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Newsday (USA), January 11, 2005
U.S. Shift on
Rape Victims
Local health
workers protest federal change in treatment
guidelines that no longer mention Plan B contraception
New federal guidelines for treating rape victims
don't mention offering emergency contraception
- an omission drawing criticism from local
hospital counselors who work with rape victims.
Gloria Feldt, president of the Planned Parenthood
Federation of America, blasted the Justice
Department rape guidelines yesterday, noting
that 278 groups, including some with religious
affiliations, have asked for an amendment to
the protocol that describes in detail how to
deal with sexually transmitted disease but
barely mentions pregnancy prevention.
Feldt said she has asked all members of the Senate
Judiciary Committee who support abortion rights
to seek the views of White House counsel Alberto
Gonzales on the rape guidelines as they consider
his nomination for attorney general.
"This will be the guidebook that medical
providers will look at. It's completely unfathomable,"
Feldt said. "Why would women have to have
a double trauma [rape and pregnancy] when one
trauma is so easily preventable?"
New York State law requires hospitals to offer
rape victims emergency contraceptive pills,
which can prevent pregnancy. The Justice Department
guidelines, which are advisory and would not
supersede state law, only advise discussing
"reproductive health services."
Hospital workers in New York City and on Long
Island said yesterday that failing to offer
women emergency contraception would be a serious
omission and some said it could violate medical
ethics.
"If you know about it [emergency contraception]
and don't offer it, it's another kind of victimization
and this time it's federally condoned,"
said Rebecca Carman, coordinator of the sexual
assault forensic examiner program at Elmhurst
Hospital Center in Queens.
At Stony Brook University Hospital, Judy Specht,
a nurse and sexual assault examiner who works
closely with the Suffolk County police, said
it's urgent that women receive emergency contraceptives
as soon as possible after a rape if they want
it because the pills work only for a short
period of time.
"There's a very short window of opportunity,"
Specht said. "I would think it's a lot
more beneficial to prevent a pregnancy than
to become pregnant and then have an abortion."
Emergency contraceptive pills, known by the brand
name Plan B, are used after unprotected intercourse
and are most effective when taken as soon as
possible within 72 hours.
Rochelle Frounfelker, an emergency department
coordinator at Mount Sinai Hospital in Manhattan,
emphasized the importance of emergency contraception
to rape victims.
"As a health issue, any assault victim should
be offered that option," Frounfelker said.
"It's dangerous in areas where it hasn't
been put into legislation because it can be
left up to the individual hospital."
Eric Holland, a Justice Department spokesman,
said the guidelines were prepared "pursuant
to a congressional mandate" but could
not immediately address other questions yesterday.
<< Newsday -- 1/11/05 >>
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