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Monday, April 23, 2012

Sex selection advertised Canada

Sex selection advertised Canada

Sex selection advertised Canada, James Kustin, a doctor based in Bellevue, Wash., is advertising services aimed at letting Canadians who want to cross the border choose the sex of their babies, despite such practices being illegal in Canada  The ad reads "Create the family you want: Boy or Girl" and appears designed to attract Canadians of Indian descent, who have been known to prefer male childrenA new study hints that some families of Indian and South Korean origin in Ontario may be practising sex selection to ensure they have boy babies.

The work, by researchers from Toronto's St. Michael's Hospital, shows that the ratio of boy births to girl births is higher than average among those two communities, at least among babies born to women who've already had one child.

But the lead author of the study urged caution in interpreting the findings, saying the work doesn't prove some women are aborting female fetuses because they want to have a boy.

Another researcher who has studied the sex selection phenomenon in India said that even if the finding is true, the study suggest the number of women practising sex selection in Ontario is not huge.

"There's certainly a ratio difference that's prominent, specifically amongst Indian women ... who have had at least two prior children and in the same way among  Koreans who have had one prior child," said lead author Dr. Joel Ray, a researcher at St. Michael's who practises internal and obstetrical medicine.But can one assume higher rates of boy births to immigrant women from India and South Korea are the result of sex selection? Ray said more research needs to be done to answer that question.

"We don't know and we've been really careful not to speculate on the mechanism — not for fear of insulting people or miscategorizing these ratios but because mechanism is completely absent in our study."

By mechanism, Ray means he has no evidence with which to explain the higher ratio of boy births. He is working on a follow-up study, looking at data on spontaneous and elective abortions in Ontario.

That carefully anonymized data set shows the number and gender of children previously born to women undergoing terminations or who had spontaneous abortions. It is broken down by the women's ethnic background as well.
A fertility clinic near Seattle, Washington, appears to be trying to woo Indo-Canadian parents to its clinic with the promise they can have whatever child they want -- a boy or a girl.

The Washington Center for Reproductive Medicine in Bellevue, Wa. is running an ad in the print edition of the Indo Canadian Voice and on the newspaper's website that proclaims: "Create the family you want."

The ad features children wearing traditional Indian clothing and promises gender selection services, for "family balancing purposes."

Sex selection of embryos is illegal in Canada, except to prevent a gender-linked disorder or disease. But Dr. Albert Yuzpe, co-founder of the Genesis Fertility Centre in Vancouver, says the demand for such procedures persists in Canada.

He tells CTV News that it's not uncommon for couples to inquire about gender-selective in vitro fertilization at his clinic. He says some families go even further in their pursuit of a specific gender for their child.

"What has been going on for many years is that couples – and I'm not suggesting any one ethnic group – who were wanting to do gender selection would go to the U.S., have an ultrasound, have the infant's sex diagnosed and if it wasn't the sex they wanted, they would have it terminated," he told CTV British Columbia on Tuesday.

Yuzpe says it's not surprising to see U.S. companies spending their advertising dollars north of the border.

"The clinics that are advertising this are clinics that are for-profit, and so that brings in patients," he said.

The Washington Center for Reproductive Medicine's website says it can perform gender selection during in vitro fertilization using a process called preimplantation genetic diagnosis (PGD). It involves performing a biopsy and a DNA test on embryos before they are implanted in the mother's womb.

The process will "virtually guarantee successful gender selection," according to the centre's website.

Raminder Dosanjh, with the India Mahila Association, is a long-time critic of gender selection in the Indo-Canadian community, but says it still persists.

"There are pockets of the community where there is a market for this," Dosanjh says.

"Somebody is trying to cash in on the belief that some sections of the Indo-Canadian community believe in having male offspring."

The ad remained on the Indo-Canadian Voice as of Tuesday afternoon, but by the evening, the paper's general manager told CTV News that the advertisement had been taken down.

The newspaper's general manager says it pulled the ads because the newspaper is sensitive to the community it operates in. But he didn't rule out running further ads from the clinic.

Calls from CTV British Columbia to the Washington clinic went unanswered.

Assisted Human Reproduction Canada, the federal agency that is charged with enforcing Canada's laws governing reproductive technologies, says it's checking into the legality of running the ad.

