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Fertility And Human Dignity

 

 

Pierre Hernalsteen

  BIO

Remarks to The World Congress of Families V, Amsterdam, Netherlands, 11 August 2009

1. Human Dignity and The 1968 Revolution

I was about to start my last year of humanities in 1974, the year that in Belgium contraception had been legalised, on a double assumption: abortion prevention and promotion of happy families. By now we can say that in reality the move was intended to introduce free sex. That seemed to be the result of the sexual revolution of the 1960s. For me the meaning of`’sexual revolution’ would only become clear in 1978, when I was confronted at the university with the first books of Germaine Greer[1] and Jef Geeraerts[2]. The contraceptive pill transformed women in female eunuchs easily reducible to sex objects.

Today in Europe we still are under the yoke of that sexual revolution. This becomes apparent in publicity, in sex education, where only one recommendation stands firm: by all means avoid STD’s and above all pregnancy. The dignity of the motherhood is stolen from the woman as from its earliest youth. The correlate, man and father has also disappeared. As if man’s only purpose amounts to reproduction, as a publicity on the French radio France Inter told us by the end of July: “In Belgium you find still kind men who shake off their leek and offer their sperms to surrogate mothers.”[3] Sex without children, no matter with whom, and children without sex, idem.

2. Fertility, A Treasure

In the 1980’s, as I stayed in Vienna with my fiancée later to become my wife, we heard of a new disease, AIDS and for the first time also really about the condom. Would we ever have to use this? Of course not, because we both entered marriage as a virgin. Children were welcome, because we wished a large family. However, after each pregnancy the doctor asked which pill my wife would like to take. But my wife persistently refused. Her fertility was a treasure that she wanted to protect. A book of Ingrid Trobisch[4] and an article of the French doctor Michèle Guy[5] had already put some light on our fertility, but nature had not yet entirely revealed its mysteries. In 1987 through a Belgian gynaecologist Dr André Devos[6], we met the Irish gynaecologist, Dr Anna Flynn[7] from Birmingham, UK. And so for the first time we really discovered the wonder of human fertility. Without contraceptive means we learned to control our fertility in a very reliable way. The sympto-thermal method for natural birth regulation was for me a means for respecting my wife thoroughly in her womanhood.

Today I share the opinion of Prof. Bart Fauser[8] that hormonal contraception in fact leads nowhere. The feminist Shere Hite[9] was aware of this back to 1988: “The fact that women are given a product actively working on their whole body, is symptomatic for a system which underestimates the body of a woman.

3. NFP, A Way To Human Dignity

Meanwhile in 1988, we ourselves had become NFP-teachers and proposed to promote NFP in Flanders. Human dignity is based on the integrity of the body, inviolable, except for conservation or recovering good health under strict medical conditions, assuming that one treats diseases and patients, the treatment not being worse than the disease. Fertility is an integral part of the human person. But it is the only function being always shared by two people. For that reason dignity applies to both partners and as a man, or a woman you can’t claim the right to make the spouse sterile for sexual pleasure.

At that time I did not realise the arduous fight I was about to get to grips with.

Thanks to the support of the German Arbeitsgruppe NFP, in the meanwhile Malteser Arbeitsgruppe NFP[10], our organisation could offer a specific didactic method[11], rooted in and based on the method of dr. Flynn. We took part in scientific studies, where we could prove the efficacy of this NFP-method, both to prevent a pregnancy and to realise one[12].

Training and updating NFP-teachers, writing articles, giving talks, building internet sites[13], assuming telephone answering services, reading scientific articles, carrying out studies, preparing congresses, developing information programmes, fills up more than one day. And in the meanwhile looking for a way to propagate knowledge and respect of men’s and women’s natural fertility.

But the biggest problem today is the evermore direct medicalisation of fertility, generously financed by means of the health insurance funds. Why can't the social security and/or the health insurance funds finance an in-depth training for NFP? As of the first menstruation adolescents get the pill for free without ever having personally experienced the deep value of their fertility. This is a bad medical solution for a social problem, encouraging sexual promiscuity among young people. In the media but frequently also at home they are more and more confronted with promiscuity of adults, an example eagerly being followed. ‘It is prohibited to prohibit’[14] and for this reason many doctors no longer dare to draw young people’s attention to their responsibility. Instead they frequently offer them contraception without objective information. It is of course very likely that this sexual behaviour, deprived of moral values, is passed along through the further marriage life or the consecutive monogamous relations, as a result of which man and woman will have a much harder time to experience their fertility as an essential element of their person.

