0:17 Okay, I want to start over, guys. Hello everyone. Welcome to webinar Wednesday. Here at I Rapture, we are passionate 0:23 about serving lives and pouring our passion into supporting your incredible teams in every way possible. 0:30 And one of our favorite ways to do that is through these monthly gatherings with um inspiring pro-life voices that truly 0:36 make a difference. We are absolutely thrilled today to um and honored to have Dr. George Delgado 0:43 with us and as the trailblazing pioneer behind abortion pill reversal. 0:49 He serves as a medical director of the APR network and president of Steno 0:54 Institute. Um, plus he's just released his powerful powerful new book, Abortion 1:00 Pill Reversal: A Second Chance at Choice, which is sure to spark meaningful conversations. Um, to all of 1:07 you tuning in, whether you're familiar face or joining us for the first time, we're so grateful to have you here and 1:13 can't wait to share this time together. Um, if a question pops up during our discussion, if you could either raise 1:19 your hand or put it in the chat, that would be so helpful. And then just keep 1:24 those mics muted until your moment to share. That way we don't have a lot of background noise going on. Um don't 1:31 worry if you miss anything. Um a full replay will be landing in your mailbox 1:38 um by Friday or Monday. Um so anyway, welcome you guys. I'm so glad to see you all here. There's um a 1:45 large group today, so that's really awesome. Um, and we're just gonna pray 1:51 and then we're going to open this up to Dr. Delgado. So, um, let's just go ahead 1:57 and open this time up in prayer. Dear Jesus, we thank you so much for, um, 2:02 your love for each one of us, your, um, the support you give us and the hope 2:08 that we have in you for eternal life. And we pray for these babies that we're 2:14 out there to save. We ask, God, that we can touch the hearts of women. Um, and we thank you for people that stand in 2:22 that gap and find ways to minister to them, to save those babies and those 2:28 lives. And we pray that you would just continue helping us in this work. We thank you, Lord Jesus, and we give this 2:34 time to you that we may be blessed and to learn and um to grow. Thank you in 2:40 Jesus' name. Amen. Okay, Dr. Delgato, we are ready. 2:51 Well, great. Well, thanks so much for having me everybody and thanks for joining us. And today we're going to talk about abortion pill reversal. 2:57 And as you probably are aware, please mute your microphones if you haven't already. If you're probably 3:04 aware, you're probably aware that um these days in the United States, my estimates are that 70% of all abortions 3:12 are chemical abortions. So because of the increased numbers of those abortion 3:17 pill reversal in my mind has become the tip of the spear of the pro-life movement. So, I guess it's very important for those of us who are 3:25 dedicated to saving the lives of the pre-born and also helping save the spiritual lives of their mothers that we 3:32 be very up to date on abortion pill reversal and that we do whatever we can to support abortion pill reversal and to 3:39 make it available to any woman who wants that second chance at choice. 3:45 Now in um in doing so um I decided to write the book abortion pill reversal a 3:50 second chance of choice which is available from ignatious.com you can also find it on our website 3:57 stenoinstitute.org or or um on Amazon in order I wrote it in order to increase 4:03 awareness about abortion pill reversal to spread the message that all of our studies have shown that it's effective, 4:10 it's safe, and that women who are given the opportunity are extremely grateful. 4:16 So, I'd like to do is first go in um a little bit of how I got in involved with 4:22 abortion pill reversal because people often ask me that and it wasn't necessarily a big idea that I had. It 4:28 really abortion pill reversal which is it's really a movement. It's a movement that started when two women in different 4:35 places at different times thousands of miles apart asked two different doctors, Dr. Matthew Harrison and myself if we 4:41 would help them reverse their chemical abortions. And so that's really why it started. It was a cry from help for 4:47 these from these women. My particular first case, I was uh I got a phone call 4:52 one day from Terry Palmquist, a sidewalk counselor in Bakersfield, California. 4:57 And Terry had gotten a phone call from a woman in El Paso, Texas, who was at who had taken methoprista on the first drug 5:04 in the cocktail and wanted to stop her abortion. So Terry called me to see if I 5:10 knew how to help her. I said, ' Terry, I've never heard of anyone stopping a chemical abortion, but let me give this 5:16 some thought. And it was there that the Holy Spirit put two and two together in my mind because I had two related but 5:23 separate knowledge uh banks, you can say. One was that I was very experienced at using progesterone in pregnancy and 5:31 women who have low progesterone levels and are what we call threatening miscarriage or cramping or spotting. And 5:37 those women, you can give progesterone, save the baby and save the pregnancy. And I also knew how mephristone works 5:43 because for some reason God had placed in me a a a robust curiosity about 5:49 meristone even before it was uh released in the US in the year 2000. So I knew exactly how it worked. I know that 5:56 meristone works by blocking the effects of progesterone. And for those of you 6:01 who don't know progesterone the name itself is an acronym progesterational steroid kone proestation. So it's a 6:08 hormone that is absolutely essential for the maintenance of a normal pregnancy. So mephipristone by blocking the effects 6:15 of progesterone causes separation of the wall of the placenta the placenta from 6:21 the wall of the uterus and causing the death of a pre-born baby. So I knew exactly how it worked and I thought to 6:27 myself, well although these women may have normal progesterone levels, their progesterone levels are being made ineffective by this chemical 6:34 mythopristone that is blocking the effects of the progesterone. So I thought maybe if we give them 6:40 supplemental progesterone, raise the progesterone levels, then when the methopristone comes off a receptor, 6:46 there'll be a progesterone molecule ready to take its place and we can out compete the methopressone at the 6:53 receptor site. That was my theory. I came up with a protocol right there on the fly. But then I had another problem 7:00 that was that this patient Aaron was in El Paso, Texas. I was in San Diego a 7:06 thousand miles or more away. So I found a doctor in El Paso, Dr. John Bellakura, 7:12 who had progesterone in the office, had had similar training as as I did in naprochnology and knew how to use 7:18 progesterone and she was willing to use the protocol that I had devised right there that day. So Dr. Bellura treated 7:25 the patient and about two weeks later, I got a a favorable call from her. The baby was still alive. Then I would get 7:32 updates along the way until finally I got the great news that the baby was born at term with no birth defects. 