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Showing posts with label Menstrual Extraction. Show all posts
Showing posts with label Menstrual Extraction. Show all posts

Thursday, March 12, 2015

REPORT OF TRIP TO BERKELEY TO ATTEND BAY AREA DOULA PROJECT’S MEETING

GUEST: MOLLY DUTTON-KENNY REGARDING HOME ABORTION

I went to Berkeley on March 3rd to hear Molly Dutton-Kenny speak on home abortion.  She spoke regarding medical abortion, herbal abortion, menstrual extraction and vacuum aspiration abortion, all of which she is advocating being done at home.

Molly has observed women receiving vacuum aspiration abortions in a home setting in other countries.  She travelled to Mali to learn about female health care.  She has worked with IPAS for a time.  She learned about menstrual extraction from reading “A Woman’s Book of Choices”, and she learned about vacuum aspiration abortion from WHO informational material.  She has personal experience with taking herbal abortafacients. She is presently a midwife and is based in California and Canada. 

She was delighted that I was at the meeting, and turned it over to me to speak about Menstrual Extraction.  The group showed great interest in all the types of home abortion that she talked about.  There was a member of Shodhini who lives in the bay area at the meeting, and she was approached about starting a self-help group there.

I believe that Washington State’s abortion law, which was voted on by the people before Roe v. Wade, could be interpreted to permit home abortion.  Medical abortion, taking mifepristone and then expelling the embryo at home, offers a opportunity for a doula to provide information and support.  Herbal abortion is becoming a feasible alternative to females.  In all of the above situations, including vacuum aspiration, it is an experienced person either providing information and support or actual hands-on assistance, however menstrual extraction as developed by the Feminist Women's Health Centers requires a group of minimally-trained women who have learned through vaginal self-examination together how to do the procedure.  

Molly’s ideas are very provocative, and I hope to hear more about it from her in the future. 

Molly’s website is http://doulamatch.net/profile/4859/molly-dutton-kenny

Wednesday, November 27, 2013

Emergency Strategy Meeting to Preserve Abortion

to Discuss Texas Closing Down 1/3 of Abortion Providers and What to do about it
When: Saturday, November 30, 2013
Where: 2250 Fair Park Avenue, 
Los Angeles, CA 90041
Time: 2:00pm

for more information text message 323-547-4119

Agenda:
1. Introductions
2. Report on Current situation - Law and discussion of what that means.
3. Suggestions and Ideas for things that can be done by the group or what other groups should do.
4. Next meeting: when, where and with whom.

Additional questions:
1. Do we think that women can organize themselves and get together and form a mass movement?
2. Evaluate these different approaches: pushing for legislation, public education, direct-action (menstrual extraction and civil disobedience), etc.

Thursday, January 12, 2012

As Access Slides, Feminists Need to "Extract" From Our Self-Help Past

[Originally published in On The Issues Magazine]
by Carol Downer

If working in the abortion movement for over 40 years qualifies me to gaze into my crystal ball to see the future for abortion rights in the United States, here goes.

Prediction Number One: I see the Supreme Court continuing to interpret Roe v. Wade in a way that will make abortion, especially later abortion, more expensive, less convenient to access and more humiliating, but I do not see the court reversing Roe v. Wade outright. I see clinics closing down due to restrictive regulations and lack of doctors, especially in areas far from an urban center. This lack of access will mostly affect young women and poor women of color. But, as was the case before the decision in Roe v. Wade, the majority of unwillingly pregnant women will continue to get abortions, no matter how far they have to travel or no matter how great the cost or risk.

Why? The hypocritical leaders of this country, both right and left, recognize that the U.S. industrialized economy is built on the small nuclear family with both parents working, so large families are out. This lowers the birth rate, which satisfies the leaders, who, rather than creating a more just, sustainable society, think reducing women's fertility solves social problems such as pollution and poverty. Immigration, legal and illegal, produces the influx of workers and soldiers so desired by the conservatives who have created an unjust society where one percent possess the wealth and resources, further enabling them to keep the 99 percent low-paid and politically powerless.

