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These statements are not made with the intent to advocate liberalizavon of the therapeutic abor. tion lait to show that in at least one sulle making a greater nerise in the population explosion, the problem is not as insignificam as originally presented today.

Dr. Bakso (Clming). I would like 10 ask Dr. Charles Sierenon whether he lavors the cradication of the problem of septic abortion in Detroit ly allowing an abortion to every woman who requests it? This is the only way that I see you can do it. The desperate emotional state of these wonen shuuld be managed by psychiatrists.

Dr. Lee Stevenson talloi alout figures from the State licalth Department in Michigan. I can say that in Minnesota we found thai in 25 per cent of the instances, there was no correlation bcIween the cause of death on the death certificate and what actually happened. ll'e have personally imestigated each one of these cases during the past 16 years.

In 1961, Michigan reported 25. criminal abor. tion draths among a population of 7.8 million. Even if we assume that the same conditions prevail over the entire United States with a popula. tion of 196 million, as in the state of Michigan, it would mean that there were a total of only 628 criminal abortion deaths in the United States in 1961.

A few comments are in order to re-emphasize what is happening in some arcas insofar as psy

chiatric aspecis are concerned. Nisu ander, Klein, and Randall' from State L'niversity of New York at Buffalo, have recently reported for at 22 year period, 299 of 304 therapeutic abortions for psy. chiatric discase. The precise psychiatric diagnoses were not given. Of these 299, 293 were done on private patients and only 6 among charity patients. It seems amazing to me that this double standard exists in a teaching institution.

Funthermore, 50 per cent of these women were unmarried. Were they donc jerst because they were unmarried?

Sterilization was done concuently wish the therapeutic abortion for psychiatric reasons in 10 per cent of the married versus only 4 per cent of the unmarried. How can psychiatric disease be so much more severe in the private patient versus her counterpart, the charity patiem? How can psychiatric disease be so severe in the married patient as to warrant concurrent sterilization in 40 per cent versus only 4 per cent in the unmarricd group? One might ask, is all of this an excrcisc in iatrogenic manipulation?

Finally, I would like to say, lest there be some confusion that my remarks might be based on sectarian prejudice, that my religion is Unitarian.

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TABLE I.—MINNESOTA MATERNAL MORTALITY RATES AND PREVENTABILITY (1941, 1950–73)

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Total.

1 All illegal except 1. 2 All illegal. Source: Minnesota maternal mortality study.

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TABLE IV.-OUT-OF-WEDLOCK LIVE BIRTHS AND MATERNAL DEATHS (1950–73)

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TABLE V.-ANALYSIS OF MATERNAL DEATHS IN OUT-OF-WEDLOCK PREGNANCY (1950–73)

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TABLE VI.-CAUSES OF DEATH AFTER CRIMINAL ABORTION IN WEDLOCK AND OUT-OF-WEDLOCK PREGNANCY

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36 2-0-1-2
25 0-0-0-0.
39 3-0-0-3.
26 1-0-0-1
34 0-0-0-0.
21 0-0-0-0
25 3-0-0-3.
30 2-0-0-2.
24 2-0-0-2
37 4-0-0-4.
22 1-0-0-1
19 0-0-0-0.
29 2-0-1-2..
31 Multipara.
22 2-0-0-2.
34 2-0-2-2.
24 1-0-0-1.
20 0-0-0-0.
22 1-0-0-1
32 0-0-1-0.
24 0-0-0-0.
19 0-0-0-0..

7 weeks post partum..... Schizophrenia... Jumped in front of train. 3 weeks post partum...-- Depression.. Drowning 2%momtns post partuin.. do.

Hanging 2 months post partum.. do.

Gunshot. 2 months most partum. do.

Cutting throat. 11 weeks post partum.

do.

Drowning 2 weeks post partum.. do.

Do. 2 months post partum. do.

Auto crash concrete wall. 6 weeks post partum..

do.

Gunshot 3 weeks post partum... Schizophrenia... Do. 34 weeks.

Depression.. Barbiturate. 32 weeks.

do. 25 weeks.

do.

Carbon monoxide. 26 weeks..

do.

Jumped from ninth floor. 12 weeks.

do.

Gunshot. 33 weeks.

do.

Do. 10 weeks post partum.. do.

Do. 8 weeks post partum..

do.

Do. 11 weeks post partum.... Schizophrenia... Do. 2 weeks post partum.... Depression.. Hanging 9 weeks post partum... do.

Gunshot 344 weeks post partum.

Phenobarb., dilantin.

Do.

...do..

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TABLE XII.-ANALYSIS OF MATERNAL DEATH CERTIFICATES AS TO CAUSE OF DEATH-IN PERCENT, 1950–73

1950-54

1955-59

1960-64

1965-69

1970-73

Total

Correct.
Incorrect.

62
38

86
14

85
15

88
12

81
18

80.4
19. 4

Source: Minnesota maternal mortality study.

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