4. Fertility and Self-Consciousness

When nowadays I look at the knowledge of teenagers and young people about sexuality, this is quite a sad experience. In spite of the permanent sex education more and more teenagers appear to become pregnant and end up with an abortion, as clearly evidenced by the Belgian abortion evaluation commission reports. Some years ago a Dutch cabaretier launched the sentence: “they know what is oral before they know what is moral”. For centuries one was aware that sexual activity could lead to pregnancy. The feministe Naomi Wolf writes: “Our development to womanhood was additionally hampered because babies and sexual pleasure were very unnaturally presented as two extremes on a scale called sex. (…) This meant that we had not even to think linking those two aspects of ourselves in a holistic way.”[15]

But it is precisely this self-consciousness that correlates with the dignity of man and woman. If that self-consciousness is not present, then the dignity of the human person is subjected to injustice, in the same way as keeping someone illiterate. The direct pill or condom distribution (for free) results in keeping someone illiterate. But in the meanwhile of course a base for customer binding has been laid.

5. Fertility, Human Dignity and Human Rights

Fertility and human dignity. Is that link not an artificial fabrication?

No, it goes much further. As from the Germans to Mahatma Gandhi, the African and Indian cultures human fertility was protected and highly considered. It is build in in people. In 1948, the universal Declaration of Human Rights was written in the same spirit. We know that continuing attempts are undertaken to undermine this declaration, in spite of the fact that Article 30 clearly states: “Nothing in this Declaration may be interpreted as implying for any State, group or person any right to engage in any activity or to perform any act aimed at the destruction of any of the rights and freedoms set forth herein.”

But let’s look at what is of interest for us.

To assert the sexual rights inherent to the human being in a decent manner Article 16 says that

(1) "Men and women of full age, without any limitation due to race, nationality or religion, have the right to marry and to found a family. They are entitled to equal rights as to marriage, during marriage and at its dissolution.

(2) Marriage shall be entered into only with the free and full consent of the intending spouses.

(3) The family is the natural and fundamental group unit of society and is entitled to protection by society and the State.”

This means that you should give man and woman sufficient time to found a family with children so that they really can live their parenthood.

In Article 23 it is put that

(1) "Everyone has the right to work, to free choice of employment, to just and favourable conditions of work and to protection against unemployment.

(2) Everyone, without any discrimination, has the right to equal pay for equal work.

(3) Everyone who works has the right to just and favourable remuneration ensuring for himself and his family an existence worthy of human dignity, and supplemented, if necessary, by other means of social protection.

(4) Everyone has the right to form and to join trade unions for the protection of his interests.”

Here it’s clear that a family income is necessary and not an individual  income, so that - like more and more in Europe - people are forced to earn two incomes to live. We know in the meanwhile how difficult it is for working couples to bear children. This is confirmed once again in Article 25:

(1) "Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.

(2) Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.”

If the mother is forced to return to work a few weeks after birth, because otherwise she is deprived of her income - and therefore an important part of the family budget -, you can hardly speak of respect of fundamental human rights. But apparently few people feel concerned.

There is however still more involved than that. Article 26 declares that

“(1) Everyone has the right to education. Education shall be free, at least in the elementary and fundamental stages. Elementary education shall be compulsory. Technical and professional education shall be made generally available and higher education shall be equally accessible to all on the basis of merit.

(2) Education shall be directed to the full development of the human personality and to the strengthening of respect for human rights and fundamental freedoms. It shall promote understanding, tolerance and friendship among all nations, racial or religious groups, and shall further the activities of the United Nations for the maintenance of peace.

(3) Parents have a priority right to choose the kind of education that shall be given to their children.”

It seems clear that fertility awareness, just like literacy, is part of that full development of human individuality. But if you know nothing concerning your own fertility how can you then pass this on to your own children? That’s the reason why alphabetization of adults, concerning fertility awareness is necessary. “Alphabetization gives the beneficiaries the knowledge, habilities and tools needed for their complete integration in society”[16].

6. Fertility and The Human Dignity In Belgium

The national abortion evaluation commission in Belgium states[17]: “Specifically for young people, both boys and girls ,fertility awareness should be stimulated and they should learn how to become fully responsible for their fertility.”

But how can we presently put this recommendation into practice?

The Belgian patient rights legislation[18] prescribes:

 sound instruction and unfiltered information,

•  given by a doctor without prejudice,

•  presented with all scientific facts, including advantages and disad­vantages, reliability and risks of all suggested methods,

•  in the first place the alternative without side effects.

