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Indigenous Australians experience significantly disproportionate poorer health outcomes compared to their non-Indigenous counterparts. Despite the recognised importance of maternal infant health (MIH), there is surprisingly little empirical research to guide service redesign that successfully addresses the disparities. This paper reports on a service evaluation that also compared key MIH indicators for Indigenous and non-Indigenous mothers and babies over a 12-year period 1998–2009.
Trend analysis with logistic regression, using the independent variables of ethnicity and triennia, explored changes over time (1998–2009) between two cohorts: 1,523 births to Indigenous mothers and 43,693 births to non-Indigenous mothers. We included bivariate and multivariate analysis on key indicators (e.g. teenage births, preterm birth, low birth weight, smoking) and report odds ratios (ORs), 95% CIs and logistic regression adjusting for important confounders. We excluded transfers in from other areas which are identified within the database.
Bivariate analysis revealed Indigenous women were statistically more likely to have spontaneous onset of labour and a non-instrumental vaginal birth. They were less likely to take epidurals for pain relief in labour, have assisted births, caesarean sections or perineal trauma. Despite better labour outcomes, Indigenous babies were more likely to be born preterm (< 37 weeks) and be low birth weight (< 2500 g); these differences remained significant in multivariate analysis. The trend analysis revealed relatively stable rates for teenage pregnancy, small for gestational age, low birth weight babies, and perinatal mortality for both cohorts, with the gap between cohorts consistent over time. A statistical widening of the gap in preterm birth and smoking rates was found with preterm birth demonstrating a relative increase of 51% over this period.
The comprehensive database from a large urban hospital allowed a thorough examination of outcomes and contributing factors. The gap between both cohorts remains static in several areas but in some cases worsened. Alternative models for delivering care to Indigenous women and their babies have shown improved outcomes, including preterm birth, though not all have been sustained over time and none are available Australia-wide. New models of care, which recognise the heterogeneity of Indigenous communities, incorporate a multiagency approach, and are set within a research framework, are urgently needed.
Keywords:Aboriginal and Torres Strait Islander; Indigenous Australian; Antenatal; Maternity; Midwifery; Culturally responsive; Model of care; Evaluation
Indigenous Australians are one of the most "linguistically and culturally diverse populations in the world" [1] p.3, representing approximately 2.5% of the total Australian population. They also continue to endure widespread and disproportionate disadvantage compared to non-Indigenous Australians on indices of educational attainment, employment, and ill health [2]. Differences in reproductive health outcomes are widely acknowledged with consistent reporting of higher maternal and perinatal morbidity and mortality rates for Indigenous Australians: maternal mortality (5.3 times greater) [3]; low birth weight infants (12.3% vs. 5.9%); preterm births (13.3% vs. 8.0%); perinatal deaths (17.3 vs. 9.7 per 1,000) [4] and infant mortality rate (IMR) (9.6 vs. 4.3 per 1,000) [5]. Life expectancy and access to health care is also considerably worse compared to Indigenous populations in similar countries including Aotearoa/New Zealand (Maori), United States of America (USA) (Indian), and Canada (Inuit) [6-8].
In an effort to address these disparities and reduce the gap in health outcomes between Indigenous and non-Indigenous Australians, the Council of Australian Governments has identified a number of strategic areas for action including: improved antenatal care provision, reducing pregnancy-related alcohol and cigarette consumption, rates of low birth weight (LBW) infants and teenage pregnancy and births, and addressing the causes of maternal mortality and early childhood hospitalisations [7]. The most recent Health Performance Framework Report, on progress against these and other indicators, confirms that despite improvements in some areas (e.g. 34% decline in perinatal mortality between 1999–2008), the initiatives associated with the 'Close the Gap' campaign have not made as much progress as anticipated [5]. Whilst selected indicators for Indigenous health generally have shown sustained improvement over recent decades [9], change has not kept pace with improvements noted for non-Indigenous Australians and, hence, the relative gap between the two has actually increased [10]. Differences in outcomes between, and amongst, jurisdictions are evident and do not necessarily follow national trends. For example, trend data on IMR from Western Australia (WA) demonstrated an increase in relative risk (RR) from 3.0 (CI 2.5-3.6) in 1980–84 to 4.4 (CI 3.5-5.5) in 1998–2001 due mostly to a drop in non-Indigenous IMR [11]. The WA data found higher IMR in women under 15 years (29.1), in male infants (22.3), to mothers living in remote areas (23.5), in preterm babies (440.6-29.9), in multiple births (54.7) and to women having ≥5 previous births (28.1) [11]. Additionally, the same study reported a higher relative risk in women age 35–39 years (4.4), in term infants (4.0), in normal birth weight infants (2500-4990 gms) (4.2), and in the postneonatal period (28 days to 12 months) (5.0) [11].
The quality of maternity care provided to Aboriginal women has been highlighted as concerning, and indeed, has been identified as a contributory factor in poor outcomes [12-15]. Findings from a sample of non-Indigenous women at risk of preterm birth identified important issues such as miscommunication and uncaring staff behaviours that negatively influenced care uptake [16], with studies that have focused specifically on the experiences of Indigenous Australians echoing these results [12,13,15]. An added concern in this respect is the tendency to treat Indigenous Australians as an homogenous group rather than as discrete populations with distinctive needs, which may inadvertently contribute to worsening disparities in perinatal outcomes [17]. Targeted models of antenatal care have been developed to address these barriers, with evaluations showing improvements in clinic attendance, screening and treatment (e.g. sexually transmitted and urinary infections) uptake, immunisation rates, mean birth weight, and reduced rates of preterm birth [18-21]. However, none of these programs are available to all childbearing Indigenous women living in Australia.
This paper comments on changes over a 12-year period in selected MIH indicators between Indigenous and non-Indigenous mothers who attended the public facility of a large tertiary maternity hospital in an urban area of South East Queensland, with around 5000 public births per year. The hospital is a referral hospital with a fetal medicine unit and the highest level neonatal nursery taking referrals from across the state. However, it is also the local hospital for a large number of Indigenous women living in the catchment area. The models of maternity care available include hospital and community based antenatal clinics with midwives and medical staff, GP shared care, specialist maternity clinics (e.g. Aboriginal and Torres Strait Islander, Women from refugee backgrounds, Young Women's Clinic), and community based midwifery group practices offering caseload midwifery care. Allied health referral is commonly used for social work, psychology, mental health, dietetics, and physiotherapy. Data analysis was performed as a component of an evaluation of a specialist collaborative antenatal service targeting Indigenous women or women whose partner's identified as Indigenous [22].
Routinely collected data from 45,216 births (including multiple births) between the years 1998–2009 were analysed; 1,523 births were to Indigenous mothers and 43,693 to non-Indigenous mothers. We excluded data from women (and their infants) transferred in from other areas.
Data were extracted from two hospital obstetric databases: the Obstetric Clinical Reporting System (Clinical Reporting Systems Pty Ltd, Castle Hill, New South Wales, Australia), and MatriX (Meridian Health Informatics, Surry Hills, New South Wales, Australia). For the purpose of this analysis, the term 'Indigenous' is defined as women who self-identified as either 'Aboriginal', 'Aboriginal and Torres Strait Islander' or 'Torres Strait Islander'. A total of 3.4% women identified as Indigenous, slightly lower than the 3.8% reported nationally [4]. The non-Indigenous cohort comprised primarily Caucasian/European (76.5%) and Asian (12.4%) women. The following 'Closing the Gap' indicators [23] were investigated; teenage births (defined as all births to mothers aged less than 20), preterm birth (< 37 weeks), low birth weight (< 2500 g), and smoking (of any frequency, as recorded at first antenatal hospital visit). Additional outcomes included perinatal mortality defined as stillbirth occurring after 20 weeks gestation or greater than 400 grams, or neonatal death occurring within 28 days of birth, very preterm birth (< 32 weeks) and small for gestational age (SGA) infants, defined as < 10th centile on a population-based standard [24].