7:38 Everything went very well. So at that point I really wasn't sure of 7:43 course if what I had done had helped the uh the woman save her baby or if it was 7:49 a coincidence because it was just one case. But then people started hearing about this one case and they started 7:55 asking for advice and so I was giving them advice and before we knew it we had a handful of cases around the country. 8:00 That's when I discovered Dr. Harrison's case, which was a year and a half to two years before mine, unbeknownst to me. At 8:08 that point in 2012, I wrote the first article in the peer-reviewed medical literature 8:14 um describing these six cases. Then more people started to hear about it. I knew that we probably ought to get um a 8:21 little better organized because some women weren't finding out about this in time. So, that's when I started the abortion pill reversal network, the 8:27 website abortionpillreversal.com. and started the hotline 1-800 number. 8:34 From there we we grew organically with some with some promotion and by 2018 we 8:40 had published our third article in the medical literature and that one followed over 500 women who had attempted um 8:46 abortion pill reversal showed very good um favorable success rates with our very 8:52 best protocols. We're seeing 64 to 68% success reversals 8:58 and very safe. At that point, we grew so big that we decided in 2018 that we would hand off 9:04 the network to Heartbeat International because they had much more institutional depth. And since then, they they took 9:10 over and have grown it very very well. So that now we know that over 7,000 9:16 babies have been saved by abortion pill reversal. We've helped women in all 50 states and in more than 100 foreign 9:22 countries. I'm one of the medical adviserss for the abortion pill reversal network, not the medical director. 9:28 That's another doctor with with Harpy, Dr. Brent BS. But I am medical director of culture of life family services here 9:33 in San Diego, our local nonprofit um uh community uh clinic as well as the 9:40 president of Steno Institute. Well, some people often ask me what about stories um of women who've who've 9:47 gone through this and and the second part of my book talks about the stories 9:52 and some several women have written in their in the first person have written their own stories and what I want to 9:57 share with you is a story of Cynthia and Jael and and Cynthia and Ja actually each wrote it a separate chapter for the 10:03 book. So we get the story from different perspectives and they were both college students um in their early 20s who 10:10 weren't getting much traction in their lives and then one day Cynthia found out that she was pregnant. She went to her 10:16 family although her and her family and Gael's family were Christian they had 10:21 kind of drifted from their religious roots and their relationship with God had weakened and so all of her family 10:27 including her mother recommended that she have an abortion. her mother even gave her the money to go get the 10:33 abortion. So Cynthia went with Gael, her boyfriend, and the father of the baby. 10:39 She went to the abortion center and there she had a regret even before she 10:45 took the abortion pill. And in fact, she ran out of the room and bolted out to the parking lot, was sobbing and crying 10:51 uncontrollably. And it was there that Gael said that, "Honey, we can do this. We can raise this baby." But for some 10:58 reason she decided she had to follow her initial plan which was to have the abortion. So she marched back into the 11:04 abortion center. She took the meipristone and swallowed it there in the abortion center. She took the 11:09 misproto pills that they put in the little bag and took that home. When she got home she found out that her 11:15 mother had repented of helping her and of giving her the money. And her mother then went to actually went to 11:21 confession. And after completing her confession with her priest, the priest 11:26 said to her, "You know, there's a doctor in town, Dr. Delgado, who can reverse your daughter's abortion if she wants 11:33 to." And so the mother went to the daughter and told her this. And the daughter at 11:39 first was quite reluctant, but eventually she agreed later that day to talk to the priest on the phone. The 11:44 priest gave her my information. She agreed to talk to me. So we started essentially was a series of phone conversations that day on a Saturday. 11:52 where she would ask a lot of questions and then really didn't seem like she was too interested. At one point she even 11:58 hung up the phone on me. Fortunately, she called right back and I said, "Oh, 12:03 hi Cynthia. We must have gotten disconnected, but she said, "No, I hung up on you and she apologized for hanging 12:08 up and eventually she agreed to come into the clinic." By now it was nighttime. So I went with my wife who's a nurse to the 12:16 clinic and her countenance was kind of downcast. She wasn't making good eye 12:21 contact. She had her arms crossed. She didn't really seem like she wanted to engage, but nonetheless, she decided to 12:26 come in. I had her on the table. I put the ultrasound probe on her and as soon as 12:33 she could see the baby and see the heartbeating, she and Jelle started crying immediately. And she decided 12:39 right then that she was going to try to save her baby. It was like a light switch. So, we started progesterone that night and treated her through through 12:47 the first part of the pregnancy. She delivered a healthy baby at term with no 12:52 birth defects, no complications. They