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Felicity Goodyear-Smith - From crime to care: the history of abortion in Aotearoa New Zealand

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Felicity Goodyear-Smith From crime to care: the history of abortion in Aotearoa New Zealand
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From crime to care: the history of abortion in Aotearoa New Zealand: summary, description and annotation

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From Crime to Care presents the history of abortion in Aotearoa New Zealand from pre-colonial times to the present, including the state of play since the 2020 law change, weaving in stories and experiences from key people on both sides of the debate. After the first abortion clinic opened in 1974 there were protests and pickets, and the issue shaped our politics in the 1970s. Moral crusaders, activists, legislators, abortion-providers and many others put their reputations and sometimes their lives on the line to do what they thought was right.

The abortion struggle serves as an illustration of our changing political and social landscape, with a public move from conservative towards more liberal values. Finally, after 180 years, abortion in Aotearoa is a health rather than a criminal concern. However, the issue continues to divide people, and events in the United States have shown how quickly change can occur, with their Supreme Court overturning Roe v. Wade and a number of states now banning abortions.

  • From Crime to Care has wide general appeal to all those interested in the fight for women to have choice.
  • The abortion struggle in New Zealand serves as an illustration of our changing political and social landscape, with a public move from conservative towards more liberal values.
  • Stories and experiences from many courageous people on both sides of the debate are presented.
  • Felicity Goodyear-Smith: author's other books


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    Verity Press veritypresscom Felicity Goodyear-Smith 2023 First published - photo 1

    Verity Press veritypresscom Felicity Goodyear-Smith 2023 First published - photo 2

    Verity Press veritypresscom Felicity Goodyear-Smith 2023 First published - photo 3

    Verity Press

    veritypress.com

    Felicity Goodyear-Smith 2023

    First published 2023

    ISBN 978-0-473-66306-03

    Also available as an ebook:

    ePub 978-0-473-99307-0

    Mobi Kindle 978-0-473-66309-07

    A catalogue record for this book is available from the National Library of New Zealand.

    This book is copyright. Apart from fair dealing for the purpose of private study, research, criticism or review, as permitted under the Copyright Act, no part may be reproduced by any process without the prior permission of the publisher.

    Cover, interior design and layout: Julie McDermid/Punaromia Publications

    Front cover image: Pro abortion demonstration, Wellington. Dominion Post (Newspaper): Photographic negatives and prints of the Evening Post and Dominion newspapers. Ref: EP/1976/2253/30A-F. Alexander Turnbull Library, Wellington, New Zealand.

    Front cover background image: Illustration 260206 Elena Ray Microstock Library Elena Ray | Dreamstime.com

    Printed in New Zealand

    To Rexley (Rex) Blake Hunton,
    my mentor, colleague and friend
    .

    CONTENTS

    LIST OF ILLUSTRATIONS

    FOREWORD

    Professor Felicity Goodyear-Smith is a distinguished academic, general practitioner, researcher, teacher and writer, one who is well positioned to write on abortion. From 1981 until 2020, when the role was abolished by reforming legislation, she was a Certifying Consultant, interviewing, assessing and approving abortions under now rejected legal grounds. For most of that time she was employed by the Auckland Medical Aid Centre, so it is not surprising that she tells the story of this ground-breaking clinic in greater detail than other services which came later. It is also not surprising that she dedicates this book to the clinics founder Dr Rex Hunton, who by his initiative in 1974 began the process that changed the way medical professionals treat abortion and inspires the theme of this book from crime to care. By interviewing others from places outside Auckland, the author has been able to expand on the history and practice of abortion throughout New Zealand. She is familiar with controversy and characteristically includes interviews with those opposed to abortion.