Additional variables, which included maternal age, self-reported pre-pregnancy weight (subsequently used to calculate body mass index [BMI]), education level, marital status, pre-existing medical conditions, selected social and lifestyle indicators (routinely collected at the booking visit to determine the basis for referral), and labour and birth indicators, were compared between the Indigenous and non-Indigenous cohorts.
All variables are reported as the number and proportion within the two cohorts, with the difference in proportions calculated as well as the corresponding 95% confidence interval (CI) of the difference. Where missing data are apparent, the denominator used is the total non-missing entries. Trend analysis was undertaken with the 12 years of data amalgamated into triennia due to the small number of outcomes in the Indigenous cohort. Logistic regression was carried out to assess trends, using the independent variables of ethnicity (Indigenous versus non-Indigenous) and triennia, with an interaction term also included to investigate whether the rate of each outcome had changed over time between the two cohorts. Additional multivariate analysis was carried out for key indicators using logistic regression to adjust for important confounders. Bivariate and multivariate odds ratios (ORs) are reported, along with 95% CIs. Statistical significance was set at 0.05. Data were collated and analysed using StataSE Version 10 (StataCorp, College Station, Texas, USA), with graphical interpretation of the results generated using Microsoft Office Excel 2002 (Microsoft Corporation, Redmond, Washington, USA). This study was approved by the Hospital HREC Health Services Human Research Ethics Committee.
Indigenous women birth at significantly younger ages compared to their non-Indigenous counterparts. Almost half of the Indigenous women who birthed at the MMH were under the age of 25 years (46.0%) compared to 25.6% of non-Indigenous women; 18.3% of Indigenous women were teenagers (< 20 years of age). This represents a 12.7% difference in teenage births (< 20 years of age) when compared to non-Indigenous mothers (18.3% vs. 5.6%; 95% CI 10.7, 14.6%). Differences in BMI were mainly observed with respect to the normal BMI weight category (18.5- < 25) (45.3% vs. 55.6%) favouring the non-Indigenous cohort; more Indigenous women were also categorised as obese: 20.8% vs. 15.0%. However, as over 22% of missing data were noted for the Indigenous cohort, this result should be viewed with caution. Indigenous women were over-represented in the lower education categories and under-represented in tertiary education: ≤ Grade 10 (21.9% difference, 95% CI 19.2, 24.6%); Grade 11 and 12 (1.8% difference, 95% CI −0.8, 4.4%) and tertiary education (20.0% difference, 95% CI −21.8, -18.2%). A considerably higher percentage of Indigenous women were either single or never married (40.5% vs. 13.5%, difference 26.9%, 95% CI 24.4, 29.5%). No statistically significant differences in rates of pre-existing medical conditions were observed between the two cohorts. Significant differences were observed, however, between several psychosocial indicators routinely collected during pregnancy, which suggested that women might benefit from additional support during the maternity period (Table 1). Caution with interpretation of some figures is necessary as data were only available from 2007–09 for some variables.
Table 1. Key social indicators by Indigenous status
Indigenous women were statistically more likely to have spontaneous onset of labour, opioids for pain relief in labour, a non-instrumental vaginal birth, and less likely to have an epidural for pain relief in labour, experience an assisted birth, perineal trauma or caesarean section (Table 2).
Table 2. Key maternal and neonatal indicators by Indigenous status
Compared with babies born to non-Indigenous mothers, Indigenous babies born to Indigenous women were statistically more likely to be: born preterm, of low birth weight, admitted to the NCCU, and if admitted more likely to be admitted for more than seven days, and formula feeding on discharge from hospital. Mothers of Indigenous infants, however, were more likely to stay less than three days in hospital following birth.
Teenage births
The difference in the rate of teenage births (< 20 years of age) between Indigenous and non-Indigenous women has remained relatively unchanged over the last eight years (Figure 1). Although 2001–2003 and 2004–2006 saw a slight drop from the previous triennium (1998–2000), the rates have since remained steady. The percentage difference over the last three triennia remains at approximately 13% with no interaction evident between Indigenous status and time (p = 0.90). Both cohorts have seen a slight but sustained drop in rates over time.
Figure 1. Trend analysis of teenage births by triennia and Indigenous status.
Bivariate analysis revealed a statistically significant difference between Indigenous and non-Indigenous smoking status at the antenatal hospital booking visit (community based antenatal care is provided and women are referred for a hospital booking at approximately 17–24 weeks gestation) (48.9% vs. 19.2%; difference 30.0%, 95% CI 27.2, 32.3%). A significant interaction was observed between Indigenous status and year, indicating a downward trend amongst non-Indigenous women that was not observed after the first triennia in the Indigenous cohort (p = 0.01) (Figure 2).
Figure 2. Trend analysis of smoking status at first antenatal (booking) visit by triennia and Indigenous status.
Small for gestational age
There was no significant interaction (p = 0.20) between Indigenous status and year of birth for SGA infants (Figure 3). Whilst the rate of SGA births to non-Indigenous women remained steady, there was some evidence of a decrease for Indigenous women.
Figure 3. Trend analysis of small for gestational age by population based standards by triennia and Indigenous status.
Preterm birth
The difference in the rate of preterm birth (< 37 weeks) between the two cohorts was very small in the 1998–2000 (first) triennium, however, this difference has gradually increased resulting in a percentage difference of nearly 7% (15.7% versus 9.0%) in 2007–2009 (Figure 4); this observation was confirmed via a statistically significant interaction term (p = 0.04).
Figure 4. Trend analysis of preterm birth < 37 weeks by triennia and Indigenous status.
Very preterm birth
Similarly, the difference in the rate of very preterm birth (< 32 weeks) between the two cohorts was initially relatively small but has since increased to a difference of nearly 3% (4.9% versus 2.3%) in the latest triennium (Figure 5). Again, significant interaction between Indigenous status and triennia of birth was noted, indicating that the rate of very preterm birth has widened over time (p = 0.04).
Figure 5. Trend analysis of very preterm birth < 32 weeks by triennia and Indigenous status.
Low birth weight
Differences in LBW (< 2500 g) rates between the cohorts has remained relatively constant over the 12 years of the study period (Figure 6) with an average difference of 5%. As such, interaction between Indigenous status and year of birth is not significant (p = 0.30).
Figure 6. Trend analysis of low birth weight infants < 2500 g by triennia and Indigenous status.
Perinatal mortality
There was no significant interaction (p = 0.49) between Indigenous status and triennia of birth in relation to perinatal mortality (Figure 7). The increase in the last two triennia may be accounted for by stillbirths occurring during this period; the proportion of stillbirths of all perinatal deaths has increased from 50.3% in 1998–2000 to 59.9% in 2007–2009. Caution should be exercised when reading this analysis, however, as percentages are low.
Figure 7. Trend analysis of perinatal mortality by triennia and Indigenous status.
Multivariate analysis
Table 3 presents a comparative analysis between bivariate and multivariate analyses of key indicators previously described. Preterm birth, low birth weight, and teenage birth rate remained statistically significant when adjusted for age, parity, BMI, smoking, gestational diabetes, antepartum haemorrhage, pregnancy induced hypertension and socio-economic status (using Socio Economic Indexes For Areas [25]) in the multivariate analysis. However, very preterm birth (< 32 weeks) although statistically significant in the bivariate analysis, was not statistically significant when adjusted in the multivariate.