News of the advertisement comes just days after the release of a study in the Canadian Medical Association Journal that suggested that South Korean and Indian-born women in Canada have an unusually high proportion of boys born as second and third babies.

It found Indian mothers in Ontario birthed 111 boys for every 100 girls among second children, and 136 boys for every 100 girls among third children. There are normally 105 boys born for every 100 girls in Canada.

The authors of the study point out they have no way of knowing what accounts for their findings, and did not have information on pregnancy terminations among their subjects.

Earlier this year, Dr. Rajendra Kale, who was then the acting editor of the CMAJ, set off a debate with an editorial he wrote suggesting sex selection is being practised by some Canadians of Asian descent.

He suggested that in order to slow the practice, Canadians doctors should adopt policies so that they don't inform women of the sex of their fetus before 30 weeks gestation.
The need to control women and their bodies is a never-ending quest.

Many GTA hospitals, particularly those in “ethnic” areas, the Star reported Tuesday, won’t let their ultrasound staff tell pregnant women the sex of the fetus. One admitted it worries that women and their spouses (if any) might have the female fetus aborted in order to try again for a male.

A recent study done by St. Michael’s Hospital researchers has shown that though the male/female ratio for the first child of immigrants born in India is normal Canadian stuff — 105 boys to 100 girls — the ratio for third children born to such women was 136 boys to 100 girls. This may mean something. This may mean something wildly other than what it seems.The study, inspired by a Canadian Medical Association Journal editorial calling sex-selection “repugnant,” has many limitations, its three authors admit. Ethnicity, personal family history and multi-fetal pregnancies, all these areas remain blurry. These are overall figures, with hypotheses.

As if it matters in the end. Ultrasounds are here to stay. Refusing to say “girl” or “boy” is akin to those languid doctor committees of yore that decided whether a desperate woman would be allowed her abortion or not. Canadian women have control over their own bodies. Is this to be denied to Canadians of South Asian and South Korean origin?

It’s not our business.

The Star recently quoted Toronto “bioethicist” Tom Koch on pregnant women who choose to abort a fetus with Down syndrome. “We’re engaged in eugenics, sure,” he said, going on to blithely deplore heartbroken couples who realize they can’t cope with a disabled child or a second disabled child.

“Eugenics” has a horrific ring to it, just as the medical term “feticide” sounds worse than “abortion” and is used by this study’s authors.

But Canadian law says abortion is a personal decision. I’m mystified by those who say it’s ironic that feminists wanted choice and now that choice is reducing the number of females born. Women aren’t Toyota, looking to increase market share. We’re individuals.

Go blame ultrasounds, not women, the same ultrasounds that primitive southern U.S. states force women to undergo to shame them pre-abortion. Ultrasounds, so handy in Texas, so fraught in Brampton. The sexism in this medical story simply reeks.

So there are “good” abortions and “bad” abortions, good parents and “bad” aborters. If these sex-selective abortions are common among Canadian immigrants born in India and South Korea and sex-selection is bad, does that mean that white women are by definition good? Because they have their preferences, too, maybe for a balanced family.

Some women just want a healthy baby. Some women only want girls. Who knows, maybe they dread having to play endless games of catch in the backyard. My Italian girlfriend was elated when she gave birth to two boys. Thank god they weren’t girls, she whispered to me. My daughters’ lives would have been so hard.

I don’t leap to judgment of any woman seeking an abortion. No one should. By deploring sex-selection — if that’s what this is and we don’t yet know that — we’re saying “this is a bad reason to have an abortion.” But if we refuse the same ultrasound information in “non-ethnic” areas of Toronto to forestall “bad abortions” in others, this is racism piled on racism.

Social norms do change with time. The Economist reports that between 1985 and 2003, the share of South Korean women who said they felt “they must have a son” fell by almost two-thirds, from 48 per cent to 17 per cent. Industrialization and prosperity change female prospects. There is hope.

Here’s an idea. Why don’t we show immigrants from South Asia how fair-minded Canada is toward women? As well you know, 87.2 per cent of the House of Commons is female, there is no wage gap and when women go for their ultrasound, the results aren’t snatched away from them with a “That’s for me to know and you to find out, young lady.”

When immigrants see how women are treated, they’ll realize that girls and boys have an equal chance in Canadian life. Problem solved. You’re welcome.

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