 60% of the women

on this pill had a real possibility of a “silent

abortion” on any given month.




3. J.C. Espinoza, M.D., writes in his book Birth Control:

Why Are They Lying to Women? page 27:






“When ovulation occurs, pregnancy is possible. Years

ago Roland noticed ovulation in 30% of the women taking an

estrogen-progestin preparation (combined Pill). Today it is

clear that in at least 5% of the cycles of women on the

combined Pill `escape ovulation’ occurs. This fact means that

conception is possible during those cycles, but implantation

will be prevented and the `conceptus’ (child) will die. That

rate is statistically equivalent to one abortion every other

year for all women on the Pill. Mini-Pills have a much higher

ovulation rate. Pituitary block to prevent ovulation is

evident in only 50% of the cycles. Conception, then, is

possible every other month. This new Pill may produce

abortion 50% of the time–six for every year of use. The very

low dose progestin-only Pill may never prevent ovulation.

With any pill there are a small percentage of pregnancies

that go to full term.”






Some doctors may give somewhat different numbers, but the

evidence is clear–every modern birth control pill can and at

times does function as an abortifacient. The IUD works strictly

as an abortifacient.




WHAT SHOULD I DO IF I’VE BEEN ON THE PILL OR IUD?




Your heart may be troubled right now. You may have been using

the IUD or modern birth control pills without realizing that they

could be abortive. You probably are asking yourself, “Could

I have had a silent abortion? Or even several of them? Could I

have ended the life of a child which God intended me to

have?”




The answer, of course, is that only God knows. It is a

definite possibility that you have had a silent abortion, if not

several. Nowhere in Scripture does God promise to keep us from

committing sins in ignorance.




At this juncture we can praise the Lord for His great mercy.

The Scriptures promise, “If we confess our sins, he is

faithful and just to forgive us our sins, and to cleanse us from

all unrighteousness” (1 John 1:9). Also, “He that

covereth his sins shall not prosper: but whoso confesseth and

forsaketh them shall have mercy” (Proverbs 28:13).




BIRTH CONTROL METHODS WHICH DO NOT DESTROY A

NEW LIFE




We have said that any form of birth control which destroys a

life that has been created through the binding of the male and

female genes is wrong because it is a form of abortion. It can be

called “silent abortion,” or “microscopic

abortion,” or any other term, but it is still abortion and

as such is a breaking of the sixth commandment–”Thou shalt

not kill.”




The question remains: Are there any proper methods of birth

control which Christians can practice? Is it contrary to the will

of God for Christian couples to try to prevent pregnancies?




The first question can be answered much easier than the

second. There are methods of birth control which do actually keep

the sperm and the egg from uniting and therefore do not involve

the destruction of life. We will list these, and for more

detailed information a couple can contact their doctor or

qualified books on this subject:




1. THE CONDOM. Used by the husband, these are readily

available in most areas, are inexpensive and are effective when

used properly.




2. VAGINAL FOAMS, CREAMS, AND SUPPOSITORIES. These are

used by the wife and are also quite effective when used properly.

They immobilize or kill the sperm and in some cases provide a

mechanical barrier to the sperm. According to The Merck Manual,

“As the woman’s age increases, the effectiveness of these

agents increases greatly and, in women over age 30, is similar

[in effectiveness] to that of the IUD.




3. DIAPHRAGM. This is a device which is used by the

wife and blocks the sperm from entering the cervix. It “must

be carefully fitted by a physician, and the woman must know how

to insert it so that the cervix is covered … Contraceptive

cream or jelly should be used with the diaphragm….”




4. RHYTHM. “For the rhythm method to be

successful, the woman’s menstrual cycles should be regular. To

determine the period of abstention, 18 days should be subtracted

from the length of the shortest of the previous 12 cycles and 11

days from the longest. Thus, if the woman’s cycles vary between

26 and 29 days, the couple must abstain from … day 8 through

day 18 of each cycle. A more effective method is based on

measuring the woman’s basal body temperature each morning before

arising … Even with this refinement of technic, the failure

rate of the rhythm method is estimated to be about 7%; without

the use of temperature recording, the failure rate is several

times higher” (The Merck Manual, pp. 1699,1700).




Because of the fact that the couple are required to abstain

from meeting one another’s needs for approximately one-third of

the time, I fear that this method is dangerous in light of the

warning in 1 Corinthians 7:1-5.




5. STERILIZATION. It is very difficult to reverse the

effects of the sterilization operation, and it is said that such

reversals are effective only 30% of the time (The Merck

Manual, p. 1705). Therefore, this decision should be

considered permanent. Since it is impossible for us to know what

the future holds, it doesn’t seem that sterilization is a wise

thing for an individual or couple to do. What if my mate dies and

I desire at a later date to have more children? What if something

happens to some or all of our children? Sterilization means there

is very little possibility that we could have more children.




We are not saying these methods are proper for the Christian,

nor are we saying they are wrong. But we have listed them because

they are methods of birth control whereby the egg is not

fertilized and therefore a new life is not destroyed.

This material cannot be stored on BBS or

Internet sites without permission from the author. Any articles

which are redistributed by e-mail must be left intact and nothing

must be removed or changed, including these informational

headers. Copyright 1995 by David W. Cloud. All rights are

reserved by the author. David Cloud is editor of O Timothy, a

monthly magazine. Annual subscription is US$20 FOR THE UNITED

STATES. Send to Way of Life Literature, Bible Baptist Church, P.O.

Box 610368, Port Huron, MI 48061-0368, fbns@wayoflife.org. The Way of Life Internet web

site is http://www.wayoflife.org/

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