    Her account spans three centuries, from early practices in the nineteenth century to modern times. Legal milestones include the harsh laws in 1867, with changes in 1893, 1908 and belatedly in 1977. Even when the Crimes Act was given an overhaul in 1961 the section on abortion escaped revision. During this time illegal abortionists flourished and were regrettably an accepted part of New Zealand culture. That changed somewhat in 1969 and 1971 when Australian court cases opened the way for New Zealand women, who could afford it, to travel to Melbourne or Sydney for a legal abortion. A more significant milestone was the opening of the Auckland clinic in 1974, which led to the Woolnough trials in 1975, the Report of the Royal Commission in March 1977, and the complicated legislation of December 1977. The new law led to the setting up of a new system of certifying consultants, overseen by an Abortion Supervisory Committee which problematically endured for over four decades until decriminalisation in March 2020.

    Do we need another book on abortion? Yes, I believe that if we are to reduce the stigma associated with abortion, we need to keep telling these stories. Our future depends on a greater understanding of our history. This readable account may inspire others to add to the literature on abortion and we need to hear not only from the medical perspective but also from other angles. A welcome new direction is that abortion themes appear more often in works of fiction, film, theatre, poetry and art. It is an evolving saga.

    Dame Margaret Sparrow DNZM MBE
    2020 Senior New Zealander of the Yea
    r

    ABBREVIATIONS

    ALRAAbortion Law Reform Association (Britain)
    ALRANZAbortion Law Reform Association of New Zealand
    AMACAuckland Medical Aid Centre
    AMATAuckland Medical Aid Trust
    APGANZAbortion Providers Group Aotearoa New Zealand
    ASCAbortion Supervisory Committee
    COHABCommittee to Oppose the Hospitals Amendment Bill
    CRASHCenter for Reproductive and Sexual Health [USA]
    CS&A Act 1977Contraception, Sterilisation and Abortion Act 1977
    D&Cdilation and curettage
    DHBDistrict Health Board
    EDUEpsom Day Unit
    EMAearly medical abortion
    HPCA ActHealth Practitioners Competence Assurance Act
    IUDintrauterine device
    LARClong-acting reversible contraception
    MPMember of Parliament
    NARALNational Abortion Rights Action League
    NIPSnon-invasive prenatal genetic screening
    NOWNational Organisation for Women
    NZHPANew Zealand Health Professionals Alliance
    O&Gobstetrician and gynaecologist
    QCQueens Counsel
    SOSSisters Overseas Service
    SPUCSociety for the Protection of the Unborn Child
    WONAACWomens National Abortion Action Campaign

    PREFACE

    When I was a medical student in the 1970s, I was taught by Dr Rex Hunton and Father Felix Donnelly who worked in the Department of Community Health. They provided counselling services in the Pink Cottage, a little building on the grounds of our newly built medical school opposite Auckland Hospital. Rex and his wife Valerie ran experiential workshops using multimedia and psychodrama techniques, enabling participants to extend their creative abilities and improve their relationship skills. I attended a couple of these and found them both fun and inspiring. Rexs focus was always on the importance of human relationships. His patient-centred approach to medical practice helped shape my future medical career, and I have remained in contact with Rex and Valerie throughout my life. Felix set up the free counselling service Youthline, and I served as a volunteer counsellor there while I was a student. In 1974 Rex was instrumental in opening the Auckland Medical Aid Centre (AMAC), Aotearoa New Zealands first abortion clinic, the story about which features prominently in this book. I have written this book in tribute to Rex, for his bravery in doing what he knew was right, regardless of the cost to himself and his family.

    Apart from attending the occasional rally, I was not involved in abortion politics or the setting up of the clinic while I was at medical school. However, in 1981 I was a general practitioner in Freemans Bay, very involved in womens health care, including delivering many babies each year. I had never had an abortion myself, nor had I experienced the traumatic effects of illegal abortions. As with other aspects of health care, I saw that my role was to help my patients understand their conditions and their options, so that they could make the best possible decisions for their health care. In 1981 I started work at AMAC as an assessing certifying consultant, doing one session either weekly or fortnightly. I continued doing this until the beginning of the New Zealand COVID-19 lockdown in 2020, which coincided with the new legislation rendering that role redundant. I have never worked as an operating doctor.

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