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  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    1/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    ]i{tfc{i wf Aywwn`khi} Oc{wowywi k}owoko{n{ m Lfkh iw `e# fcwhi Ont`kw fb @mf}wofc ]i{w}okwofc{ fc N`wi}c`e Nf}w`eow oc

    Khoei

    Ie`}g Lfkh% Jfhc Whf}t% Noaie M}`rf% `cg [im`{woc A`wok`% fc mih`eb fb whi KNN]O

    Fc N`y =;}g% whi @e`c Awwn`khi} Oc{wowwi (AO/ }iei`{ig `c `gro{f}y

    kfnnicw icwoweig ]iroiq fb ` [wgy my Lfkh iw `e# fc whi Ont`kw fb @mf}wofc]i{w}okwofc{ fc N`wi}c`e Nf}w`eowy oc Khoei \0^# Bfeefqoca ` {hf}w m`kla}fcg fcn`wi}c`e nf}w`eowy% who{ gfknicw kfcw`oc{ {iri}`e k}owoko{n{ wh`w `wwintw wfgimcl {fni kfcke{ofc{ fb f} `}wokei }ikicwey tmeo{hig oc TEf[ FCI icwoweigQfnic!{ Igk`wofc Eirie% N`wi}c`e Hi`ewh B`koeowoi{% @mf}wofc Eiao{e`wofc `cgN`wi}c`e Gi`wh{: @ C`w}`e Ixti}onicw oc Khoei b}fn 0?91 wf =441\=^# @bwi}k`}ibeey }iroiqoca whi gfknicw }iei`{ig my whi AO \0^% qi whocl ow kfcw`oc{i}}fcif{ `cg no{ei`goca ocbf}n`wofc% qhokh n`y ocbeicki tmeok ftocofc ocwfgo{}ia`}goca ontf}w`cw bocgoca{ }iri`eig oc f} `}wokei# Whi bfeefqoca kfnnicw`}yt}i{icw{ ` tfocw.my.tfocw }imww`e wh`w qoee ke`}oby {iri}`e o{{i{ `cg qoee hiet}i`gi}{ wf n`li whio} fqc kfcke{ofc{# Bf} {onteokowy t}tf{i{% qi ixkegig whi

    }ibi}icki{ qowhoc pfwi{ fb mfwh f} `}wokei `cg whi gfknicw my whi AO#

    AO: @{{i{{oca ` ciq {wgy b}fn Khoei

    @ ciq {wgy my Lfkh iw `e# `{{i}w{ wh`w whi ixt`c{ofc fb `mf}wofc }i{w}okwofc{oc Khoei oc 0?8? gog cfw ei`g wf `c ock}i`{i oc whi ockogicki fb `mf}wofc.}ie`wignf}w`eowy# Whi {wgy kfckegi{ wh`w n`loca `mf}wofc oeeia`e o{ cfw ciki{{`}oeyipor`eicw wf t}fnfwoca c{`bi `mf}wofc#

    Hfqiri}% `{ giw`oeig miefq% whi {wgy h`{ {iri}`e {i}of{ kfckitw`e `cgniwhfgfefaok`e be`q{ wh`w }icgi} {fni fb ow{ kfcke{ofc{ ti}w`ococa wf `mf}wofc `cgn`wi}c`e nf}w`eowy ocr`eog: \0^

    @ywhf}{ }ite: Qhokh `}i ix`kwey whi {i}of{ niwhfgfefaok`e be`q{ fb f}{wgy6

    Whi {ocaei kfcke{ofc wh`w whiy kh`eeicai `tti`}{ wf }ie wi fcey wf whi ceeibbikw fb `mf}wofc m`c fc n`wi}c`e nf}w`eowy w}icg oc Khoei# Nf}i {i}of{ey% AOixti}w{ gf cfw t}i{icw `cy `kw`e irogicki oc {ttf}w fb `cy {i}of{

    0

    http://www.guttmacher.org/media/evidencecheck/2012/05/23/Guttmacher-Advisory.2012.05.23.pdfhttp://www.guttmacher.org/media/evidencecheck/2012/05/23/Guttmacher-Advisory.2012.05.23.pdfhttp://dx.plos.org/10.1371/journal.pone.0036613http://dx.plos.org/10.1371/journal.pone.0036613http://www.guttmacher.org/media/evidencecheck/2012/05/23/Guttmacher-Advisory.2012.05.23.pdfhttp://www.guttmacher.org/media/evidencecheck/2012/05/23/Guttmacher-Advisory.2012.05.23.pdfhttp://dx.plos.org/10.1371/journal.pone.0036613http://dx.plos.org/10.1371/journal.pone.0036613
  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    2/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    niwhfgfefaok`e be`q oc f} {wgy#

    Whi}ibf}i% qi }i`eozi nf}i ke }obok`wofc o{ ciigig: f} n`oc af`e q`{ cfw`{{i{{oca whi kfc{ipicki{ fb `mf}wofc% `{ whi AO `bbo}n{ `ewhfah qi cgi}{w`cg hfq gieok`wi who{ n`wwi} o{# ]`whi}% qi `{{i{{ig whi ont`kw fb gobbi}icwb`kwf}{ whfahw wf ocbeicki n`wi}c`e nf}w`eowy% ockegoca qfnic{ igk`wofc`eeirie% miwwi} `kki{{ wf n`wi}c`e hi`ewh k`}i b`koeowoi{ `cg t}fbi{{ofc`e{%kfnteinicw`}y cw}owofc t}fa}`n{% ixt`c{ofc fb {`cow`}y {i}roki{% `nfca fwhi}{#Whi eia`e {w`w{ fb `mf}wofc q`{ cf nf}i wh`c `cfwhi} b`kwf} {mjikwig wf `c`ey{o{#

    ]ia`}goca whi eia`e {w`w{ fb `mf}wofc% qi kfckegi `w whi icg fb f} `}wokei:

    Boc`eey% t}fhomowofc fb `mf}wofc oc Khoei gog cfw ocbeyicki whi gfqcq`}gw}icg oc whi n`wi}c`e nf}w`eow }`wof# Why{% whi eia`e {w`wy{ fb `mf}wofcgfi{ cfw `tti`} wf mi }ie`wig wf fri}`ee }`wi{ fb n`wi}c`e nf}w`eow# \=^

    AO: 0# Khoei{ t}i.0?8? `mf}wofc e`q q`{ `e}i`gy hoahey }i{w}okwori% {f cfkfcke{ofc{ k`c mi g}`qc `mfw ont`kw fb ` kh`cai b}fn eomi}`e wf }i{w}okwori e`q{:\0^@ywhf}{ }ite: Who{ o{ ` n`jf} no{ocbf}n`wofc# Oc @tticgox [0 fb f} `}wokei \=^%qi kei`}ey gi{k}omi wh`w whi Khoei`c e`q `eefqig `mf}wofc bf} whi}`tiwok }i`{fc{

    qowh whi }i{tikwori cfwi{# @mf}wofc q`{ eia`e oc Khoei b}fn 0?;0 wf 0?21% `bwi}ti}no{{ofc fb wh}ii thy{oko`c{ f} fci thy{oko`c `cg wqf qowci{{i{# B}fn 0?21 wf0?8?% `mf}wofc q`{ {onteoboig `cg `eefqig m`{ig fc whi ftocofc fb wqf thy{oko`c{#

    Ow o{ }ie`woriey qiee gfknicwig wh`w% cwoe 0?8?% `c cgiwi}nocig cnmi} fbieikwori `mf}wofc{ qi}i kfcgkwig my {iri}`e thy{oko`c{ woeozoca whi e`wwi} e`q ocgobbi}icw }iaofc{ fb whi kfcw}y# Oc b`kw% whi wi}n whi}`tiwok q`{ eff{ieyocwi}t}iwig my Khoei`c thy{oko`c{% `eefqoca `mf}wofc{ wf mi ti}bf}nig bf}{fkofikfcfnok f} nicw`e hi`ewh }i`{fc{% f} {ontey fc }ipi{w# Bf} oc{w`cki% oc0?1;% {ox nfcwh{ onnigo`wiey mibf}i whi Khoei`c kft g!w`w% fri} ;%444 `mf}wofc{qi}i kfcgkwig fc }ipi{w oc Hf{tow`e M`}}f{ Eykf W}ygi`y% efk`wig oc whi

    {fwh {ikwf} fb [`cwo`af# Who{ k`{i o{ ri}y qiee gfknicwig `cg q`{ }ikicwey}itf}wig oc whi Khoei`c ciq{t`ti} Whi Keocok% `{ ` kh}fcokei o}fcok`eey icwoweig E`r` khoeic` h`ko` ie `mf}wf(eowi}`eey oc Icaeo{h Whi Khoei`c q`y wf `mf}wofc/ \;^#

