Lucky to be alive after rape and childhood pregnancy

By Erika Guevara-Rosas, Americas Director at Amnesty International.

It was a situation almost too heart-wrenching to comprehend. In April this year came the news from Paraguay that “Mainumby” (not her real name) then a 10-year-old girl, had become pregnant after she was repeatedly raped, allegedly by her stepfather. The girl had been taken to hospital several times in a four-month-period before the pregnancy was discovered.

After finding out the horrific news, Mainumby’s mother, whose legal complaint against her daughter’s abuser had fallen on deaf ears, made a request to the authorities to allow her daughter to have an abortion. But the government refused it, and instead moved the girl into a home for young mothers.

The reason? Paraguay, like many other countries in Latin America, has some of the world’s most restrictive abortion laws – where terminating a pregnancy is only allowed if the life of the pregnant woman is at risk. Authorities decided this case did not fall under the exception, despite the risk that a pregnancy poses to such a young girl’s physical and mental health.

Despite a global and national outcry, the authorities never budged – and last night the case came to its conclusion, as Mainumby – now 11 years old – gave birth via caesarean section. Thankfully, both the girl and the newborn appear to be in stable health condition.

The latest event in this tragic story prompted predictable triumphant cries from those who support Paraguay’s cruel stance on abortion and claim that girls this age can be mothers without risks. They say Mainumby’s case proves them right.

They could not be more mistaken.

The latest event in this tragic story prompted predictable triumphant cries from those who support Paraguay’s cruel stance on abortion and claim that girls this age can be mothers without risks. They say Mainumby’s case proves them right. They could not be more mistaken.
Erika Guevara-Rosas, Americas Director at Amnesty International.

The fact that Mainumby did not die does not excuse the absolute lack of care by the Paraguayan authorities, who simply decided to gamble with her health, life and integrity.

A long list of authoritative voices have pointed out the obvious, and possible long term, dangers to her health: the Director of the Hospital who first discovered the pregnancy; the Doctor’s Commission who subsequently assessed Mainumby’s case, relevant United Nations agencies, and the Inter-American Commission on Human Rights.

The World Health Organization has said that the risk of maternal death is four times higher among adolescents younger than 16 years than among women in their twenties. Other physical and mental health problems are also significantly higher among young girls who became mothers.

The fact that Mainumby did not die does not excuse the absolute lack of care by the Paraguayan authorities, who simply decided to gamble with her health, life and integrity.
Erika Guevara-Rosas

For months on end, the Paraguayan authorities chose to ignore all these facts and all the international outcry and forced Mainumby to continue with the pregnancy. They did so based on their personal convictions about abortion and on their narrow interpretation of the country’s Penal Code -- which allows a legal abortion only if the life of the women is at risk. This disregards the fact that life is much more than a mere “beating heart” and that the physical and psychological consequences of carrying a pregnancy to term for such a young girl can be life-threatening in the long term.

The authorities’ appallingly cruel treatment of this 10-year-old rape victim amounts to torture. The physical and mental harm that women and girls face by forcing them to continue with a pregnancy that is a result of rape is well documented and recognised as a serious human rights violation, including by the UN Committee against Torture. Human rights standards are clear that governments should ensure access to abortion in such cases.

Paraguay’s repressive abortion laws are rooted in ingrained discrimination against women and girls. The country’s legal system – and sectors of society– appear to view women as little more than child bearers.

The anti-abortion laws are also hitting the poorest in society the hardest. If Mainumby had come from a wealthy family, she would have had the finances to quietly get an abortion from a private clinic, or to travel abroad for one – it is unlikely the authorities would have stepped in in either case.

The anti-abortion laws are also hitting the poorest in society the hardest. If Mainumby had come from a wealthy family, she would have had the finances to quietly get an abortion from a private clinic, or to travel abroad for one – it is unlikely the authorities would have stepped in in either case.
Erika Guevara-Rosas.

Unfortunately, this issue is far from being isolated to Paraguay – across Latin America, many other countries continue to place far-reaching restrictions women and girls’ ability to exercise their human rights.

This 17 August will mark the third anniversary of the death of “Esperancita”, a 16-year-old girl who was diagnosed with leukemia in the Dominican Republic and was refused immediate treatment because she was pregnant. In 2014, “Belén”, an 11-year-old girl from Chile who had become pregnant after being repeatedly raped by her stepfather was also denied any legal option to terminate her pregnancy.

Chile and the Dominican Republic are two of just a handful of countries around the world where abortion is fully criminalized. Thankfully, the Dominican Republic changed its Penal Code in December 2014, to include three exceptions to the full ban on abortion. Such reform will entry into force in December this year. Meanwhile Chile has over the past weeks taken tentative, but important, steps towards decriminalizing abortion when the pregnancy has been the result of rape, when the life of the women is at risk or when the foetus is unviable.

Mainumby is lucky to be alive – although only time will tell the true extent of the psychological consequences of her tragic ordeal. But the terrifying fact is that her story will remain all too common unless Paraguay decides to decriminalize abortion and guarantee the availability of modern contraceptives and access to information about sexual and reproductive rights for young girls.

Placing personal convictions over basic human rights will only put more lives at risk.

Read more:
11-year-old rape survivor gives birth as Paraguay upholds draconian anti-abortion law (News, 13 August 2015)