Continuing our focus on National Teen Pregnancy Prevention Month, this week’s post is written by one of FPA’s Pregnancy Prevention Coordinators.

The ‘streets’ he was referring to are lined with oak trees and sidewalks.  But, I knew what he meant. I had been asked to speak to that group of boys because the principal discovered an underground condom ring going on within the school.  Yep, that’s right.  Some entrepreneurial boy realized he could make good money selling condoms to his classmates.  The same condoms, mind you, that can be legally obtained in about ten different stores in their town.  This makes you wonder…

When I asked them if they had these conversations with an adult at home, they slowly shook their heads.  A few gave me a patronizing smile with that “You’re outta your mind, lady.” look.  I have posed this question to students before, so I wasn’t surprised by their reaction.  But, something about that particular instance has always stuck with me. 

I think it was seeing all of those questioning faces with their own mix of horror and curiosity about the topic at hand. I realized that for many of them, talking openly about healthy sexuality with an adult they trust, never happens.

I was looking at the next generation of partners, fathers, and neighbors and I wanted to know…

Who is talking to these young men?

Usually, when I’m mystified by male behavior, I go to my most trusted resource on testosterone-related knowledge — my husband.

Me: So, did your dad ever talk to you about sex?

Hubby: What? God, No!

Me: Really?  Nothing?  Anything about not getting your girlfriend pregnant?

Hubby: Oh wait.  I take that back.  He did tell me that if I ever got a girl pregnant he’d string me up from a tree.

And that was it.  His father never explained how to go about not getting a girl pregnant.  And his experience from the 70’s is not that different for many boys today.  According to the CDC, data collected from 2006-2008 found that only 29% of teen boys have spoken with their parents about abstinence and contraception.  This is not good when we know that parents can be very effective at helping teens delay sexual activity.

Okay, so they’re not always hearing it at home, but what about health class?  There are many schools committed to providing comprehensive sexuality education and the FPA’s Prevention team works with great schools throughout Maine to support this work.  However, the information students receive can vary depending on district policies and their teacher’s comfort level.  So, you can imagine that more complex issues like “I think I might be gay” or the anonymous question I recently answered – “Does masturbation cause acne?”  - may never be addressed.

When I ask boys about this lack of information, they seem puzzled by my question.  “We get tons of information!”  One boy explained to me.  I’m so excited about and surprised to hear this.  “Where?”  I naively ask.   “Ummm…have you heard of the internet?”   Duh. They were totally justified in laughing at me.

There are some really good online sites that provide teens with honest, medically-accurate answers.  You can find a list on the FPA website.  My fear is, and I know I’m making a sweeping generalization, that young males are not frequent visitors to these healthy sites.  A Google search on topics adolescent boys may be concerned about provides some interesting links.  I know I have a hard time staying focused on my search results — can you imagine what it’s like for these guys?

What can caring adults do?  Talk to them.  I know — it can be incredibly uncomfortable and unpopular to bring this stuff up when you’re impressed they are even hanging out with you for a few minutes.  As an educator, there are only so many times you can demonstrate proper condom use before passing some embarrassment threshold.  However, as a parent, I’m the first to admit that talks with my own kids have not always been pretty.  My child looks at me the same way those eighth-grade condom entrepreneurs did.  And that’s okay.  It’s about them knowing we are here to answer their questions.  It’s not about us being cool or knowing everything. Because, guess what? — that will never happen.

~ Kathy

Here at the FPA, every day is devoted to the prevention of teen and unplanned pregnancy. Our clinical staff, prevention staff, legislative advocacy staff, and the administrative staff that keep the business side of things going are all committed to helping women and men plan their families and avoid unwanted pregnancy.

But what about all the folks who aren’t doing teen pregnancy prevention work as part of their day job — is there anything the average person can do?

By way of answering that question, I’d like to tell you about Jessie.

I met Jessie (not her real name) through a mentoring program in my hometown. She is a bright, articulate, fun-to-be-with 11 year old. Because her family faces multiple challenges, Jessie’s school counselor recommended her for the program. We first met nearly a year ago at the home she shares with her brother, mom, and step-dad.