    Beixomei ocwi}t}iw`wofc fb whi t}`kwoki fb whi}`tiwok `mf}wofc q`{t}fa}i{{oriey }i{w}okwig `cg t}f{ikwig cwoe whi gibocowori gi}fa`wofc fb `ee wyti{ fb`mf}wofc oc 0?8?# Wh{% ow o{ oc`kk}`wi wf `bbo}n wh`w: Khoei{ t}i.0?8? `mf}wofc e`qq`{ `e}i`gy hoahey }i{w}okwori \0^# Nf}ifri}% ow o{ kei`} wh`w `mf}wofc m`c oc Khoeini`cw ` n`jf} w}`c{owofc b}fn ` t`}wo`eey }i{w}okwori wf ` beey }i{w}okwori e`q oc

    =

    http://es.scribd.com/doc/94160562/The-Clinic-La-via-Chilena-Hacia-El-Abortohttp://es.scribd.com/doc/94160562/The-Clinic-La-via-Chilena-Hacia-El-Aborto
  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    3/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    t}`kwok`e wi}n{#

    AO: Mibf}i 0?8?% `mf}wofc q`{ eia`e oc Khoei fcey wf {`ri ` qfn`c{ eobi (whi e`qq`{ {fniwoni{ ocwi}t}iwig wf `eefq `mf}wofc ob ` qfn`c{ hi`ewh q`{ wh}i`wicig/#Who{ ni`c{ wh`w fc whi {tikw}n fb `mf}wofc }i{w}okwofc{% Khoei q`{ `e}i`gy `nfcawhi kfcw}oi{ qhi}i `mf}wofc o{ hoahey }i{w}okwig# Whi b}whi} woahwicoca fb whi{i`e}i`gy {iri}i }i{w}okwofc{ oc 0?8? whic tw Khoei bo}ney oc whi a}ft fb kfcw}oi{qowh whi nf{w }i{w}okwori e`q{whf{i qhi}i `mf}wofc o{ m`ccig cgi} `cyko}kn{w`cki{ \0^

    @ywhf}{ }ite: @{ tfocwig fw `mfri% who{ o{ `c i}}f} f} no{ocwi}t}iw`wofc fb whi

    Khoei`c `mf}wofc e`q t}fm`mey }ie`wig wf no{ocbf}n`wofc my whi AO# Mw iric ob whi`}anicw`wofc my whi AO ixti}w{ {w`woca wh`w Khoei q`{ `e}i`gy `nfca whikfcw}oi{ qhi}i `mf}wofc o{ hoahey }i{w}okwig \0^ q`{ kf}}ikw% who{ gfi{ cfwocr`eog`wi fci fb whi n`oc kfcke{ofc fb whi Khoei`c c`w}`e ixti}onicw: `mf}wofc}i{w}okwori e`q{ gog cfw ocbeicki n`wi}c`e nf}w`eowy w}icg{# Oc b`kw% n`wi}c`enf}w`eowy }`wof{ {wi`goey gik}i`{ig fri} whi e`{w bobwy yi`}{# Oc fwhi} qf}g{% ow o{`m{fewiey tf{{omei bf} girieftoca kfcw}oi{ wf gik}i`{i n`wi}c`e `cg `mf}wofcnf}w`eowy qowhfw }ipo}oca `cy eomi}`e e`q fb `mf}wofc# Who{ kfcke{ofc }in`oc{c`ewi}ig iric `bwi} whi AO k}owoko{n#

    Bf} ke`}obok`wofc t}tf{i{% whi Khoei`c e`q (@}wokei 0? fb whi Khoei`c [`cow`}y

    Kfgi/ q`{ }ig`kwig oc whi bfeefqoca wi}n{: [ef kfc boci{ wi}`tywokf{ {i tfg}ocwi}}ynto} yc inm`}`zf# T`}` t}fkigi} ` i{w` ocwi}rickoc {i }ipyi}o} e` ftococgfkynicw`g` gi gf{ ngokf{ ko}yj`cf{(eowi}`eey oc Icaeo{h% Fcey bf} whi}`tiwokt}tf{i{ ` t}iac`cky k`c mi wi}noc`wig# K`}}yoca fw who{ ocwi}ricwofc qoee }ipo}iwhi gfknicwig ftocofc fb wqf thy{oko`c{/# Wf whi eiwwi} fb whi e`q% whi [t`co{hqf}g wi}`tywokfo{ eowi}`eey w}`c{e`wig wf whi}`tiwok# @{ {w`wig t}irof{ey `cgmik`{i fb whi irogicw `nmoaowy fb whi qf}g whi}`tiwok% whi ocwi}t}iw`wori {i `cg `m{i fb who{ e`q% `eefqig kfcgkwoca `c cgiwi}nocig cnmi} fb ieikworiocgkig `mf}wofc{ oc Khoei#

    Oc 0?8?% @}wokei 0? q`{ }ite`kig my whi wixw cf tfg} ijikyw`}{i cocayc`

    `kkoc kyf boc {i` t}frfk`} yc `mf}wf(eowi}`eey oc Icaeo{h cf `kwofc k`c miti}bf}nig qhf{i t}tf{i o{ wf k`{i `c `mf}wofc/# Oc t}`kwok`e wi}n{% k}}icw e`qgfi{ cfw t}fhomow whi t}i.ro`mei gieori}y fb ` biw{ wf {`ri whi eobi fb whi nfwhi}%mik`{i ow o{ ocwi}t}iwig `{ ` nigok`e iwhok{ giko{ofc `cg `mf}wofc o{ cfw whit}on`}y t}tf{i# Oc wi}n{ fb Khoei`c nigok`e t}`kwoki% ixkitwofc`e k`{i{% qhic whieobi fb whi nfwhi} o{ `w }o{l% `}i iwhok`eey {ferig my `tteyoca whi t}ockotei fb gfmeiibbikw `cg whi kfckitw fb ocgo}ikw `mf}wofc \7^# Oc fwhi} qf}g{% nigok`e iwhok{ o{{bbokoicw wf {iwwei whi n`wwi}% `cg whi ocwi}}twofc fb ` t}iac`cky ocwicgig wf {`riwhi eobi fb whi nfwhi} o{ cfw ` eia`e o{{i oc Khoei#

    ;

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    4/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    Boc`eey% whi Khoei`c ixti}oicki {hfq{ wh`w ow o{ `m{fewiey tf{{omei bf}girieftoca kfcw}oi{ wf efqi} n`wi}c`e nf}w`eowy }`wi{% qowhfw }ipo}oca whieia`eoz`wofc fb `mf}wofc# Oc fwhi} qf}g{% whi bobwyyi`} c`w}`e ixti}onicw kfcgkwigoc Khoei {w}fcaey {ttf}w{ wh`w `mf}wofc eia`eoz`wofc o{ cciki{{`}y wf gik}i`{in`wi}c`e nf}w`eowy `cg }i`kh whi noeeiccon girieftnicw af`e 9 (NGA.9/# Ow o{ `n`wwi} fb {koicwobok b`kw oc f} {wgy#

    AO: ]ie`woriey biq eia`e `mf}wofc{ `}i ti}bf}nig wf {`ri whi eobi fb whi nfwhi} f} wft}fwikw whi nfwhi}{ hi`ewh# Wh{% ow o{ cfw {}t}o{oca (`cg {hfeg oc b`kw miixtikwig/ wh`w `bwi} Khoei{ e`q q`{ b}whi} woahwicig oc 0?8?% whi t}ftf}wofc fb `ee

    `mf}wofc{ wh`w qi}i oeeia`e gog cfw ock}i`{i {m{w`cwo`eey \0^@ywhf}{ }ite: Qi whocl who{ pi{wofc h`{ `e}i`gy miic `gg}i{{ig oc f} t}irof{}imww`e kfnnicw{# @ee whi `}anicw`wofc k`}}oig fw my whi AO o{ be`qig mik`{i fb{i}of{ no{ocbf}n`wofc `cg no{ocwi}t}iw`wofc{ }ia`}goca whi Khoei`c `mf}wofc e`q#

    Qi `tt}iko`wi wh`w whi AO{ `klcfqeigai{: whi t}ftf}wofc fb `ee `mf}wofc{wh`w qi}i oeeia`e gog cfw ock}i`{i {m{w`cwo`eey \0^# Oc b`kw% qhic qi kfc{ogi}ig whihf{tow`eoz`wofc{ bf} `cy locg fb `mf}wofc oc Khoei% qi fm{i}rig ` kfcwocf{}igkwofc b}fn whi 0?14{# @{ qi `e}i`gy go{k{{ig oc f} `}wokei% oc 0?24% qhicwhi ei`goca k`{i fb nf}w`eowy q`{ `mf}wofc% whi}i qi}i =81%42; eori mo}wh{ `cg