Table 3. Indigenous vs. non-Indigenous bivariate and multivariate analysis of key indicators
Women of childbearing age and mothers of young children constitute a significant proportion of Indigenous Australians. Given the substantial and longstanding evidence linking economic disadvantage with negative intrauterine and early infancy events, and indeed with poorer health over the life-course [26-29], and given the pivotal role of mothers as primary carers in family settings [30,31], the importance of prioritising their health cannot be over-emphasised [32]. A comprehensive database, from a large urban tertiary hospital in Queensland with transfers in excluded from analysis, has allowed a more thorough examination of data controlling for possible confounders, than can be performed at a national or jurisdictional level. We found significant differences between the cohorts for many outcomes although we also observed relatively stable rates for smoking at booking, low birth weight, small for gestational age babies, and perinatal morality over the past decade for Indigenous women. However, a statistical increase and a widening of the gap in preterm birth rates between the Indigenous and non-Indigenous cohort was found, together with a widening of the gap in smoking rates driven by a decrease in non-Indigenous rates.
Both cohorts experienced a non-significant decline in teenage pregnancy over four triennia although the percentage difference remained approximately 12%. The fall in teenage births to Indigenous women (1998: 21.4% to 2009: 18.2%) is not reflected in the Queensland state-wide data where the rate of teenage births remained almost unchanged (2000: 19.3% to 2009: 19.4%). This may reflect increased access to education and/or contraception in the urban area. Following multivariate analysis, Indigenous women were statistically more likely to experience teenage birth than their non-Indigenous counterparts (aOR 4.24, 95% CI 3.55, 5.07). Hence the need to carefully consider how services might be designed and delivered to this group of women, to increase acceptability and improve clinical outcomes. A literature review on models of maternity care for young women (aged 21 years and under) suggests group antenatal care is associated with higher antenatal attendance, lower preterm birth and higher breastfeeding initiation, and a multi-disciplinary young women's clinic may also improve antenatal visit attendance and reduce preterm birth [33]. The review found no studies that examined the acceptability or impact of midwifery group practice models of care, known to benefit women generally [34], and particularly Indigenous women [35] and teenage women.
Despite differences in the content and frequency of data collection for MIH outcomes across Australia, national data confirms that approximately 50% of Indigenous mothers smoked tobacco at some stage of their pregnancy [36]; findings from our evaluation reflect this with trend data showing an increasing gap over time in women smoking at their first (booking) visit. Although smoking during pregnancy is associated with a higher prevalence of preterm birth (approximately 40%), and almost 100% higher proportion of low birth weight infants, national data [36] suggests that rates of preterm births, LBW infants, and perinatal deaths were higher for infants born to Indigenous mothers regardless of pregnancy-related smoking status. Strategies to date to address smoking amongst pregnancy in Indigenous women have been relatively unsuccessful, perhaps not least because research suggests that social context is an important factor with smoking providing a sense of belonging and identity, and group membership [37]. Smoking cessation interventions in pregnancy, however, are known to make a difference to low birth weight and preterm birth in the general population of childbearing women [38] with a recent survey of Aboriginal women reporting 21% quit in pregnancy with 46% reducing their intake. Whilst care providers understood the risks and regularly assessed smoking in pregnancy, not all had good knowledge about smoking cessation initiatives [39]. Our study highlighted problems with data collection throughout pregnancy, making ongoing assessment of smoking status and the timely delivery of smoking cessation strategies difficult to report.
In our study, Indigenous women were statistically more at risk of psychosocial and emotional challenges during pregnancy, including: domestic violence, cannabis use and contact with the Department of Child Safety. Although the hospital-based Indigenous liaison team provides support to Indigenous women accessing the antenatal clinic, the lack of a dedicated social worker providing continuity, was identified as problematic [40]. Evaluation data identified that Indigenous women were less likely to identify isolation as a concern for them [22], perhaps due to the extended family support that is known to be a feature of Indigenous life. Studies have reported a family-centred approach to health and education [41,42] with the support of family seen to be of significant benefit to the pregnant woman in a variety of ways, for example, psychosocial support, child care, role modelling by elders, cultural education and support of cultural and community values [43].
Indigenous women experienced fewer interventions in birth with higher rates of spontaneous onset of labour and non-instrumental vaginal birth, and lower rates of epidurals for pain relief in labour, assisted births (both forceps and vacuum extraction), perineal trauma and caesarean sections. Despite these impressive maternal outcomes the poorer outcomes for babies are concerning. National perinatal data for the years 1991–2008 reported that Indigenous mothers are twice as likely to give birth to LBW babies compared to non-Indigenous mothers, with the overall rate of LBW infants having increased by 13% over this period [36]. Our data in this area reflects national trends although our rates of LBW Indigenous infants increased less dramatically. Multivariate analysis, , however, showed a significant difference between the cohorts (OR 1.31, 95% CI 1.09, 1.58) after adjustment for age, year of delivery, parity, BMI, smoking, gestational diabetes, APH, PIH and SEIFA.
Preterm (< 37 weeks) birth rates are increasing for all Australian women with a study of more than two million pregnancies reporting an almost 20% increase in the proportion of low-risk women having a preterm birth over the 10 years from 1994, with a 12% rise in preterm birth overall [44]. National data [45] reveals that Indigenous women were significantly more likely to give birth before 37 weeks with Queensland data also showing a significant difference (12.5% vs. 7.5%; OR 1.71: 95% CI 1.65, 1.77) [46]. This finding is mirrored in our multivariate analysis (OR 1.21: 95% CI 1.01, 1.46) which adjusted for well known confounders. The rate of preterm birth for Indigenous women in our dataset increased by 5.0% (a relative increase over the time period of 51.0%) compared with the smaller increase of less than 1% (8.7% to 9.0%) observed for non-Indigenous women, and in opposition to the state-wide data which showed a decrease from 13.1% to 11.6% over similar years (2000–09). Three percent of the absolute increase in our data is accounted for in the <32 weeks gestational age bracket with 4.0% in the 32–37 week bracket (data not shown). The reasons our data differs from state data are unknown, and were unexpected, as we had excluded all transfers in (transfers can be from across the state or even interstate usually for women requiring the highest level of tertiary care). However, our service does not exclude any eligible woman who live in the hospital metropolitan area and who self present requesting care, and mapping the postcodes of service users' places of residence against the 2006 census (suburb and postcode) identified a number of women self-referring to the hospital from outside the local catchment area [22]. It is possible that the differences in our data are due to women with pre-existing risk factors self-selecting this tertiary hospital because of the specialist collaborative Indigenous maternity provision, or being referred by external providers. Alternatively, we may have better ascertainment of Indigenous status than state-wide data, or our findings may reflect a genuine increase in preterm rates for Indigenous women living in our area.
Preterm birth is a leading cause of perinatal mortality, serious neonatal morbidity and moderate to severe childhood disability [44,47-49]. Research in Queensland [50] and Western Australia [11] identified that the majority of Indigenous perinatal deaths are due to antenatal factors with significantly more potentially preventable deaths due to infection, preterm birth and sudden infant death syndrome. These are all amenable to targeted interventions with Queensland results [50] recommending primary health care initiatives to reduce the prevalence of low birth weight and preterm birth; and a public health approach inclusive of a domestic violence focus. Preterm birth correlates strongly with poverty and socio-economic status [51], maternal psychosocial stress [52], smoking in pregnancy [53], limited maternal education and young maternal age [47]. All of these risk factors were statistically more likely to be present in our Indigenous cohort and when they were controlled for in multivariate analysis a difference in preterm birth and low birth weight infants remained. Additionally, modifiable risk factors for stillbirth such as overweight, obesity and smoking were significantly higher in the Indigenous cohort and have been identified as priority areas for stillbirth prevention in high-income countries [54].