Once a week, I pick Jessie up in the late afternoon and we spend several hours together. Occasionally, we share a special weekend activity or have a sleepover at my home. In good weather we’re likely to be outdoors – hiking local trails, playing ball at the school playground, or building sandcastles at the beach. When the weather is bad, you’ll find us inside doing crafts, reading, playing board games, or watching a movie together. And while we’re taking part in all of these activities, we’re talking. We talk about school and friends; we talk about family — hers and mine; we talk about my work and her dreams for her future.

At the age of 11, Jessie isn’t yet into the dating scene but I know it’s in her not-so-distant future. And because I work at the FPA, I’m keenly aware that Jessie could become one of the 43 out of 1,000 Maine teens girls who get pregnant each year. That’s one of the reasons I am committed to mentoring Jessie for as long as she’s interested.

I’m happy to stand among the other adults in her life — teachers, counselors, parents, and grandparents — providing the support she needs to thrive and to successfully navigate the journey to adulthood.

Research shows that providing age-appropriate, medically-accurate sex education and access to confidential sexual health services contribute to reduced rates of teen pregnancy. We’ve seen that here in Maine and that’s why the FPA provides the services we do. And, increasingly, there are great online tools designed to help kids make healthy decisions. Like this new online quiz from the National Campaign.

Young people certainly need accurate information and access to services but they also need something more. They need to believe that they are worthwhile individuals who can work towards and have a bright future. I hope that’s what my small contribution to Jessie’s life does for her. And I hope it helps to safeguard her from too-early pregnancy.

That’s my personal teen pregnancy prevention story — trying to make a difference in the life of one young person. I’d love to hear about what you’re doing for the ‘Jessie’ in your life.

~Nancy

Katherine Heigl and Leslie Mann in a scene from the movie "Knocked Up"

Here’s a quiz for you.*

Since the 1990s the rate of teen pregnancy in the United States has:
A. declined by about a third.
B. stayed about the same.
C. increased by a third.

The group of unmarried women in the U.S. most likely to have used an effective method of birth control the last time they had sex is:
A. teenagers.
B. women in their twenties.
C. women in their thirties.

The group with the highest number of unplanned pregnancies in the United States is:
A. women in their twenties.
B. teenagers.
C. women in their thirties.

*From: “What You Don’t Know About Unplanned Pregnancy”  The William and Flora Hewlett Foundation

The answer to all three questions is “A”: the rate of teen pregnancy has dropped by a third; teens are most likely to have used an effective method of birth control; and the group with the highest number of unplanned pregnancies in the U.S. today is women in their twenties.

For the past three decades teen pregnancy has received well-deserved attention at both the state and national levels. Although the rate remains higher than we’d like it to be, Maine has made tremendous advances in reducing the number of teen pregnancies.

While teen pregnancy rates have been consistently dropping, the rate of unintended pregnancy among unmarried women in their twenties has risen significantly. Half of all pregnancies in the United States are unplanned, but among unmarried women in their twenties, nearly three-quarters (71%) of pregnancies are unplanned.

The truth is, adults as well as teenagers have difficulty planning and preventing pregnancy. And unplanned pregnancy at any age is not conducive to healthy outcomes for women and their families.

Women who have an unplanned pregnancy are at greater risk of poverty, of starting prenatal care late, and of having a low birth weight baby. Unplanned pregnancy places both mothers and fathers at greater risk of depression, relationship conflict, educational hardship and failure to achieve education and career goals.

Why do 20-somethings have such a high rate of unplanned pregnancy? This question has been studied extensively in recent years and the answer has several parts.

• Today’s young adults are delaying marriage, resulting in more years of having sex outside of marriage
• Twenty-somethings are the age group least likely to have health insurance
• The economic downturn has hit young adults especially hard, making it difficult for them to have ‘adult’ lives (i.e., many of them are still living at home)
• Twenty-somethings have attitudes & beliefs that put them at risk of unplanned pregnancy

In addition, unlike teens who are still in school, most 20-somethings are not in settings that lend themselves to health promotion interventions. However, there are some things we can do to help young adults reduce their risk of an unplanned pregnancy.

Family planning providers in Maine work closely with women in their 20′s through our system of clinics. In the year 2011, Maine’s family planning systems saw over 12,000 individual women in their twenties for nearly 20,000 visits. We provide free or low-cost family planning and reproductive health care. We work with individual clients to help them find the birth control method that will be most successful in helping them prevent unplanned pregnancy.

