Justice For Kids

Affidavit: Preterm Birth risk & cerebral Palsy risk

 The following is an electronic copy of the first 20 pages of

an affidavit that I, Brent Rooney, swore on 12 January 2016

in Vancouver, Canada; those who want an EXACT replica of

the full 23 page affidavit, should send an email request to

Brent Rooney <fullterm40@gmail.com> and I will email

to you a PDF copy of my 12 January 2016 affidavit.


January 2016 Brent F. Rooney Sworn Affidavit          Page 1 of 23

Induced Abortions Raise Preterm Birth Risk & Cerebral Palsy Risk

 

Witness: [signed:] Filip de Sagher___ Date: _12 January 2016

 

Printed Name: _Filip de Sagher____

 

Tel.: 604 221 4343___

 

I , [signed:] Brent F. Rooney____ (Brent F. Rooney (MSc)) (mailing address:

3456 Dunbar St. (146), Vancouver, Canada V6S 2C2, and email addresses:

fullterm40@gmail.com , stopcancer@yahoo.com, & whatsup@vcn.bc.ca )

affirm that all my statements below, to the best of my knowledge, are true.

TABLE of CONTENTS of this January 2016 AFFIDAVIT

Overview of Key Points of this Affidavit Pages 1-2 Lines 1-01 to 2-01

Brent Rooney (MSc) qualifies as expert Pages 2-4 Lines 2-02 to 4-05

Evidence supporting abortion-preemie risk Pages 5-17 Lines 5-01 to 13-17

Acronym 'Map' Page 13

Copies of two published abstracts Pages 18-19

Brent Rooney (MSc) publishing credits Page 19-20

December 2008 Brent Rooney et al. study Pages 21-23

1-01 Overview: KEY points demonstrated by this January 2016 affidavit:

1-02 For at least 50 years it has been an established medical fact that

prematurely born babies (under 37 weeks' gestation) have raised risk of the

brain injury malady CP (Cerebral Palsy).

1-03 The 'gold standard' for settling a medical controversy is a study category

termed SYSTEMATIC REVIEW with META-ANALYSIS (SRMA).

1-04 For the preterm birth risk of prior Induced Abortions (IAs) there have

been (as of January 2016) three (3) SRMAs published in peer-reviewed

medical journals. All three (3) of these 'abortion-preemie' SRMAs reported

that prior Induced Abortions significantly raise future risk of preterm birth

 

& all 3 reported dose-response (ie. more than 1 prior IA imparts     Page 2 of 23

higher future risk of preterm birth than 1 prior IA). There are zero SRMAs

finding that prior Induced Abortions do not raise future risk of premature

delivery. All 3 SRMAs, 2 in 2009 and one in 2015, achieved statistical

significance and thus it is an established medical fact that prior Induced

Abortions raise future risk of premature delivery (aka preterm birth).

2-01 Since preterm birth is a CP (Cerebral Palsy) risk factor, the premature

birth risk of prior Induced Abortions clearly implies that prior Induced

Abortions are a probable risk factor for Cerebral Palsy in a newborn baby.

...______________________________________________...

2-02 Brent Rooney (MSc) is a true expert on the 'abortion-preemie' risk

as shown by the following (sometimes my name herein is “B. Rooney”):

2-03 a. Brent Rooney holds three (3) important world firsts relative to the

abortion-preemie risk:

2-04 1 In a peer-reviewed medical journal in 2001 I demonstrated that

prior induced abortions were a credible Cerebral Palsy risk due to the

raised preterm birth risk of prior IAs as demonstrated by published

statistically significant studies listed by B. Rooney.[14, Rooney]

2-05 2 In a December 2008 published study Brent Rooney (lead author)

demonstrated that a major reason that Black-American women have a very

high risk of premature delivery (& especially delivery under 32 weeks'

gestation) is that Black-American women have over four (4) times

the IA rate as non-Black U.S. women. The December 2008 Brent Rooney

study has never been challenged via a 'letter to the editor'.[23, Rooney]

2-06 3 The same December 2008 study with lead author Brent Rooney

revealed for the first time ever that 100% of all 'suction' (ie. vacuum

aspiration) abortions violate principle 3 of the 1947 Nuremberg Code, since

there are zero published animal studies for 'suction' abortion.[23, Rooney;

URL: http://www.jpands.org/vol13no4/rooney.pdf ] The abstract portion

of this 2008 study is in Appendix A (p. 19) and a copy of the full 2008

Rooney/Calhoun/Roche study is in Appendix C (pp. 21-23).

2-07 b. The first extensive study of the 'abortion-preemie' risk in the 21st

century occurred in May 2003 with lead author Brent Rooney and

2-08 [Acronym Map on page 13]

 

was published in a peer-reviewed medical journal.[53, Rooney;      Page 3 of 23

URL: http://www.jpands.org/vol8no2/rooney.pdf ] The abstract portion of

the May 2003 Rooney/Calhoun study is in Appendix A below (pp. 19-20).

3-01 c. To be a true expert in any medical field one must read extensively. I

have carefully read all 3 SRMAs of the 'abortion-preemie' risk, all the large

major studies, and the 'bible' of premature birth books (Every Pregnant

Woman's Guide to Preventing Premature Birth by Prof. Barbara Luke

(ScD, Michigan State University)). I communicate with PTB experts.

3-02 d. Since 1 January 2004 every woman who visits a Texas abortion clinic

must be offered a WRTK (Women's Right To Know) booklet that lists

adverse risks of Induced Abortions. The 2 major risks listed in the WRTK

booklet are maternal breast cancer risk and future higher risk of preterm

delivery. In 2003 a Texas government appointed medical panel considered

which risks to list in the WRTK booklet & according to Jana Huband of the

Justice Foundation (San Antonio, Texas) this medical panel in early Fall

2003 was not inclined to include the 'abortion-preemie' risk. I faxed to Jana

Huband a copy of the 2003 Thorp/Hartmann/Shadigian study [52] that

confirmed the abortion-preemie risk. The Justice Foundation supplied

copies of the studies they had to Dr. Martha Garza and Dr. Garza's

presentation to the special medical panel convinced it to include the

'abortion-preemie' risk warning in the WRTK booklet. On page 17 of the

WRTK booklet appears this warning:

......Some large studies have reported a doubling of the risk of premature

birth in later pregnancy if a woman has had two induced abortions. The

same studies report an 800 percent increase in the risk of extremely

early premature births (less than 28 weeks) for a woman who has

experienced four or more induced abortions. Very premature babies,

who have the highest risk of death, also have the highest risk for lasting

disabilities, such as mental retardation, cerebral palsy, lung and

gastrointestinal problems, and vision and hearing loss....”[emphasis added]

Dr. Garza used the May 2003 Rooney/Calhoun study as a 'road map' to

show the main studies supporting the 'abortion-preemie' risk. The sentence

with “800 percent increase in the risk of extremely early                Page 4 of 23

premature births.” was a risk revealed in the 2003 Rooney/Calhoun study;

our study revealed nine times the risk of extremely preterm birth for more

than 3 prior IAs, which, of course, is an 800% increase in relative risk.[53]

4-01 e. A study authored by Dr. Byron Calhoun, Dr. Elizabeth Shadigian, and

Brent Rooney was published in Oct. 2007.[24, Calhoun] This 2007 study

estimated human costs and economic costs associated with the raised

preterm birth risk imparted by prior induced abortion on the U.S. newborn

population for the year 2002. B. Rooney designed the method to compute

the excess number of U.S. born very low birth weight (<1,500 grams) with

CP (Cerebral Palsy) due to their mothers' prior IAs; the estimate was 1,096

cases of CP for U.S. babies born in 2002 (under 1,500 grams birth weight).

