The case began when the girl, daughter of an impoverished Nicaraguan
migrant worker in neighboring Costa Rica, was found to be pregnant. A
22-year-old man was arrested on suspicion of raping her.
When hospital officials in Costa Rica seemed to oppose an abortion, the
girl's family brought her home with help from the Women's Network Against
Violence and sought permission for an abortion here.
Nicaragua is a strongly conservative society where Catholic teachings
are taken seriously and few pregnancies are ended legally. A law permits
only vaguely defined "therapeutic abortions." Government
officials even observe a Day of the Unborn Child.
But the idea of a 9-year-old having to give birth shocked many
Nicaraguans.
"I have never seen this country debating in the way it did,"
said Dr. Ana Maria Pizarro, a gynecologist who directs a women's health
center.
Television and radio stations were bombarded with calls from opponents
and supporters of an abortion for the girl. The government human rights
prosecutor urged an abortion; the country's family minister opposed it.
A committee of doctors assembled by the government appeared to waffle,
saying the girl's health would be endangered both if she continued the
pregnancy or if she had an abortion.
As officials debated, the girl's parents pulled her out of a government
hospital, and on Feb. 20 the Women's Network announced she had undergone
an abortion.
The fury only intensified.
Cardinal Miguel Obando y Bravo said those involved in the girl's
abortion had excommunicated themselves under church law.
That prompted tens of thousands of women in Nicaragua — and
supporters in Europe — to sign petitions demanding to be excommunicated
themselves.
Health Minister Lucia Salvo, who had opposed the abortion, resigned
March 13, complaining that President Enrique Bolanos did not support her
in a dispute with her own deputies over the issue.
Passions were so inflamed that the nation's Catholic bishops issued an
open letter comparing abortions to terrorists' bus bombs. Their main goal
was to dissuade Nicaragua's congress, which is studying the abortion law,
from making abortions easier to get.
The current law is vague about when a "therapeutic abortion"
is allowed. Three medical personnel — not necessarily doctors — have
to approve it, but the law gives little guidance about what conditions
they should look for.
All sides agree early pregnancy is a problem.
"This situation of the pregnancy of a girl is not rare in
Nicaragua," said Dr. Rafael Cabrera, another gynecologist. He said 30
percent of pregnancies are in girls younger than 19, and "you often
see pregnancies between 10 and 15 years."
But Cabrera, who heads the Nicaraguan Pro-Life Association, contends
the current law is sufficient to deal with unusual cases.
Abortions are available despite the law.
Pizarro, who heads the Si Mujer health center, said a government study
in 1996 estimated 36,000 abortions a year are performed in this country of
5 million people. She said studies she did in the 1980s found that unsafe,
illegal abortions were among the leading causes of death for Nicaraguan
women.
Legal abortions in government hospitals are rare.
The government's Bertha Calderon Hospital for women approved 509 of 860
requests for therapeutic abortions between 1986 and 1991, Pizarro said.
Since then, with more conservative governments in power, it has performed
only 10.
"They stopped going to the hospitals," Pizarro said.
"The people knew who they could ask, and who they could not."