    91%;28 hf{tow`eoz`wofc{ b}fn `mf}wofc (qhiwhi} {tfcw`cif{ f} ocgkig/%}it}i{icwoca ` 9:0 }`wof# Oc whi e`{w gik`gi% whi }`wof miwqiic eori mo}wh{ `cghf{tow`eoz`wofc{ b}fn `mf}wofc h`{ }in`ocig }ie`woriey {w`mei `w `tt}fxon`wiey 1:0\=^# Nf}i }i{i`}kh o{ }ipo}ig wf `kk}`wiey `gg}i{{ whi b`kwf}{ }ie`wig wf whit`}`eeie gik}i`{i oc kfnteok`wofc{ `cg hf{tow`eoz`wofc{ b}fn `mf}wofc oc Khoei#

    Whi gikeoci fb n wi}c`e nf}w eowy `cg `mf}wofc nf}w`eowy oc Khoei fkk}}ig oct`}`eeie qowh whi gik}i`{i fb cnmi} fb hf{tow`eoz`wofc{ `ww}omw`mei wfkfnteok`wofc{ b}fn ke`cgi{woci `mf}wofc{: qhoei fri} 74) wf 94) fb `ee `mf}wofc.}ie`wig hf{tow`eoz`wofc{ qi}i `ww}omw`mei wf kfnteok`wofc{ b}fn ke`cgi{woci`mf}wofc{ g}oca whi 0?24{ gik`gi% who{ t}ftf}wofc gik}i`{ig }`togey oc whi

    bfeefqoca gik`gi{< ocgiig% fcey 0=.0?) fb `ee hf{tow`eoz`wofc b}fn `mf}wofc k`c mi`ww}omw`mei wf kfnteok`wofc{ b}fn ke`cgi{woci `mf}wofc{ miwqiic =440 `cg =448#Cfq`g`y{% fri} 84) fb `ee hf{tow`eoz`wofc{ b}fn `mf}wofc `}i }ie`wig wfno{k`}}o`ai{ f} {tfcw`cif{ `mf}wofc{#

    Whi{i g`w` {aai{w wh`w wh}fahfw woni% }i{w}okwori e`q{ n`y h`ri }i{w}`ococa ibbikw fc whi t}`kwoki fb `mf}wofc {onoe`} wf }i{w}okwofc{ fc wfm`kkf {nfloca f} `ekfhfe kfc{ntwofc wh`w `}i hytfwhi{ozig wf k`{i ` go{{`{ori ibbikwfc whi tfte wofc qhic kfnmocig qowh gip`wi tfeokoi{ ont}froca qfnic{

    7

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    5/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    igk`wofc`e eirie `cg `kki{{ wf n`wi}c`e hi`ewh k`}i# Oc b`kw% Khoei ixhomow{ wfg`yfci fb whi efqi{w `mf}wofc.}ie`wig n`wi}c`e gi`wh{ oc whi qf}eg% go{te`yoca ?=#;)gik}i`{i b}fn 0?8? `cg ??#0) `kkne`wig gik}i`{i fri} bobwy yi`}{# Nf}i}i{i`}kh wf `{{i{{ who{ ontf}w`cw hytfwhi{o{ ini}aoca `bwi} whi Khoei`c c`w}`eixti}onicw o{ }ipo}ig#

    AO: =# Whi `whf}{ }iey fc ` b`} wff c`}}fq% c}ieo`mei irogicki m`{i: Whi `whf}{{w`wi wh`w whiy `}i {oca into}ok`e irogicki `{ ` m`{o{ bf} whio} ke`on{ }ia`}gocawhi ockogicki fb `mf}wofc `cg `mf}wofc.}ie`wig nf}w`eowy oc Khoei# Hfqiri}% whio}ixke{ori }ieo`cki fc Khoei{ row`e }iao{w}`wofc {y{win wf `{{i{{ whi ockogicki `cgkfc{ipicki{ fb `mf}wofc oc ` {iwwoca qhi}i whi t}fkig}i o{ hoahey }i{w}okwig`cg

    whi}ibf}i e`}aiey ke`cgi{wocio{ ` k}owok`e niwhfgfefaok`e qi`lci{{# \0^

    @ywhf}{ }ite: Fc whi kfcw}`}y% who{ o{ ` n`jf} {w}icawh oc f} {wgy# Whi qf}lq`{ cfw ixke{oriey eonowig wf gi{k}omi whi w}icg fc n`wi}c`e gi`wh{# Oc b`kw% f}{ o{whi bo}{w oc.gitwh `c`ey{o{ fb ` e`}ai `cg t`}`eeie woni {i}oi{% yi`}.my.yi`}% fbn`wi}c`e gi`wh{ `cg whi {onew`cif{ `{{i{{nicw fb whio} giwi}noc`cw{ `w `kfcw}y eirie% ockegoca yi`}{ fb igk`wofc fb qfnic oc }it}fgkwori `ai% ti} k`tow`ockfni% wfw`e bi}woeowy }`wi% mo}wh f}gi}% kei`c q`wi} {ttey% {`cow`}y {iqi}% khoegmo}whgieori}y my {loeeig `wwicg`cw{% `cg gobbi}icw ho{wf}ok`e tfeokoi{# Oc who{ {ic{i% ow o{ `copi c`w}`e ixti}onicw kfcgkwig oc ` girieftoca kfcw}y#

    Wf `kk}`wiey {{i{{ whi w}icg oc n`wi}c e gi`wh{ k`{i{% ` hfnfefa`wofc fbbf} kfgi{ fb Ocwi}c`wofc`e Ke`{{obok`wofc fb Go{i`{i{ (OKG{/ q`{ ciigig< kfck}iwieyqi {w`cg`}gozig whi OKG{ ri}{ofc 1% 8% ? `cg 04 wf `c`eyzi n`wi}c`e gi`wh k`{i{b}fn whi f}oaoc`e OKG# Cfq% `ee who{ ocbf}n`wofc h`{ miic ockegig oc f} tmeok`wofc`w TEf[ FCI `cg ow o{ `e}i`gy `r`oe`mei wf mi woeozig my whi {koicwobok `cg nigok`ekfnncowy ocwi}i{wig oc n`wi}c`e hi`ewh }i{i`}kh woeozoca efca woni {i}oi{ f}gobbi}icw ho{wf}ok`e ti}ofg{ `w ei`{w b}fn 0?94{ gik`gi#

    Oc `ggowofc% ` }oaf}f{ {w`wo{wok`e `c`ey{o{ kfcw}feeig my newotei kfcbfcgi}{q`{ ti}bf}nig# Wf whi mi{w fb f} lcfqeigai% who{ o{ whi bo}{w {wgy kfcwoca qowh{bbokoicw g`w` `cg woni tfocw{ wf {onew`cif{ey kfcgkw ` newotei woni.{i}oi{

    }ia}i{{ofc% ` {ianicwig }ia}i{{ofc% `cg ` t`whq`y }ia}i{{ofc {oca ` }fm{w`wf}ia}i{{ori t}fkig}i (@]ON@/#

    Ow o{ cfw ` n`wwi} fb ko}kn{w`cwo`e f} `cikgfwok irogicki f} ocgo}ikwi{won`wi{% mw }`whi} ` n`wwi} fb {koicwobok g`w` }it}i{icwoca `kw`e row`e iricw{

    `cg iri}y k`{i }it}i{icwoca ` }i`e qfn`c gyoca b}fn n`wi}c`e.}ie`wig f} `mf}wofc.}ie`wig k`{i{ qhf{i niwhfgfefay h`{ miic tmeo{hig bf} whi bo}{w woni oc ` ocgiticgicw `cg ixwi}c`e tii}.}iroiqig {koicwobok jf}c`e# B}whi}nf}i% mygibocowofc n`wi}c`e nf}w`eowy }`wof (NN]/ o{ whi n`oc ocgok`wf} wf nfcowf} whi NGA.

