Chapter A. APB (Abortion-Preterm-Birth) risk Overview A preterm birth is a birth that occurs before 37 full weeks (259 days) of gestation. Such newborn are at increased risk for handi- caps (e.g.s. asthma, cerebral palsy, blindness, low IQ). Very pre- term newborn are at even higher risk of handicaps; depending on the researchers, 'very preterm' birth is defined as birth before 35, 34, or 32 weeks' gestation. There are over fifty (50) studies that have reported that previous induced abortions 'significantly' increase a woman's risk of later having a preterm or low birth weight newborn. Being at least 95% confident of increased risk (i.e. 'significance') is the 'gold standard' of medical research. NO studies have reported that previous induced abortions 'significantly' reduce subsequent prematurity risk compared to women without prior induced abortions. If one limits one's view to studies that achieve the 'gold standard' , the evidence for prematurity risk from induced abortions is 100% lopsided in favor of higher risk. Do any leading PB (preterm birth) experts support the APB risk? Yes, three world renowned experts: Professor Barbara Luke, Judith Lumley (PhD), Emile Papiernik (MD). Is the APB risk biologically plausible? Yes, via incompetent cervix and infection of the genital /urinary track, two known side effects of induced abortion surgery. What other evidence is there? Most studies that looked for it, found that the more the number of prior induced abortions, the higher the risk of subsequent prematurity. Researchers term this 'dose/response' . Bottom line: the APB risk is VERY credible. Since women 'consented' to the induced abortion, did they consent to elevated risk of preterm birth? No, most consent forms list infection risk and some list incompetent cervix risk (e.g. cervical laceration) but NONE list a major consequence of these risks: higher risk of a subsequent preterm birth. Thus, women signing consent forms did NOT consent to a higher risk of a later preterm birth. Since induced abortion is usually an ELECTIVE (!) procedure, women must be informed of a credible health risk such as APB; ie. the APB risk need only to shown to be credible and CONCLUSIVE proof is NOT required for warnings on consent forms of possible prematurity risk. Cerebral Palsy (improper balance, posture, and motion) is a very serious handicap and can be extremely expensive for parents of children with CP. Extremely premature U.S. infants (weighing under 3 pounds, 5 ounces) have about forty-six times the risk of CP as the general newborn population.32 Since induced abortion boosts prematurity risk, abortion is a credible risk for a future newborn having CP. But it must be mentioned that pregnant women with in- fections have a higher risk of having a newborn with CP, even if the infant was born full-term.27 Can a woman with an induced abortion history prior to the birth of a newborn with cerebral palsy (or other handicap) win a law suit alleging 'medical negligence' or 'battery'? This 'brief' will only seriously address the medical aspects of this question. copyright Brent Rooney ( [email protected] )