named him Christian and Cynthia and Gael then rededicated 13:01 themselves to the Lord and really dove deeply into their Christian faith. I am and had eventually 13:08 Please turn off your microphones. Then eventually they got married and now have 13:13 a couple of other children and have a very beautiful faithful family. So Christian now is about high school 13:20 age and when she was writing the chapter for the book, she left her computer open and 13:25 left it on the table when she went to go do something in the kitchen and Christian happened to wander by and was 13:31 reading what she had written on the computer screen and he said, "Mom, is this about me?" And before she could 13:37 answer, he had a big smile on his face and he said, "I'm a miracle baby." And I 13:43 think that really describes the transformation that that happened in their lives and the 13:48 transformation that I've seen in the lives of so many women and families who've gone through APR. And I write a 13:56 there's a book in the a chapter in the book called would you ban CPR? 14:02 What? And it describes a lot of the opposition we've had to APR. But I make an analogy of APR with CPR. 14:11 CPR of course is cardopulmonary resuscitation and I make the comparison that they both 14:17 are emergency life-saving procedures APR and CPR. CPR however has a much lower likelihood 14:25 of success. We're happy if 10% of the people survive CPR. While APR it's 55% 14:32 or higher. CPR often leaves the patient neurologically compromised. APR, we 14:39 found that the babies have no birth defects and no problems at all with with 14:45 the APR process. And that's because the meta mephristone attacks the placenta, 14:50 not the baby. So the methopristone doesn't cause birth defects. And we know that progesterone has been used safely in pregnancy for over 50 years. 15:00 And CPR only saves one life. However, APR saves the physical life of the pre-born baby and the spiritual life of 15:07 the mother. And we've seen that APR is truly transformative like it was in the lives of Cynthia and Gael. We've seen so 15:13 many cases where women not only dedicate themselves to that saving that baby, but 15:19 they totally changed their lives and they leave much holier, godly, wholesome lives from then on as a result of this 15:27 transformative decision to start APR. So we're really really happy with that part 15:32 of it too that not only are we saving physical lives, we're also saving spiritual lives. 15:40 In the book I also detail in a chapter called David and Goliath how we've been 15:46 persecuted essentially by what I call the medical abortion complex. Medical abortion complex includes American 15:52 College of Obstaricians and Gynecologists, Planned Parenthood, American Medical Association, ACLU, 15:59 a big famous abortionist, all these components who are organized to promote 16:04 abortion and they've in turn have been attacking APR. And I was curious as to why are they so 16:12 so set on attacking APR? If if they really are pro-choice, why are they against a second chance at choice? And 16:19 the answer was really revealed to me when I read an article in an online platform called Slate. And Slate 16:26 interviewed Dr. Daniel Gman who's a big abortion researcher at University of California, San Francisco. And in that 16:32 he said that um if women in these this situation are given progesterone with medical supervision, he doesn't think 16:39 that it's unsafe. And so that's of course what we're doing. we're giving women progesterone 16:44 and we're providing a lot of medical medical supervision, much more than the medical supervision provided by the the 16:51 abortionists. But then he went on to say that he was concerned that if people found out about 16:57 women choosing APR that he would be concerned that they would overestimate the amount of abortion regret that 17:03 occurs. And so I thought, bingo, that answers our question. They know that if you know that some women change their 17:09 minds after starting the chemical abortion process that that blows a huge hole in their narrative that abortion is 17:14 a great good for all women because if it were such a great good why would some women change their minds and want to 17:20 stop their chemical abortions. So I think that that's the real reason they are attacking us that um this this this 17:26 really is is destroying their narrative and their narrative of course is so important for them from an ideological 17:31 standpoint also from a financial standpoint. And we know now we we have a new study 17:38 that uh has been already been approved for publication. It'll be published in the next issue of link quarterly where 17:44 we followed over 750 women who attempted abortion pill reversal there. We found 17:49 very good um um effectiveness of overall 55% uh 17:56 reversal success. And these are women that some of them got doses as low as 200 milligrams. So this is kind of all 18:01 comers along varying different dosage range. And we found the safety was very 18:07 very high that the um complications were very low. Um there were no maternal 18:14 deaths, hospitalizations were less than 1% and bleeding was very low also. Um 18:21 and the the complications were higher in the failed reversals than in the successful reversal. But even in the failed reversals, they were still um 18:28 very very low. So we're very very happy about that. That'll be that'll be coming out very soon. Oh boy. 18:35 So, if you could all please uh mute your microphone. Somebody has a microphone on. That would be great. 