    9

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    6/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    9# Wh{% qi t}iko{iey `c`eyzig whi ont`kw fb whi i`kh t}igokwf} fc NN] fri} ` bobwy.yi`} ti}ofg% kfcw}feeoca bf} i`kh fwhi} r`}o`mei ockegoca kh`cai{ f} m}i`l{ oc whifm{i}rig w}icg{#

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    TEf[ FCI# Oc b`kw% mik`{i f} ixw}iniey kfcw}fri}{o`e bocgoca }ie`wig wf whi ceeont`kw fb whi oeeia`e {w`w{ fb `mf}wofc% whi n`c{k}otw q`{ ocwic{oriey tii}.}iroiqig my ocgiticgicw {koicwo{w{# B}whi}nf}i% qi khf{i TEf[ FCI `bwi} igowf}{fb Whi E`ckiw }ijikwig iric kfcgkwoca ` tii}.}iroiq fb f} `}wokei# Who{ o{ cfw{}t}o{oca% i{tiko`eey qhic qi kfc{ogi} wh`w whi Khoei`c c`w}`e ixti}onicw{i}of{ey kh`eeicai{% bf} whi bo}{w woni% {iri}`e }itf}w{ nf{w fb whin m`{ig fc ocgo}ikw i{won`wi{ fb ocgkig `mf}wofc{ oc girieftoca kfcw}oi{ my }i{i`}khi}{ b}fnwhi AO tmeo{hig oc who{ t}i{woaof{ nigok`e jf}c`e fri} whi e`{w gik`gi#

    AO: Wf t}fti}ey cgi}{w`cg whi ont`kw fb ` ke`cgi{woci t}`kwoki% ow o{ ciki{{`}y wft}fmi nkh b}whi}# @ mfgy fb }i{i`}kh {oca g`w` {f}ki{ {kh `{ {}riy{ fb

    qfnic `cg {}riy{ fb hi`ewh t}fbi{{ofc`e{ h`{ miic girieftig% tii} }iroiqig `cgtmeo{hig oc {koicwobok jf}c`e{ oc }ikicw gik`gi{ {tikobok`eey wf `gg}i{{ whi {iri}ieonow`wofc{ fb }iao{w}`wofc {y{win{ oc ni`{}oca whi ockogicki `cg kfc{ipicki{ fbc{`bi `mf}wofc# \0^

    @ywhf}{ }ite: [}riy{ fb qfnic `cg {}riy{ fb hi`ewh t}fbi{{ofc`e{ h`rimiic efca {ig my }i{i`}khi}{ fb whi AO% `enf{w wf whi tfocw fb `m{i# @ewhfah qia}`cw wh`w {fni `cikgfwok `cg p`eow`wori r`ei k`c mi g}`qc b}fn {khoc{w}nicw{% b}fn `c itoginofefaok`e roiqtfocw whiy `}i be`qig wf `kk}`wieyp`cwoby whi cnmi} fb ocgkig `mf}wofc{: whi{i `}i t}iey ocgo}ikw `tt}f`khi{wh`w n`y ei`g wf cgi}. f} fri}i{won`wofc{% `cg gi wf whi {mjikwori c`w}i fb

    ftocofc {}riy{% whiy k`c mi ixw}iniey mo`{ig# Nf}ifri}% `{ qi tfocwig fw% whi{koicwobok r`eogowy fb whi{i niwhfgfefaoi{ o{ clcfqc#

    Qi ixtef}ig whi {i}of{ niwhfgfefaok`e be`q{ my whi AO oc ` }ikicwocgiticgicw tii}.}iroiqig tmeok`wofc \9^# Qi bfcg wh`w whi AO a}f{{eyfri}i{won`wig `mf}wofc }`wi{ oc `ee `c`eyzig kfcw}oi{# Fri}i{won`wofc my who{niwhfgfefay k`c `e{f mi fm{i}rig my kfcw}`{woca `kw`e boa}i{ fb `mf}wofc b}fnkfcw}oi{ qowh eomi}`e `mf}wofc e`q{% {kh `{ Nixokf% qowh boa}i{ i{won`wig qowh whiniwhfgfefay girieftig my whi AO: intefyoca who{ niwhfgfefay% oc =442%

    2

    http://www.nietoeditores.com.mx/download/gineco/2012/MAYO/Femego%20MAYO%2012%20Sobrestimacion.pdfhttp://www.nietoeditores.com.mx/download/gineco/2012/MAYO/Femego%20MAYO%2012%20Sobrestimacion.pdfhttp://www.nietoeditores.com.mx/download/gineco/2012/MAYO/Femego%20MAYO%2012%20Sobrestimacion.pdfhttp://www.nietoeditores.com.mx/download/gineco/2012/MAYO/Femego%20MAYO%2012%20Sobrestimacion.pdf
  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    7/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    }i{i`}khi}{ b}fn whi AO i{won`wig miwqiic 144%444 `cg 0%444%444 ke`cgi{woci`mf}wofc{ ti} yi`} oc Nixokf `cg tmeo{hig who{ bocgoca oc whio} fqc oc.hf{i% cfwocgiticgicwey tii}.}iroiqig jf}c`e \2^ `cg whi}ibf}i qi kfc{ogi} wh`w tmeok`wofc mo`{ k`ccfw mi }eig fw# Fmrof{ey% who{ e`}ai me`kl boa}i fb ocgkig`mf}wofc w}oaai}ig whi `e`}n oc whi afri}cnicw `cg whi tmeok ftocofc# Oc b`kw% who{{wgy q`{ torfw`e bf} whi eia`eoz`wofc fb `mf}wofc oc Nixokf BG fc @t}oe =7wh% =441#

    Mw% qh`w h`{ }i`eey h`tticig oc Nixokf BG {ocki whic6 Whi k`{i fb who{kfcw}y t}frogi{ ` c`w}`e e`mf}`wf}y wf `{{i{{ qh`w fkk} `bwi} `mf}wofceia`eoz`wofc# Whi cnmi} fb ieikwori ocgkig `mf}wofc{ }iao{wi}ig {ocki `mf}wofceia`eoz`wofc cwoe =400 ocke{ori wfw`e{ 10%?;1% `kkf}goca wf whi AO]I(A}ytf giOcbf}n`koc ic ]it}fgykkoc Ieiaog`

    % oc Icaeo{h% A}ft fb Ocbf}n`wofc oc Ieikwori]it}fgkwofc/ \1^# Nf}ifri}% `bwi} `mf}wofc eia`eoz`wofc% ieikwori `mf}wofc{ h`ri{hfqc ` kei`} tq`}g w}icg yi`}.my.yi`}% b}fn 0;%747 oc =448 wf =4%;07 oc =400\1^# Whi k`{i fb Nixokf `eefq{ n`loca bf} ontf}w`cw kfcke{ofc{:

    Bo}{w% iric whfah {fni gia}ii fb cgi}.}itf}w oc whi cnmi} fb ieikwori`mf}wofc{ n`y fkk} oc Nixokf `w whi t}i{icw% whi niwhfgfefay m`{ig fc {}riy{kfcgkwig my whi AO ei`g{ wf `w ei`{w ` ;4.bfeg fri}i{won`wofc oc whi cnmi} fbocgkig `mf}wofc{ kfcgkwig mibf}i `mf}wofc eia`eoz`wofc oc =441 (o#i# 144%444`kkf}goca wf whi AO ri}{{ whi `kw`e boa}i fb =4%;07 oc =400/#

    [ikfcg% `mf}wofc }iao{w}y oc Nixokf {aai{w{ wh`w `mf}wofc eia`eoz`wofc o{t}fnfwoca ` kfcwocf{ ock}i`{i oc whi cnmi} fb ocgkig `mf}wofc{# Who{ o{ cfw{}t}o{oca `cg h`{ miic qiee gfknicwig oc girieftig kfcw}oi{ wh`w h`rieia`eozig `mf}wofc# Bf} oc{w`cki% whi Noco{w}y fb Hi`ewh fb [t`oc liit{ ` t}iko{i}iao{w}y fb ieikwori `mf}wofc {ocki 0?81% ` yi`} `bwi} ow{ eia`eoz`wofc oc who{ kfcw}y\8^# Oc b`kw% ieikwori ocgkig `mf}wofc boa}i{ b}fn [t`oc h`ri {wi`goey ock}i`{igmiwqiic 0?81 `cg =448% b}fn 02%122 wf 009%80=# Whi{i itoginofefaok`efm{i}r`wofc{ m`{ig fc `kw`e g`w` go}ikwey kfcw}`gokw fci fb whi n`oc kfcke{ofc{my whi AO }i{i`}khi}{ fri} whi e`{w gik`gi{: eomi}`e e`q{ gf cfw kfcw}fe whi t}fmeinfb ocgkig `mf}wofc< whiy j{w ock}i`{i ow{ ockogicki% {kh `{ fkk} oc ` nfgi}citoginok#

    Who}g% {ocki whi niwhfgfefay intefyig my whi AO o{ ocgo}ikw `cg n`ocey m`{igfc ftocofc {}riy{% ow k`c ei`g wf fri}i{won`wofc{ wh`w }i`kh miyfcg qh`w o{into}ok`eey te`{omei% k`eke`woca boa}i{ fb `mf}wofc{ kfnt`}`mei wf whi cnmi} fbeori mo}wh{# Bf} oc{w`cki% oc Kfefnmo`% 109%79; eori mo}wh{ qi}i fm{i}rig g}oca=448% `cg }i{i`}khi}{ b}fn whi AO i{won`wig 744%744 `mf}wofc{ oc `cfwhi} oc.hf{ijf}c`e qowhfw ocgiticgicw tii}.}iroiq% `cg whi}ibf}i% `a`oc tmeok`wofc mo`{k`ccfw mi }eig fw \?^# Who{ ei`g{ wf ` boa}i fb t}iac`ckoi{ miyfcg whi into}ok`eeytf{{omei mofefaok`e }it}fgkwori }`wi bf} wh`w kfcw}y# Oc b`kw% {oca r`eog