4-02 f. Through my efforts the Editor-in-Chief of the prestigious British

Journal of Obstetrics & Gynaecology, Dr. Philip Steer, on 16 January 2006

conceded in an email to Brent Rooney that the evidence for the abortion-

preemie risk was “overwhelming”. A euphemism for induced abortion

often used is TOP (Termination Of Pregnancy). Dr. Steer's sentence

conceding 'abortion-preemie' risk is the following:

4-03 “...I still feel it was fatally unbalanced because, contrary to what

the author below says, they were not trying to establish the link between

TOP and preterm labour (which none of us dispute, the evidence is already

overwhelming) but to quantify the costs of the resulting preterm labour

(and we didn't even agree with how they did that) without quantifying the

costs of not doing the TOPs or preventing their necessity....”

..____________________________________________________________..

 

4-04 A copy of Dr. Philip Stteer's 16 Jan. 2006 email is an attachment to my

28 May 2007 sworn affidavit. Those who are convinced that Dr. Philip

Steer did NOT send such an email to email address <whatsup@vcn.bc.ca>

on 16 Jan 2006 can request Dr. Steer to swear an affidavit to that effect; Dr.

Philip Steer's email address: <p.steer@imperial.ac.uk> . It is a violation of

both Canadian law and U.K. law to deliberately swear a false affidavit.

4-05 A list of Brent Rooney (MSc) publication credits is in Appendix B

(near the very end of this affidavit (Page 20)).[Acronym 'Map' on p. 13]

 

                                                                                                          Page 5 of 23

5-01 Strong Evidence Supporting Higher Risk of Preterm Birth

& Cerebral Palsy due to Prior Induced Abortions

 

5-02 Abstract: Extremely premature newborn babies have 129 times the CP 5-03 (Cerebral Palsy) risk compared to full-term newborns (absolute CP risk: 5-04 14.6%). Eleven (11) statistically significant studies report that prior

5-05 induced abortions (IAs) raise future risk of extremely preterm birth

5-06 (XPB), providing strong evidence that prior IAs elevate future risk of

5-07 preterm babies with Cerebral Palsy. The 'gold standard' for resolving

5-08 a medical controversy is a SRMA (Systematic Review with Meta-

5-09 -Analysis).[Fletcher, 18] All 3 SRMAs for the 'abortion-preemie' risk

5-10 validate this risk and all 3 find dose-response, thus establishing higher

5-11 risk of premature delivery for women with prior induced abortions as

5-12 medical fact. It is very probable that Black-American women with over

5-13 4 times the IA rate as non-Black women, will see a marked reduction in

5-14 the rate of newborns with CP, if the Black-American induced abortion

5-15 rate can be markedly cut. The U.S. Ninth Circuit Court has ruled that

5-16 patients must be warned in advance of “potential” adverse risks of

5-17 proposed medical treatments.[47, Kindley] Before the first two

5-18 (2) 'abortion-preemie' SRMAs appeared in 2009 the [U.S.] Institute

5-19 of Medicine in its 2007 authoritative preterm birth textbook identified

5-20 “Prior first trimester induced abortion” as an “Immutable Medical Risk

5-21 Factor Associated with Preterm Birth”.[19, Behrman] An established

5-22 medical risk factor is far 'above' a mere “potential” adverse risk.

 

5-23 Introduction

 

5-24 No previous study or review has examined the extensive evidence 5-25 supporting the ACP (Abortion-Cerebral-Palsy) risk. Since extremely

5-26 preterm babies (XPBs) have a steeply elevated 14.6% absolute CP risk

5-27 and eleven (11) significant studies find that prior induced abortions

5-28 boost XPB risk [1-11], women must be warned about this serious risk

5-29 on consent forms. In 1980 Harvard University researchers led by Ann

5-30 Levin (Harvard U.) were the first to report significant XPB/IA risk. U.S.

                                                                                                         Page 6 of 23

6-01 women with more than 1 prior IA have 3.3 times the extremely preterm

6-02 birth risk as women with zero prior IAs (95% CI 1.2-8.8). 'Levin' also

6-03 found that women with more than 1 prior IA have 2.7 times the risk of

6-04 incompetent cervix. Levin's study was published in the Journal of the

6-05 American Medical Association.[11, Levin] 14.6% represents 129 times

6-06 the CP risk of full-term babies according to the 2008 'Himpens' meta-

6-07 analysis.[12, Himpens] Twenty-six (26) significant studies find that

6-08 prior IAs increase risk of very preterm birth (VPB, <32.0 weeks'

6-09 gestation) or its surrogate, VLBW (Very Low Birth Weight (<1,500

6-10 grams)) [13] with VPBs having 55 times (6.2% absolute risk) the CP

6-11 risk as full-term newborn babies [12, Himpens]; 11 XPB/IA studies are

6-12 included in the VPB/IA list. Although very preterm babies comprise

6-13 only about 17% of preterm births in the U.S., a majority of infant deaths

6-14 and serious disabilities are imparted onto the VPB group. Arrayed

6-15 against the 26 significant studies reporting higher VPB/IA risk are a

6-16 a total of zero significant studies finding the reverse (ie. lower VPB

6-17 risk for women with prior Induced Abortions).

 

6-18 Evidence supporting ACP (Abortion-Cerebral-Palsy) risk

 

6-19 The first demonstration of the credible hypothesis that prior induced

6-20 abortions increase future risk of premature newborn babies with cerebral

6-21 palsy due to induced abortion history came in the 2nd quarter of 2001

6-22 in a peer-reviewed European medical journal.[14, Rooney] Three (3)

6-23 SRMAs (Systematic Review with Meta-Analysis) validate significant

6-24 APB (Abortion-Preterm-Birth) risk with the first two ('Shah' &

6-25 'Swingle') published in 2009.[15-17] Dr. Robert Fletcher and Dr.