Prediction Number Two. I see successive generations of young U.S. women accepting new restrictions. I also see some radical feminist actions, such as the formation of an underground movement of menstrual extraction groups. This will keep the technology alive, but will not change the trend that makes abortion less available, more expensive and more stigmatized.

Why? Once Roe v. Wade became the law in 1973, all organized efforts to educate the public and to seize the technology of abortion came to an abrupt halt. The leadership, by default, fell to a few political advocacy groups, such as NARAL Pro-Choice America in Washington D.C. and Planned Parenthood Federation of America in New York and D.C. They keep a vigilant eye on how Congressional members vote on legislation affecting birth control and abortion. They, and NOW, have organized a couple of mammoth abortion rights marches on Washington over the years. But Washington D.C. ignores the masses who come in on Saturday, march through the streets, then board the busses and go home on Sunday.

In 1976, the first, most devastating blow to Roe v. Wade came through Congress, not the Supreme Court. Congress passed the Hyde Amendment, an addendum to an appropriations bill, to stop any federal funding of abortion for low-income women. Every year, Congress re-passes this amendment. Every year, Congress exploits the racist and classist bias of the women's movement. We were ignominiously defeated by the passage of the Hyde Amendment in 1976, 35 years ago.

Even though the vast majority of American women are pro-choice, even feminists are complacent and do nothing other than voting for pro-choice elected officials and sending a check to their favorite national pro-choice organization.

Turning Back the Attack
In my opinion, the factors keeping abortion "safe and legal" are: (1) the continuing broad public support for the decriminalization of abortion; (2) the stalwart daily work of hundreds of doctors and abortion clinics around the country in the face of anti-abortion harassment and violence, and (3) the policymakers' need to keep women in the workforce.
To regain the ground the women won in the past, we have to learn how we won it and apply those lessons to today. We must revive the spirit of the second wave of the feminist movement, which came out of the anti-war movement and the civil rights movement. The Women's Liberation Movement started out to liberate women by challenging the whole "system," but, unfortunately, changed its focus to raising women's status in that system.

Most American women today were not born then or were children, and have not experienced being part of a major social movement for women's liberation, as I experienced in the 1960s and 1970s. I joined the Los Angeles chapter of NOW in 1969, and was part of that huge wave of women who came forward to demand women's liberation, including repeal or reform of anti-abortion laws. Through the decade before that, I read frequent newspaper articles announcing that a respected community or professional organization had passed some resolution recommending the decriminalization of abortion. In 1962, I saw the television coverage of Sherri Finkbine's trip to Scandanavia to get an abortion.

This coverage was part of a powerful campaign to stop back-alley abortions. It was led by white religious leaders, mostly men, and professionals, mostly men, who educated the public and roused public outrage against these unjust laws. By the end of the decade, the women's movement started. Many women's groups set up "women's nights" at the local free clinic to provide birth control; they were referring women to New York and California to get abortions. One group, "Jane", in Chicago, set up an abortion service. The women at Harvard were delving into the medical library to write a newsprint booklet, "Women and Their Bodies," which was so popular that Simon and Schuster published it as Our Bodies Ourselves in 1970.

On the West Coast, our group worked with Lana Clark Phelan and Patricia Maginnis, the founders of NARAL (which stood for the National Association for the Repeal of Abortion Laws). We learned to do abortions with a new hand-held device that used suction to remove the contents of an early pregnancy; Lorraine Rothman modified that device so that groups of us who were minimally trained could extract either our menstrual period or an early pregnancy. We called this procedure "menstrual extraction." In 1971, Lorraine and I toured the country, teaching vaginal self-examination; self help and menstrual extraction groups sprung up at most of the places we visited. Rebecca Chalker described the process of menstrual extraction in On The Issues Magazine in 1993.