The FPA advocates for public policies that ensure access to free and low-cost family planning services for all Mainers who need them. Studies have shown that reducing financial barriers and increasing Medicaid coverage of birth control helps reduce rates of unplanned pregnancy.

The question still remains of how to reach a larger audience of twenty-somethings with age-appropriate messages about the importance of birth control and family planning.

A recent National Campaign report, The Target Speaks, shares that while most young adults consider unplanned pregnancy to be a very important issue, a significant majority of them also report putting themselves at risk for causing a pregnancy or getting pregnant.

In response to research findings, the Campaign has created Bedsider.org, an excellent online birth control support network for 20-something women and men.

We are happy to promote Besider as a tool young adults can use to decrease their odds of experiencing an unplanned pregnancy. And we invite you to share the site with the 20-somethings in your life.

Check it out and let us know what you think!

~ Nancy

You may not think you’re affected by STDs but we all are in some way or other.

Every year, STDs cost the U.S. health care system $17 billion — and they cost affected individuals even more in immediate and long-term health consequences.

The unfortunate truth is that young people are those most affected by STDs. Nationally, 1 in 2 sexually active young people ages 15-24 will contract an STD. Most won’t even know they have done so. And although Maine’s STD rate is far below the national average, young people in our state are the age group most likely to contract an STD.  According to the Maine CDC, in the year 2010 young people ages 15-24 accounted for 70% of all reported chlamydia infections and 52% of reported cases of gonorrhea.

As in the rest of the country, Maine’s rate of chlamydia, a preventable and treatable STD, is especially high. Chlamydia often has no symptoms, and when left undiagnosed and untreated can cause serious health consequences, including infertility in women.

What is the FPA doing about all this? For starters, all family planning health centers in Maine offer free or low-cost STD testing for our patients. In recent years, we’ve made an effort to increase the number of young people getting tested by making it a normal part of every family planning visit. Whether a sexually active patient sees us for an annual exam, a pregnancy test or a birth control method check, STD testing is offered and encouraged. Because a chlamydia infection often has no symptoms, regular testing is extremely important. In 2011, the family planning system in Maine provided over 13,000 chlamydia tests and over 12,000 gonorrhea tests to our patients.

The FPA also provides ongoing training, technical support, and professional development for sexuality education teachers who work with young people in schools and youth-serving organizations throughout Maine. Our website provides information for parents and families. And we advocate for continued access to sexual health care for all Mainers, especially for young people.

Wondering what you can do? One good place to start is to learn more about STDs and their impact.

If you want to help share the word about National STD Awareness Month, GYT: Get Yourself Tested is the way to go. Launched in 2009, this online campaign encourages young people to get tested for STDs and to discuss the issue with their health care provider.  Sponsored by MTV and the Kaiser Family Foundation, GYT has some terrific online resources for young people and the adults who care about them.

Check out the GYT website, post a link to it on your Facebook page, send a few tweets to your Twitter followers, talk it up face-to-face with family and friends. There’s something each of us can do to help others understand the importance of talking about and getting tested for STDs.

What will you do for National STD Awareness Month?

~ Nancy

Since 1995, the first week of April has been designated as a time to focus on critical public health issues with the goal of helping people live longer, happier, healthier lives.

The main themes for the National Public Health Week 2012 are:

• Active Living and Healthy Eating
• Alcohol, Tobacco and other Drugs
• Communicable Diseases
• Reproductive and Sexual Health
• Mental & Emotional Well-Being

It’s so good to see a national public health campaign discuss reproductive and sexual health as critical services in such a no-nonsense manner!

Why is the issue of reproductive and sexual health an important public health issue?
Consider the following:

• Nearly half of all pregnancies in the U.S. are unintended. Risks associated with unintended pregnancy include low birth weight, postpartum depression and family stress.
• There are approximately 19 million new cases of sexually transmitted infections in the U.S. each year — almost half occur in young people ages 15 to 24.
• More than 1 million people in the U.S. are estimated to be living with HIV infection, and more than 50,000 people become infected each year.
• Binge drinking and illicit drug use are associated with intimate partner violence and risky sexual behaviors, including unprotected sex and multiple sex partners.

These may be big challenges, but there are many actions — both big and small — that each of us can take to promote reproductive and sexual health in our communities.