18:41 Okay. So, in um So, in summary, um this is where we're 18:47 heading with abortion pill reversal. I've um I've been very happy that the the book has uh so far been very very 18:54 widely acclaimed. Here's the uh the book cover right here. Abortion pill reversal, second chance at choice. I was 19:00 in um Washington for the March for Life and I was part of a press conference with Live Action there. Afterwards, I 19:06 met a reporter who uh does uh who's a White House correspondent. He was very 19:12 interested in it and he asked me for a copy of the book and I inscribed it for him to the White House because he uh 19:18 took that book to the White House. Apparently, there's a room in the White House where reporters can leave books and he left that book in the White 19:24 House. So hopefully someone there will pick it up. We also had a meeting with uh people from um department of HHS and 19:33 they were also interested. I gave uh was able to get a book to the reporter um 19:38 Rachel Campo Stuffy on on Fox News and um and I also traveled to Rome with uh 19:45 my wife and my grandson uh at the end of December and there I was uh very honored 19:51 to be able to meet Pope Leo and to present him a book. So, um, the book is there in Rome, too. It's at the White 19:57 House. Hopefully, a lot of people will will hear more about it. Hopefully, you'll read it and and tell, um, all of 20:04 your contacts about it. And hopefully that if you're involved with the pregnancy health center that if you're 20:09 not medical, you'll become medical and you'll offer APR. If you are medical, you'll be offering APR because APR is 20:16 safe, it's effective, and women given that second chance of choice are extremely grateful. 20:22 All right. So, we'll now um go to the question and answer 20:29 and we'll look in the chat first. 20:34 And looks like no questions there yet. And you can also raise your hand if you 20:41 want to ask the question out loud and then ask you after you ask the 20:46 question, I'd ask you to mute your microphone. So, Dr. Delgado, I have a question. What 20:54 do you think the biggest uh what is the biggest holdback on pregnancy centers um 20:59 their concern about offering it and how best can they overcome that? 21:06 Yes, that's a great question. I think the biggest hurdle for them is if the 21:12 it's usually the medical director is not yet comfortable with the idea of offering APR. And that can be for many 21:18 reasons but one of the biggest I found is that you know many of these medical directors listen a lot to ACOG and 21:25 ACOG's proclamations American college of obstitricians and gynecologists they of course have come out very strongly 21:32 against us and they say that abortion pill reversal they'll either say it's ineffective or not safe both of those 21:38 have been uh proven untrue by us and in fact a study by Dr. Mitchell Krennan a 21:44 few years ago which was designed to disprove abortion pill reversal was discontinued early because three women 21:51 had to go to the emergency department. Well, they use that study as a reason to say it's unsafe. But actually, if you 21:56 look at that study and I describe this very in a detailed fashion in my book, in my book, by the way, it's written for 22:02 the general public. So although I go into a lot of details, those are details are explained very carefully. But in 22:07 that book uh in the book I explained that um of those three patient only one 22:12 of them was really in the APR group. She had received progesterone after mephristone. The other two women had 22:18 received mephrristone but then placebo afterwards. Those two women had bleeding 22:24 and uh called 911 as did the one who got progesterone. But the one who got progesterone when she got to the 22:30 emergency department the doctor's report said that she needed no further treatment. That means she really didn't 22:36 need to be in the emergency department. She just panicked, which is okay, but that's no reason to stop a study or to 22:41 say that APR is unsafe. She had a failed reversal, which happens, of course. The 22:46 other two, they required emergency surgical abortions and one required a 22:52 blood transfusion. Both of those women were in the placebo group. They had not gotten progesterone. So, these really were not comparable to APR patients. And 23:00 so if if you look at that study, that study was stopped because of safety concerns, not around giving 23:06 progesterone, but around giving placebo, which we don't do of course. And the numbers in that study, although it was 23:12 it was stopped early and was not statistically significant, the numbers do very much support that giving the 23:18 progesterone um saved those babies for the time being, they had continuing pregnancies much 23:26 higher than the women who got placebo. So that study actually supports that what we're doing is safe and effective. 23:31 But unfortunately AOG AON puts a different spin on it. So these medical directors I hope they'll read my book 23:37 abortion pill reversal a second chance of choice or go to our website stenoinstitute.org and see all of our 23:42 studies and see that we are demonstrating that it's safe and effective. And of course I'm also always 23:50 happy to communicate personally with any medical director who might be um you 23:55 know still hesitant. The other group I see is sometimes board of directors are that are very riskaverse and liability 24:03 averse and sometimes they're kind of u digging their heels in a little bit. But um I'm very happy to report that I have 24:11 not heard of any malpractice claims filed excuse me against anyone who's offered abortion pill reversal. The only 24:17 lawsuits have really that I've heard of are have been brought on by states attorney generals both in California and 24:23 New York that are that have sued Harpin International and sued local clinics for offering abortion pill reversal. But 24:29 this is really part of the big abortion persecution and I'm I'm sure that um um 24:35 we are going to prevail in those two states. Okay, it looks like there's a bunch of 24:40 chat um ones we've got. Um within what time frame should progesterone be 24:47 administrated administered and what is the most effective method of delivery? 