August 14, 2012 (Zenit.org) – The
United States Conference of Catholic Bishops designated the last full
week of July as national Natural Family Planning Awareness Week, with a
focus on introducing people to the concept of NFP in general, debunking
the common misconceptions that have been attached to it, and attempting
to convince couples to use NFP in place of artificial means of
contraception. This goal carries inherent challenges, as the target
audience has already been at the receiving end of previous awareness
campaigns: firstly, that unregulated childbearing is heartless and
negligent, and secondly, that avoiding such irresponsible behavior
demands the use of physical and chemical restraints on one’s
reproductive faculties.
The sale of these contraceptive measures is a multi-billion dollar
business worldwide, and that money also goes toward spreading awareness,
from slick professional TV ads to calendars and notepads in doctors’
examination rooms that bear the logos of the latest contraceptive pill
or device. In contrast, NFP does not have the backing of a huge industry
or lobbying group, and its use does not promise increased income to
doctors or pharmaceutical companies — or anyone else, for that matter.
Additionally, in a society where changes in health care organization
mean that doctors must see more patients in less time, training couples
in the use of NFP becomes impractical in that it requires multiple
training sessions and a level of commitment on the part of teachers and
learners alike that extends well beyond the time it takes to write a
prescription.
If the use of NFP fails to generate billions of dollars that may be
spent on advertising, the flip side of this is the fact that it is free
to the user, with no need of monthly co-pays, insurance coverage, or
taxpayer assistance. However, studies that have assessed the
demographics of NFP users in the United States have found the women who
use modern NFP methods are most often white, Catholic, stably partnered,
and college educated (1) — a population which, even in times of
recession, is not at the lowest end of the economic spectrum. While NFP
has been associated with low divorce rates (2), good communication in
marriages, and increased awareness of one’s own fertility cycle, it is
important to note that the causal relationships between these things go
both ways. Communication, fidelity, and collaborative self-denial are
pre-requisites for NFP, even as improvement in those areas may well be a
fruit of its use.
So how, then, does one go about educating the public about natural
family planning in a world where divorce is rampant, single-parent
households are common, advertisements for contraceptives permeate the
airwaves even as their byproducts permeate the environment, and the
birth of children is either demanded or prohibited, but never simply
accepted?
To begin, we can tout the benefits of NFP using some of the standards
typically bandied about by the promoters of contraception, phrases like
“efficacy,” “failure rates,” and “side-effects.”
This approach works not only because this is the language of much of
our culture, but also because NFP has been shown to compete very
effectively on those fronts when compared with artificial contraception
(3). But to leave the conversation there, in a place where the
conception of a person with an immortal soul can be labeled a “failure,”
would be to fail, indeed, as the letter P in NFP stands for “planning,”
not “prevention.” While advocates for NFP education point out that it
can also be used to help couples achieve pregnancy, as a balance for its
more commonly referenced use in preventing pregnancy, it bears pointing
out that this goal has been successfully accomplished for millennia by
simply increasing the frequency of attempts, and that any underlying
fertility problems cannot be fully diagnosed nor treated through the use
of NFP alone.
As we attempt to educate the world, beginning with ourselves, about
the use of NFP, it helps to be mindful that Western culture is already a
chief exporter not only of contraception, but of the perceived need for
it. Even as Melinda Gates pledges billions of dollars to increasing
contraceptive “access” worldwide, experts are pointing out that the
demand for such products does not currently exist, often due in part to
religious or cultural norms (4). Ecological breastfeeding, which results
in a period of postpartum infertility, is a natural method of spacing
births, but the export and marketing of commercial infant formulas from
industrialized nations to less developed areas not only undermines the
benefits of this natural practice, but results in increased infant
mortality due to formulas being prepared with contaminated water.
Furthermore, comparatively wealthy and well-educated societies which,
ironically, would be able to support larger families than they typically
have, routinely issue documents labeling cultures that encourage large
families as retrograde and reckless.
NFP stands in contrast to much of what Western culture offers the
world: it elevates commitment over cost, individuals over industry, and
stewardship over stranglehold with regard to one’s fertility.
Furthermore, it emphasizes the interdependence of couples rather than
the absolute autonomy of women, persistence in self-control over quick
fixes, and collaboration over individualism. To practice NFP correctly
means more than reducing the number of one’s children; it involves
strengthening one’s ability to love, and to desire to extend that love
through the gift of self and receptiveness to the gifts God gives, even
if it means re-examining our priorities.
The benefits of Natural Family Planning cannot be separated from the
benefits of family itself, since it is highly unlikely to be practiced
outside of a stable, committed relationship of people who respect
themselves and each other. However, despite the fact that many of the
people who currently choose NFP over artificial contraception are
practicing Catholics, it is important to spread the word about NFP
throughout our own communities and the world at large. For just as
contraception is the Trojan horse by which hostility toward new life is
spread, NFP can be a Trojan horse that introduces the culture of life in
places where other, more overt approaches might not gain entry.
Rebecca Oas, Ph.D., is a Fellow of HLI America, an educational initiative of Human Life International. Dr. Oas is a postdoctoral fellow in genetics and molecular biology at Emory University. She writes for HLI’s Truth and Charity Forum.
1)Stanford JB, Smith KR. Characteristics of women associated with
continuing instruction in the Creighton Model Fertility Care System.
Contraception. 2000 Feb;61(2):121-9.
2)http://www.physiciansforlife.org/content/view/193/36/
3)Pallone SR, Bergus GR. Fertility awareness-based methods: another option for family planning. Journal of the American Board of Family Medicine. 2009;22:147-57.
4)http://www.c-fam.org/fridayfax/volume-15/experts-call-%E2%80%9Cunmet-need%E2%80%9D-for-family-planning-baseless.html
2)http://www.physiciansforlife.org/content/view/193/36/
3)Pallone SR, Bergus GR. Fertility awareness-based methods: another option for family planning. Journal of the American Board of Family Medicine. 2009;22:147-57.
4)http://www.c-fam.org/fridayfax/volume-15/experts-call-%E2%80%9Cunmet-need%E2%80%9D-for-family-planning-baseless.html