It is clear that more should, and could, be done to prevent poor outcomes. Further redesign of services is urgently needed to 'close the gap' in poor MIH outcomes between Indigenous and non-Indigenous Australians. A focus on culturally responsive care that incorporates strategies for targeting modifiable risk factors in the early antenatal period, with interventions that span the continuum of care from preconception to infancy, is essential. This should be done by building on strategies that have been shown to make a difference [55,56]. Our data indicates that targeting early preterm birth will be important to address our worrying finding about the increase in very preterm births (< 32 weeks). The differences in socio-economic outcomes and high rates of smoking in pregnancy highlighted the challenges in this area. It was encouraging to see that the rising preterm rates had not resulted in a statistically significant increase in PMR (trend), however it is possible this is due to the small numbers as the data have shown an increase in this rate over the time period. A multiagency response would assist in ensuring all possible resources can be cohesively directed towards remedying one of Australia's greatest, and most persistent, challenges: that of improving health outcomes for Indigenous mothers and their infants.
Competing interests
There are no competing interests, financial or otherwise, for any of the authors.
Authors' contributions
SK conceived of the study, and participated in the design and coordination. SK also drafted the manuscript. HS assisted in the coordination of the project, and contributed to the drafting of the manuscript. RM conducted the quantitative analysis and helped draft the manuscript. MK helped to design the study, collect the data and reviewed the manuscript. KG coordinated the quantitative analysis and helped draft the manuscript. All authors read and approved the final manuscript.
The authors extend thanks to everyone who contributed to the evaluation of the Specialist Indigenous Antenatal Clinic, including the women who have used the service, clinic staff, the Indigenous Liaison Officers, one of whom conceived of and established the clinic, working in it for many years, and hospital managers, external stakeholders and the project reference group. Special thanks to the two Indigenous Peer Research Assistants (Natalie Billy-Low and Nancy Bamaga) and to The Mater Foundation Golden Casket Major Research Grant who funded this evaluation.
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Kildea S, Stapleton H, Murphy R, Billy-Low N, Gibbons K: The Murri clinic: a comparative retrospective study of an antenatal clinic developed for Aboriginal and Torres Strait Islander women.
Lowell A, Kildea S, Easden T: Strong Women, Strong Babies, Strong Culture Program, A Participatory Evaluation. In. Darwin: Charles Darwin University and the Northern Territory Department of Health and Families; 2008.
Panaretto KS, Mitchell MR, Anderson L, Larkins SL, Maneessis V, Buettner PG, Watson D: Sustainable antenatal care services in an urban Indigenous community: the Townsville experience.
Med J Aust 2007, 187(1):18-22. PubMed Abstract | Publisher Full Text
Stamp GE, Champion S, Anderson G, Warren B, Stuart-Butler D, Doolan J, Boles C, Callaghan L, Foale A, Muyambi C: Aboriginal maternal and infant care workers: partners in caring for Aboriginal mothers and babies.
Tracy S, Tracy M, Dean J, Laws P, Sullivan E: Spontaneous preterm birth of liveborn infants in women at low risk in Australia over 10 years: a population-based study.
BJOG 2007, 114(6):731-735. PubMed Abstract | Publisher Full Text
Li Z, McNally L, Hilder L, Sullivan E: Australia's mothers and babies 2009. In Perinatal statistics series no 25. vol. Cat. no. PER 52. Sydney: AIHW National Perinatal Epidemiology and Statistics Unit; 2011.
Humphrey M: Maternal and Perinatal Mortality and Morbidity in Queensland. Brisbane: Queensland Health; 2011.
Muglia L, Katz M: The enigma of spontaneous preterm birth.
Lumley J: Defining the problem: the epidemiology of preterm birth.
BJOG 2003, 110(Suppl 20):3-7. PubMed Abstract | Publisher Full Text
Gotsch F, Romero R, Erez O, Vaisbuch E, Kusanovic JP, et al.: The preterm parturition syndrome and its implications for understanding the biology, risk assessment, diagnosis, treatment and prevention of preterm birth.
J Matern Fetal Neonatal Med 2009, 22(2):5-23. PubMed Abstract | Publisher Full Text
Johnston T, Coory M: Reducing perinatal mortality among Indigenous babies in Queensland: should the first priority be better primary health care or better access to hospital care during confinement?
Savitz D, Kaufman J, Dole N, Siega-Riz A, Thorp J Jr, Kaczor D: Poverty, education, race, and pregnancy outcome.
Ethn Dis 2004, 14(3):322-329. PubMed Abstract
Moutquin J: Classification and heterogeneity of preterm birth.
BJOG 2003, 110(Suppl 20):30-33. PubMed Abstract | Publisher Full Text
Mohsin M, Forero R, Berthelsen A, Bauman A, Jalaludin B, Gyaneshwar R: Social influences for smoking in pregnancy in south western Sydney antenatal clinic attendees.
Aust N Z J Obstet Gynaecol 2007, 47:207-212. PubMed Abstract | Publisher Full Text
Flenady V, Koopmans L, Middleton P, Frøen JF, Smith GC, Gibbons K, Coory M, Gordon A, Ellwood D, McIntyre HD, et al.: Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis.
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Herceg A: Improving health in Aboriginal and Torres Strait Islander mothers, babies and young children: a literature review. Canberra: Australian Government Department of Health and Ageing; 2005.
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Pre-publication history
The pre-publication history for this paper can be accessed here:


text:
The Geneva convention offers its protection to soldiers captured in war. People captured planning attacks on civilians are not soldiers but terrorists. One thing for all of those drama queens out there: Israel is not torturing all of those little 5 year old Palestinian children that people imagine are in Israeli jails. The "children" in Israeli Jails are not children but rather teenagers. Children the same age as those that fire at and attack Israeli soldiers in Palestinian-occupied Israel. These children are the age of those that launch attacks against schoolchildren in many recent American situations. I support torture of those who joined a terrorist group. When a person joins such a group they claim that the lives innocent civilians are worth the price of creating terror in a population. These people have lost their right to be protected as soldiers. When and if Palestinian groups renounce attacks against civilians then I will call for Geneva Convention treatment of those captured.
Militants loyal to Islamic State claim suicide bombings in Nigerian capital (Reuters)
from the article: Rights groups: Shin Bet torturing jailed Palestinians

subset: commoncrawl


text:
Mamdooh M. Al-Radadi
Trying to figure it out
Right here
This is the home of Essential Ibiza Radio at the DJ Awards 2014. We are the best news resource for the Ibiza covering all aspects of the island with exclusive, behind the scenes reports, and unparalleled access to the DJs, promoters, club owners, hoteliers, bar owners, and island characters that make Ibiza the magical place that we all love. Get all your audio updates from the awards here on our audioBoo channel. **[Essential Ibiza Official Site](http://www.essentialibiza.com/)** [Ibiza DJ Awards](http://djawards.com/)


text:
Large sunny peaceful pool and surrounds
Santanyi Town Square on a summer evening
S'amarador beach in a natural area voted one of Europes best
Lounge area
Beautiful Original Cala Figuera 2 miles
Cala Santanyi beach close to apartment.
Part of Santanyi Market held every Wednesday and Saturday
Dine alfresco on the private front terrace ( photo shows only a small portion )
Lovely pool and grounds towards apartment
Bedroom through to large private side terrace
Part of large bedroom terrace with views over wooded valley
Shower room
Dining area looking to front terrace
Cala Santanyi blue flag beach
View of clear sea at Cala Santanyi from a local cafe.