    1

    http://www.guttmacher.org/pubs/journals/3415808.htmlhttp://www.guttmacher.org/pubs/journals/3415808.htmlhttp://es.scribd.com/doc/94847430http://www.guttmacher.org/pubs/journals/3711411.htmlhttp://www.guttmacher.org/pubs/journals/3711411.htmlhttp://www.guttmacher.org/pubs/journals/3415808.htmlhttp://www.guttmacher.org/pubs/journals/3415808.htmlhttp://es.scribd.com/doc/94847430http://www.guttmacher.org/pubs/journals/3711411.htmlhttp://www.guttmacher.org/pubs/journals/3711411.html
  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    8/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    itoginofefaok`e niwhfg{ fb i{won`wofc% qi fm{i}ri wh`w whi ftocofc.m`{igniwhfgfefay my whi AO }i{i`}khi}{ fri}i{won`wig my ` b`kwf} fb 08 whi tf{{omeicnmi} fb ocgkig `mf}wofc{ (744%744 ri}{{ =0%?18/ oc Kfefnmo` \9^#

    Boc`eey% {onoe`} {wgoi{ k`}}oig fw my }i{i`}khi}{ b}fn whi AO h`ri miickfcgkwig oc @}aicwoc` \04^% A`win`e` \00^% M}`zoe% Khoei% Ti}% `cg Gfnocok`c]itmeok \0=^% }itf}woca ieir`wig `cg fri}i{won`wig oc ` {onoe`} q`y wf whi k`{i fb Nixokf `cg Kfefnmo` \9^ cnmi}{ fb ke`cgi{woci `mf}wofc{# Oc kfcw}`{w% w}icg{ fb n`wi}c`e nf}w`eowy fm{i}rig oc nf{w fb whi{i kfcw}oi{ {hfq {oacobok`cw t}fa}i{{fri} whi e`{w wqf gik`gi{ \0;^# F} }ikicwey tmeo{hig `}wokei \9^ {ttf}w{ whi{i`{{ntwofc{# Oc who{ {kic`}of% kfcke{ofc{ my `c`ey{o{ t}iey m`{ig fc ftocofc

    {}riy{ `tti`} ockfc{o{wicw `cg mo`{ig: oc {w}okw {koicwobok }oaf}% whi mfgy fb}i{i`}kh% iric whfah tmeo{hig oc {koicwobok jf}c`e{ oc }ikicw gik`gi{% b`oe{ wf}ibeikw }i`eowy#

    AO: @mf}wofc `{ ` k`{i fb gi`wh o{ fbwic no{}itf}wig f} cgi}}itf}wig oc kfcw}oi{qhi}i whi t}fkig}i o{ oeeia`e cgi} `ee f} nf{w ko}kn{w`cki{# Oc Khoei% qfnicqhf {bbi} kfnteok`wofc{ `bwi} cgi}afoca c{`bi `mf}wofc{ `}i hoahey ceoliey wf`gnow wf whi{i `kwofc{ aoric tf{{omei k}onoc`e {`ckwofc{ (ockegoca t}o{fc {icwicki{bf} h`roca fmw`ocig `mf}wofc{/# Bf} whi {`ni }i`{fc% n`cy qfnic n`y cfw {iilnigok`e hiet bf} `mf}wofc.}ie`wig kfnteok`wofc{# Eoliqo{i% thy{oko`c{ w}i`wocaqfnic bf} tf{w`mf}wofc kfnteok`wofc{ n`y no{}itf}w (f} cfw }itf}w `w `ee/ gi`wh{

    `cg ocj}oi{ b}fn c{`bi `mf}wofc wf t}fwikw whio} t`woicw{ b}fn k}onoc`e {`ckwofc{#\0^

    @ywhf}{ }ite: Who{ {tike`wori `{{ntwofc my AO ixti}w{ o{ cfw eoliey wf mi `}ieir`cw b`kwf} ocbeickoca whi }i{ew{ oc whi Khoei`c k`{i# Oc b`kw% who{ {mjikw h`{miic `e}i`gy go{k{{ig oc whi Eonow`wofc{ {ikwofc fb f} `}wokei `cg q`{ ocwic{oriey`cg k}owok`eey ir`e`wig g}oca whi ixwi}c`e `cg ocgiticgicw tii} }iroiq t}fki{{ `wTEf[ FCI \=^#

    Oc Khoei% ocwia}owy `cg nigok`e ki}wobok`wofc fb aefm`e gi`wh{ o{ t}`kwok`eey044) `cg no{ke`{{obok`wofc o{ miwqiic =) `cg 7) kfc{ogi}oca whi aici}`e }iao{w}y

    fb `ee gi`wh k`{i{ \07^# Oc @tticgox = fb whi QHF }itf}w \09^% Khoei `tti`}{ `efcaqowh 2; kfcw}oi{ qowh koroe }iao{w}`wofc g`w` kh`}`kwi}ozig `{ kfnteiwi qowh affg`ww}omwofc fb k`{i fb gi`wh# Khoei o{ ke`{{oboig oc whi @ eo{w my whi Ycowig C`wofc{}ia`}goca row`e {w`wo{wok{ ocbf}n`wofc b}fn ` efca woni `af# Whi k}}icw }iao{w}y fbn`wi}c`e gi`wh k`{i{ h`{ 044) ocwia}owy `cg t}`kwok`eey cee no{ke`{{obok`wofc giwf `kwori itoginofefaok`e {}rioee`cki `cg n`cg`wf}y cfwobok`wofc `cg kfc{w`cw`gow fb n`wi}c`e gi`wh k`{i{ cgi} {w}okw }ei{ fb kfcbogicwo`eowy \02^#

    Eori mo}wh{ }iao{w}y o{ kf}}ikwig my whi niwhfg fb gie`yig }iao{w}y (0 wf 1

    8

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    9/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    yi`}{/# Cfq`g`y{% gie`yig }iao{w}y o{ miwqiic 4#9 `cg 0)# Wh{% who{ }iao{w}y o{`e{f kh`}`kwi}ozig `{ kfnteiwi (@tticgox [0 \=^ giw`oe{ who{ ocbf}n`wofc/# Who{ o{cfw {}t}o{oca {ocki k}}icwey% ??#8) fb eori mo}wh{ fkk} oc n`wi}cowoi{ `w whiKhoei`c hf{tow`e{# Whi kf}}ikwofc niwhfg o{ k`}}oig fw my whi C`wofc`e Oc{wowwi fb[w`wo{wok{ (OCI/ `cg }iei`{ig `{ `c fbboko`e yi`}.my.yi`} tmeok`wofc# K}}icwey%Khoei`c OCI o{ whi wikhcok`e }ibi}icw icwowy bf} whi F}a`coz`wofc bf} Ikfcfnok Kf.fti}`wofc `cg Girieftnicw (FIKG/ oc E`woc @ni}ok`#

    Whi}ibf}i% aoric whi {w}icawh{ `cg ocwia}owy fb whi Khoei`c }iao{w}y fbn`wi}c`e gi`wh{ `cg eori mo}wh{% `{ qiee `{ whi qogiey `klcfqeigaig k}igicwo`e{ fbwhi Khoei`c OCI% ow o{ hoahey ceoliey wh`w n`wi}c`e gi`wh{ fb `cy locg (ockegoca

    whf{i k`{ig my kfnteok`wofc{ fb `cy locg fb `mf}wofc/ `}i no{}it}i{icwig f}cgi}.}itf}wig# Whi }itf}w fb whi hoah cnmi} fb n`wi}c`e gi`wh{ gi wf `mf}wofcoc whi i`}ey 0?24{ o{ b}whi} irogicki fb whi hoah p`eowy fb whi Khoei`c }iao{w}y\01^#

    AO: Whi `}anicw wh`w }i{w}okwori `mf}wofc e`q{ gf cfw h`ri ` cia`wori ont`kw fcqfnic{ hi`ewh o{ cfw {ttf}wig my whi ixo{woca mfgy fb irogicki: Oc `ggowofc wfwhio} fqc {wgy% whi `whf}{ kowi efq n`wi}c`e nf}w`eowy }`wof{ oc O}ie`cg% N`ew` `cgTfe`cg `{ irogicki wh`w }i{w}okwori `mf}wofc e`q{ `}i {`bi bf} qfnic# Mw qfnic ocwhi{i kfcw}oi{ `}i lcfqc wf w}`rie wf ci`}my kfcw}oi{ qowh eomi}`e `mf}wofc e`q{ wfwi}noc`wi t}iac`ckoi{ f} {iil tf{w`mf}wofc k`}i# Nf}ifri}% whi{i kfcw}oi{ `}i

    ixkitwofc{ wf whi }ei# \0^

    @ywhf}{ }ite: Whi bo}{w t}fmein qowh whi AO {w`winicw o{ wh`w ow gfi{cw `tti`} wfmi ` }ei }ia`}goca whi eia`e {w`w{ fb `mf}wofc# Oc b`kw% whi ixwicw fb `mf}wofc}i{w}okwofc o{ r`}o`mei `nfca gobbi}icw kfcw}oi{# Nf}ifri}% ob whi k`{`e `{{ntwofcmy AO qi}i kf}}ikw% yf qfeg ixtikw wf bocg `mf}wofc nf}w`eowy `w ei`{w te`wi`ocaoc Khoei% ob cfw afoca t# Oc b`kw% ow qicw gfqc#