24:54 So the progesterone we've had success if we've administered up to 72 hours after 25:00 ingestion of the mephristone but we try to get it started as soon as possible and in our recent study 25:07 almost all the women were started less than 48 hours and a large percentage of 25:12 them less than 24 hours. So we're very happy about that. We're we're getting many women women started at 24 or less. 25:19 As far as the most effective route from the data we have um right now at this 25:24 point the answer is oral seems to be most effective. But I will temper that 25:30 pronouncement with the um the fact that we have not had large groups yet of 25:37 vaginal uh progesterone insertion and we think the vaginal might be better than oral because of other uses of it where 25:44 it seems to work better. Um, so, so we're we're hoping to do a study where we're going to compare oral and vaginal 25:51 progesterone. Now, injection is also very effective, probably equal or maybe 25:56 even better than oral. We have a a study that's in the works right now, a clinic 26:02 called Sanctafamilia Clinic in Omaha, Nebraska, um, started treating women by first 26:07 giving an injection as soon as possible and then putting them on highdose vaginal. And so we have some data for 26:14 that and we're helping them to um put together a paper that we hopefully will be able to publish sometime this year. 26:20 So the jury is still out on that. Um but I I certainly um I certainly feel that 26:26 we can we have very good data for oral but we have strong suspicions that um the vaginal might be good too. 26:36 The next question is if a pregnancy center offers the APR treatment should the facility have a medical license? So 26:42 if the center itself is offering APR, yes, that center should have a medical license. But if the center is not yet 26:48 medical, but what you can do is the medical director can offer the APR 26:53 through his or her own office and then the the vital counseling and support can 26:59 take place in the pregnancy health center. So that's one way to do it if there's no medical license. 27:05 The next is I have heard Planned Parenthood is instructing women to take both pills at the same time to prevent this reversal. So yes, I have heard 27:12 this. There actually was a study that they did where the women took both pills 27:18 together, the mis methristone and the misoprosttol and that showed that it was not quite as 27:24 effective for abortion as if they separate them out. So because of that, I have not seen a large spread um giving 27:32 both both pills together fortunately, but you still see it every once in a 27:37 while. So if that happened um I would still see the woman. I would still treat with progesterone. I would counsel her 27:43 that the misoprosttol does increase the risk of birth defects by two to fourfold. So there is a significant 27:51 increase in birth defects from you know the average in the US is about 3% and so 27:56 that increases to anywhere to about 6 to 12% risk of birth defects. So leather 28:01 has to be counseledled very carefully. She has to give informed consent and if so then um you can uh try administering 28:08 uh progesterone also what is the most effective dose and 28:14 some clinics stock the progesterone we have no 24 hoursarmacies limit access on weekends in our area so right now the 28:21 dose I'm using is I'm I'm giving 600 milligrams orally or some people give it 28:26 vaginally twice a day for two days and then 400 milligrams twice a day for two days and then 400 at night until the end 28:33 of the first trimester or for two weeks, whichever is longer. If there are no 28:38 24-houries in your area, then I think it would be good to stock progesterone in the office. And you should have some on 28:46 call availability so that um if there's no pharmacy open on the weekend, you can get in there and get the progesterone 28:52 started because I think waiting till Monday would be too long to wait. As far as waiting overnight, that's probably 29:00 acceptable as long as you can get the progesterone started first thing in the morning. But the sooner the better if you have a way to meet a woman there at 29:06 night, that would be would be even better. Next one. How many babies have been 29:12 saved so far? A uh Harpy International, the APR uh rescue network um estimates 29:19 over 7,000. and to use worldwide numbers 29:25 in the US. So those numbers are probably more US and worldwide is a little harder 29:33 to track. Success rate for APR. Um so again we 29:39 have different studies and in different studies you get different numbers. So in our latest study that's going to be published very soon that's already peer 29:46 reviewed and approved the success rate was 55%. But they were not all using highdosese 29:52 protocols. When in our 2018 study, the success rate for all comers was 48% but in the 30:00 highdosese oral protocol it was 68% and in the injection protocol it was 64%. 30:06 So that study we able to separate out those groups. So and then the next study we have planned um that will uh our 30:14 randomized control trial will try to u will have women on higher doses. So 30:19 we'll see how that works. So that's why there's different range and that's very common for different treatments that 30:24 different studies you have different dosing that the numbers aren't always going to be exactly the same. 30:31 So the biggest takeaway from the book for pregnancy centers, what gap do you feel existed and prompted your new book? 30:36 I think the gap was really just an awareness gap um both at pregnancy health centers and throughout the um in 30:44 the general population. So that was the reason to write the book abortion pill reversal a second chance at choice. is 30:49 to increase awareness. And I'm I'm hoping this is a book that can be passed around pregnancy health centers amongst 30:54 the um the board of directors. I'm still amazed at how many times I go speak at 31:00 um pregnancy health center um fundraisers and I'll meet a board of director member at at the event who will 31:06 say, you know, until we booked you to speak, I didn't know it even existed. So, there's still a big knowledge gap. 31:12 So, that's the reason why um uh I wrote the book as chemical 31:17 abortion. The next question is chemical abortion becomes more common. What should pregnancy centers understand about the changing landscape and the 31:23 urgency of rapid response? Well, one thing that's very very important and I haven't touched on 31:30 specifically yet is the other thing that's going on is the increase of of um 31:36 teleaalth and mailorder abortions. This has become the wild wild west. At the end of 24 2024, there was a a um 31:45 a survey by the Society of Family Planning, which is a um a proabortion group, and they um found that 25% of all 31:55 documented abortions in the US of all both surgical and chemical abortion, 25% of all of them were teleaalth. So that's 32:03 that is more now a year later. But what they didn't document and it's difficult to document all the mail order chemical 32:09 abortions These drugs are coming across state lines which are violating the Comstack 32:14 Act. They're coming from different countries. Sometimes the women are getting drugs that that are not even correctly labeled. So this is a really 32:21 big problem and and these women then are are having self-managed abortions. 