Reflections at Cala Figuera in late afternoon
Natural Cala Lombards beach 10 mins by car
Cabrera Aachipelago visitor centre in Colonia de Sant Jordi
Cala Figuera Inlet
Santanyi Almond Trees in February
Cala Santanyi beach towards free car park with easy access
Snorkal at beautiful Cala Lombards )


text:
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Gate House Inn
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Day 37 - Visit Norine's family home in Placerville
... in Placerville at her Dad's home, and they welcomed us to stop and visit! It turns out a great family and friends get-together, the kids are happy to meet Norine's kids after that long time away, the house is nicely located in the hills outside ...
Beginning of the sabbatical
My sabbatical is coming to an end and I thought before life gets busy again, I will share some pictures of our trips. This country is really gifted. The places we saw were so beautiful that some of them cannot be described in words. Sometimes you want to take a picture of the entire scenery to share it with you all, like on the grasslands in Wyoming but what is in front of you is too vast and cannot be captured in a single image. All ...
Final tastings
... without her.
I am so ready to come home now. Will leave early in the morning. Am going to stop in Bend and see Tom and Jen Cooper. Probably stay overnight and get home Tuesday morning.
Hope to see you soon Bill, Michelle, Ashlyn and Chase. Love to all. ...
Jackson (ex Lake Tahoe)
Before leaving the Lake Tahoe's region we make a two hours hike in the mountains at Squaw Valley, the location of the 1960's winter Olympics. The little village reminds Chamonix (there is also Chamonix square). There is a big Yoga event for the weekend, it's full of persons dancing and making exhibitions and selling tools on the roads. We then drive along the lake Tahoe's coast and enter in a ...
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... We stayed in the motor home close to a pizza place where we watched the Giant's game.
Picture comments - This is a picture of Mark S. Allen of Good Day Sacramento braving awful weather to cover me starting my trip. Its hard to tell but it is raining very hard in this picture. We really appreciated him hanging in there to cover my ride.


text:
Dutch Fork High School Alumni
Dutch Fork Alumni Photos
What is this site?
- Send messages to alumni
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- Share your memories
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- Discuss past activities
Famous Alumni
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If you know someone who graduated from DFHS in Irmo, SC that has passed away, you can create a memorial for them.
There are currently no memorials for Dutch Fork alumni.
- Chris Mereno
- Brian Mcilw
- Frank Kamarda
- Class of 2007 Hannah Smith
- Class of 2002 Lisa Sharpe
- Rachael Genova
- Class of 2001 Kimberly Williams
- Class of 2008 Jerod Bodi
- Class of 2015 Stephanie Leapart
- Michael Pettenger
- Class of 1999 Christine McGhee
- Class of 2012 Elizabeth Counts
- Class of 2014 Michael Pressley
- Class of 2005 Jessica Wilson
- Class of 1995 Bryan Bouknight
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- Class of 2015 Isabelle Goodman
- Class of 2015 Jonathan Kulac
- Class of 2004 James Mcswain
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Dutch Fork Alumni Merchandise
The Dutch Fork alumni site is made so that students and teachers from the Irmo high school can reconnect with those that they met while attending high school. If you haven't already, we also encourage you to register for free on this site. You may also want to check out the latest news and school memories. If you are a Dutch Fork alumn, we encourage you to register and be sure to sign up for the alumni newsletter.
Latest Updates from Dutch Fork High School Alumni
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Plus many more
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Isaac Federspiel
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Armature Studio, which is made of former Retro Studios employees, has confirmed that its next game won't be an Arkham title. Armature is a young developer with has only one released title under its belt with the Vita version of the Metal Gear Solid HD Collection. Batman Arkham Origins: Blackgate...
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Ben Reeves
on October 04, 2013 at 07:32 PM
Frictional Games is the independent studio that developed the 2010 horror hit Amnesia: The Dark Descent . The studio has finally started to tease it's next project. Frictional Games just updated the website for its next game, which could be called Soma, and it looks like the developer will be slowly...
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Unfinished Swan Developer Announces New Secret Game
Kyle Hilliard
on March 20, 2013 at 06:02 PM
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Quantic Dream May Announce New Game On Wednesday
Ben Reeves
on February 18, 2013 at 02:45 PM
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Tomb Raider Studio Crystal Dynamics Developing New IP
Matt Helgeson
on January 04, 2012 at 04:27 PM
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Ron Gilbert Teases New Double Fine Game
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on November 29, 2011 at 04:15 PM
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Xenosaga Creators Working On A Wii U Game
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on April 14, 2011 at 09:23 PM
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text:
RE: [TheCostumersManifesto] Re: They are still looking for somebody to fill my job in Fairbanks
Expand Messages
- You know after I sent that I got to thinking I bet it was for a semester. Thanks for the clarification. I hope I didn't offend you didn't mean to. Good luck on finding a replacement.
Mrs. Kelley Maxfield
From: email@example.com [mailto:firstname.lastname@example.com] On Behalf Of Tara Maginnis
Sent: Friday, November 02, 2007 12:04 AM
To: email@example.com
Subject: [TheCostumersManifesto] Re: They are still looking for somebody to fill my job in Fairbanks
--- In email@example.com<mailto:TheCostumersManifesto%40yahoogroups.com>, Kelley Maxfield
<Kmaxfield@...> wrote:
>thinking wow someone really would have to have a lot of experience
> I am a little confused and very thankful.
> As I read the job description and qualifications for this job I was
and schooling, especially when I saw you had to have a MFA or even a
doctorate. But then I saw the salary. Only $21,000?
Actually, that is for only 4 & 1/2 months work teaching 2 classes and
designing one show. Alaska is more expensive than, say, Ohio, but
much cheaper to live in than in California. Food is slightly more
costly but rent is cheaper. However, the real plus is that it is a
semester long chance to "audition" to try to get my former 9 month
contract job which probably will open up for tenure-track next year,
and to see if one wants to live in Alaska for a longer time. The
money even then is probably not going to be very good, but the
theatre dept does that rare thing, treats all faculty equally and
like family. I have NEVER had the slightest problem with anyone at
Theatre UAF getting the idea that being a costumer made you less of
an Academic, an artist or person because it is "just sewing"
or "women's work". The space for working is also a dream. The reason
we want an MFA or Ph.D. is that those are terminal degrees for
getting an assistant professor position, and that is what this is.
This is not "staff", it is tripartate (teaching/research/service)
faculty. Spring semester 2008 is a temporary position, but we want
to try to get a temp who could possibly apply to become a tenure
track faculty if UAF will let the dept hire one when I go permanently.
[Non-text portions of this message have been removed]
- Frankly, Tara, I don't think anyone could take your place. Many of us
took your on line class, and daily refer to the website for help and
guidance. I know I couldn't hope to have the resume you have.( I hope
the theatre students at UAF realize what a world class instructor they
When I first saw your posting about a short time replace ment, I
thought, "Yeah, right!"
I hope you do find someone, and that you enjoy your time off. If you
leave UAF, I hope you'll let us know where you go, so maybe we will have
a chance to see your work in the lower 48.
Patty in Illinois
Your message has been successfully submitted and would be delivered to recipients shortly.


text:
Network Profiles
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Amazon Wish List of View Record
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7" The View Record Store Day - Sound it Out Records
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Marriage records - Help & Advice Centre
Click 'Search' to see your results, then select 'View Record' to see further details of any entry. As its name suggests, the transcribed details from the FreeBMD ...