    Qi a}`cw wh`w ow o{ tf{{omei wh`w w}`rieeoca wf ci`}my kfcw}oi{ n`y mi i`{oi}bf} qfnic b}fn N`ew`% O}ie`cg% `cg Tfe`cg% {ocki nf{w I}fti`c kfcw}oi{ `eefqieikwori `mf}wofc# Who{ n`y mi `kwoca `{ ` kfcbfcgi} gobbokew wf kfcw}fe# @mf}wofc

    t}fhomowofc oc nf{w E`woc @ni}ok`% hfqiri}% n`li{ ow gobbokew bf} Khoei`c qfnic wf{iil `cg ti}bf}n `mf}wofc{ `m}f`g# Wh{% ow o{ ceoliey wh`w whi gik}i`{i oc `mf}wofcnf}w`eowy oc Khoei o{ ixte`ocig my {`bi `mf}wofc t}fkig}i{ oc nf}i eomi}`ekfcw}oi{#

    Qhoei ow o{ w}i wh`w N`ew`% O}ie`cg% `cg Tfe`cg k}}icwey ixhomow ri}y efq NN]%oc {fni fb whin (i#a# Tfe`cg/ whi{i }`wof{ qi}i `e}i`gy efq `w whi woni fb t`{{oca}i{w}okwori `mf}wofc e`q{% tf{{omey gi wf tmeok tfeokoi{ {onoe`} wf whf{i t}fnfwocawhi gik}i`{i fb n`wi}c`e nf}w`eowy oc Khoei# Wf wi{w who{ hytfwhi{o{% `c `c`ey{o{ fb

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  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    10/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    n`wi}c`e nf}w`eowy g`w` b}fn who{ kfcw}y% {onoe`} wf wh`w n`gi qowh Khoei`c g`w`% o{}ipo}ig#

    Boc`eey% whi irfewofc fb n`wi}c`e nf}w`eowy oc Tfe`cg% N`ew`% `cg O}ie`cg o{ yiwwf mi `c`eyzig oc gitwh oc whi bf}n`e mofnigok`e eowi}`w}i# Oc b`kw% {kh `c`ey{o{q`{ `e{f e`kloca bf} Khoei mibf}i f} tmeok`wofc#

    AO: @enf{w `ee fb whi kfcw}oi{ ke`{{oboig `{ h`roca whi efqi{w n`wi}c`e nf}w`eowy}`wi{ oc whi qf}eg `eefq eia`e `mf}wofc fc m}f`g a}fcg{% `cg `enf{w `ee fb whikfcw}oi{ qowh whi hoahi{w n`wi}c`e nf}w`eowy }`wi{ h`ri hoahey }i{w}okwori `mf}wofce`q{# \0^

    @ywhf}{ }ite: Who{ o{ ` h`}nbe `cg }o{ly aici}`eoz`wofc# @{ {koicwo{w{% qi `}ikfcki}cig `mfw n`loca k`{`e `{{fko`wofc{ wh`w `}i cfw bo}ney bfcgig fcinto}ok`e g`w`# Who{ o{ qhy qi gf cfw n`li ` k`{`e `{{fko`wofc miwqiict}fhomowofc fb `mf}wofc oc Khoei oc 0?8? `cg whi bfeefqoca gik}i`{i oc n`wi}c`enf}w`eowy# Qi {onte {w`wi wh`w n`wi}c`e nf}w`eow w}icg{ `}i ycocbeyickigm whi oeeia`e {w`wy{ fb `mf}wofc# Eoliqo{i% qi k`ee whi {`ni }oaf} oc k`{`e`{{fko`wofc{ b}fn fwhi} {koicwo{w{# [f b`}% qi `}i c`q`}i fb into}ok`e g`w`ginfc{w}`woca ` k`{`e eocl miwqiic t}fhomowoca `mf}wofc `cg `c ock}i`{i ocn`wi}c`e nf}w`eowy# ]`whi}% whi}i o{ ` kfeeikwofc fb `cikgfwok ocbf}n`wofc wh`w h`{yiw wf mi `c`eyzig oc.gitwh wf wi{w wh`w tf{we`wi# F} ixti}onicw oc Khoei {hfq{

    wh`w mfwh n`wi}c`e nf}w`eowy w}icg `cg oeeia`e {w`w{ fb `mf}wofc `}i cfw k`{`eey}ie`wig oc fci q`y f} `cfwhi}#

    Qi whocl whi {w`winicw wh`w `enf{w `ee fb whi kfcw}oi{ qowh whi hoahi{wn`wi}c`e nf}w`eowy }`wi{ h`ri hoahey }i{w}okwori `mf}wofc e`q{ o{ i{{icwo`eeyno{w`lic aoric whi k`{i{ fb Khoei% O}ie`cg% N`ew`% `cg Tfe`cg `cg whi gik}i`{ocaw}icg{ fc n`wi}c`e nf}w`eowy fm{i}rig oc nf{w fb E`woc @ni}ok`c kfcw}oi{ qowh}i{w}okwori `mf}wofc e`q{# Whi}i `}i% hfqiri}% girieftoca kfcw}oi{ qowh }i{w}okwori`mf}wofc e`q{ wh`w {woee ixhomow hoah NN]% {kh Ie [`er`gf} `cg Cok`}`a`#Ciri}whiei{{% whi{i kfcw}oi{ `}i t}fa}i{{oca }`togey wf ont}fri n`wi}c`e hi`ewh%`kkf}goca wf whi e`wi{w ocgiticgicw aefm`e }itf}w{ fc n`wi}c`e gi`wh{ my Hfa`c iw

    `e# \0;^ `cg n`y micibow b}fn whi Khoei`c ix`ntei fb tmeok tfeokoi{ ei`goca wfmiwwi} `kki{{ wf igk`wofc `cg n`wi}c`e hi`ewh b`koeowoi{#

    Fc whi fwhi} h`cg% girieftig kfcw}oi{ {kh `{ [t`oc% K`c`g` `cg whi Y[%{hfq `c ock}i`{i oc n`wi}c`e gi`wh{ fri} whi e`{w gik`gi# Nf}ifri}% Ay`c`eia`eozig `mf}wofc oc whi i`}ey 0??4{ {hfqoca cf {oac fb gik}i`{oca NN]#Whi}ibf}i% whi {w`winicw @enf{w `ee fb whi kfcw}oi{ ke {{oboig { h`roca whi efqi{wn`wi}c`e nf}w`eowy }`wi{ oc whi qf}eg `eefq eia`e `mf}wofc fc m}f`g a}fcg{ o{`cfwhi} aici}`eoz`wofc qowhfw ` }i`e k`{`e eocl# Ow o{ j{w ` {tike`wori `{{ntwofc

    04

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    11/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    m`{ig fc t}iey gi{k}otwori g`w` f} ocgo}ikw i{won`wi{#

    @{ f} {wgy \=^ {hfq{% whi}i `}i {iri}`e b`kwf}{ ocbeickoca NN] oc `kfcw}y% `cg `ee fb whin {hfeg mi w`lic ocwf `kkfcw qhic `c`eyzoca whio} ibbikwfc n`wi}c`e nf}w`eowy w}icg{# Oc eoahw fb f} g`w`% ow o{ eoliey wh`w `c ont}frinicw ocqfnic{ igk`wofc eirie% n`wi}c`e hi`ewh b`koeowoi{% cw}owofc% {`cow`}y {i}roki{(kei`c q`wi} `cg {`cow`}y {iqi}/ n`y hiet girieftoca kfcw}oi{ wf }i`kh NGA.9qowhfw h`roca wf }i{f}w wf eia`eoz`wofc fb `mf}wofc#

    AO: Oc kfcw}oi{ wh`w h`ri eomi}`eozig whio} `mf}wofc e`q{ fri} whi t`{w wqfgik`gi{% {kh `{ Iwhofto`% Cit`e `cg [fwh @b}ok`% whi irogicki o{ miaoccoca wf

    ginfc{w}`wi wh`w `mf}wofc e`q }ibf}n{ `}i `{{fko`wig qowh ont}frig hi`ewhfwkfni{ bf} qfnic# \0^