Here are eight things you can do, courtesy of this handout from the National Public Health Association.

1. Support comprehensive reproductive and sexual health services for men and women, as well as sexual health education.

2. Discuss sexual health concerns with your health care provider.

3. Communicate with children regarding their knowledge, values, and attitudes related to sexual activity, sexuality, and healthy relationships.

4. Support the GYT: Get Yourself Tested campaign, which seeks to reduce the spread of STIs among young people through information, communication, testing, and treatment as necessary.

5. Advocate for access to quality health services and support for safe practices to improve physical and emotional well-being to reduce teen and unintended pregnancies, HIV/AIDS, viral hepatitis, and other STIs.

6. Work with local schools to ensure they are providing comprehensive reproductive and sexual health education and services. (Check out FPA’s program for schools.)

7. Promote community-based prevention programs that address intimate partner violence and sexual violence. (I would add reproductive coercion.)

8. Encourage employers to provide health coverage and employee assistance programs that include family planning and reproductive health services.

What will you do to promote reproductive and sexual health?

~ Nancy

Note: This is the last week we will give away a 4000 Years for Choice poster. Comment o

On Sunday, April 1st, the 40 Days of protests will come to a close.

To coincide with this year’s protests, the FPA held its 4th Annual Pledge-a-Picketer Campaign. We invited people to make a pledge to FPA based on the number of picketers at our gates each day.

Earlier this week, curious as to why people choose to support the campaign, we asked them to complete this sentence — “I gave to FPA’s Pledge-a-Picketer Campaign this year because…”

Here are some of the wonderful responses we received.

“I gave to this campaign because it is such a clever way of turning a potentially stressful situation into one that is also beneficial and indeed empowering.  I couldn’t resist the opportunity to support this wonderful twist and this important cause!” ~Helen

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“I gave to FPA’s Pledge-a-Picketer Campaign this year because of the enormous positive social and economic impact of family planning.” ~Colon

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“I gave to FPA’s Pledge-a-Picketer Campaign this year because I volunteered for 3.5 years for the Washington Area Clinic Defense Task Force http://www.wacdtf.org/ in Falls Church, Virginia, and I saw how awful the protesters can be. The same angry, judgmental, misogynist men (it was by far mostly men each week) were there every Saturday morning, shouting at women about how ashamed they should be and how God would punish them for their sins. If the women/couples arrived with children, the protesters would yell at them that their parents are murderers. Many of the patients would arrive at the clinic in tears because of what they went through just getting from their cars to the front door, even with us escorts there to keep the antis off the property. It was terrible. Picketers need to know that they are the minority; letting them watch the pledge numbers tick up each day does just that.”
~ Marian

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“I gave to FPA’s Pledge-a-Picketer Campaign this year because nobody deserves to die of a botched back-alley abortion, and because women need to have control of their lives. I refuse to let the right wing push us back into the Bad Old Days!” ~ Claire

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“I  pledged a picketer this year because FPA provides valuable services which make my community healthier. And because I find loud judgmental picketers unbearably annoying.”   ~ Elizabeth

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“I gave because believing every woman should enjoy reproductive freedom is part of my culture and my values.  To infringe on that right in any way is abhorrent to me.  Placing oneself between the paths of women seeking to receive that rightful medical service is unconscionable, arrogant, and immoral. I am grateful for a way in which to replace the negative messages and actions at the entrance to a facility helping women with a positive way to benefit these services.  Even better is telling those protestors right out loud that every day they appear they are contributing to FPA’s existence.” ~ Rozzi

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“I gave to FPA’s Pledge-a-Picketer Campaign this year because it’s terribly important to me that American women (and other women) continue to have the reproductive health care and reproductive choice that FPA provides.” ~ Beedy

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“I know what good things you do for uninsured and under-insured women, and I’m tired of the protestors’ lies and personal attacks. They claim they want choice and freedom, yet want to take that away from women…it’s wrong and I will always stand up for women.” ~ Stacie

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There you have it — supporters of a woman’s right to choose tell us why they give.

I don’t know what goals the anti-choice protestors had for the 40 Days, but our goal was to keep providing honest, supportive, non-judgmental reproductive health care. And to raise $15,000.  Thanks to our amazing clinical staff and generous supporters, we’ve met both goals. Thank you!