32:27 They're either having very minimal or no medical supervision at all. And there 32:32 there are many great risks. So, um, let me go into the risk and I'll talk about 32:38 how it it comes back to the pregnancy health center. So, there are medical risks. One is they're not having ultrasounds. So, the woman might be 32:44 further along in her pregnancy than she thinks she is, and she might then take 32:49 the chemical abortion drugs and not have the abortion, but instead have prolonged bleeding, which could cause problems for 32:55 her. Number two, she may misinterpret her pregnancy test and so she may not even 33:00 be pregnant, be taking these drugs unnecessarily and that could cause harm to her health if she's taking them over and over again. Number three, without 33:08 the ultrasound, she may have an undiagnosed ectopic pregnancy. And we know that ectopic pregnancies occur 2 to 33:14 3% of the time of pregnancies in the US. And that in the package inserted, it says that myopristone is contraindicated 33:21 in ectopic pregnancies. So most ectopic pregnancies occur in the tube. 33:26 And if the woman has a pregnancy in the tube, doesn't realize it, takes the abortion pill, starts to bleed, she 33:31 thinks this is part for the course because she read somewhere that she would bleed a fair amount with with the chemical abortion drugs. Well, then when 33:40 she bleeds more and more, her tube ruptures, she has heavy bleeding, she passes out on her bathroom 33:47 floor, no one there to call 911. She could die on her bathroom floor at the altar of choice because she didn't know 33:53 she had an ectopic pregnancy. This has happened at least 20 times. This has been documented and I know that it's 33:58 going to happen more and more. It's probably happened more times already. Next, the women are not being tested for 34:04 their blood type. So, a woman who has Rh- negative blood, if she's exposed to Rh positive blood, she'll mount an 34:10 immune response which could be important in future pregnancies. And we know that during an abortion, blood can mix from 34:16 the pre-born baby to the mother and back. Well, if a mother is Rh- negative and a pre-born baby is Rh positive, 34:23 there's mixing of the blood. She sets an immune response. It's not going to matter for that pregnancy. But immune 34:29 responses, immune system is like an elephant. It has a memory that lasts forever. So in future wanted pregnancies 34:36 with Rh- positive babies, the mother will mount an immune response and can lead to congestive heart failure during 34:42 the pregnancy of the baby as well as still birth after still birth after still birth. It's a curse that cannot be 34:48 eliminated that will really curse her for the for the rest of her life or rest of her reproductive life. 34:55 Next we know that the uh chemical abortion drugs procured by mail order 35:00 have become the tools of sex traffickers, rapists and child molesters. So um there have been um several cases 35:08 of women who were given the um abortion pills surreptitiously either in their 35:15 drinks or a couple of cases documented where the men while having intercourse with their girlfriends put the pills in 35:22 the vagina. And so we know of three that have been brought to justice. One uh Everson Evans in Illinois back in August 35:29 was arrested and he actually admitted that he was going to take things into his own hands. There was a paramedic in 35:35 Scotland who actually had been a decorated paramedic and head of his unit. He was convicted of giving his 35:40 girlfriend uh mythopristone and and causing her to abort. And there was um one more man in um in 35:50 the United States who likewise was arrested um and text messages implicated 35:56 him. So this I'm sure is happening more and more. How many hundreds or thousands of men are not getting caught after 36:02 giving women or forcing women to take these abortion causing pills. So this is 36:08 a huge problem. So you at the pregnancy health centers you need to be aware of this. I think that women are since 36:15 they're doing this many times without much communication with either an abortion center or a doctor or anybody 36:20 else, they may be making hastier decisions than they would have normally when choosing an abortion. So, they may 36:27 change their mind more quickly too and be ready for for APR. So, how do they how do these women find 36:34 us? It's through their magic phones, of course. So I think it's important for pregnancy health centers to be engaged 36:40 on social media to be running digital ads so that when women do a search, how 36:46 do I stop my abortion? How do I reverse my abortion? How do I end my chemical abortion? Your name will come up and 36:52 they'll be able to contact you very quickly and it's good for you. You should have chat functions because they like to chat. Chat meaning with their 36:59 fingers, not with their mouths more than they like to talk on the phone. So you have to be very well equipped for that. 37:06 You also have to be um alert to the fact that some of these may have been coerced into taking the chemical abortion pills 37:11 or that it may have been given to them surreptitiously. Be aware of that so that you can be of support to them and 37:17 so that you can um call authorities and let them know that you're going to be supportive of them and that the authorities will not be prosecuting 37:23 them, but they'll be going after these men who try to take advantage of them and that these women are victims and 37:29 that the the men's men are the predators. So, I think you have to be aware of all that, too. 37:36 Okay, the next question, what is the appropriate protocol for follow-up ultrasound? 37:42 What we do and what we recommend is to um repeat the ultrasound a week later later to make sure that the pre-born 37:48 baby's still alive because you don't want to be giving progesterone if the baby's no longer alive. If the baby's doing great at the one week, then repeat 37:54 it again in another week or in two weeks. This also helps with continued bonding because some women still have a 37:59 little bit of ambivalence after um going through the reversal. So I think that's that's very important. 