Margaret Sparrow

Speeches:

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    Abortion then and now: New Zealand Abortion
    stories 1940–1980
    Sparrow, M
    Istar Limited, New Zealand
    Based on a social history book by Dame Margaret Sparrow
    available from Victoria University Press www.victoria.ac.nz/vup/.
    In the 1940s deaths from septic termination of pregnancy
    (TOP) were an ever-present fear.
    In the 1950s, due to antibiotics, deaths were less common but
    there was a network of clandestine abortionists.
    In the 1960s the contraceptive pill and feminism brought
    changes for women but New Zealand and Australia did not follow
    the 1967 law changes introduced in the UK. Those who could
    afford it went overseas.
    In the 1970s TOP was catapulted into the public arena with
    protest and debate bringing significant law changes in 1977–78.
    Finally doctors took responsibility for safe TOP services.
    From the years when illegal TOP was usually the only option
    for women, the author has collected personal stories from some
    70 contributors, women who had a TOP, doctors, police and
    activists. Some of the stories relate to women from New Zealand
    struggling with accessing abortion while living in the UK.
    The themes are universal and remind us that these injustices
    must never return.

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    Abortion then & now
    Margaret Sparrow MD, New Zealand
    Abortion has been present throughout history and in all cultures. This historical perspective
    is to remind us of what has happened in the past, so that we have a better understanding
    of the present which will assist us as we develop good practice guidelines for the future. In
    the past women frequently risked their health, their fertility and their lives with unsafe
    procedures and in many parts of the world they still do. The use of traditional methods has
    been common but many treatments for self-abortion are unsafe or ineffective. Whenever
    safe medical services are unavailable illegal abortionists will flourish. Poor women are the
    most vulnerable often paying with their lives. In many countries including my own, New
    Zealand, abortion is still regarded as a crime rather than as a medical procedure or as a
    matter of personal human freedom. Laws in many countries have been a barrier to change
    but changes have occurred through public and professional awareness, protest activity,
    commissions, petitions, court cases, feminism and by advances in medical technology.
    Now, in developed countries where abortion is legal, it is the most common gynaecological
    operation and one of the safest.

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    How to introduce medical abortion in a country, the example of NZ
    Margaret Sparrow; MD, New Zealand
    In 1999 New Zealand abortion providers considered that New Zealand women should be
    offered the choice of medical abortion. As no pharmaceutical firm was interested in
    importing mifepristone, five doctors formed a not-for-profit company Istar Ltd. The name is
    derived from Ishtar or Istar, an ancient Babylonian goddess of love, fertility and war.
    In May 2000 Istar signed an agreement with the French manufacturer, Exelgyn and
    applied to Medsafe, Ministry of Health for approval of a new prescription medicine.
    On August 30 2001 Mifegyne 200mg was approved by the Minister of Health Hon Annette
    King and gazetted for use in New Zealand for abortion only.
    To comply with the law all abortions in New Zealand must be “performed” in a licensed
    institution. For fear of prosecution most clinics except the one at Wellington Hospital,
    chose not to use Mifegyne. Second trimester abortions in hospitals were not affected and
    the first medical abortion using Mifegyne was carried out in Wellington Hospital in October
    2001.
    In April 2003 Mr Justice Durie in the High Court Wellington ruled that a woman must take
    both sets of pills (Mifegyne, followed 48 hours later by prostaglandin) in a licensed
    institution, but she does not need to stay on licensed premises between taking the pills,
    nor does she need to stay on licensed premises until the abortion is complete. Clinics are
    now able to perform early abortions within these limits.
    Our experience demonstrates that with persistence, obstacles can be overcome.