6-26 Suzanne Fletcher (Harvard University) have identified Systematic

6-27 Reviews [with Meta-Analysis] as the category of medical study

6-28 providing the highest confidence (pro or con) about a purported

6-29 medical risk.[18, Fletcher] The 3 SRMAs confirm the 2007 Institute of

6-30 Medicine finding that “Prior first trimester induced abortion” is an

6-31 “Immutable Medical Risk Factor Associated with Preterm Birth”.[19,

6-32 Behrman] Thus, all surgical IA providers have never been cleared of

6-33 providing a medical procedure that boosts the risk of preterm babies

 

7-01 with CP in subsequent pregnancies. Hungary in the 1960s Page      7 of 23

7-02 & early 1970s suffered a handicapped newborn baby epidemic due to a

7-03 very high preterm birth rate. In Dec. 1973 in a government controlled

7-04 publication (Magyar Hirek (Hungary News)) it was admitted that the

7-05 major cause of Hungary's preterm birth epidemic was induced abortions

7-06 and that the Hungarian government would (effective January 1974)

7-07 impose restrictions on access to abortion.[20, Iffy] The December 1973

7-08 Magyar Hirek article by Judit Kovacs has been translated into English

7-09 and is available online.[13, Rooney] Dr. Leslie Iffy's warning to U.S.

7-10 doctors in 1975 about a coming rise in the U.S. 'preemie' rate due to

7-11 legalization of induced abortion was ignored.[20, Iffy] Dr. Iffy's

7-12 prediction of a much increased U.S. 'preemie' rate came to pass.

 

7-13 One year after the 2001 Rooney letter [14] Swedish researchers in

7-14 2002 revealed in a data-table that if a Swedish mother of a 'preemie'

7-15 had an IA history, her newborn's relative odds of having CP were 60%

7-16 higher than that of preterm babies of Swedish mothers with no prior IAs

7-17 (O.R.: 1.6 (95% CI 0.99-2.58)).[21, Jacobsson] In 2014 Egyptian

7-18 researchers found that Egyptian women with prior abortions have 2.45

7-19 times the risk of having newborn babies with CP compared to Egyptian

7-20 women with zero prior abortions.[22, El-Tallawy] 'El-Tallawy' cited the

7-21 Dec. 2008 'Rooney/Calhoun/Roche' study [23] that demonstrated

7-22 that a major cause of racial disparity in U.S preterm birth rates is due to

7-23 Black-American women having over 4 times the IA rate as non-Black

7-24 women. The Oct. 2007 'Calhoun' study estimated 1,096 U.S. newborns

7-25 under 1,500 grams in 2002 with CP due to their mothers' prior induced

7-26 abortions.[24, Calhoun] In a 2015 study Indian researchers found the

7-27 significant result that if a woman in India with IA history has a

7-28 newborn with CP, the baby is 5 times more likely to be a preterm baby

7-29 than a full-term newborn.[25, Tatavarti] (In the U.S. approximately

7-30 1/2 of newborns with CP are born at full-term). Via medical search

7-31 engine work Brent Rooney has found zero published studies reporting

7-32 that women with prior IAs have lower risk of delivering newborn

7-33 babies with CP than women with zero prior IAs.[Acronym Map: p. 13]

8-01 Four (4) other ACP (Abortion-CP) risks                  Page 8 of 23

8-02 In addition to raised preterm birth risk there are 4 other abortion side-

8-03 effects that raise future risk of newborn babies later diagnosed with CP:

8-04

1 Infection 2 Advanced maternal age 3 Incompetent Cervix 4 Substance abuse

 

8-05 Judith Grether reported that maternal infection multiplies a normal

8-06 weight newborn baby's CP odds by 9.3 (95% CI 3.7-23.0).[26, Grether]

8-07 Marijane Krohn (PhD) and colleagues reported that women with an IA

8-08 in the previous pregnancy quadruple their risk (95% CI 2.7-5.8) of

8-09 intraamnioitic infection in current pregnancies.[27, Krohn] Muhlmann

8-10 & colleagues supported raised maternal infection risk for women with

8-11 IAs in previous pregnancies.[28, Muhlmann] Thus, the maternal

8-12 infection risk of prior induced abortions imparts raised Cerebral Palsy

8-13 risk to full-term as well as preterm infants. Chorioamnionitis ('Chorio')

8-14 is inflammation of placental membranes. The Yvonne Wu and John

8-15 Colford meta-analysis found that preterm infants of mothers diagnosed

8-16 with 'Chroio' multiply their babies CP risk by 1.9 (95% CI 1.4- 2.5) but

8-17 full-term infants of mothers diagnosed with 'Chorio' multiply their

8-18 infants CP risk by 4.7 (95% CI 1.3-16.2).[29, Wu] Dr. Raatikainen (2006)

8-19 reported that Finnish women with 1 prior IA have 50% higher risk of

8-20 'Chorio' than Finnish women with zero prior IAs.[30, Raatikainen]

8-21 Prior abortion, especially multiple prior IAs, increases a childless

8-22 young woman's risk of advanced maternal age at First Full-Term

8-23 Pregnancy (FFTP).[30-32] Henriet & Kaminski reported that French

8-24 women with more than one (1) prior IA have 2.4 times the risk of

8-25 maternal age over 34.[32, Henriet] A FFTP at age 35 years carries 1.41

8-26 times the breast cancer risk as a FFTP at age 25.[33, Trichopoulos]

8-27 Yvonne Wu and colleagues reported that maternal age over 35 years

8-28 imparts 1.9 times the odds of delivery of a newborn baby later

8-29 diagnosed with CP (95% CI 1.5-2.5).[34, Wu] Advanced maternal age

8-30 boosts many risks to newborn infants, including down syndrome,

8-31 childhood cancer, and birth defects.

8-32 Incompetent cervix (weak 'neck' to the cervix ), a known CP risk

 

                                                                                                            Page 9 of 23

9-01 factor, is made more likely by surgical abortions. In a 2010 study,

9-02 with over 1 million U.S. subjects, Dr. Emmanuel Anum demonstrated

9-03 dose-response for incompetent cervix and prior induced abortions.

9-04 The odds ratio for 1, 2, 3, and 4 or more prior terminations (IAs) are:

9-05 O.R. 2.49 4.66 8.07 12.36

9-06 95% CI (2.23-2.77) (4.07-5.33) (6.77-9.61) (10.19-15.00)

9-07 The authors of this 2010 study could not explain such very high raised

9-08 incompetent cervix risks via confounding (ie. other risk factors). Black-

9-09 American women have 2 1/2 times the incompetent cervix risk as non-

9-10 Black women.[35,Anum] Thus, Dr. Anum & colleagues confirmed

9-11 the 1980 study by Harvard University researchers that more than one

9-12 prior IA more than doubles incompetent cervix risk.[11, Levin]

9-13 “We have known for centuries that a healthy mother is more likely to

9-14 bring forth a healthy baby”, wrote probiotics expert Natasha Trenev in

9-15 1998.[36, Trenev] Substance abuse undermines maternal health.