    @ywhf}{ }ite: F} {wgy \=^ {hfq{ wh`w qfnic{ igk`wofc`e eirie o{ whi n`ocb`kwf} ocbeickoca whi gik}i`{i oc Khoei`c n`wi}c`e nf}w`eowy }`wi: bf} iri}y`ggowofc`e yi`} fb n`wi}c`e igk`wofc whi}i q`{ ` kf}}i{tfcgoca gik}i`{i oc whiNN] fb =?#;&044%444 eori mo}wh{# B}whi}nf}i% igk`wofc ocbeickig whi ibbikw fb `eefwhi} b`kwf}{ `c`eyzig oc f} {wgy% eoliey my t}fnfwoca mih`rof}`e kh`cai{ oc `cgwhi woeoz`wofc fb n`wi}c`e hi`ewh b`koeowoi{ my whi bin`ei tfte`wofc# Wh{% qfnic{igk`wofc`e eirie {hfeg mi kfc{ogi}ig `{ ` n`jf} kfcbfcgi} qhic {wgyoca whiibbikw fb `mf}wofc tfeokoi{# Ycbf}wc`wiey% wf whi mi{w fb f} lcfqeigai% cf fwhi}

    {wgy h`{ w`lic ocwf `kkfcw {kh kfcbfcgi} qhic `c`eyzoca w}icg{ oc n`wi}c`enf}w`eowy#

    ]ikicw {wgoi{ fc n`wi}c`e nf}w`eowy kfcgkwig oc Cit`e \08^ `cg Iwhofto`\0?^ qi}i cfw kfcw}feeig my whi kh`cai oc qfnic{ igk`wofc`e eirie% whiont}frinicw oc n`wi}c`e hi`ewh b`koeowoi{ `cg fwhi} {oacobok`cw kfcbfcgi}{ wh`wn`y mi ocbeickoca whi gik}i`{i oc n`wi}c`e nf}w`eowy% `{ f} {wgy {hfq{# Bf}ix`ntei% `kkf}goca wf g`w` b}fn whi Qf}eg M`cl \=4^% Cit`e {hfq{ `c ontf}w`cwont}frinicw oc whi igk`wofc`e eirie fb qfnic fb }it}fgkwori `ai: `c ock}i`{i fbwhi `ri}`ai {khffeoca yi`}{ b}fn `tt}fxon`wiey 0#9 wf 7#7% miwqiic 0??4 `cg=404 (j{w miwqiic =444 `cg =404 who{ boa}i ock}i`{ig b}fn =#9 wf 7#7/< oc

    `ggowofc% whi eowi}`ky }`wi fb qfnic fri} 09 yi`}{.feg h`{ {wi`goey ock}i`{ig%ixhomowoca boa}i{ fb ?#=)% 01#7)% ;7#?)% `cg 72#?) bf} whi yi`}{ 0?80% 0??0%=440% `cg =44?% }i{tikworiey# Whi}ibf}i% ow k`c mi `}aig wh`w whi gik}i`{i ocn`wi}c`e nf}w`eowy n`y mi `kkfcwig bf} my whi ont}frinicw oc whi igk`wofc`eeirie fb qfnic oc Cit`e% `cg cfw my eia`eoz`wofc fb `mf}wofc#

    Fc whi fwhi} h`cg% whi =404 }itf}w fb whi Qf}eg Hi`ewh F}a`coz`wofc bf}[fwh @b}ok` {aai{w{ `c ock}i`{i oc n`wi}c`e nf}w`eowy fri} whi e`{w wqf gik`gi{:oc 0??4% whi}i qi}i 0=0 n`wi}c`e gi`wh{ ti} 044%444 eori mo}wh{ qhoei oc =448 who{

    00

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    12/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    boa}i h`{ ock}i`{ig wf =;1 \09^# K`wofc% hfqiri}% o{ ciki{{`}y qhic n`locakfcke{ofc{ b}fn ocgo}ikw i{won`wi{ bf} n`wi}c`e nf}w`eowy f} qhic whiy `}i m`{igfc hf{tow`e }ikf}g{#

    Ow o{ ciki{{`}y wf cfwi wh`w p`eowy `cg }ieo`moeowy fb hf{tow`e }ikf}g{ `cg row`e{w`wo{wok boa}i{ b}fn whi{i kfcw}oi{ `}i pi{wofc`mei `kkf}goca wf whi Qf}egHi`ewh F}a`coz`wofc \09^# [ocki whi{i {wgoi{ `}i eoliey wf mi kfcgkwig fc whim`{o{ fb t`}wo`e `cg ockfnteiwi ocbf}n`wofc% ow o{ ri}y gobbokew wf }i`kh `cy {w}fcakfcke{ofc }ia`}goca whi t}fa}i{{ oc n`wi}c`e hi`ewh fb whi{i kfcw}oi{% f} wfk`{`eey `{{fko`wi whin wf whi eia`e {w`w{ fb `mf}wofc#

    AO: Whi `whf}{ cgi}i{won`wi whi ockogicki fb hf{tow`eoz`wofc bf} kfnteok`wofc{b}fn c{`bi `mf}wofc oc Khoei: Whfah ow gfi{ cfw `bbikw whi i{won`wig w}icg{ oc`mf}wofc nf}w`eowy% ow o{ qf}wh cfwoca wh`w whi `whf}{ {iin wf h`ri cgi}i{won`wigwhi ockogicki fb ocgkig `mf}wofc kfnteok`wofc{ w}i`wig oc hf{tow`e{% myfri}i{won`woca whi t}ftf}wofc fb `ee `mf}wofc k`{i{ wh`w `}i whi }i{ew fb{tfcw`cif{ `mf}wofc{ (no{k`}}o`ai{/#

    @ywhf}{ }ite: Qi whocl whi ixti}w{ b}fn whi AO no{cgi}{wffg whi niwhfgfefayintefyig wf i{won`wi whi cnmi} fb Ixtikwig keocok`e {tfcw`cif{ `mf}wofc{%qowhoc W`mei [8 fb f} `}wokei oc TEf[ FCI \=^# Whi giw`oeig niwhfgfefay o{ `e}i`gytmeo{hig oc `c ocgiticgicwey tii} }iroiqig jf}c`e \9^% mw whi bfeefqoca

    {nn`}ozi{ whi niwhfg: qi {ig mofefaok`e t}fm`moeowoi{ wf k`eke`wi whi ixtikwigcnmi} fb wfw`e ro`mei kfckitwofc{ fc whi m`{o{ fb whi cnmi} fb eori mo}wh{fm{i}rig oc ` t`}woke`} yi`}# @kkf}goca wf Qoekfx iw `e# \=0^% `cg ocgiticgicweykf}}fmf}`wig my Q`ca iw `e# \==^% `tt}fxon`wiey 22) fb whi ro`mei kfckitwofc{ icgoc ` eori mo}wh% =9) fb whi ro`mei kfckitwofc{ icg `{ i`}ey t}iac`cky ef{{% `cg 8)fb whi ro`mei kfckitwofc{ icg `{ keocok`e {tfcw`cif{ `mf}wofc{# Mofefaok`et}fm`moeowoi{ `}i qogiey `klcfqeigaig% wf whi tfocw fb mioca }iti`wigey {ig ockeocok`e w}o`e{ wf `{{i{{ whi ibbikworici{{ fb hf}nfc`e kfcw}`kitwori{# Wh{% b}fn whi`kw`e cnmi} fb eori mo}wh{ fb ` t`}woke`} yi`}% ow o{ tf{{omei wf k`eke`wi whicnmi} fb ixtikwig ro`mei kfckitwofc{ bf} wh`w {`ni yi`}# Whic% qi k`eke`wig whicnmi} fb ixtikwig keocok`e {tfcw`cif{ `mf}wofc{ `{ 8) fb whi wfw`e cnmi} fb

    ixtikwig ro`mei kfckitwofc{# Whi}ibf}i% i`}ey t}iac`cky ef{{ q`{ ixkegig b}fnk`eke`wofc{ fb whi ixtikwig cnmi} fb keocok`e {tfcw`cif{ `mf}wofc{% n`loca `cfri}i{won`wofc ri}y ceoliey#

    AO: Wf i{won`wi whi cnmi}{ fb k`{i{ wh`w `}i gi wf {tfcw`cif{ `mf}wofc{% whiy}iey fc `c ctmeo{hig niwhfgfefay girieftig my whi bo}{w `whf} fb whi k}}icwt`ti}# Y{oca who{ `tt}f`kh% whiy i{won`wig wh`w 88) fb `ee `mf}wofc{ qi}i{tfcw`cif{ `mf}wofc{# My kfcw}`{w% `kkf}goca wf `c `tt}f`kh wh`w h`{ miic tii}}iroiqig cni}f{ woni{ `cg tmeo{hig oc ` }`cai fb {koicwobok jf}c`e{% fcey =8)

