HEALTH-BRAZIL:
Abortion of
Anencephalic Fetuses Fires Debate
Mario Osava
RIO DE JANEIRO, (IPS) - The abortion of anencephalic fetuses -which have
no brain -- is legal in Brazil since Jul. 1 as the result of a
preliminary court ruling that the Catholic Church is eager to quash, and
the question has fuelled the national debate on abortion.
The Brazilian bishops' conference (CNOB) would like to invalidate the
decision handed down by Supreme Court justice Marco Aurelio de Mello,
which allows the termination of pregnancy in cases involving
anencephalic fetuses, and suspended all lawsuits and sentences against
women and health professionals accused of committing illegal abortions
in such cases.
This ”solitary” decision violates the right to life, says the CNOB,
which is demanding that it either be immediately revoked by Supreme
Court president Nelson Jobim, or definitively overturned when the 11
members of the Supreme Court meet again in August.
Brazil remains
divided on the issue.
Adding anencephaly to the list of legally recognised causes for
abortion ”responds to a public demand,” said Minister for Policies
on Women, Nilcea Freire, a medical doctor.
Brazilian law only permits abortion in case of pregnancy resulting
from rape or where the mother's life is endangered. Anancephaly had
not been added to the list as such fetuses have been proven not to
survive more than a few minutes after birth, stated Judge Mello.
But Attorney-General Claudio Fonteles backed the bishops, arguing
”there is life within the womb,” hence it is unlawful to end it.
Fonteles said that his viewpoint, which will be presented to the
Supreme Court in due course, is based entirely on legal
considerations, not on his Catholic faith.
Meanwhile, Maria Betania Avila, coordinator of SOS Cuerpo -- a
women's group based in Recife, the capital of the northeastern
Brazilian state of Pernambuco -- told IPS that Judge Mello's
decision is a victory for the women's movement, and ”we hope it will
be upheld.”
Religious institutions, especially the Roman Catholic Church, are
trying to impose their dogmas on society just as they have on the
question of abortion throughout history, said Avila. But democratic
debate is important as Brazil is a lay state, she added.
Attempts to force the entire population of Brazil to follow the
religious beliefs of one group has already had an impact on other
issues, she said, complaining that the Catholic Church's
condemnation of the use of condoms has hurt prevention efforts
against AIDS (Acquired Immune Deficiency Syndrome).
A bio-safety bill currently working its way through the Senate
includes a ban on the use of human embryonic cells for scientific
research, and was approved by the lower house under pressure from
religious organisations, said Avila.
Forcing a woman to carry an anancephalic fetus to term, with no
prospect of giving birth to a healthy baby that will survive,
”imposes immeasurable suffering'' and reflects ''a lack of
generosity, a perverted vision,” she stated.
This is like subjecting a woman to torture, turning the birth
experience, which should be ”a magical moment of life” into ”a rite
of death,” Luiz Roberto Barroso -- the lawyer who represented the
National Confederation of Health Workers in the lawsuit fighting for
legalisation of abortion in the case of anencephalic fetuses -- told
the Brazilian daily 'O Globo'.
Abortion is not the right term in these cases, he argued, because
”there is no chance of life for an anancephalic fetus.” Nor does it
involve a ”moral choice” between the mother's free will and a
potential human life, he maintained.
Continuing with the pregnancy affects both the woman and her family,
”damaging their moral and psychological integrity,” while presenting
health risks, wrote Judge Mello in his provisional ruling, in which
he reiterated the medical impossibility of life for an anancephalic
fetus outside the uterus.
But for the bishops' council, a fetus within the mother's womb ”has
rights” which ”must be respected regardless of the phase or
condition in which it is found.”
Over the last 15 years Brazilian courts have received nearly 3,000
requests for authorisation of abortions involving anancephalic
fetuses, and 97 percent of these have been granted, said Thomaz
Gollop, director of the Institute of Fetal Medicine and professor at
the University of Sao Paulo.
A survey by the Institute showed 74 percent of couples who decided
to terminate such pregnancies were Catholic, while the rest
professed to other religions.
Anencephaly is not such a rare condition. The Brazilian Federation
of Associations of Gynaecology and Obstetrics (FEBRASGO) estimates
that 0.2 percent of fetuses in Brazil suffer a partial or total lack
of brain tissue, amounting to several thousand cases a year.
There are suspicions that chemical pollution is a key factor, as a
high incidence of anencephaly was documented in Cubatao -- a highly
polluted industrial city 70 km from Sao Paulo -- in the 1980s and in
agricultural areas where large amounts of toxic herbicides and
pesticides are used.
But there is also evidence of links with a shortage of folic acid,
and the number of cases of the malformation has been falling since
supplements have been added to food products.
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