9-16 Maternal substance abuse (including alcohol, tobacco, and illicit drugs)

9-17 increases CP risk for newborn babies.[37,38]

9-18 The Yamaguchi and Kandel study of 700 women in New York (state)

9-19 reported that illicit drug use for women with IA history was 6.1 times

9-20 that of women with zero prior IAs.[39, Yamaguchi] In the Patricia

9-21 Coleman (PhD) meta-analysis, history of prior IA conferred 2.1 times

9-22 the risk of alcohol abuse.[40, Coleman] Reardon and Ney in their 2000

9-23 study found that women with IA history have 4.5 times the risk of

9-24 substance abuse as women with no IA history.[41, Reardon]

9-25 Burden of Proof

9-26 In a criminal legal proceeding in advanced countries, the Burden of

9-27 Proof (BoP) rests on the 'shoulders' of the prosecution to demonstrate

9-28 the defendant's guilt. Many of the public and possibly a segment of

9-29 medical professionals believe that safety skeptics of a specific medical

9-30 treatment must bear the Burden of Proof to demonstrate harm, not to be

9-31 borne by treatment providers to demonstrate safety. This is a patently

9-32 false belief. In the 'Court of Medicine' a NEW medical treatment is

9-33 presumed 'guilty' of a credible serious adverse risk, until proven

                                                                                                        Page 10 of 23

10-01 'innocent' of that credible risk by clear and strong published evidence.

10-02 Only when a new medical treatment is clearly demonstrated to be free

10-03 of a once-credible adverse risk does the BoP shift onto the 'shoulders'

10-04 of safety skeptics of the medical treatment in question. As of early

10-05 January 2016 there exist zero SRMAs, the 'gold standard' for resolving

10-06 medical controversies [18, Fletcher], finding that prior IAs do not raise

10-07 future risk of preterm birth. There are 3 SRMAs finding that prior

10-08 induced abortions elevate future odds of preterm birth[15-17], thus,

10-09 confirming the 2007 Institute of Medicine finding that “Prior first

10-10 trimester induced abortion” is an “Immutable Medical Risk Factor

10-11 Associated with Preterm Birth”.[19. Behrman]

 

10-12 Black-Americans can have fewer Cerebral Palsy Crippled Babies

 

10-13 Dr. Maureen Durkin in a 2015 CP study stated:

10-14 “This suggests that the greatest risk of CP in black children is

10-15 mediated by preterm birth and associated perinatal factors, and that

10-16 elimination of the greater risk of CP in black children will require

10-17 elimination of the greater risk of preterm birth and associated

10-18 perinatal risk factors experienced by black infants.”[42, Durkin]

10-19 That Black-American children face high CP risk is supported by a

10-20 2016 study in the prestigious medical journal PEDIATRICS:

10-21 Non-Hispanic Black-American children have 1.8 times the CP risk

10-22 as non-Black-American children (95% CI 1.5-2.1).[43, Braun]

10-23 Harvard University researchers led by Dr. Ellice Lieberman reported

10-24 that Black-American women with more than 1 prior IA have 1.91

10-25 times the preterm birth odds as Black women with zero prior IAs.[44,

10-26 Lieberman] The 1987 'Lieberman' study was published in the New

10-27 England Journal of Medicine. If the overall U.S. IA rate is markedly

10-28 cut, the child CP rate would markedly drop, but Black-Americans

10-29 would benefit most, if Black women brought down their IA rate from

10-30 more than quadruple the non-Black IA rate to equal or less than the

10-31 non-Black IA rate. Black-Americans have 2-3 times the very preterm

10-32 birth rate [45, Martin] and 4 times the extremely preterm birth rate as

10-33 Caucasian women[46, Alexander]. Dr. Durkin's emphasis on reducing

 

11-01 the Black-American CP rate via dropping their newborn       Page 11 of 23

11-02 prematurity rate is well justified.[42, Durkin]

11-03 Standard for Adverse Risk Warnings

11-04 U.S. Ninth Circuit Court ruled: “We believe a risk must be disclosed

11-05 even it is but a potential risk rather than a conclusively determined

11-06 risk. It may be that these risks had not yet been documented or

11-07 accepted as a fact in the medical profession. Nonetheless, under the

11-08 doctrine of informed consent, these risks should have been disclosed.

11-09 Medical knowledge should not be limited to what is generally accepted

11-10 by the profession..”[47, Kindley] In 2009 via 2 systematic reviews

11-11 with meta-analysis it became a settled medical fact that prior induced

11-12 abortions raise future risk of preterm delivery.[15,16] If these 2 SRMAs

11-13 & the 2015 'Lemmers' SRMA [17] had never been published, for

11-14 abortion providers to avoid including 'preemie' warnings in consent

11-15 forms, they would still have to show that the APB risk is not even a

11-16 potential risk. To ethically follow this course of action would require

11-17 over 100 significant published PTB/IA & LBW/IA studies [13, Rooney]

11-18 be withdrawn by medical journals. Such a massive withdrawal of

11-19 medical studies is unprecedented. Prior chemical (aka 'medical')

11-20 abortions also raise premature delivery risk

11-21 Since no surgical induced abortion procedure has published

11-22 animal studies to validate safety, such surgeries must be presumed

11-23 to be unsafe.[23, Rooney] It is also unethical to provide a medical

11-24 treatment that violates principle 3 of the 1947 Nuremberg Code which

11-25 vacuum aspiration abortion, Dilation & Evacuation (D & E), &

11-26 Dilation & eXtraction all do, since none has been safety validated by

11-27 published animal studies; Dilation & Curettage predates 1947 and is

11-28 thus 'grandfathered' from principle 3 of the 1947 Nuremberg Code.

11-29 The Duty to Withhold Medical Treatment

11-30 Canadian Judge Ellen I. Picard wrote: “However, this does not mean

11-31 that the doctor has a duty to provide (and the patient a correlative right

11-32 to receive) whatever treatment the patient may request. If a patient

11-33 requests treatment which the doctor considers to be inappropriate and

11-34 potentially harmful, the doctor's overriding duty to act in the patient's

 

12-01 best interests dictates that the treatment must be withheld.   Page 12 of 23

12-02 A doctor who accedes to a patient's request (or demand) and performs

12-03 treatment which he or she knows, or ought to know, is contra-indicated

12-04 and not in the patient's best interests, may be held liable for any injury

12-05 which the patient suffers as a result of treatment..”[54, Picard]

12-06 Chemical Abortions (aka 'medical' abortions)

12-07 The 2007 'Virk' study (Danish subjects) reported that the

12-08 preterm birth risk of 'medical' (ie. chemical) abortions, although very

12-09 slightly above (O.R. = 1.04) the PTB risk of surgical abortions, was

12-10 not significantly different.[48, Virk] Denmark has a national abortion

12-11 registry which allows studies to have accurate induced abortion data.

