Tag Archive | "pregnancy"

Senator Enrile, Pregnancy is Not a Disease


The anti RH Senator Juan Ponce Enrile recently came out to defend Senator Tito Sotto from the allegations of plagiarism. In his defense of Sotto, Enrile questions the use of contraception for preventing pregnancy, putting forward the question: “Is pregnancy a disease that needs to be cured?”

“What disease does an IUD or a condom cure or prevent? I challenge the proponents to explain that to the public. Is not the purpose of these methods to reduce the population of the country,” Enrile asked. “In the case of a contraceptive pill, is pregnancy a disease that needs to be cured? Why do we need to prevent it?”

While Enrile prefaces his question with the case of birth control pills I think its fair to extend his question to other forms of birth control as well. Why should some women need to prevent pregnancy if its not a disease?

Perhaps he would find the answer to this question easily if he just asked his fellow anti RH legislator in congress, Zambales Representative Mitos Magsaysay.

No Senator Enrile, pregnancy is not a disease but pregnancy always carries a risk to women’s lives. With medical advancements that risk has been mitigated but for some the risk still runs too high. For some mothers, becoming pregnant means risking leaving their families motherless. For some women, contraception is what they need to have a healthy sexual relationship with their husband while ensuring their own lives aren’t put in jeopardy by a pregnancy.

Beyond contraception, the RH bill has other measures to mitigate the risk of childbirth. It provides for more midwives to attend to births. The RH bill would give sex education and access to reproductive health services to the poor. If it survives the period of ammendments, the RH bill could provide mobile hospitals that can attend to the maternal needs of women further away from hospitals. All these measures can help lower the risk of childbirth.

Evidence also matters in legislation.

Enrile, you asked if pregnancy is a disease. No it isn’t. Yet pregnancy carries with it risks to the life of the mother. Sometimes a significant risk, as attested to by Mitos Magsaysay’s own ligation. We need to do better by the mothers of the Philippines. Look at how our maternal mortality statistics compares to countries around us in Asia. We’re doing very poorly in lowering our maternal mortality rate and according to the latest statistics from the Department of Health, our maternal mortality rate is on the rise again.

I find it hard to believe Senator Enrile isn’t aware of the risks to maternal health. Has he been ignoring the debates all this time? Has Senator Pia Cayetano’s level headed presentation of facts on the RH bill fallen on his deaf ears while he raptly pays attention to Senator Sotto’s crying and presentation of old data from the 70s? To Sotto’s presentation of questionable sources? And I find it astounding that Enrile can question some women’s need to prevent pregnancy while someone from the anti RH camp has done that very thing.

Image captured from ANC’s coverage of Enrile’s opening statements during the Chief Justice trial

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Sex: Control and Consequences


“It’s good if the man agrees with you—then he controls himself.” (Maganda pag ok ang lalaki—siya na ang nagkokontrol.) Were the men controlling their sex drives? Or controlling their orgasms so as not to come inside their wives? I was struck by the language used by a group of urban poor women as our team of community researchers analyzed a video of a focus group discussion last week. The women were all non-users of modern contraception despite their desire to stop childbearing altogether.

pregnant bishopI think they meant both types of control. About half were doing rhythm, and the rest were on the withdrawal method. Almost all were keenly aware that their methods were not so reliable (hindi safe). One woman narrated how a severe hypertensive disorder (eclampsia) during her last pregnancy forced her to stay a month at a hospital to recover.

Men are in control. Women bear the consequences.

Will our society ever put an end to this glaring inequity? I think there is hope. When the group was asked if they thought it was a woman’s right to use contraceptives, all said “Yes!” in unison. None fingered the husband as the reason for non-use.

Gender equity and equality in the bedroom or banig are still far-off, but there are signs of progress. The 1987 Constitution vowed for the first time to “ensure the fundamental equality before the law of women and men.” Forcing sex on one’s spouse became an offence in the Anti-Rape Law of 1997. Women with college education have narrowed the gap between the number of children they want (average of 1.9) and the number they end up with (2.3), according to a 2008 survey. The 2009 Magna Carta of Women has mandated the State to “take all appropriate measures to eliminate discrimination against women in all matters relating to marriage and family relations.” Reproductive Health bills based on the principles of human rights and reproductive rights have won broad public support in recent years.

There is hope. Except perhaps for the Catholic Church.

Popes, bishops and priests still lord over Catholic sexual moralities with strange antiquated rules. A man may spill his seed anytime with his wife, but not anywhere: rhythm method is moral, withdrawal is not.

The scientific stance about rhythm and withdrawal methods are way easier to comprehend and judge for truthfulness: both are more effective in preventing pregnancy than no method at all, but are less effective than modern methods like condoms, pills, injectables, IUDs, vasectomy and tubal ligation.

If women could become priests, bishops and popes, or if women could participate at the highest level of policymaking, would the Church remain so harsh and dogmatic about contraceptive methods? I suspect the answer is no, but I figure changes like these would take generations or centuries to occur.

Secular structures move faster. Filipino men approved women’s right to vote in a plebiscite in 1937. Less than eight decades later, we have had two women presidents. There are women in the Senate and House of Representatives; women justices of the Supreme Court; women governors and mayors; women managers of enterprises; women in practically all professions. Heck, even elementary pupils elect girls as classroom presidents! In this great social tide of building more egalitarian institutions, the Catholic Church stands firm resisting change.

In matters of sex, the Filipino family and the Church are quite similar. Men are in control. Women bear the consequences. But unlike the Church, each of us can change the family we belong to, or the one we plan to build and nurture.

The Church may be hopeless, but there is hope.

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The operations research of Likhaan Center for Women’s Health is ongoing at a large urban poor community in Letre, Malabon. Why some women like those in the focus group discussion (FGD) are not using contraceptives, and what can be done to help them are the key questions we hope to answer and share with you by year’s end. Nene facilitated the FGD I narrated above. Eric, Lina, Iday, Miriam and I are part of the team. Thanks to Monk for the idea on blurring the lines. Any and all errors in this article are of course mine.

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