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23.04.2012 I went to view record images one day and was prompted to register/sign-in to view that particular collection. So I did. It asks for an email address. I don't remember if they sent a confirmation email in order to complete the ...
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27.02.2012 Re: FTM 2006: Source-Citation -- View Record Online/Family Tree Maker software family history & genealogy message board. Hosted by Ancestry.co.uk. Forum of community contributed messages helping members research ...
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Champion De Crespigny - Dublin, Ireland, Probate Record and Marriage Licence Index, 1270-1858
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CiteULike: View Record
x. CiteULike uses cookies, some of which may already have been set. Read about how we use cookies. We will interpret your continued use of this site as your ...
View Record
This is different from the remote access Username and password. Library transactions include: View Record, Interlibrary Loan, and Course Reserves.
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Style Watch PollIs This Look a Hit or Miss?
Check out recent style triumphs and trip-ups by the stars – then rate the looks yourself! By Melissa Liebling-Goldberg
Credit: Fitzroy Barrett/Landov
Updated: Friday Aug 31, 2007 | 10:55 AM EDT
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Dum Dums Peach-Mango Single Flavor - 1 lb tub
A Dum Dums lollipop is the classic candy brand that makes things fun.� Buy your favorite flavor in these individual flavor tubs. more
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Haribo Gummi Peaches, 5 Lb. Bulk
Haribo Gummy candies come in natural peach flavor and offer relishing taste. Gummy candies are perfect for parties, weddings, birthdays, giveaways, individual enjoyment and more..Peach flavored.5 lb. bulk.Approximately 60 pieces per pound.Item width:... more
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Sweet's Candy Company Taffy comes in peach flavor and is delicious. Taffy of 3 lbs capacity is individually wrapped and ideal for parties as well as gifting..Flavor: Peach.Individually wrapped.Approximately 70 pieces per pound.Kosher Certified.Made in... more
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Surf Sweets - Peach Rings Fruit Snacks - 2.75 oz.
Surf Sweets - Peach Rings Fruit Snacks - 2.75 oz (78g) Surf Sweets Peach Rings Fruit Snacks are made with organic sweetene more
$2.59 $2.25go to store
Farleys/Sathers Candy Co. 10131 Peach Rings Bagged Candy - Pack of 12
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Mango & Peach Hearts 4.4 oz : 12 Count
Mango & Peach Hearts 4.4 oz : 12 Count more
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Sour Peach Sugar Filled bottle dispenser 9 oz : 1 Count
Sour Peach Sugar Filled bottle dispenser 9 oz : 1 Count more
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Sweet's 3 pound of assortment of its most popular flavors are all packaged together in a single 10-flavor assortment. Blue Raspberry, Peach, Chocolate, Cinnamon, Black Licorice, Neapolitan, Orange/Vanilla, Peppermint, Pear and Strawberry/Banana.... more
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Vibrant yet natural-looking cheek colour that looks virtually powderless. In a silky smooth, stay-true formula with shades for every skin tone. That just-pinched look, simply effortless. Swirl colour onto brush and sweep over apples of cheeks. Gently... more
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So packed with flavor, dried fruit just might become your new favorite snack! A gourmet dried fruit medley. Contains prunes, peaches, pears, apples, apricots, Angelina plums. Rich in healthful nutrients. more
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OFFICE SNAX, INC. European Fruit Filled Chews Candy OFX00039
OFFICE SNAX, INC. European Fruit Filled Chews Candy All natural ingredients, no artificial colors or flavors. Superior and smooth "true to fruit" taste. Assorted hard and soft candy. hard assortment includes peach, Orange, raspberry and apple. dual... more
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1st Birthday Cowboy Custom Photo Swirl Pops - Lollipops
Create unique and delicious party favors for their first birthday party! Perfect for a celebration with a cowboy theme. Personalize 1st line with up to 14 characters/spaces. 2nd line with up to 10 characters/spaces. Each 2" peach-flavored pop is on a... more
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White Candy Sticks - Bulk Candy
Use our peach-flavored White Candy Sticks to stir your favorite drinks. They'll add a dash of flavor and fun to your beverages! Great for entertaining guests at cocktail gatherings, luaus and birthday parties, they also make great party favors. Use... more
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Big Slice Peach Pops, 48 Lollipops/bag
Big Slice Pop comes in 25 oz bag and has fresh peach flavor for added taste. Lollipop is individually wrapped and sold as 48 per bag..Flavor: Fresh Peach.48 individually wrapped lollipops.25 oz. Bag.Big Slice Pops are individually wrapped, fruit... more
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Haribo Gummi Peaches, 5 Oz. Peg Bag/12 Packs/order
2 Bags per order.Made in Spain.Gluten Free.Fat Free.Nut Free.Haribo Gummi Peaches 5 oz. Peg Bag 2 pack.Haribo Gummi peach is a sugar dusted peaches and is very delicious. Gummi peach is gluten free, fat free, nut free and is ideal for fun parties, sold... more
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Sour Patch Peach 2oz: 24 Count
Sour Patch Peach 2oz: 24 Count The amazing Sour Patch in peach flavor. Each count weighs approximately 2oz and each order contains only 24 counts in a display box.Flavor: Sour, Peach more
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Peach Buds gable box 7 oz : 24 Count
Peach Buds gable box 7 oz : 24 Count more
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Yummy Earth Organic Fruit Snacks Banana, Cherry, Peach & Strawberry
Vegan Fruit Snacks That Are Not Sticky Like The Other Ones, Fruity And Flavorful, Vegan, And Gluten Free. In Four Flavors: Banana, Cherry, Peach, And Strawberry. Shaped Like Their Real-Life Fruit Friends. Made With Real Fruit Extracts And No Gluten,... more
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Gummi Blue Raspberry Rings 18oz Bag
These blue raspberry candy rings can be trickier to find than peach rings or melon rings, which makes them taste all the sweeter when you do! For as popular as blue raspberry candy is, there are only a handful of options available in blue raspberry... more
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Gummi Bearz by Pez! Yum! these fun colorful Gummi Bears are bigger than a quarter and have a grape, peach and cherry flavor. So cute! There are about 18 gummi candies per bag. You'll love these Pez Hedz! more
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Jelly Belly Ultra Gift Box 20 Flavors
Naturally & Artificially Flavored Flavors: Blueberry Bubble Gum Buttered Popcorn Coconut Cotton Candy Dr Pepper® Green Apple Juicy Pear Sunkist® Lemon Licorice Peach Pina Colada Pomegranate A&W® Root Beer Sizzling Cinnamon Strawberry Cheesecake Sunkist... more
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Graduation Custom Photo Swirl Lollipops - Lollipops
Graduating will feel all the sweeter when you add these delicious peach-flavored lollipops to your graduation party! As a graduation party favor you add to gift bags for your guests or as a personal touch to a grand candy buffet, these custom suckers... more
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Diamond Wedding Ring Personalized Swirl Pops - Lollipops
If your wedding colors are light, cream or peach, these delicious lollipops are the perfect party favor for your wedding. Each sucker may be personalized with your own special message. Welcoming guests to your wedding with these personalized treats... more
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Haribo Gummi Peaches Peach Slices Bulk Gummy Candy 1 Pound
Powered by Frooition Pro Shop Search Haribo Gummi Peaches peach slices bulk gummy candy 1 pound Click here to view full size. Full Size Image Click to close full size. Item Description Haribo Gummi Peaches. Fresh, soft, and delicious peach-flavored... more
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Haribo Gummi Peaches Peach Slices Bulk Gummy Candy 10 Pounds