As for birth regulation (contraceptive or conceptive) this practically means that the patient should be offered informed choice and objective information about side effects of artificial contraception and reproduction[19]. It would appear to be normal that the health insurance organisations in the first place finance NFP-teaching and training. Men and women have indeed the right to know thoroughly their fertility and to make an informed choice, based on this knowledge, what probably will stimulate the motivation to apply the chosen method correctly and consistently, resulting in an improved prevention of unintended pregnancies. Fortunately similar thinking seems gradually to invade the medical sphere. Lately, both in Flanders and in the Netherlands I see a growing interest for NFP among midwives. A most important breakthrough is the recent recognition at the academic level of the natural method of birth regulation due to the scientific evidence of the efficacy of the method, as proved by abundant sound scientific international research. This became especially evident last year during our International Congress in Antwerp:”Fertility Awareness: the missing cornerstone”[20], with active participation of several experts from both national and international universities.

Both in the field of birth regulation and infertility treatment the interest for NFP grows. Many fertility doctors are interested in obtaining for their patients a pregnancy in a natural way, where possible[21]. This is indeed much cheaper, without risks for both mother and offspring and neutralizes the increased risk for multiple pregnancies itself a tremendous financial and medical care burden.

There is a huge task put aside for NFP-teachers. A beautiful example is the MFM-projekt of Elisabeth Raith-Paula in Germany[22]. A simple project, aimed at young girls prior to their first menstruation. It’s a kind of transition ritual, but based on pure scientific cycle knowledge and adapted to the modern world. The European Fertility Management Program[23] is another example. From my own experience I am convinced that overhead financing is necessary but this is far from obvious.

7. Fertility and Human Dignity In Developing Countries

It is not up to me, a western person, to say what developing countries must do or think. To often already are we doing that. Nevertheless I would like to suggest possible thoughts, from my limited Flemish life experience. Perhaps could other continents learn from the previous European experiences.

Concerning the myth of overpopulation have many others already made declarations. In fact is it a political problem and a problem of honest world trade. In 1994, at a congress in Lublin I had a conversation with dr. René Saint Mart of Mauritius. At that time this small island of 1865 km ², 880 km from Madagascar in the Indian Ocean was a prosperous island with a population of 1.2 million inhabitants. According to René Saint Mart the population would even have to increase to keep the prosperity level, hence the many migrant workers on the island. Ten years prior to this, when the island numbered less than 900,000 inhabitants, was the island obviously over-populated, because of the poverty. Overpopulation is clearly a subjective notion, but our world for sure can still tolerate and feed many people. When I travel by train in the Netherlands, do I not have the feeling that I am in one of the most densely populated countries in the world. To be clear, I do not think that drastic birth restriction is a solution of the problems. Everywhere in the world families should get the possibility to live their fertility and to determine themselves how many children they can educate in human dignity.

Healthy nutrition, hygiene and housing are basic conditions in decreasing infant mortality. But on top of this we must provide the possibility for education by the natural parents – in particular give a chance to the physical and psychological presence of the mother. Of course this means that we will be respecting and protecting our natural fertility.

The main protection is a healthy sexual life in a lasting relationship: for Europe certainly the traditional monogamous family. Strong families are indeed less disease-prone, have more children, are healthier psychosocially, support the society, provide free care 24/24 hours, 365/365 days (and nights) and care for social security and pensions. If these functions would be paid for, each 24/24 hours care rendered matches a 5.5 Full Time Equivalent. Hence outside nursery or elderly care is priceless and invaluable. Only family care offers a way out. The European Values Study[24] again and again confirms that young people are longing for a traditional family with a faithful partner. Faithfulness and mutual respect are especially reinforced if those youngsters are well informed about their fertility and if they can enter in dialogue about this topic.

The only successful model of the fight against AIDS so far is to be found in Uganda[25], due to a national campaign promoting a monogamous and faithful marriage at an age when people can make a mature choice, the ABC-approach[26]. That choice is only possible following adequate education and therefore Uganda propagates marriages after completion of high school. Furthermore is the accent put on faithfulness and on adequate care for mother and child. Good obstetrical, pre-and postnatal care in hygienic circumstances can also strongly decrease the maternal mortality and should not be expensive.

The family in her concrete situation should be able to judge how many children they can afford and educate, without compromising their natural fertility.

Besides the ordinary literacy is nowadays fertility literacy undoubtedly an aspect of human rights which also applies to the developing countries. Natural fertility control is free of charge, reinforces the dignity of women and the responsibility of men to the point that mother- and fatherhood are rightly promoted through mutual dialogue. The German method we are spreading in Belgium and the Netherlands, offers an efficacy similar to the efficacy of hormonal contraception[27]. Such a high efficacy can be necessary in specific situations, but every family should decide for herself.