It was the cumulative effect of all these years of mainstream efforts, topped off by the massive numbers of women coming forward to protest, to march and to start projects to circumvent the law that laid the foundation for Roe v. Wade. The seizing of the means of reproduction by the women of the self-help movement did not escape the notice of Justice Harry Blackmun, the Supreme Court justice who authored Roe v. Wade and referred to it in his opinion (see section IX, Letter B) among a list of new medical techniques. I believe that in another couple of years, one way or another, abortion laws would have become irrelevant because women in the U.S. were taking the matter into our own hands.

The Women's Liberation Movement saw the right to an abortion as part of the right of a woman to control her own body and her own reproduction and sexuality, which, in turn, is part of women's full participation in society and their power to assert their values.

Through the years, women have been somewhat successful in raising women's status, but in a militaristic, environmentally destructive society. U.S. women may come closer to earning as much as their male counterparts and getting as much education, but the system has become more entrenched and women's education and work only makes it more so.

Women are losing ground every day in the control of our sexual and reproductive lives. Women seek genital surgery to make their vulva and clitoris look like some non-existent ideal; the medical profession dictates that women submit to radical intervention in their births, and, women face multiple physical and social barriers to nursing babies.

Even the movement pushing for liberation from the tyranny of heterosexual roles doesn't challenge the patriarchal nature of society, but rather seems to be challenging the legitimacy of women's pride in our women's bodies, our ability to bear and raise children and to fight together, as women, for social and economic equality and a humane stewardship of the environment.

Rebuilding the Future
There are powerful stirrings of people around the world challenging non-democratic structures; even in the U.S., we see the Occupy Wall Street protests. Perhaps the forces are shaping up that will promote a new wave of feminist activism.

Whether this is so or not, there are women's health groups building a sound base for a broader women's movement, doing radical feminist health and sex education with a holistic self-help foundation. Some midwives and full-spectrum doulas are rebuilding the network of menstrual extraction groups. In short, we will be ready.

Carol Downer is the author of "A New View of a Woman's Body," "How to Stay Out of the Gynecologist's Office," "Women Centered Pregnancy and Birth," and "A Book of Women's Choices."

Wednesday, December 7, 2011

Self-Help: Key to Understanding the Changes Our Bodies Go Through During Pregnancy

Excerpt from Chapter 1 of Woman-Centered Pregnancy and Birth by Ginny Cassidy-Brinn, R.N., Francie Hornstein, and Carol Downer
Federation of Feminist Women's Health Centers
Illustrations by Suzann Gage


Limited USED copies available online - Amazon.com
Now Available in its ENTIRETY online

To actually see your cervix and the opening to the uterus-the opening that will dilate to allow the baby's head to come out-can be one of the most exciting moments in your pregnancy. Suddenly, all of the diagrams and drawings that you have been looking at to try to understand what is happening, make perfect sense. And, just as when a woman is not pregnant, being able to look at the cervix makes it easier to ward off or alleviate common problems such as vaginal infections or urinary tract infections.

It is not essential to do vaginal self-examination in order to understand the processes of pregnancy and birth or in order to stay healthy. Any woman can carry out all of the suggestions in this book without ever seeing her cervix. Self-examination of the vagina and cervix using a plastic vaginal speculum is, however, very simple to learn, requires a minimum of equipment and is a common-sense health routine equivalent to standing in front of a mirror, opening your mouth and saying, "Ah."

Self-examination can be done by yourself or in a self-help group. The Self-Help Clinic started out in April, 1971, as a type of consciousness-raising group. The Self-Help Clinic is a meeting where women learn to do self-examination of the vagina, the cervix and discuss their health experiences. Depending on the age, sexual orientation, and wishes of the participants, the topic may be birth control, menopause, sexuality, childbirth, vaginal infections or feelings about our bodies.