Powered by Frooition Pro Shop Search Haribo Gummi Peaches peach slices bulk gummy candy 10 pounds Click here to view full size. Full Size Image Click to close full size. Item Description Haribo Gummi Peaches. Fresh, soft, and delicious peach-flavored... more
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Frunas Fruit Chews Peach comes with 48 packs of fruit chews with 4 pieces per pack this is sure to become one of your favorite fruit chews and it is packed with flavor and value. Frunas fruit chews come in four other great flavors also available in our... more
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Peach Jelly Beans - 10 lbs bulk
Jelly Belly Peach jelly beans in bulk. Sweet, fruity flavor! Made with real peach juice from peach puree concentrate. Perfect for events like weddings! more
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Candie's Coral/peach Candies...1 Top
Brand new with tags Rayon blouse made by Candies is a coral peachy color with bling rhinestones covering the collar in a flower design...this light & flowy blouse is shorter in front and hangs longer in the back...the size is an extra small but runs a... more
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Halter peach Sugar Free 1.40 oz
Halter peach Sugar Free 1.40 oz PeachThe soft peach aroma and taste. Simply take it out of the box and feel like in summer! Sugar-free and toothfrien Nothing says summertime like a juicy peach. Enjoy that flavor all year around with these Halter Sugar-Fre more
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Trident Orchard Peach + Ripe Mango 14 Pieces Sugar Free Gum 1 PK
Orchard Peach + Ripe Mango 14 Pieces.Naturally and artificially flavored. 50% fewer calories than sugared gum. Calorie content of this size stick has been reduced from 8 to 4 calories. more
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Peach Jelly Beans - 16 oz Re-Sealable Bag
Jelly Belly Peach jelly beans in a 16 oz re-sealable bag. Portable and convenient size for candy. Made with real peach juice from peach puree concentrate, more
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Sweet Smiles Peach Gummi Rings
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Tic Tac Mixers Peach Lemonade 12Ct 1oz Containers
Spearmint Mix Tic Tacs are a newer creation by the Tic Tac company. With a fruity combination of Spearmint flavors, your taste buds will be dancing. Spearmint Mix Tic Tacs come in an easy to use, pop-top container which is also pocket sized. Each box... more
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Haribo Peaches: 2-toned, sugar-dusted gummi peaches Flavor so natural, you'll think you just bitten into a fresh Georgia peach! Gluten free Lactose free more
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YummyEarth Fruit Snacks, Banana, Cherry, Peach & Strawberry, 3.5 oz, (Pack of 6)
YummyEarth was born out of our commitment to feed our children, Jonah and Rose, a diet rich in delicious healthful foods that are free of yucky chemicals, pesticides and dyes. YummyEarth tastes much better than mass produced chemical candy because we... more
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Fruit Slices Peach Jelly Candy. 5lb Bag
Jelly fruit candy slices in a peach fruit flavor. You can also order Albanese Fruit Slices in individual flavors. Approx 140 pieces in a 5lb bag about 2 inches wide. more
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Jelly Belly Jelly Beans Peach 5lb
Jelly Bellys jelly beans candy famous Peach flavor sold in a 5 pound bag. Jelly Belly Peach colors are orange/red. more
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Big Slice Peach Pops 48 Count Bag
Big Slice Peach Pops 48 Count Bag : Big Slice Peach Pops 48 Count Bag : Peach flavored suckers. This bag contains 48 individually wrapped suckers each in the shape of a slice. Great for parties or parades. more
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Published on Jul. 25, 2013 | Updated on Jul. 26, 2013
Anthony Davis had a strong showing at Team USA's scrimmage in Las Vegas with 22 points on the night for the Blue team.
He showed some of that experience when he picked off an alley-oop attempt and took it down the court for a one-handed jam.


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Car Show & Raffle
The 7th Annual Crime Stoppers Car show is going to be indoors again this year at the Amarillo Civic Center North and South Exhibit Halls.
We have some fantastic raffle prizes lined up this year with the assistance of names like DreamChaser Racing Engines, Holley, Comp Cams, Dart, Alarm-link and Amarillo Safe and key. The show will be held the Saturday September 5th of Labor Day weekend. Registration, raffle and vendor information below.
Spectators get in for only $5. Children 10 and under get in free!!
Spectators get to vote on their favorite cars for the People's Choice
See and HEAR the engine dyno below!
All Site Content / Copyright © 2015 / Amarillo Crime Stoppers
Dynamic WebSite Design / Copyright © 2015 / Anderson Software


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4/26/2013 (2 years ago)
Catholic Online (www.catholic.org)
On Wednesday, April 24, 2013, Fr Pavone, asked for the bodies of the babies who were killed by Kermit Gosnell. He wants to give them a proper burial. He told Fox news, "These are not just medical waste. These are human bodies - real human beings were killed. There are two reasons here: One, to properly honor these children of course who have been dishonored by what Gosnell did. Secondly, to alert the public - and to raise the consciousness - that we are talking about real killings here."
Catholic Online (www.catholic.org)
4/26/2013 (2 years ago)
Published in U.S.
Keywords: Gosnell, kermit Gosnell, House of Horrors, Fr Frank Pavone, Priests for Life, Pro-Life, infanticide, burying the dead, Deacon Keith Fournier
PHILADELPHIA, PA (Catholic Online) - As a young man I was associated with the turnaround of a little College in Steubenville, Ohio. It is now known throughout the world as a jewel in the crown of faithful Catholic Higher Education. Everywhere you mention Franciscan University of Steubenville, eyes light up and hearts fill with hope. It took a courageous priest named Fr Michael Scanlan to say yes to the Lord's invitation.
I followed Fr Michael Scanlan, TOR, to that once morally, spiritually and fiscally decimated school shortly after he accepted the invitation from the Lord to become the President. He knew the serious work it would take. He knew the opposition he would face. In the spirit of his patron, Francis of Assisi, he also knew that the work participated in the continuing call to rebuild the Church.
For Catholic identity to flourish at a Catholic College the academic community must understand its ecclesial nature. In a Catholic institution, just as in Catholic persons, renewal begins from the inside and works its way throughout like leaven or yeast in a loaf. Catholic identity must become the beating heart of a Catholic College and provide the infrastructure for its entire educational mission. When it does, the building of a Catholic culture on campus becomes a fruit.
That is exactly what happened at Steubenville. A true Catholic culture developed and helped to ensure the integration of the faith in every aspect of the College. It flourished because all who are involved in the mission, from the Catholic College President to the Professor in the classroom, to the community which gathered around the work, first viewed themselves as disciples, lifelong learners, followers of the Teacher, Jesus Christ, with a mission.
The Christian life is to be lived in the heart of the Church for the sake of the world. She is the Body of Christ, and through Baptism we are members of that body. The Church is by its very nature, a teacher, and those who serve the Catholic College participate in her educational mission. It takes dynamic leadership to build such a Catholic College. Fr Michael Scanlan offered that kind of courageous leadership. His courage spilled over into many other areas during those early years.
My wife and I stayed in the area after graduation because we wanted to continue to be a part of the Steubenville miracle. I chose to go to law School in nearby Pittsburgh. Among the convictions I shared with Fr Mike was a passionate commitment to fundamental human rights movement of our age, restoring the recognition in the civil law of the Natural Law Right to Life of children in the womb. I went to Law School to be a part of ending legal abortion. Fr Michael, a lawyer himself, encouraged me by word and deed in what has now become a life mission.