~ Nancy

This week, a staff person shares a post she wrote on her personal blog a few years ago – when she was twelve weeks pregnant with her first child.

Here’s an excerpt from the blog post she shared with her family and friends –

As much as people don’t want to hear a pregnant woman talk about miscarriage, I think abortion rates a few thousand times higher up on the list of things that people don’t want to hear about at all, much less from a pregnant woman.

No, this isn’t what I thought I’d be blogging about on my twelve-week anniversary mark, but it’s been weighing on me – so much so that I feel like I couldn’t simply jump back into some funny blog entry before I address an issue that is bigger than just me and my anecdotes.

Because one-third of all women will have an abortion in the course of their lifetime, it’s likely that the issue will hit close to home for almost everyone, at some point, in some way, in their lifetime – if it hasn’t already. Whether it’s yourself, your sister, daughter, wife, girlfriend, cousin, mother, grandmother, co-worker, or friend.

As I heard a male doctor say at the National Abortion Federation Conference I attended, “Abortion is not just a women’s issue, it’s a family issue. It affects all of us.” And that includes the men in our lives: husbands, boyfriends, brothers, sons, fathers, cousins, grandfathers, co-workers, and friends.

And to lessen the distance that people may feel to an issue that may seem peripheral, I also wanted to share on a personal level that abortion is not something that just happens in the movies, or in big cities, or far away states.

Part of what I do every week is help women through the abortion process. From talking with them beforehand, attending to them during their abortion, and caring for them afterward, I see a great diversity of women each week: teenagers, pre-menopausal women, mothers, teachers, nurses, business owners, exchange students, women of all religions, and women affected by every imaginable birth control method failure possible, even vasectomy.

It’s hard not to grow resentful of the sense that those of us who do this work should be “quiet” about it, so as not to upset people, or appear distasteful, or boat-rocking, or radical.

So, after several years of doing this work, I’m “coming out” and putting a face to the abortion issue, so that people see that even “a nice girl like N. does that kind of work.”

My co-workers and I say all the time that we feel privileged and honored to help women in the way that we do. Their stories are profound and compelling, and their gratitude to us and for the right to have control over their lives is overwhelming.

And speaking of co-workers – I am beyond lucky to work with the most amazing women ever. They are incredibly compassionate, hardworking, hilarious, eloquent, genuine superwomen. We are a fabulous team, and we appreciate each other and the very privileged jobs we share.

I wanted to make sure that I was not just writing this to relieve myself of a weight, but rather that I was doing my part to further awareness and understanding of, again, what can seem like a “peripheral” issue.

So I plead to all who read this to have their eyes and ears open to what’s happening in our government, because mine get opened real wide every week.

~ An FPA abortion care staff member

The 40 Days protestors think they know why women come to our abortion care facility.

They have an image of who these women are and why they seek abortion care services. Absolutely sure of their version of the “truth” — they pass judgment on FPA patients.

Here’s the real truth — most women have several reasons for their decision to end a pregnancy.

A 2004 study by the Guttmacher Institute found that women had “multiple, diverse and interrelated reasons” for seeking abortion care services.  Among study participants, 89% of women had at least two reasons, 72% gave at least three reasons and some women had as many as eight reasons for deciding to have an abortion.

The study results were similar to other studies and have remained consistent over time. The three main categories of reasons women give for seeking an abortion are:

- Lack of money/unreadiness to start or expand a family.
- Responsibility to others, mainly to their children.
- Lack of partner support.

Whatever the reasons, all women deserve to have access to abortion care services.

During the 40 Days of protests, we invite abortion care patients to share their truth about the decision to have an abortion.  Their stories mirror the results of Guttmacher’s research. Here are some of the comments we’ve received:

“I am a single mother with two children who is struggling to just get by. We live at a shelter and have no income. Due to my situation I decided that it would not be fair or right to bring this child into this family and to also take what little we have away from my two girls. I truly feel that this abortion was the right choice for me at this time. Thank you.”

“At 40 years old, faced with an unwanted pregnancy, I made the choice to abort. My choice. How lucky I am to have that choice and be taken care of by the most compassionate staff.”

“I love and adore the children I have and it’s my responsibility to make right choices for them. Without this service I could not accomplish this.”

These are the stories our abortion care staff hear day after day, week after week.