12-12 Thus, the 'Virk' study shows that chemical abortions deliver

12-13 raised preterm delivery risk relative to term delivery. The 1999 'Zhou'

12-14 study found that Danish women with prior IAs (mostly IAs in 'Zhou')

12-15 have significantly raised risk of subsequent preterm deliveries. An

12-16 especially disturbing finding of the 'Zhou' study is that Danish women

12-17 with two (2) prior D & E abortions have 12.55 times the odds of a

12-18 preterm delivery compared to Danish women with zero prior induced

12-19 abortions.[49, Zhou] For reasons unknown this startling statistic was

12-20 only in a data-table and was nowhere else in the 1999 'Zhou' study. A

12-21 2012 mouse study performed in China found the chemical abortifacient

12-22 mifepristone (aka RU-486) markedly increases low birth weight risk

12-23 in future newborn mice pups.[50, Lv]

 

12-24 Conclusion

12-25 Established medical facts:

12-26 1 The more premature a delivery, the higher a newborn baby's risk

12-27 of Cerebral Palsy.[12, Himpens]

12-28 2 3Systematic Reviews with Meta-Analysis (SRMAs) support

12-29 APB (Abortion-Preterm-Birth) risk.[15-17]. Zero SRMAs refute it

12-30 3 2 SRMAs reported VPB/IA risk with the 'Swingle'[16] Odds Ratio

12.31 = 1.64 and the 'Lemmers'[17] O.R. = 1.69 [Dr. Shah [15]

12-32 did not compute a VPB/IA Odds Ratio (O.R.)]

12-33 4 'Lemmers'[17] supports XPB/D&C risk; O.R.=1.68 (1.47-1.92)

12-34 5 Eleven (11) statistically significant studies find that prior induced

 

13-01 abortions raise future risk of extremely preterm birth             Page 13 of 23

13-02 (XPB).[1-11] No significant study reports lower XPB/IA risk. The

13-03 first XPB/IA study (Journal of the American Medical Association)

13-04 reported that more than 1 prior IA multiplies XPB risk by 3.3 (95%

13-05 CI 1.2-8.8).[11, Levin]

..............................................................

13-06 It violates informed medical consent principles for women not to be

13-07 informed that prior surgical induced abortion raises preterm birth risk.

13-08 'Preemies' face raised risk of CP, Autism [51, Moore], epilepsy,

13-09 blindness, deafness, mental retardation, gastrointestinal injury, &

13-10 serious infections. Chemical abortions appear to have approximately

13-11 the same increased risk of preterm delivery as do surgical abortions.

13-12 A major reason for Black-Americans having 2-3 times the very

13-13 preterm birth rate as non-Black women is that Black-Women have

13-14 more than 4 times the induced abortion rate as non-Blacks. If Black-

13-15 American women can markedly cut their induced abortion rate, the rate

13-16 of newborn Black-American babies with Cerebral Palsy will fall

13-17 substantially. [References for the above text start on the next page].

Acronym 'Map'

ACP - Abortion-Cerebral-Palsy (CP risk raised by prior induced abortions)

AKA - Also Known As

APB - Abortion-Preterm-Birth (Preterm Birth risk raised by prior abortions)

CI - Confidence Interval (a statistical term; 2 #s, a lower CI & an upper CI)

D & C - Dilation & Curettage (surgical abortion normally done in first trimester)

D & E - Dilation & Evacuation (a 2nd trimester abortion surgery)

FFTP - First Full-Term Pregnancy (younger FFTP age=Lower Breast Cancer risk)

J - Journal (usually a medical journal)

IA - Induced Abortion

LBW - Low Birth Weight (birth weight under 2,500 grams (5 lbs. 8 ozs.))

O.R. - Odds Ratio (a statistical term; an O.R. over 1.0 means increased risk)

'Preemie' – Baby born prematurely (under 37.0 weeks' gestation)

PTB - PreTerm Birth (delivery of a baby under 37 weeks' gestation)

SRMA - Systematic Review with Meta-Analysis ('gold standard' of med studies)

TOP - Termination Of Pregnancy (euphemism for induced abortion)

VLBW - Very Low Birth Weight (birth weight under 1,500 grams (3 lbs. 5 ozs.))

VPB - Very Preterm Birth (delivery under 32.0 weeks' gestation)

XPB - eXtremely Preterm Birth (delivery under 28 weeks' gestation)

 

References

1 Ghislain Hardy, Alice Benjamin, Haim A. Abenhaim. Effects        Page 14 of 23
of Induced Abortions on Early Preterm Births and Adverse Perinatal
Outcomes. Journal Obstetrics Gynaecology Canada 2013;35(2):138-143

http://jogc.com/abstracts/full/201302_Obstetrics_5.pdf

2 Scholten BL, Page-Christiaens CML, Franx A, Hukkelhoven CWPM, Koster
MPH. The influence of pregnancy termination on the outcome of subsequent
pregnancies: a retrospective cohort study. BMJ OPEN 2013;3;e002803
doi:10.1136/bmjopen-2013-002803
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3 Raisanen S, Gissler M, Saari J, Kramer M, Heinon S. Contribution of Risk
Factors to Extremely, Very and Moderately Preterm Term Births- Register-Based
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http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0060660
4 Bhattacharya S, Lowit A, Bhattacharya S, Raja EA, Lee AM, Mahmood T,
Templeton A. Reproductive outcomes following induced abortion; a national
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7 Stang P, Hammond AO, Bauman P. Induced Abortion Increases the Risk

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12 Himpens E, Van Den Broeck C, Oostra A, Claders P, Vanhaesebrouck P.

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13 Rooney B. URL: http://justiceforkids.webs.com/chapter4130studies.htm .