During the early years of my Legal career, I left the private practice of law to serve in house with the University in several capacities. I served as General Counsel, Dean of Students, and Dean of Evangelization. During those years, Fr Mike's courageous Pro-Life acts enabled me to discover the next chapter of my life as a pro-Life, public Interest lawyer. However, when I served as a Dean I had an experience that forever changed my life. I want to share it with you my readers as a backdrop for the plea I now make.
One weekend afternoon, I was the only Major Administrator left on campus during a student break. A Pro-Life hero of the early movement came to see me. He had two dead children in his car. They had been killed by the evil of abortion and discarded in the trash. He wanted them to have a Christian burial. Of course, the legal issues surrounding the request reared their ugly head. He wanted them buried on campus. The campus was not a cemetery.
Some local officials were in an uproar when they heard what had occurred. They were going to oppose it for many reasons. They chose to assert the fact that the campus was not a cemetery. When I contacted Fr Michael, he did not hesitate over what we must do. He acted like a courageous priest and leader and told me to proceed.
The opponents would have to deal with obvious issues, either in the local Court or in the press. Were these children? How should we treat them? If they insisted they could only be buried in a cemetery, those regulations applied to human persons. That would only help our efforts to call attention to the truth.
They decided to back down rather than face the public debate. A brave priest stood for life and for the truth. He did not back down. Those children were given a beautiful and proper burial and a monument was built to their memory.
I vividly remember first laying eyes on those little babies. I wept, prayed, dropped to my knees and begged God to intervene in this Nation. That experience would be repeated in my life years later on several occasions in my Pro-Life legal career.
It also came back to my mind when I read about another priest friend who has also inspired me, and with whom I have co-labored for years, Fr Frank Pavone, the national director of Priests for Life. Fr Frank has been attending the trial of Kermit Gosnell, the abortionist who killed children after they were born in that Philadelphia House of Horrors.
Catholic Online has run multiple articles on this case - from several of our excellent contributing writers. I have written several myself since the story broke over a year ago. The trial has become a turning point for our Human Rights work for the children and the women who are victims of the movement which opposes the Right to Life.
This gruesome testimony is exposing the evil of every procured abortion. We cannot let up for one minute in our efforts to keep it front and center.
On Wednesday, April 24, 2013, Fr Pavone, asked for the bodies of the babies who were killed by Kermit Gosnell. He wants to give them a proper burial. He told Fox news, "These are not just medical waste. These are human bodies - real human beings were killed. There are two reasons here: One, to properly honor these children of course who have been dishonored by what Gosnell did. Secondly, to alert the public - and to raise the consciousness - that we are talking about real killings here."
He continued, "The idea that the children murdered by Kermit Gosnell are somehow undeserving of justice is a dire warning. It should serve as a wake-up call to all Americans that our nation is sliding into a Nazi-like outlook on life unless we reverse course."
Fr Frank asked the medical examiner for the children's remains. The Doctor told this courageous priest that he would get back to him. Fr Frank also asked the Judge if he could meet with Kermit Gosnell, if Gosnell would be willing to meet with him. So far, there has been no movement on either front.
Once again, a courageous priest, unafraid of doing what is right, has shown the courage needed in this urgent hour.
I had to bring this to the attention of our readers. I ask you to join me in making the public aware of the request. I ask you to join with me in asking the Medical Examiner; in the name of all that is decent, let Fr Pavone bury these babies!
Also, lets join together in praying for the success of Fr Frank Pavone's noble effort to bury these children. It is a corporal work of mercy to bury the dead.
Finally, I wanted to call your attention to a documentary entitled, See No Evil - The Kermit Gosnell Murders. It will air on the Fox News Network on May 5, 2013, at 9pm ET. Watch it. Spread the word.
Brown Wood Family Rosary
St Patrick Rosary
By Kenya Sinclair (CALIFORNIA NETWORK)
Pope Francis' American Airlines flight crew has opened up about the spiritual experience, claiming the papal meeting was "like seeing God." LOS ANGELES, CA (Catholic Online) - Pilot George Griffin, his co-pilots and 15 cabin crew members were picked from a pool of ... continue reading
By Kenya Sinclair (CALIFORNIA NETWORK)
A young ISIS jihadi was featured in an ISIS video dressed in army fatigues and holding a rocket launcher as he delivered a threat to US President Barack Obama. LOS ANGELES, CA (Catholic Online) - A young boy who looks to be no more than 10-years-old was recorded ... continue reading
By Talia Ramos (CALIFORNIA NETWORK)
In order to reestablish diplomatic ties with Tehran, former U.S. President Bill Clinton hid the discovery of Iran's involvement of the Khobar Towers bombing which killed 19 U.S. servicemen in 1996. The allegations are not new, but in a recent report, heavy evidence ... continue reading
By Atarah Haely (CALIFORNIA NETWORK)
Director of the Texas Department of Public Safety, Steve McCraw, warned the U.S. was vulnerable in terms of infiltration through the country's southern border. McCraw reported some people coming from countries flagged to have "terrorism presence." LOS ANGELES, CA ... continue reading
By Catholic Online (CALIFORNIA NETWORK)
The Census Bureau's 2014 American Community Survey reports that between 2010 and 2014, there was a 29 percent increase in Arabic spoken in the United States. There is also a 23 percent increase in Urdu, and a nine percent jump in Persian, the language spoken in ... continue reading
By Catholic Online (CALIFORNIA NETWORK)
The one sure thing about cell phone technology is that authority figures will not be able to slip easily from the law. A 40-year-old mother is suing the city of Carlsbad, California after being physically assaulted by police officers in July of 2013. It was all ... continue reading
By Linky C. (NEWS CONSORTIUM)
El Faro, a cargo ship, was caught in Hurricane Joaquin, leaving several American crew members missing. Worried friends and family of the missing staff members continue to hope for survivors. LOS ANGELES, CA (Catholic Online) - The US Coast Guard announced that they ... continue reading
By Talia Ramos (NEWS CONSORTIUM)
Chris Mintz left a happy birthday message for his nonverbal autistic son on Thursday before going to his classes at the Umpqua Community College in Roseburg, Oregon. Later, he reportedly set off fire alarms as a gunman opened fire. Mintz charged the shooter, was ... continue reading
By Catholic Online (NEWS CONSORTIUM)
Two farmers in Michigan made a momentous find while they dug a drainage ditch. The remains of a woolly mammoth, enormous tusks intact, was unearthed. LOS ANGELES, CA (Catholic Online) - James Bristle of Lima Township was digging in a soybean field early last week ... continue reading
By Linky C. (NEWS CONSORTIUM)
It has been a week since Pope Francis' historical visit to the U.S. However, his presence and inspiration continues to linger as President Obama revealed he wants to become better after his meeting with the Pope. WASHINGTON D.C. (Catholic Online) - The pope is back in ... continue reading


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The motto has had a tumultuous history within the company
There are lots of them, and they vote.
Give yourself a chance to reflect
The monthly numbers are important for the Fed, but the rest of us shouldn't overreact
The EPA is testing to see if other diesel car models cheated emissions tests
Add these to your nightstand
Diamond mining is usually a dirty business. One company is helping to turn blood diamonds into diamonds of prosperity through development
The report could add to the case against raising interest rates this year
The proportion of Americans who either have a job or are looking for one fell to a 38-year low
Automaker launching a pilot project in New York
Start your workday early
The chicken chain's first full NYC restaurant signals a big push northwards
Auto sales are on track for the best year since 2000
The story of the ill-fated iPod+HP.
Postponements or relocations are looming
Demand is growing but it's getting harder to grow coffee beans
Big Blue is ready for a post-silicon world
The new national ozone standard is 70 parts per billion
Sales growth is cooling as breakfast wars intensify
He says the company has forgotten about its customers