The equipment needed for self-examination is a vaginal speculum, a light and mirror. Most women prefer a semi-sitting position on a bed, table or the floor, usually with a pillow behind them. Water soluble jelly can be used to moisten the bills of the speculum. The speculum is inserted with the bills closed, handle up. Many women are pleasantly surprised to find that, since they are in control, the procedure is not painful. You open the speculum by pushing down the front of the handle while simultaneously pulling up on the back. As the speculum opens, you will hear three clicks. You can lock the speculum into place at whichever notch is comfortable. Speculum's come in three sizes, narrow, medium and long. Most women use a medium. Many women who usually used a narrow speculum found it was easier to insert a medium size speculum during pregnancy. Many women have noticed that their cervixes moved further back in the vagina during pregnancy and found it necessary to switch from their usual medium size speculum to a long one.

The light, generally a flashlight or a high-intensity lamp, is reflected off the mirror so that the vaginal walls and cervix are illuminated. Magnifying mirrors can help you to see details.

Often, women need several attempts to bring the cervix into view. But, with practice it becomes much easier. No one who has tried persistently has failed to use the speculum successfully. As your abdomen gets larger with pregnancy it becomes more difficult to see your cervix. By lying flat, self-examination can be made easier with the help of one other person holding a large mirror over your cervix. As pregnancy progresses, the cervix grows along with the rest of the uterus. Some women's cervices get so large that it is possible to see only a portion of the cervix at any one time. By pointing the speculum in different directions, you can eventually see the entire cervix.

You can safely do vaginal self-examination throughout pregnancy as long as the bag of waters hasn't broken and you are having no signs of miscarriage. These guidelines are the same as the guidelines for deciding when it is safe to have coitus (see p. 61)

Two customs are observed in the Self-Help Clinic. A woman does self-examination if and when she feels comfortable doing so, and she gets to look at her cervix fist. Many women want to do self-examination at the first meeting; others take their speculum's home to have their first look in privacy. Initially, a woman may feel reluctant to do self-examination if she is menstruating of has a bad-smelling vaginal infection. When she finds out that the other women are eager to learn about menstruation or vaginal infections, she is generally happy to give them a chance to learn. Embarrassment is replaced by curiosity; some have called it "show and tell time."

The distinctive sounds of a Self-Help Clinic are the clicking of speculums, the buzzing of several conversations and intermittent choruses of laughter. An air of discovery and adventure exhilarate most women in the Self-Help Clinic.

Another important part of the Self-Help Clinic is the uterine size check. A member of the group can feel your uterus by inserting two fingers of a gloved hand into the vagina pressing with the flat of the fingers of the other hand just above the pubic mound. After the first three months of pregnancy it is not necessary to insert the fingers into the vagina. While lying flat, the uterus can be felt by pressing down under the ribs, with the flat of the fingers, and gradually moving the fingers down toward the pelvis until a hard muscular ball is felt. This is the top of the uterus which get approximately one inch higher per month during pregnancy. The purpose of the uterine size check is to learn the size, shape and position of the uterus. Its growth can be recorded by periodically measuring the distance from the top of the uterus to the pubic bone with a tape measure laid flat on the uterus. A uterine size check can also be done to see if the uterus is larger or softer than usual, indicating pregnancy.

At the first Self-Help Clinic we learned to do self-examination of the cervix and vagina. As woman after woman inserted her speculum, looked at her cervix, then passed around the flashlight so that others could look, we exclaimed over the different characteristics of each women. It soon became obvious that the so-called "disease" of yeast overgrowth is a common and generally harmless condition. In an era of tight jeans, nylon pantyhose, the Pill, and high sugar diets, we have varying amounts of yeast in our vaginas. We were struck by the absurdity of having made numerous trips to the doctor to deal with this everyday common problem. All but one of us had "tipped uterus," which merely means that is was angled wither toward the back or front instead of the classic, textbook angle. One women recalled that her doctor said her tipped uterus accounted for her problems in getting pregnant. Another said that her doctor had blamed her tipped uterus for her many pregnancies. Just by talking to each other and comparing notes, we could see how we had been made to feel like there was something wrong when, in fact, we were quite healthy.