14 Rooney B. Elective surgery boosts cerebral palsy risk. European

J Obstetrics Gynecology Reprod Biology 2001;96(2):239-240     Page 15 of 23

15 Shah PS, Zao J. Induced termination of pregnancy and low birthweight

and preterm birth: a systematic review and meta-analysis. British J

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subsequent preterm birth: a systematic review and meta-analysis. J Reprod Med

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Huirne JA, Ankum WM, Mol BW. Dilation and curettage increase the risk of

preterm birth in subsequent pregnancies. A systematic review and meta-

analysis. Human Reprod. Advanced Access 2015;0(0):1-12 Abstract URL:

http://humrep.oxfordjournals.org/content/early/2015/11/02/humrep.dev274.abstrac

18 [Book:] Fletcher RH, Fletcher SW. Clinical Epidemiology The Essentials

[Fourth Edition]. Lippincott Williams & Wilkens, Philadelphia, Pennsylvania

2005

19 Behrman RS, Butler AS, Alexandar GR. Preterm Birth: Causes, Consequences,

and Prevention. National Academy Press, Washington DC (2007)]

[http://www.nap.edu/openbook.php?record_id=11622&page=625 ]

20 Iffy L. Abortion Laws in Hungary. Obstetrics Gynecology Jan.

1975;45(1):116-117

21 Jacobsson B, Hagberg G, Hagberg B, Ladfers L, et. al, Cerebral palsy in

preterm infants: a population-based case-control study of antenatal and

intrapartal risk factors. Acta Paediatr 2002;91:946-951

22 El-Tallawy HN, Farghaly WMA, Shehata GA, Rageh TA, Metwally NA.

Cerebral Palsy in Al-Quseir City, Egypt: prevalence, subtypes, and risk factors. Neuropsychiatric Disease Treatment 2014;10:1267-1272
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099193/pdf/ndt-10-1267.pdf

23 Rooney B, Calhoun BC, Roche L. Does induced abortion account for racial

disparity in preterm births, and violate the Nuremberg Code? J American

Physicians Surg 2008;13:102-104.

[ URL: http://www.jpands.org/vol13no4/rooney.pdf ]

24 Calhoun BC, Shadigian E, Rooney B. Cost consequences of induced abortion

as an attributable risk for preterm birth and informed consent. J Reproductive

Med 2007;52: 929-939

http://www.ncbi.nlm.nih.gov/pubmed?term=calhoun%20shadigian%20rooney

25 Tatavarti SR, Arimilli V. PRETERM BIRTH ASSOCIATED with CEREBRAL

PALSY. J Evidence Based Medicine and Healthcare. May 2015;2;2476-2479

[ [URL: http://www.jebmh.com/data_pdf/2_Srinivas%20Rao.pdf ]

26 Grether JK, Nelson KB. Infection and Cerebral Palsy in Infants of Normal

Birth Weight. J American Medical Assoc 1997;278(3):207-211 http://jama.jamanetwork.com/article.aspx?articleid=417613

27 Krohn MA, Germain M, Muhlemann K, Hichok D. Prior pregnancy outcome

and the risk of intraamniotic infection in the following pregnancy. American J

Obstetrics Gynecology 1998;178(2):381-385 [URL:

[http://www.ajog.org/article/S0002-9378%2898%2980029-X/abstract] Page 16 of 23

28 Muhlemann K, Germain M, Krohn M. Does an induced abortions increase risk

of intrapartum infection in the following pregnancy? Epidemiology

1996;7:194-196 [URL:

http://www.jstor.org/stable/3703035?seq=1#page_scan_tab_contents ]

29 Wu YW, Colford JM. Chorioamnionitis as a Risk Factor for Cerebral Palsy

A Meta-Analysis. J American Medical Assoc 2000;284(11):1417-1423 [ URL: http://jama.jamanetwork.com/article.aspx?articleid=193084 ]

30 Raatikainen K, Heiskanen N, Heinonen S. Induced Abortion: Not an

Independent Risk Factor for Pregnancy Outcome, But a Challenge for Health

Counseling. Annals Epidemiology 2006;16(8):597-592 [ URL:

http://www.sciencedirect.com/science/article/pii/S1047279706000378 ]

31 Nilsen BC, Waldenstron U, et al. Characteristics of women who are pregnant

with their first baby at an advanced age. Acta Obstetrica Gynecologica

Scandinavica 2012;91:353-362

32 Henriet L, Kaminski M. Impact of induced abortions on subsequent

pregnancy outcome: the 1995 French national perinatal survey. BJOG [British

J Obstetrics Gynaecology] 2001;108(10):1036-1042

33 Trichopoulos D, Hsien D-C, MacMahon B, Lin T-M, Lowe RC, et al. Age

at any birth and breast cancer risk. Intl J Cancer 1983;31:701-704

[URL: http://onlinelibrary.wiley.com/doi/10.1002/ijc.2910310604/abstract ]

34 Wu Y, Croen LA, Shah SJ, Newman TB. Cerebral Palsy in a term population:

risk factors and neuroimaging. Pediatrics August 2006; 118(2):690-697 [URL: http://pediatrics.aappublications.org/content/118/2/690.abstract?sid=18d3c700-a2a1-4bca-8ac5-3ad52dee0c1d ]

35 Emmanuel A. Anum, Haywood L. Brown, & Jerome F. Strauss III. Health

Disparities in risk for cervical insufficiency. Human Reproduction Advance

Access 19 July 2010 [ URL:

http://humrep.oxfordjournals.org/cgi/reprint/deq177v1 ]

36 [Book] Natasha Trenev. Probiotics 1998 Avery Publishing Group (New York)

37 O'Leary CM, Watson L, D'Antoine H, Stanley F, Bower C. Heavy maternal

alcohol consumption and cerebral palsy in the offspring. Dev Med Child Neurol

March 2012;54(3):224-230 [ URL:

http://www.ncbi.nlm.nih.gov/pubmed/22268559 ]

38 O'Callaghan ME, MacLennan AH, Gibson S, McMichael GL, Haan EA, et al. Epidemiologic Associations with Cerebral Palsy. Obstet Gynecol September

2011;118(3):576-582 [abstract URL:

http://journals.lww.com/greenjournal/Abstract/2011/09000/Epidemiologic_Associations_With_Cerebral_Palsy.12.aspx ]

39 Yamaguchi D, Kandel D. Drug use and other determinants of premarital

pegnancy and its outcome: a dynamic analysis of competing life events. J Marriage

Family 1989;49:257-270

40 Coleman PK. Abortion and mental health: quantitative synthesis and analysis

of research published 1995-2009. British J Psychiatry 2011; 199(3):180-186

 

41 Reardon DC, Ney P. Abortion and subsequent substance abuse.

 

American J Drug Alcohol Abuse 2000;26:61-75                               Page 17 of 23

42 Durkin MS, Maenner MJ, Benedict RE, Braun KVN, et al. The role of

socioeconomic status and perinatal factors in the risk of Cerebral Palsy.

Developmental Medicine & Child Neurology. Sept. 2015;57(9):835-843

43 Braun KVN, Doernber N, Schieve L, et al. Birth Prevalence of Cerebral

Palsy: A Population-Based Study. Pediatrics 2016

44 Lieberman E, Ryan KJ, Monson RR, Schoenbaum SC. Risk Factors

Accounting For Racial Differences in the Rate of Premature Birth. New Engl J

Med 1987;317:743-748. [Abstract URL: http://www.nejm.org/doi/pdf/10.1056/NEJM198709173171206 ]

45 Martin JA, Kung HC, Mathews TJ, Hoyert DL, Strobino DM, Guyer B,

et al. Annual summary of vital statistics: 2006. Pediatrics 2008;141(4):788-801

46 Alexander G, Kogan M, Bader D, et al. U.S. Birth weight/gestational age

specific neonatal mortality: 1995-1997 rates for whites, Hispanics, and blacks.