    0=

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    13/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    fb hf{tow`eozig `mf}wofc k`{i{ oc Khoei oc 0??4 qi}i {tfcw`cif{ `mf}wofc{# \0^

    @ywhf}{ }ite: Whi `}wokei gi{k}omoca f} niwhfgfefay q`{ oc t}i{{ `w whi woni fbtmeok`wofc oc TEf[ FCI `cg ow h`{ j{w miic tmeo{hig fc B}og`y% N`y 08wh \9^#@a`oc% whi ixti}w{ b}fn whi AO {iin kfcb{ig oc wi}n{ fb whi niwhfgfefay {ig bf}k`eke`woca whi ixtikwig cnmi} fb {tfcw`cif{ keocok`e `mf}wofc{# Who{ cnmi}kf}}i{tfcg{ wf `tt}fxon`wiey 8) fb wfw`e ro`mei kfckitwofc{% `{ `e}i`gy tfocwig`mfri# Who{ o{ icwo}iey gobbi}icw b}fn {w`woca% 88) fb `ee `mf}wofc{ qi}i{tfcw`cif{ `mf}wofc{# @{ ixte`ocig `mfri% whi k`eke`wofc }ieoi{ fc qogiey`klcfqeigaig {wgoi{ my Qoekfx iw `e# \=0^ `cg Q`ca iw `e# \==^% qhokh fm{i}ri wh`wi`}ey t}iac`cky ef{{ `cg keocok`e {tfcw`cif{ `mf}wofc }it}i{icw `tt}fxon`wiey

    =9) `cg 8) fb `ee ro`mei kfckitwofc{% }i{tikworiey#

    AO ixti}w{ `}i t}fm`mey kfcb{ig my whi b`kw wh`w 84#?) wf 81#8) fbFm{i}rig `mf}wofc hf{tow`eoz`wofc{ qi}i ixte`ocig my Ixtikwig keocok`e{tfcw`cif{ `mf}wofc{ b}fn =440 wf =448 \=^# Ciri}whiei{{% whi e`wwi} boa}i q`{cfw k`eke`wig fc whi m`{o{ fb whi cnmi} fb fm{i}rig `mf}wofc hf{tow`eoz`wofc{% mwb}fn whi `kw`e cnmi} fb eori mo}wh{# Ow j{w w}c{ fw wf mi 84#?) wf 81#8) qhickfnt`}ig wf whi `kw`e cnmi} fb fm{i}rig `mf}wofc hf{tow`eoz`wofc{% `cg cfw =8)`{ i{won`wig my ixti}w{ b}fn whi AO {oca ftocofc {}riy{ oc 0??4 \=;^#

    Qowh }ia`}g wf whi `tt}f`kh wh`w h`{ miic tii} }iroiqig cni}f{ woni{

    `cg tmeo{hig oc ` }`cai fb {koicwobok jf}c`e{ \0^% whi ixti}w{ fb whi AO kowi fcey =}ibi}icki{% qhokh kf}}i{tfcg wf ` }iroiq tmeo{hig oc.hf{i my whi AO \=7^ `cg `coc.hf{i jf}c`e \=;^% mfwh qowhfw ocgiticgicw ixwi}c`e tii}.}iroiq `cg fcki nf}i tmeok`wofc mo`{ k`ccfw mi }eig fw#

    Whi niwhfgfefay intefyig my AO ixti}w{ o{ eoliey wf mi fri}i{won`woca whicnmi} fb ke`cgi{woci `mf}wofc{ oc Khoei `cg fwhi} E`woc @ni}ok`c kfcw}oi{% `{ qih`ri }itf}wig oc f} }ikicw `}wokei \9^# Cfw {}t}o{ocaey% whi}i `}i a}f{{ gobbi}icki{miwqiic f} ixtikwig boa}i fb keocok`e {tfcw`cif{ `mf}wofc{ fw fb fm{i}rig`mf}wofc hf{tow`eoz`wofc{ oc wi}n{ fb ti}kicw`ai (84#?) wf 81#8)/ `cg whio}{ (=8)/%qhokh o{ ceoliey wf mi ixte`ocig my whi gobbi}icki oc whi yi`}{ kowig: =440 wf =448

    oc f} k`{i `cg 0??4 oc whio}{# @{ qi tfocwig fw `mfri% whi gobbi}icki o{ nf{weoliey gi wf a}f{{ fri}i{won`wofc{ my whi AO ixti}w{ {ocki whiy {i ` be`qigniwhfgfefay m`{ig fc ftocofc {}riy{#

    AO: @ mfgy fb }i{i`}kh% e`}aiey tmeo{hig oc tii}.}iroiqig jf}c`e{% n`li{ kei`}wh`w whi gikeoci oc n`wi}c`e nf}mogowy `cg nf}w`eowy b}fn c{`bi `mf}wofc oc Khoei ocwhi t`{w gik`gi{ kfockogi{ qowh a}i`wi} `kki{{ wf `cg {i fb kfcw}`kitwori{% `{qiee `{ whi {i fb ei{{ g`cai}f{ ke`cgi{woci `mf}wofc niwhfg{# No{ft}f{wfe% ` g}awh`w k`c mi {ig wf ocgki cfc{}aok`e `mf}wofc{% o{ eia`eey `cg qogiey `r`oe`mei oc

    0;

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    14/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

    Khoei< qfnic{ a}ft{ h`ri hietig n`li no{ft}f{wfe `r`oe`mei wf qfnic {iiloca`mf}wofc{% `cg `mf}wofc t}frogi}{ `cg qfnic whin{ieri{ h`ri miic {oca whi g}awf wi}noc`wi t}iac`ckoi{ {ocki whi 0??4{# Whi {i fb no{ft}f{wfe `{ `c`mf}wob`koicw o{ `{{fko`wig qowh ` efqi} }o{l fb {iri}i hi`ewh kfc{ipicki{ wh`c whi{i fb oeeia`e {}aok`e t}fkig}i{% `cg o{ kfc{ogi}ig `c ontf}w`cw ixte`c`wf}y b`kwf}oc whi gikeoci oc `mf}wofc.}ie`wig gi`wh{ oc whi t`{w wqf gik`gi{# \0^

    @ywhf}{ }ite: Ixte`ococa whi gik}i`{i fb n`wi}c`e nf}w`eowy }`wof oc Khoei `{ `}i{ew fb {oca g}a{ {kh `{ no{ft}f{wfe o{ {tike`wofc c{ttf}wig my f}itoginofefaok`e g`w`# Kei`}ey% cf {wgy k}}icwey ixo{w{ wf g`wi% wh`w {i}of{ey{ttf}w{ ` gikeoci oc n`wi}c`e nf}w`eowy `{{fko`wig qowh whi {i fb `mf}wob`koicw

    g}a{ {kh `{ no{ft}f{wfe oc Khoei# Whi wqf pfwig `}wokei{ my AO ixti}w{ \=9% =2^kf}}i{tfcg wf ni}i ftocofc{ qowhfw `cy itoginofefaok`e irogicki f} p`cwow`worig`w` {ttf}woca {kh ke`on{# Whi}ibf}i% who{ o{ j{w ` {tike`wori `{{ntwofc#Ocgiig% f} {wgy {hfq{ wh`w aefm`e n`wi}c`e nf}w`eowy }`wof `{ qiee `{ nf}w`eowy my `mf}wofc {wi`goey gik}i`{ig b}fn 0?29.0?21# Who{ q`{ qiee mibf}i whi girieftnicw `cg kfnni}ko`eoz`wofc fb no{ft}f{wfe#

    Oc b`kw% no{ft}f{wfe q`{ ocw}fgkig oc whi Khoei`c me`kl n`}liw oc whi e`wi0??4{% n`loca ow ixw}iniey ceoliey wh`w ow{ ocw}fgkwofc h`g `cy ontf}w`cwocbeicki fc fri}`ee }`wi{ fb n`wi}c`e nf}w`eowy% qhokh qi}i `e}i`gy {oacobok`cwey}igkig `w wh`w woni# Nf}ifri}% no{ft}f{wfe o{ cfw {feg wf whi tmeok `{ `c fri}.whi.

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    07

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    15/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

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    09

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    16/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

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    02

  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    17/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

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  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    18/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

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  • 7/31/2019 Response to Guttmacher Institute criticisms by Koch et al. on the Impact of Abortion Restrictions on Maternal Mort

    19/19

    KNN]OWhi Khoei`c N`wi}c`e Nf}w`eowy ]i{i`}kh Ocowo`wori

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    0?

    http://www.scielosp.org/pdf/rpsp/v15n5/22005.pdfhttp://www.scielosp.org/pdf/rpsp/v15n5/22005.pdf