38:06 Okay, another question. There was a nurse in our area in Western Washington State who was convicted in prison last year for giving his miss. Yes, I 38:12 remember that case too. How would you suggest pregnancy medical clinics advertise or communicate to the 38:18 community that we have APR available? Well, I would say that you know through your um your social media network and 38:25 any of your community partners, you let them know you have flyers made up both uh on paper and ones that can be sent 38:32 digitally so that everybody who relies on you knows that u you have um 38:39 um APR available. Okay, I think we're caught up with the 38:44 chat questions. Oh no, here's a new one. Does your book cover the suggestion you touched on for 38:50 the centers to reach women? That's a good question. I think I do, 38:56 but I'm not positive now about that point if about reaching out through through social media and all that. 39:06 Any other questions? What Here's another question. What 39:11 advice would you give directors who want to strengthen relationship with local medical professionals and build greater 39:17 trust in their communities? I think the important thing there is to 39:22 always have the highest standards. That is very important so that if any doctor 39:28 does recommend a woman go to you, he or she will be very confident that you'll take the very best care of her. So 39:34 that's extremely important and that means being very diligent having very good protocols following your protocols 39:40 making sure that you're you have all the certifications that if you are um uh 39:46 have a medical license that you keep that license up to date and that you um do all the the reertifications that you 39:52 need that you have someone who's very very detail oriented that keeps your um handbook up to date that you review that 39:59 yearly that's approved by your board of directors and your medical directors and that follow all of your protocols. You don't cut corners. And then when you if 40:06 you do get a referral from a a physician or medical practitioner out in the area that you follow up and say we, you know, 40:13 thank you for the referral. We saw her. This is what we've done for her. So th those are really important to to build 40:18 that stellar reputation. That's extremely important on the customer 40:23 service and the medical quality side. We want to far out compete these abortion centers and they their standards are 40:29 very very low. I'm sure you know that. But we have to be far far above that. 40:34 Next is to your medical director should be someone who can be a good liaison with the medical community. And so your 40:42 medical director um hopefully is willing to reach out to to different people in the medical community, have lunch with 40:49 them, have discussions, have talks, let the let them give them updates about what you're doing and and and what new 40:55 services you're offering and also how you can be of help. So, you can reach 41:00 out, let's say, to a pro-life medical office that's not um formally uh 41:07 associated with you, but you can tell them, you know, look, if you ever have a woman who's abortion intent or abortion 41:13 minded, you can refer them to us and then have your cars, have your flyers there so so it's ready and that it's top 41:20 of their mind so they know where a trusted referral source is. Those kinds of things really build build a lot of 41:26 trust. you know, if if that they're willing, take lunch over to them and just meet them. Because sometimes when they meet the people, it's much 41:32 different than just an anonymous name on a card or something. But once they meet the people and then they see that you're 41:38 that you're good people, that you're that you're real people, that you're happy, that you're joyful, and that you're serious about high quality care, 41:45 that that's going to really convince them that they'll want to use you when when the time arises. So, I think all 41:50 that kind of outreach and building a a great reputation is what it takes. 41:57 Next question. Looking ahead, what gives you the most hope for the future of the pregnancy health movement and where do you believe leaders should be focusing 42:03 their energy right now? The thing that gives me the most hope about the pregnancy health movement 42:10 is that almost uniformly I I wouldn't say I 42:16 can't say 100% of course but I would say anyone that I've met is motivated by 42:21 their sincere belief in the gospel message and they're driven by Matthew 42:28 25:40. Whatsoever you do to the least of my brothers that you do unto me. and they're really motivated by serving 42:34 Christ and seeing Christ in those that they meet. And so that gives me the 42:40 greatest hope because that's the only mo motivator being a good and holy 42:46 Christian that is sustainable is sustainable for years and years, 42:51 sustainable through persecutions, sustainable through any hardship. anybody else who just has a humanistic 42:58 love of people, which I'm not I'm not um doubting their sincerity, nor am I 43:03 knocking it, but that eventually will reach a word block that will stop them. And and that just because it doesn't 43:10 have that infinite transcendental meaning. 43:16 That transcendental meaning can only come from God. If it's just to help my fellow human, that's it. It ends there. 43:23 it doesn't have the transcendence. So that's what gives me the most hope is that the local the the pregnancy health 43:30 movement is so motivated by by Christian service and Christian duty. And where 43:36 should the world be heading? Well, I think we have to head and be a step ahead of where 43:43 the action is. And that's why abortion pill reversal is the tip of the spear. So I think you have to be up on abortion 43:49 pill reversal. You have to be ready to offer it and offer it well. You have to be able to meet these women where they 43:54 are. Like I said before, meet them online, on social media, be heavily 44:00 advertising through social media and digital means, Google ads and all of that, that is is really extremely 44:07 important. And then on the advocacy side, those of you who are in pro-life 44:12 states and are having these abortion pills shipped across state lines, you have to really work with your states to 44:20 create laws so you can sue and bring to justice these predators. 