That very first evening of self-help, like all those that have followed, liberated us from many of the myths and notions that had driven us to the gynecologist. We found that irregular menstrual cycles are not uncommon; very few of us fit the 28-day cycle model. Our normal secretions varied throughout our cycle, becoming very heavy around the time of ovulation. This "discharge" had caused many of us great concern.

Menstrual Extraction is an early accomplishment of the Self-Help movement. Lorraine Rothman invented the Del-Em, a device used by groups of women to suction out the uterine contents on or near to the time of the expected menstrual period. This technique, which shortens the menstrual period, lightens the flow, or terminates an early pregnancy, has been used by women for ten years with outstanding safety and success. If this technology were widely available to women, the dark ages of state control of women's reproduction would be over. We would cease to worry about what the predominately male Supreme Court or legislature dictate.

The concepts of Self-Help have had a tremendous impact on the women's health movement. Lorraine Rothman and Carol Downer, members of the first Self-Help Clinic, travelled around the country in the fall of 1971, visiting women's groups to lecture on abortion and to hold Self-Help Clinics. Many women's health groups had reached an impasse at that time. They were counseling and referring women to abortion facilities on the East and West coasts and they had read Women and Their Bodies, the predecessor to Our Bodies, Ourselves. But they felt unable to proceed further due to lack of funds and the lack of cooperation of the medical profession in their communities. Self-Help gave them the ability to directly learn well-woman health care. They were able to do independent research, to compile information and finally, to set up women-controlled clinics.

The women in a Self-Help group in Santa Cruz, California taught themselves to be midwives and later formed the United States' first birth center, the Santa Cruz Birth Center. The concept of a community center where women having home births could come for prenatal care and meet other pregnant women has since become very popular. One of the midwives in this group, Raven Lang, wrote the first and for several years the only book on home birth, The Birth Book. This book inspired many mothers to have home births and many women to become midwives.

Woman-Centered Pregnancy and Birth focuses on information that enables you to make important decisions about your pregnancy and birth. Learning self-examination is an important first step, and a self-help group is the best setting in which to learn it.

You can order a plastic speculum from the Feminist Women's Health Center or the Women's Health Specialists

Also, visit "Our Anatomy" webpage for further information.

Limited USED copies of Woman-Centered Pregnancy and Birth, available online - Amazon.com
Now Available in its ENTIRETY online


Woman-Centered Pregnancy and Birth published in 1984 - we encourage comments, insights and suggestions; please write whwh@womenshealthinwomenshands.org

Thursday, November 18, 2010

SELF-HELP CLINIC Part II

Copyrighted 1971

Much has happened since we first wrote our Self-Help Clinic article last summer E.W. July, 1971. At that time, under Carol Downer's direction, we had been meeting for about four months evolving a concept that would have far reaching effects. Since early spring, first working within women's liberation cell groups, then expanding to community women's church groups, Y.W.C.A. groups, and then taking the concept across the country, we are pleased to announce that over 2,000 women (including a group in London, England begun by a Connecticut Self-Help sister), have been introduced to self-examination and the Self-Help Clinic concept. Little did we realize that first night when we all agreed to confront our physical hang-ups in a physical way, that we were all to share real sisterhood in a very meaningful way. Our grandmothers and great-grandmothers knew well the meaning of sisterhood. Mothers, daughters and aunts would meet together to share their womanly experience and be ready to help one another through their physical crises. Since grandmother's time, we have lost the closeness of sisters' experiences and helpful hands. This, along with being denied access to modern knowledge, has left us without knowledgeable good preventative health care. The Self-Help concept of self-examination is based on this reintroduction of sisterly sharing of experiences and knowledge in a commonsense, honest manner. Collective knowledge used within close sisterly groups that we call The Self-Help Clinic, have already had positive results as valuable preventative health care measures.

