Professional Documents
Culture Documents
Washington Post (AP) November 12, 2004. Scott Peterson, 32, was
convicted today of murdering his pregnant wife and dumping her body in
San Francisco Bay in what prosecutors in the case portrayed as a cold-
blooded attempt to escape marriage and fatherhood for the bachelor life.
Laci Peterson, a 27-year-old substitute teacher, was eight months
pregnant when she vanished around Christmas Eve 2002. Four months
later, her headless body and the remains of her fetus were discovered
along the shoreline about 90 miles from the couple’s Modesto home -- not
far from where her husband claims he was fishing alone the day of her
disappearance.
The coroner who examined Laci Peterson’s body wrote “homicide” on her death
certificate. Nowhere did the death certificate mention that Laci Peterson had been
pregnant at the time of her homicide. Nowhere did the certificate or any other official
record note the phrase “maternal mortality,” nor is the execution of any pregnant woman
recorded as a maternal mortality in any country. That’s because the official definition of
maternal mortality used in public records has no clause that mentions the term murder.
Why is this so important? If women’s deaths by murder aren’t counted as maternal
mortalities, then there are no public health incentives to fund interventions to prevent
these maternal massacres. And public health programs are all about detection and
prevention.
Murder is the leading cause of death for pregnant or recently pregnant women in
the United States of America. Just take a minute to think about that statistic. The leading
cause of maternal mortality in the richest country in the world is homicide. Murder
causes more premature demise of mothers than eclampsia, thrombosis, or anesthesia-
related deaths (the other top three causes of maternal death in the US).
From 1988 through 1996, University of Maryland nurse-midwife and researcher
Cara Krulewitch, PhD, examined autopsy results of 214 female homicide victims from
15 to 45 years of age in Washington, DC (i) She found murder to be the most common
Nicaragua, 2003. A brown-eyed little girl became the center of a controversy that
made headlines throughout Latin America. This nine-year-old compromised the Catholic
Church and the Archbishop of Nicaragua, and prompted the resignation of the
Nicaraguan Minister of Health.
A twenty-two-year-old man raped his nine-year-old niece. She became pregnant,
just after having experienced her very first menstrual period. The family physician
declared her little fourth-grade body too young to carry the child to term and said both
“mother and child” would probably die. The Catholic Church dispatched an army of
God’s representatives to all media outlets in all Central American countries, decrying the
proposed abortion for the nine-year-old as an act of murder, and pleading for the faithful
to pray for her and her unborn child. The Bishop of Managua announced that anyone
involved in the abortion would be excommunicated -- including the girl herself, who had
received her First Holy Communion only two years earlier. (He never mentioned ex-
communication for the uncle.)
Dr Ana Maria Pizarro, a gynecologist who directs the Si Mujer (“Yes Woman”)
health center in Managua, says a Nicaraguan government study in 1996 estimated
36,000 illegal abortions a year were performed in the country of five million people.
“Unsafe, illegal abortions are among the leading causes of death for Nicaraguan
women,” wrote Dr Pizarro. (vi)
The director of the Bertha Calderon Women’s Hospital reported that botched
abortions were filling half the obstetrics beds. He complained that much of the hospital
budget was being spent to save the lives of young girls who have had an abortion. The
University of Leon puts the number of high-risk abortions in Nicaragua at close to
80,000 a year. (vii) For a therapeutic abortion (at that time), a panel of three physicians
had to meet and determine whether a woman deserved a legal and safe termination of
her unwanted pregnancy according to a strict legal code. It was up to the bearer of the
burden (the woman herself, or in this case, the child herself) to find the doctors and get
them together for a meeting.
*** Obstructed labor, n. When the physical activities involved in normal vaginal birth are
blocked or hindered by physical causes, such as placenta previa or fetal mal-position.
Jeff Smith, an obstetrician who has worked for more than three years in
Afghanistan, helps the Ministry of Health to plan midwifery training programs in the
country. The Malalai Maternity Hospital, the largest maternity hospital in Kabul and the
country, serves as an important clinical training site for midwives and doctors. Between
forty and sixty births take place a day in this hospital, which now -- thanks to many NGO
Barbara Kinzie, a nurse midwife, has worked in isolated rural villages in Yemen,
Egypt, and Eritrea for many years. She was trained in the medical model about what to
do when confronted by an infection: detect which organism is the culprit and knock it out
with the right antibiotics. However, she was unprepared for the causes of some of the
infections she encountered in the poor women of the Middle East.
“Many women never even made the trip to the hospital in the capital city,”
explains Barbara, “and those who did arrive came after hours or days of travel. Many
would die on the way. Some women traveled with a fever of 104° F -- higher than I ever
thought a person could survive. We would treat the infection with antibiotics and do all
the right things to bring down the fever. Many, many times the infection was due to an
unbelievable amount of herbs and twigs and other concoctions packed inside the
woman’s vagina after the [home] birth of her baby. It would take hours and a strong
stomach to pick out all the debris and various foul-smelling gunk packed into that
woman’s red, swollen vagina.”
While Barbara talked with the mother she would learn that this post-birth practice
was important to make a woman’s vagina tight again, like it was when she was a virgin,
so she would be desirable to her husband. In these very poor African countries, if a