F. Cerebral Palsy and Preterm Birth A person who smokes cigarettes multiplies his/her risk of lung cancer by about a factor of eleven (11) compared to one who has never smoked cigarettes. This is considered a dramatic increase in disease risk. Compare this risk to the risk of cerebral palsy for very low birth weight (under 1500 grams which equals 3 pounds 5 ounces) newborn . A VLBW newborn has about thirty-eight (38) times (46 times for U.S. VLBW newborn) the risk of cerebral palsy as newborn in the general pop- ulation.32 In 1991 researchers performed a meta-analysis (a study of studies) to arrive at this relative risk number.34 This 'study of studies' analyzed both U.S. and non-U.S. studies and found that the overall relative CP risk was thirty-eight times. However, the risk of cerebral palsy for a U.S. VLBW newborn was 50 percent higher than that of non-U.S. newborn.32 The more preterm a birth the higher the risk of a VLBW birth. It should be noted that even if a woman with previous induced abortions has a full-term birth, her elevated infection risk means that her newborn has a raised CP risk compared to other full- term newborn.27 Preterm birth and infection are accepted risk factors for cerebral palsy.34 Dr. Janet Daling acknowledges that she is 'pro-choice'. In 1992 Dr. Daling and Marijane Krohn reported that women with an induced abortion in the previous pregnancy have 140 percent increased risk of intraamniotic infection compared to women who did not have an induced abortion in their previous pregnancy.31 In plain English 'intraamniot- ic infection' means that the unborn's 'living quarters' are infected. The APB-CP risk is a 'chain' with two (2) strong links: 1. previous induced abortions increase risk of preterm birth and very preterm birth 2. preterm birth and especially, very preterm birth escalates risk of cerebral palsy There is no study that has examined 'induced abortion boosting risk of cerebral palsy'. Is ACP (induced Abortion-Cerebral-Palsy) a credible risk? If each 'link' in the two link chain was weak or moderate in strength, then the credibility of the ACP risk might only exceed the 'level of being credible' by a small amount. However, as this entire 'brief' has made clear, both links in this 'two link chain' are very strong. Combining this high credibility with the fact that an ELECTIVE (!) procedure is involved should lead objective medical expert to con- clude that the ACP risk should be disclosed on abortion clinic consent forms as a possible risk. Premature births escalate the risks for many handicaps other than cerebral palsy. These include asthma, heart problems, blindness, deaf- ness, low IQ, and susceptibility to infections, etc. Thus, women have a legitimate fear of 'preemie' births. Elliot Gersh (MD) is a develop- mental pediatrician and Medical Director of the Mt. Washington Pediat- ric Hospital in Prince George's County, Maryland. Gersh wrote that one risk factor for cerebral palsy is, "Incompetent cervix (premature di- lation) leading to premature delivery".35 Dr. Gersh also lists preterm birth as a CP risk factor. copyright Brent Rooney ( [email protected] )