The Self-Help Clinic consists of 3 meetings; usually an evening a week for three weeks. These meetings deal primarily with learning self-examination with the help of all the sisters in the group. This is a very meaningful sharing experience for all, since we learn what is normal by having the opportunity to examine many women, under well-conditions. Occasionally we will have a sister who has a more serious problem and having caught it within self-examination, is encouraged to seek professional help. The Self-Help Clinic provides the opportunities for women to confront the many myths, misconceptions, and misinformation that we have been fed our entire lives. Being able to examine ourselves in a group situation gives us the first real concrete opportunity to compare the "text book" with reality. This is also the time when we learn to recognize cervical cap changes (in color, tone and other signs) in one another. Each woman during the first session has learned to insert her own speculum for the self-examination procedure and keep this speculum for continuous use. We also learn to give bi-manual (two hands) pelvic examinations by the 3rd evening. Looking at diagrams of our pelvic organs and being able to touch them and know their structure manually, gives us a far greater understanding of our bodies. We also spend the sessions reading and discussing a variety of written material, much of it brought in by the members of the group. We use the Birth Control Handbook as a major source for discussion and reference.

One major learning skill we have readily available is being able to recognize what is "normal". Since the meeting are primarily for women who want to learn about their own bodies, we have the perfect opportunity to see many, many normally healthy women. Contrary to clinics' and physicians' experiences (they have been trained and continue to work with patients suffering with some kinds of symptoms of illness), we are in the most fortunate position to learn to recognize what is a well-woman. By being able to recognize what is well and normal, we are better skilled to recognize that which is abnormal. It is interesting to note that Dr. Donald Ostergard of Harbor General Hospital in Torrance, Calif. * has been medical director for a similar program providing "book" and clinical training for women with similar non-medical backgrounds. His findings show that non-medical personnel with a high percentage of accuracy, can recognize deviations from normal. For example; Vulvar lesions, 89%, breast lesions, 85%, vaginal well muscle breakdown, 90% plus, uterine and surrounding structural abnormalities, 90%, antiflexed (elbowed backward) uterus, 90% plus. These are very high percentages of accuracy. Dr. Ostergard explains that his family planning patients are generally well patients who have come into the clinic for birth control information. His training program for the women paramedics stress normal breast and pelvic examinations. When a deviation from normal is found, the patient is referred to the physician. It is not important that the trainee recognize the exact nature of the abnormality. Dr. Ostergard's findings agree with our Self-Help Clinics' similar opportunities for well-women examinations: Women with varying non-medical backgrounds with sufficient training opportunities for examining well-women, can effectively recognize abnormal conditions.

How much better off we are, being able to recognize the unusual and to confidently make arrangements to get professional help; compared to remaining in ignorance until our problems have progressed to the point of seriousness and possible permanent damage. The Self-Help Clinic concept also helps us learn to take better overall care of our bodies. We stress breast examination and strongly encourage yearly Pap smears for cancer detection. We have found that, just like a sore throat, when we recognize an early infection or inflammation, some kind of personal care which includes lots of rest for our body, often connects the problem.

The Advanced Self-Help Clinics

One of the most exciting outgrowths of the Self-Help Clinics is in the development of advanced groups who have dedicated themselves to implementation and research. These groups feel that it is time that we women do the deciding on what we want in research areas on better health care for women. A large number of these women are guiding new Self-Help Clinics, sharing their experience with newer sisters to the concept, as well as perfecting their paramedic training skills. Quality libraries with up-to-date material and references on research into women's health needs, is another area of implementation. Another advanced Self-Help Clinic has published our "Ho To Start Your Own Self-Help Clinic" booklet which is available to anyone or groups interested in starting a Self-Help Clinic. There is presently a sizeable number of advanced, very dedicated and brave women who are determined to research out the possibilities of menstrual extraction. Let us here, clear up any misconceptions involving the experimentations being done within these advanced groups. And that is, menstrual extraction is not a euphemism for abortion. When the Self-Help Clinic means abortion we refer to it as abortion. This is a most important point. Our advanced groups must not be misrepresented if they are going to continue to work effectively for all women. These dedicated women, working and learning together are providing valuable information in the skills of menstrual extraction. Most of them seem to quite comfortable extract on the first day of their flow. We are told that a policy of these groups is that at no time is a sister allowed to experience discomfort. We are also told that it is almost unnecessary to mention the need for caution and gentleness, although both are major considerations in every case. Caution and gentleness seem to be almost instinctive.