Pediatrics 2003;111(1):

e61-e66 Available at: www.pediatrics.org/cgi/content/full/111/1/e61

Accessed 22 September 2015.

47 Kindley J. The Fit Between The Elements For An Informed Consent Cause

Of Action And The Scientific Evidence Linking Induced Abortion With Breast

Cancer Risk. Wisconsin Law Rev 1998;1998:1595-1644 [ URL:

http://www.kindleylaw.com/?page_id=10 ]

48 Virk J, Zhang J, Olsen J. Medical Abortion and the Risk of Subsequent

Adverse Pregnancy Outcomes New Engl J Med 2007;357:648-653 [ URL: http://www.medpagetoday.com/upload/2007/8/15/6481.pdf ]

49 Zhou W, Sorensen HT, Olsen J. Induced Abortion and Subsequent Pregnancy

Duration. Obstetrics Gynecology 1999;94(6):948-953

50 Lv F, Xu X, Zhang S, Wang L, et al. Repeated Abortion Affects Subsequent

Pregnancy Outcomes of BLAB/c Mice. PLOS 4312;7(10): e48384:1-10 [URL http://www.plosone.org/article/fetchObject.action?uri=info:doi/10.1371/journal.pone.0048384&representation=PDF ]

51 Moore T, Johnson S, Hennessy E, Marlow N. Screening for autism in

extremely preterm infants: problems in interpretation. Develop Med Child

Neurology 2012;54:514-520 [ URL:

http://onlinelibrary.wiley.com/doi/10.1111/j.1469-8749.2012.04265.x/full ]

52 Thorp JM, Hartmann KE, Shadigian E. Long-Term Physical and Psychological Consequences of Induced Abortion: Review of the Evidence. Obstetrical

Gynecological Survey 2003;58(1):67-79 [URL:

http://journals.lww.com/obgynsurvey/Abstract/2003/01000/Long_Term_Physical_and_Psychological_Health.23.aspx ]

53 Rooney B, Calhoun BC. Induced Abortion and Risk of Later Premature

Birth. J American Phys Surgeons 2003;8(2):46-49 [ http://www.jpands.org/vol8no2/rooney.pdf ]

54 Picard EI, Robertson GB, Legal Liability Of Doctors And Hospitals In

Canada. 2007 (Carswell, Toronto, Canada, pp. 345-346)

 

Appendix A: Abstracts from two studies (2003 & 2008) with            Page 18 of 23

Brent Rooney as the lead author of both studies

 

A. 2008 study abstract:

Rooney B, Calhoun BC, Roche L. Does induced abortion account for racial disparity in preterm births, and violate the Nuremberg Code? Journal American Phys Surg 2008;13:102-104. [ http://www.jpands.org/vol13no4/rooney.pdf ]

 

Between 1980 and 2005, the U.S. preterm birth (PTB) rate rose by 43%.

Black American women have triple the risk of an early preterm birth (EPB)

and four times the risk of an extremely preterm birth (XPB) as non-black

American women. Since XPB infants have a 129 times higher risk of cerebral

palsy (CP) compared with full-term infants, it is crucial to discover the causes

of this disparity.

Numerous studies have shown a statistically significant increase in risk of

EPB or XPB in women with a history of induced abortion (IA) compared with

women with no prior IAs. About 43% of pregnancies in black American

women end in IA. It is likely that IAs are an important risk factor for PTB

and that they help to explain the racial disparity.

A decrease in IAs is likely to reduce subsequent preterm birth, as was

observed in Poland.

Vacuum aspiration abortions (VAA) have never been shown to be safe in

animal studies. Use of a procedure that has not been shown to be safe is a

violation of the Nuremberg Code of ethics on human research and

experimentation. At a minimum, consent forms to surgical abortions should

inform patients of this risk.”

[The full study is at: http://www.jpands.org/vol13no4/rooney.pdf ]

....................................................................................................................

 

B. Copy of the 2003 study abstract for: Rooney B, Calhoun BC. Induced

Abortion and Risk of Later Premature Birth. Journal of Amer Phys Surgeons

2003;8(2):46-49 [http://www.jpands.org/vol8no2/rooney.pdf ]

 

At least 49 studies have demonstrated a statistically significant increase in

premature birth (PB) or low birth weight (LBW) risk in women with prior

induced abortions (IAs). This paper will focus on risk of early premature births

(EPBs) (<32 weeks gestation) and extremely early premature births (XPBs)

(<28 weeks gestation). Large studies have reported a doubling of EPB risk

from two prior IAs. Women who had four or more IAs experienced on

average nine times the risk of XPB, an increase of 800 percent.    Page 19 of 23

These results suggest that women contemplating IA should be informed

of this potential risk to subsequent pregnancies and that physicians should be

aware of the potential liability and possible need for intensified prenatal care.”

[ full study found at: http://www.jpands.org/vol8no2/rooney.pdf ]

 

Appendix B: Brent Rooney: Preterm Birth & Breast Cancer Prevention

Published Articles & Letters

1 Brent Rooney. Abortion and Preterm Birth. Journal American Physicians
Surgeons Fall 2010;15(3):65-66 [Letter]

2 Rooney B. Pregnancy-associated breast cancer and the Nuremberg Code.

Israel Medical Association Journal January 2009;11(1):66 [Letter]

3 Rooney B. Prior abortion elevates risk of extremely preterm births.

Annals Epidemiology January 2009;19(1):70-71 [Letter]

4 Rooney B, Calhoun BC, Roche L. Does induced abortion account for racial

disparity in preterm births, and violate the Nuremberg Code? J Am Phys Surg

2008;13:102-104. [ http://www.jpands.org/vol13no4/rooney.pdf ]

5 Calhoun BC, Shadgian E, Rooney B. Cost Consequences of Induced Abortion

as an Attributable Risk for Preterm Birth and Informed Consent.

