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Dáil Éireann debate -
Thursday, 26 Jan 1995

Vol. 448 No. 2

Ceisteanna—Questions. Oral Answers. - Teenage Pregnancies.

Kathleen Lynch

Question:

8 Kathleen Lynch asked the Minister for Health if his attention has been drawn to the increased numbers of girls under fifteen giving birth in the State; if his attention has further been drawn to studies showing that babies born to teenage mothers have a higher risk of being premature than babies born to mothers in other age groups; if he will introduce measures to make contraception and contraceptive advice more widely available to teenagers; and if he will make a statement on the matter. [1662/95]

(Limerick East): The number of girls under 15 years giving birth in the State is relatively low. In 1987 there were 50, in 1990 there were 66 and 57 in 1993, the year for which I have the latest figures.

My Department is not aware of any specific recent study regarding the risk of prematurity to mothers in this age group. However, it is generally accepted that prematurity is more likely if various risk factors are involved. These include factors such as a first birth, the mother being part of the lower socio-economic group, poor levels of nutrition, smoking and poor attendance at ante-natal facilities.

While the pregnant under-15s are not by virtue of the age of mother more prone to premature births, one or more of the above factors may be more prevalent in the group, which would explain the high incidence of prematurity.

A range of family planning services is available in each health board area through general practitioners, maternity hospitals and units, non-governmental agencies and pharmacists. There are concerns, however, that the service does not fully meet the needs of all groups within the population. I am currently addressing these concerns under the health strategy to determine to what extent improvements are required.

An integral element of a comprehensive family planning service, of course, is the provision of education and counselling on all legal methods of contraception. In this context, the recent initiative launched by my colleague, the Minister for Education, in primary and post-primary schools is most welcome.

I appreciate what the Minister said. My supplementary question relates to the health aspects. I am worried that this matter would become a problem, not only for mothers but for their immediate families, as it appears the whole strategy in relation to sex education will become a moral issue. I would much prefer it to be seen as an education or health issue. I ask the Minister for Health to take it on board to ensure that the dangers inherent in early sexual activity, which are well documented, and the problems associated with very young girls giving birth, both psychologically and physically, are considered a health issue. The Department of Health will have to become involved to teach young girls and boys the various health aspects of the problem. The Minister, in conjunction with the Department of Education should ensure that the Department of Health is involved in the schools programme, not only on this issue but on all issues concerning the health of young people.

I have allowed the Deputy quite some latitude. The questioning has been overlong and is tending to be a speech.

It is her maiden speech.

That is of no consequence.

I was hoping that my ignorance would give me latitude. Now that you have pointed out the error of my ways, I will conclude. I hope the Minister will take on board everything I said.

(Limerick East): Deputy Lynch raised a number of interesting issues. For the information of the House the statistics from 1984-93 of births to 15 years olds are: 49, 41, 34, 50, 57, 52, 66, 55, 45 and 57. The statistics go up and down but the average is the same all the way through. I have no information of any recent study to suggest the pattern is changing. I agree that this is a health issue but it is also an education issue. It is a moral issue even though morality does not fall within my remit. It is also a legal issue and it is worth pointing out that sexual intercourse with a woman under 16 years of age is a criminal offence. In so far as it falls within my area of responsibility, guidelines for a comprehensive family planning service are being drawn up in my Department. There will be no delay in their ratification or in communicating them to the health boards and I hope that can be done. As with any comprehensive guidelines on family planning they will involve the needs of all persons who are sexually active. The primary objective of a comprehensive family planning service is to give individuals and couples the greatest possible freedom to decide the number and spacing of their children. I have yet to be convinced that girls under 15 years of age, who become pregnant, make that decision freely.

I support the Minister's attempt to prepare Ireland for the 21st century vis-á-vis family planning and human relationships. Will he use his influence to change the statistical dataabase for the provision of live birth figures outside marriage? The figure provided is usually associated with young single parents. Live births outside marriage is an outdated mode of calculating, either promiscuity or sexual activity. There are many people in second relationships whose children are categorised as live births outside marriage. To have the figures based on facts, will the Minister agree to have them broken down for young single parents as against mature established bonded relationships, the children of which are included in statistics as having been conceived outside marriage when in fact they were conceived in a second relationship?

(Limerick East): As the old saying goes: “what statistics reveal is interesting, what they conceal is vital”. I cannot comment further. This is a matter for the Department of the Taoiseach. The Central Statistics Office is accountable to the Department of the Taoiseach and the Minister of State at that Department, Deputy Barrett, takes questions on statistics. I suggest the Deputy table a question to him and make the case to me by way of letter. I will then speak to him about what the Deputy has in mind.

The Minister mentioned a figure of 57 live births to teenagers in 1993-94. Will the Minister accept the tragic likelihood that even more teenagers had to travel to the United Kingdom to terminate pregnancies? Any measures which the Ministers for Health or Education introduce would have a welcome impact on such high abortion rates in Ireland, about which we like to forget. Is he aware that the Irish Family Planning Association, who did a survey of young attenders to their clinics, found that many of them had been sexually active for 1.8 years before eventually seeking contraceptive advice? For this reason, education should be targeted at a young age group as we must accept that young teenagers are sexually active.

(Limerick East): Various claims are made but I do not think anybody knows the factual position. Certainly a number of Irish women, whose pregnancies were terminated in the United Kingdom last year, gave addresses in the Republic. It is safe to speculate that quite a number also used addresses of convenience in the United Kingdom. It is possible to guess the total number of Irish women who went to the United Kingdom but it is not possible from the statistics I have seen to break them down on the basis of age. As I understand the UK law, abortion to persons under 16 years of age is not automatic, or for any other group. As the Deputy suggests, I think it is true that young teenagers are sexually active. Parents should be aware of the fact that our sons and daughters are becoming sexually active at a far earlier age. I compliment the Minister for Education on her ititiative last week. This matter is more appropriate to the Department of Education if young persons' behavioural patterns are to be targeted by way of educational programmes through the schools.

The Minister mentioned the moral, legal, education and health aspects of the matter. I appreciate the Minister has been in office a short time but will he agree that, while the Minister for Education has introduced a sex programme, there should be a greater emphasis on an integrated approach between the Departments of Health and Education? Is it the Minister's intention to review the co-ordination of effort between his Department and the Department of Education? It is a problem that will become more serious and one about which we are all concerned.

(Limerick East): On entering ministerial office a person does not automatically have a better understanding of the social patterns of the country. As Deputies we are all aware of the situation. Initiatives are necessary to protect our young. I would advise the Deputy to table a question to the Minister for Education who has primary responsibility for education initiatives. I assure him the Department of Health will not be lacking in any initiative taken.

Will the Minister assure me that he will consider the integration of the programmes for health and education because this is extremely important?

(Limerick East): The initiative must be left to the Minister for Education who has responsibility for schools. I have given a commitment that I will not be behind the door in responding.

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