The protestors who sit outside the FPA gates, trying to intimidate our patients know nothing about these women and the life situations that have factored into their decision to end a pregnancy.

The Abortion Care Network has a wonderful handout for women having an abortion entitled, You Are a Good Woman. This publication eloquently speaks to the disconnect between the real life decisions women make and the protestors who judge them for it.

“These anti-abortion people don’t know you. They don’t know what’s in your head or your heart. They don’t know about your life or your values. They don’t know if you have other children depending on you. They don’t know if the man involved is someone you can trust or depend on. They don’t know if you are ready to be a mother, or if you can afford to care for a child. They don’t know your spiritual or religious beliefs. They don’t know your situation. They don’t know what you want. And the truth is… They don’t really care.“

This is the honest-to-god truth of the matter. Despite their claims, the protestors at our gates don’t really care about the women who use our services.

The last time I checked, the definition of “caring” did not involve intimidation and bullying. Providing compassionate, non-judgmental abortion services is my definition of “caring.” What’s yours?

~ Nancy

This Saturday — March 10th — is Abortion Provider Appreciation Day.

Why March 10th?

Because on that date in 1993, David Gunn, MD was shot and killed by an anti-abortion protestor as he walked from his car to a clinic in Pensacola, Florida. Gunn’s murder occurred at a time when violent crimes committed against reproductive health care providers and abortion clinics had been steadily rising for fifteen years. Murder, kidnapping, assault, threatening, arson, bombing – the litany sounds like a terrorist toolkit.

As a result of Dr. Gunn’s murder, the U.S. Senate decided that the conduct of anti-choice extremists was interfering with the constitutional right of women to receive reproductive health care services, especially abortion. In 1994, the Freedom of Access to Clinic Entrances Act became law.

The new law prohibited behaviors that made it difficult or dangerous to get in and/or out of an abortion care facility.  Although the Freedom of Access to Clinic Entrances Act dramatically reduced the number of violent assaults against abortion providers and facilities, the violence continues. On New Year’s Day of this year, a family planning clinic in Pensacola, Florida was firebombed and burned to the ground.

The violence and threats of violence in the U.S. have taken a toll on abortion access.

Numerous abortion care providers, understandably fearing for their lives, had stopped performing the procedure. Hospitals refused to allow doctors to perform abortions in their facilities, except to save the life of the mother. Abortion care moved to the fringe, away from mainstream OB/GYN practice. Abortion providers became isolated, working in free-standing reproductive health care centers, apart from the main parts of their medical practice and their colleagues.

This was the picture in 1997 — when central Maine, from Oxford County to the coast, had lost nearly all of its abortion providers. That year the FPA opened the Parker F. Harris Center for Reproductive Health in Augusta, offering state-of-the-art care and a high level of security for patients and providers.

While the FPA has created a safe space within our gates, we cannot deny the anti-choice protestors their right to gather week after week, year after year. They come with their signs and banners, spreading lies and misinformation.

Their official language is about love and respect for life, but their actions betray them. The March 2012 newsletter from PLEA (Pro Life Education Association) out of Bangor, includes an article about a recent visit from Randall Terry, with photos of him accompanied by two regular protestors at our Augusta site.

If the name Randall Terry doesn’t ring a bell, let me explain a little about this man. Terry was the founder and leader of Operation Rescue, a national anti-choice organization, until he was ousted for his increasingly inflammatory language and actions.

When George Tiller, MD was shot and killed by an anti-abortion activist in May of 2009, Randall Terry made several public statements in response. Here are a few of Terry’s comments about Dr. Tiller and his murder.

“He was a mass murderer.”
“He reaped what he sowed.”
“This can be a teaching moment.”

With Terry’s words in mind, let me tell you what one of the protestors who stands outside our gates week after week wrote about his Maine visit. “What a wonderful turn of events — and indeed a privilege to meet that man!”

Yup, that’s a direct quote. I’ll give you a minute to let that sink in…

The FPA’s antidote to the hatred and veiled threats of anti-choice protestors is to honor and thank our abortion providers and the nurses and other staff who assist them.

We deeply appreciate all they do, in the face of opposition and isolation, to make sure women have access to their constitutionally-guaranteed right to an abortion.

Want to send your own thank you card to the FPA’s abortion providers?

Clicking on the image below will take you to a beautiful card that you can download, print, and send.

~ Nancy