While working within one of the advanced Self-Help Clinics, Lorraine Rothman found that the device that the group was attempting to use at that time needed vast improvement. It consisted of a simple syringe specially constructed to hold vacuum by the pull-back plunger; some plastic tubing; and a specially constructed small bored flexible cannula. (Neither the tubing used in manufacturing the cannula nor the finished cannula are available through laboratory or surgical suppliers. It is specially made by a large bio-instrument manufacturer and sold for a very high price.) Lorraine decided that since the syringe fell apart so easily causing air and fluid to back up into the uterus, she would devise another that would, 1) Provide a portable and continuous vacuum without back up worry, 2) Provide a syringe that need not be specially constructed, and 3) Provide a by-pass collection bottle which is a must since menstrual flows vary from woman to woman. She also realized the need to have ready access to the specially manufactured high quality, semi-flexible cannulas. They cannot be purchased at local lab houses, standard lab catalogs, nor can they be improvised out of the hardware store or drug store supplies. Lorraine's invention, tagged "Del'-Em", presently has a patent pending in hopes of keeping it within the women's movement as well as to encourage other women to put their heads and hearts to work for the movement. The semi-rigid cannula, which is a critical component of Del'-Em, when chemically sterilized, can be inserted through the undilated cervix. The cannula will bend to conform to the uterine walls without breaking or losing its flexibility and yet is not hard enough to damage the uterine lining. In addition, the cannula bore is large enough to facilitate removal of the menses. The research in these advanced groups is conducted under the guidance of medically trained personnel within clinical settings. They learn hospital and clinically acceptable sterile techniques under careful guidance. They also have access to the specially built cannulas and use only them. The women examine each other carefully to determine whether the procedure of menstrual extraction is safe for each. In this way they learn that a select group of women are eligible for the procedure. The following conditions, which are screened very carefully, are ineligible: Retroflexed (elbowed backwards) or antiflexed (elbowed foreward) uteruses, serious infections, polyps, extensive scarring, endometriosis and double uteruses. The Advanced Self-Help Clinics have also found that there is no way for a woman, by herself, to know her exact uterine conditions. Sisterhood is Safety: Safety is Sisterhood. In addition, continued research with Del'-Em indicates that group experience, knowledge, cooperation and sisterly concern improves the kit's efficiency. It would be irresponsible, here, to give step by step written directions in menstrual extraction. Just as in learning to sail a boat, it can't be done just by reading a book. It takes a seasoned sailor along to instruct with a properly outfitted vessel. The Advanced Self-Help Clinic groups, some of whom have been experimenting with Del'-Em for almost a year, know by personal experience that if this movement is to succeed, it will-only through SISTERHOOD. Groups of sisters learning from sisters and helping other sisters to fully realize their control over their own bodies is a very meaningful and workable concept. The idea of a "kit in each woman's private bathroom" is anti-sisterhood and anti-women's liberation. By being a select item for one woman only, within the confines of her own four walls, and without the collective help and support of her sisters, everyone and especially the movement looses. The concept of Self-Help stresses Sisterhood that makes possible the benefits from collective knowledge, collective experiences, collective training and especially the sisterly concern for one another. When it is necessary to travel for more extensive experiences or information, we do. Lastly, the Self-Help concept emphasizes competent medical backup and the use of safe equipment at all times.

We are seeing, today, unbelievable gains springing from this movement of sisterhood. We also forsee that it will take continued dedication by all sisters, vast investments of time, motivation, enthusiasm, and $$ for this movement to succeed. Throwing off the oppression of centuries takes total commitment and sisterhood.

The West Coast Sisters


* "Family Planning and Cancer Screening Services as Provided by Paramedical Personnel, A Training Program", by Donald R. Ostergard, M.D., AM. Assoc. Plan. Parent. Phys., Kansas City, Mo., April 5-6, 1971.