Journal Reproductive Medicine 2007;52(10);929-937

[ URL: http://www.ncbi.nlm.nih.gov/pubmed/17977168 ; comment:

We estimated that in 2002 prior induced abortions caused 1096 Cerebral Palsy

cases in U.S. newborns under 1,500 grams body weight ]

6 Rooney B. Johnston WR. More on the Adverse Effects of Abortion.

Journal American Physicians Surgeons Winter 2007;12(4):97-98 [ Letter ]

7 Rooney B, Calhoun BC, Induced Abortion and Risk of Later Premature Birth.

Journal American Physicians Surgeons 2003;8(2):46-49 [URL:
http://www.jpands.org/vol8no2/rooney.pdf ; comment: We provided

overwhelming evidence that prior IAs elevate future premature delivery risk;

an article never challenged via a 'letter to the editor' ]

8 Brent Rooney. Is elective induced abortion healthy for women and their

future newborn? Ars Medica [Spanish language medical journal] 2002;4(6):

95-111 [ http://escuela.med.puc.cl/publ/ArsMedica/ArsMedica6/Art09.html ;

comment: Rooney documents that abortion raises the risk of suicide, short

term death risk, future preterm delivery, and breast cancer for the mother ]

9 Brent Rooney. Elective Surgery boosts Cerebral Palsy risk.

European Journal Obstetrics Gynecology Reproductive Biology

2001;96(2):239-240 [Comment: Rooney credibly links prior induced abortions

to higher future risk of preterm newborns with Cerebral Palsy; this 2001

letter never fundamentally challenged via a 'letter to the editor' ]     Page 20 of 23

10 Brent Rooney: Having an induced abortion increases future risk in future

pregnancies. British Medical Journal 2001;322:430 [Comment about letter: IAs

elevate future risk of preterm deliveries and breast cancer risk for mothers]

11 Brent Rooney. Delayed birth equals more cancers and preterm births. Western

Journal Medicine 2001;174:385-386 [Letter: IAs make childless women older

'rookie' moms, thus boosting their breast cancer risk and preterm delivery risk]

12 Brent Rooney. Is Cerebral Palsy Ever a 'Choice'? The Post-Abortion

Review October-December 2000;8(4):4-5 [Article is the first ever article to

demonstrate that induced abortions raise future risk of newborn babies with

CP due to raised preterm birth risk for women with prior induced abortions.]

13 Brent Rooney. Racism, Poverty, Abortion, and Other Reproductive Outcomes. Epidemiology 2000;11:740-741 [Letter]

14 B. Rooney. Low Birth Weight: Reducing the Risk. Birthing magazine Fall

1998

15 Brent Rooney. An Early First Birth for Breast Cancer Prevention. [Canada]

Alive magazine April 1997;174:34-35 [Comment: Each one year delay in a First

Full-Term Pregnancy raises relative breast cancer risk by 3.5% (compounded).]

16 Brent Rooney. No Breast Cancer for My Daughter – How to Reduce the

Risk. [Canada] Alive magazine July/August 1995;154:17-18 [Provided over

a dozen ways young women can reduce their lifetime breast cancer risk]

..____________________________________________________..


[End of first 20 pages of a 23 page affidavit]

 
 
 
 
Chapter 8 (Justice For Kids Now) Copy of a Texas Abortion Consent Form    15 June 2009

The copy of an abortion consent form below was signed on 30 October 2001 in San Antonio, Texas. Mr. Allan Parker (The Justice Foundation) sent a copy of this form (with
a real signature) to Karen Malec ( email: abortionbreastcancer@yahoo.com ), who sent
me a copy and later an official cover letter about that signed consent form.

This San Antonio consent form IMPLICITLY (but not explicitly) concedes higher future
preterm birth risk. It does so via these two (2) listed adverse risks:
(d) Infection of female organs: uterus, tubes, ovaries;”

“(f) Incompetent cervix;” The San Antonio consent form also IMPLICITLY concedes that these elective abortions are contraindicated via conceding: “(k) Possible increased lifetime risk of breast cancer.”

[first known abortion clinic to acknowledge possible ABC (Abortion-Breast-Cancer) risk]
A WOMAN'S CHOICE QUALITY HEALTH CENTER (FIRST CHOICE REPRODUCTIVE HEALTH, INC.)

DISCLOSURE AND CONSENT TO MEDICAL AND SURGICAL PROCEDURES

To the patient: you have the right, as a patient, to be informed
about your conditions & the recommended surgical, medical or
diagnostic procedure to be used so that you may make the decision
whether to undergo the procedure after knowing the risks & hazards
involved. This disclosure is not meant to scare or alarm you; it
is simply an effort to make you better informed so you may give
or withhold your consent to the procedure. I voluntarily request
Dr. Dave Kittrell &/or Dr. Marco Lopez as my physician(s),
& such other health care providers as deemed necessary, to treat
my condition which has been explained to me as PREGNANCY. I have
been informed, understand & have considered my other alternatives
such as continuing the pregnancy and keeping the baby or continuing
the pregnancy and choosing adoption. I also understand that the
following surgical, medical &/or diagnostic procedures are planned
for me & I voluntarily consent & authorize these procedures:
TERMINATION OF PREGNANCY or SUCTION CURRETAGE or ABORTION. I
understand that my physician may discover other or different
conditions which require additional or different procedures than
those planned. I authorize my physician(s), the clinic, the
staff, and other such health care providers as deemed necessary
to perform such other procedures which are advisable in their
professional judgment. I consent to the use of blood or blood
products as deemed necessary. I understand no warranty or guarantee
has been made to me as to result of care. Just as there may be
risks & hazards in continuing my present condition without
treatment, there are also risks & hazards related to the performance
of the medications, surgical, medical &/or diagnostic procedures
such as: the potential for infection; blood clots in veins, heart,
brain or lungs; hemorrhage; allergic reactions & even death. I
also realize that the following risks & hazards may occur in
connection with this particular procedure:

(a) Bleeding with the possibility of requiring further surgery
      &/or hysterectomy to control;
(b) Perforation (hole in) uterus &/or damage to the bladder,
      bowel, blood vessel;
(c) Abdominal incision & operation to correct the injury;
(d) Infection of female organs: uterus, tubes, ovaries;
(e) Sterility or being incapable of bearing children;
(f) Incompetent cervix;
(g) Failure to remove all products of the conception;
(h) Continuation of the pregnancy;
(i) Depression or "the blues";
(j) Post abortion stress syndrome;
(k) Possible increased lifetime risk of breast cancer.

I understand that anesthesia involves additional risks & hazards but
I request the use of anesthetics for the relief & protection from
pain during both the planned & additional procedures. I realize the
anesthesia may have to be changed possibly without explanation to
me. I understand that certain complications may result from the use
of any anesthesia, including respiratory problems, drug reaction,
paralysis, brain damage, or even death. I have been given the
opportunity to ask questions about my condition, alternative forms
of anesthesia & treatment, risks of nontreatment, the procedure
to be used, & information to give this informed consent.
-----------------------------------------------------------------

MY SIGNATURE BELOW CERTIFIES THAT THIS FORM HAS BEEN FULLY EXPLAINED
TO ME, THAT I HAVE READ IT OR HAVE HAD IT READ TO ME OR INTERPRETED
FOR ME, THAT THE BLANK SPACES HAVE BEEN FILLED IN & THAT I UNDERSTAND
ITS CONTENTS.


Signature                              Date                Time

                                               Oct 30, 2001
__________________________________________________________
Witness                                Date

___________________________________________________________________________________