But to realise this dream a mentality change especially in the West is necessary. The West should allow and help the third world to develop itself economically, invest more in basic health care, hygiene and education and return natural fertility to the couples instead of linking aid programs to massive artificial contraception. Fertility awareness should become a must within each faithful man woman relationship.

Conclusion

Knowledge and accountable use of natural fertility are essential in the perception of the dignity of the human person and are an integral part of human rights. This perception is only possible when the equivalence between man and woman, in dialogue, is lived within the family, assuming both in the west and in the developing countries a fertility awareness literacy campaign, as from the age of awakening fertility. This should surely be stimulated when a permanent commitment between men and women comes about thriving to the joy of mother-and fatherhood. For this reason adequate financing by the government is mandatory.

This is a fundamental claim for solidarity between generations, where the elderly should cherish their grandchildren and where the children should not desperately be confronted with an impossible demographic ageing. Our European contraception model is no option for the developing countries. Within an honest trade context the developing countries should set up a social security system adapted to their own culture, supporting healthy families including their natural fertility, as to reach further blossoming of their current family solidarity.

 

Endnotes:

[1] Germaine Greer: The female Eunuch,- 1970

[2] Jef Geeraerts: Gangreen 1. Black Venus,- 1968

[3] Publicity for Belgian IVF-clinics, broadcasted on Friday July 24th France Inter

[4] Ingrid Trobisch: The Joy of Being a Woman,- 1975

[5] Dr Michèle Guy, co-founder of Cler in France (www.cler.net)

[6] Dr André Devos, founder of NFP-Vlaanderen 1984 (www.nfp.be)

[7] Dr Anna Flynn†, autor of many articles in The Lancet and other peer reviewed reviews in the 1970s-1980s

[8] Weg met de pil,- In: Intermediair, February 1st 2005

[9] Shere Hite in: De Morgen, May 14th 1988

[10] www.nfp-online.de

[11] Gerhard Döring (red.): Natürliche Methoden der Familienplanung. Modellprojekt zur wissenschaftlichen Überprüfung und kontrollierten Vermittlung,- Schriftenreihe des Bundesministers für Jugend, Familie, Frauen und Gesundheit, Band 239, 1988 E.Raith, P.Frank en G. Freundl: Natürliche Familienplanung heute,- 2008

[12] C. Gnoth et al.: Time to pregnancy: result of the German prospective study and impact on the management of infertility,- In: Human Reproduction 2003/18(9): 1959-1966, Frank-Herrmann et al.: The effectiveness of a fertility awareness based method to avoid pregnancy in relation to a couple's sexual behaviour during the fertile time: a prospective longitudinal study,- In Human Reproduction. 2007/22(5):1310-1319

[13] www.nfp.be, www.nfp-nederland.nl, www.nfp-europe.org

[14] Main sentence of the May 1968 revolt in Paris, inspired by Jean-Paule Sartre and Simone de Beauvoir

[15] Naomi Wollf, Promiscuities, 1997

[16] Abdelaziz Abid (Unesco): Apprendre à apprendre: maitrise de l’information et apprentissage tout au long de la vie,- lecture at the Brussels Royal Library Albertina, April 30th 2009

[17] Nationale Commissie voor de evaluatie van de wet van 3 april 1990 betreffende de zwangerschapsafbreking: Verslag ten behoeve van het Parlement 1 januari 2005 – 31 december 2007

[18] Wet betreffende de rechten van de patiënt KB 22 augustus 2002

[19] E.g. Kahlenborn: Breast cancer. Its Link to Abortion and the Birth Control Pill,- 2000

[20] www.nfp.be/congres

[21] I. Brosens: Managing infertility with fertility-awareness methods,- In: Sexuality, Reproduction & Menopause, 2006/4(1):13-16

[22] www.mfm-projekt.de (in German) and www.jijenik.be (in Dutch)

[23] www.fertilitymgt.eu

[24] www.europeanvaluesstudy.eu

[25] Green et al.: Uganda’s HIV Prevention Success: The Role of Sexual Behavior Change and the National Respons,- In: Aids and Behavior 10/2006: 335-346

[26] Halperin et al.: The time has come for common ground on preventing sexual transmission of HIV,- In The Lancet 2004/364: 1913-1915

[27] Frank-Herrmann et al.: The effectiveness of a fertility awareness based method to avoid pregnancy in relation to a couple's sexual behaviour during the fertile time: a prospective longitudinal study,- In Human Reproduction. 2007/22(5):1310-1319

 

 

 

 

 

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