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The Obstetric-Gynaecological Practice in the Czech Republic
during the Communist Regime and in the Present Days
THE FUTURE OF OBSTETRICS AND GYNAECOLOGY: The Fundamental Right To Practice and
be Trained According to Conscience
An International Meeting of Catholic Obstetricians and Gynaecologist
Organised by the World Federation of Catholic Medical Associations (FIAMC) and
by MaterCare International (MCI)
Sponsored by the Pontifical Council for the Health Pastoral Care ROME, June
17th-20th, 2001
(Reproduced with permission)
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Miloslav Nesyba (Department od Gynaecology and
Obstetrics, Hospital Karlovy Vary, Czech Republic) Not only medicine, but also our whole society was strongly influenced by communist ideology. Denying any and all Christian values was in our branch especially remarkable in dampening and denying respect to the conceived and unborn child. The embryo was a thing, which could be manipulated as wanted. The pregnancy interrupting -abortion -was considered to be a routine; it helped to get rid of an unpleasant and bothering burden. And to stress that it was not interrupting of pregnancy, ending a life, it was even called the "menses control" in the 80s. All the young, starting from basic schools, were educated in such an attitude and girls and women were being convinced that it was only them who had the right to decide what would happen to the conceived child and if they did not want to be pregnant that there was a public facility, which would take care of everything and a doctor, thinking socialistically, who would solve the situation. The entire process of pregnancy interrupting was under the state control. There were so called abortion committees established under the District People's Committee, which, upon the woman's request, decided about being or not being of the conceived child. The committees also decided when and who would be allowed to undergo an abortion. Although such committees should have represented a certain restriction, the abortion was not a problem at all due to high corruption. The attitude of the socialistic state with regards to this problem was also apparent in the committee structure. The committees were formed by members of parliament who did not have any
medical, psychological or social education and they also were not
professionally familiar with the problem. I myself remember a structure of
the committee in Karlovy Vary, where at that time a shop-assistant from the
vegetable shop was a chairman, a sift department worker of a big company was
a member together with another state administration clerk -but all of them
with excellent political background. It is true that a doctor-gynaecologist
was invited to the committee proceedings, but he/she should only confirm
that a request for abortion made due to health problems met the particular
Ministry decree. He/she could not influence the decision of the committee. The abortions could have been done only in hospitals, the doctor-gynaecologist
was forced to and had to perform them, if he/she had refused, they had to
leave the field in which they worked and had to go to another one or to an
ambulatory department where their duties were to fill in applications for
abortion. The lack of respect to even an unborn child led to such situations
that children, who were born in advance or were immature and seriously ill,
were not provided any care (not even basal) in order not to influence
prenatal and postnatal mortality (and by that the socialistic health service
as seen by the surrounding world). Children who died in such a way were
proclaimed to be born as dead even in front of the parent and were dying
somewhere in the hospital nooks. When the political situation was changed
after the year 1989, the situation concerning abortion has not changed a
lot. Still, the same very liberal socialistic act of 1986 is in force. The
amount of abortions has decreased maybe because of bigger possibilities of
birth control and change in thinking of a number of women (concerning middle
aged women). But abortion is still something normal for young women and
girls! (In our department more than 1000 artificial interruptions a year
were normally done there in the 80s, while at present the number is 250 a
year.) The change of the political system brought a great change in the work of doctors- gynaecologists. No doctor is forced to perform abortions or has to be involved (particular investigation, pre-surgical preparation, anaesthesia, etc.), without stating reasons. This is only a brief introduction of a great number of problems. In our consuming society, where there is still a lack of Christian values, a few Czech Catholic gynaecologists can act on an open wide evangelical sphere. |
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