44:25 The state of Texas right now is suing um 44:30 abortion aid access I think it's called a website as well as a doctor in New York who runs that for sending abortion 44:38 pills across state lines to Texas. So we have to have more of that. We also have to talk to our federal leaders and have 44:44 them enforce the Comstack Act. And you should read up about that if you don't know comtock c. 44:51 It's a law that was passed in the 1870s, I believe, and a law that had three 44:58 parts. One was it prohibited the shipping of abortive patients across 45:03 state lines, um the not uh uh regulated or banned shipment of pornography across 45:11 state lines and birth control. Now, those two last parts have kind of been 45:16 taken out of act. So, it no longer deals with pornography, although I wish it would, nor birth control. However, um 45:24 the part about um making it illegal for abortive patients to be shipped across 45:30 state lines, that part of the law is still active. It's just not enforced. So, we have to get our federal 45:35 government to enforce that law. That would be a way to crack down all this because they are shipping, they're using 45:40 the US mail to ship across state lines, and that is illegal. And so we have to 45:46 hold them to justice. So I would say that you should be aware of that for advocacy there. And and then those of 45:53 you who are in proabortion states, you know, like I'm in California, it's very difficult here. But you have to consider 45:58 it mission territory. So you have to see how you can try to convince the people to have a change of heart and hopefully 46:04 then those people will elect better leaders in the future and we can have a swing from being proabortion to 46:11 pro-life. But those are the areas I think where we really need to focus um and and then look ahead and always stay 46:17 one step ahead. I think we also um we need to um more on the medical side we 46:24 need to develop uh reversal drugs for um misoprosttol because we do have some 46:30 women who are getting misoprostyl only through the male. We know in places like Mexico most of the abortions are 46:36 actually misoprostyl abortions because mephrist is much more expensive. So in our research side, we're we're looking 46:42 ahead to that too. Um so there's a lot to look forward to, a lot of good work 46:47 to be done. Uh the next question looking ahead, what research or development you see next? So 46:54 I I guess I kind of answered that already. Um one is uh research to comp we want to figure out what's better oral 47:00 or vaginal and how if injections are better how much better because injections are painful and they're more 47:07 difficult to to have of course in the office but if that's going to make a really big difference then we'll sort of 47:13 have parallel protocols. So, we want to, you know, really figure that out. And we um we have one study that we're um 47:20 trying to get approved through the um ethics board right now that'll be a prospective observational study. And 47:26 then I told you about the the randomized control study which actually has been on a clinical hold for four years by the 47:32 FDA and we're trying to fight that and we have some inroads in the FDA now that we're hopeful. Um so that moprosttoal 47:38 reversal as well as maybe other um supplements or or medicines that we 47:44 could give with a progesterone to help it work better or maybe look at something called alpha lipoic acid which 47:50 there are some um studies in the literature showing that it can um help women who have threatened miscarriage 47:56 who have what uh who have bleeding called subcorionic hemorrhage bleeding behind the placenta can help that 48:02 resolve. So, we're probably going to study that and seeing if it increases our success rates um and maybe some some 48:08 other medicines um that we might um look at. Uh unfortunately, the U this another 48:15 question, the US Department of Justice Office of Labor Council has issued formal opinion saying the Comstack Act 48:20 does not prohibit mailing abortion drugs like me for zone so long as there is no intent to use them unlawfully. 48:28 Yeah, that's true. The rules, the comment is rules apply to some, not others. That is true. Um, but when they are 48:35 shipping to states like Texas, they are intending to use them unlawfully. So, it still could be applied there. 48:46 Any other questions? 48:57 All right. While we're waiting to shift other questions, I'll just give you a reminder. There's the book abortion pill reversal, a second chance at choice. You 49:05 can go to ignatius.com, stenoinstitute.org, which by the way, senoitute.org um has a 49:12 lot of resources you might be interested. You go to the resources tab for videos, a lot of um um articles in 49:18 the lay literature and and in the medical literature. Um and then you can also buy the book at Amazon, 49:24 ignatius.com, stenoinstitute.org or Amazon. Here's a question. Can APR be used if 49:30 the patient has taken Ella? That's a very good question. Ella, also known as 49:35 Uliptol, is a progesterone receptor blocker very similar to methopristone. 49:42 So the answer is yes. Progesterone should theoretically block the effects of ulipristtola. 49:49 I don't have any data to support that, but I know that it works the same way as meristone. So I assume it would. I also 49:56 don't have any data on whether or not Ella causes birth defects. I would assume it does not, but then again, I 50:02 don't know. We don't have any proof like we have with meristrystal. With meristto now with our two combined studies, uh we 50:08 have several hundred now. Um where we've had births with no birth no 50:15 increased risk of birth defects. I don't know if that's the case of Ella, but I would say I would give the the the woman informed consent, tell her we don't know 50:21 a lot about this, but that this is definitely worth a chance of trying the progesterone to reverse the Ella if she's happened to take the Ella um as an 50:29 abortacant. 50:35 Is it possible to get example of a policy and procedure for APR? Yes. So, if your center can reach out to 50:41 Heartbeat International, they have um um some model policies and procedures and 50:48 they can help you get started there. So, you can go to um uh or you can go to abortion pillreversal.com and there'll 50:54 be a link there to uh it's called APR Worldwide. I think I think the email 51:04 let me I think I have the email right here if you want to hold on one second. 51:13 Well, I thought I had it, but I guess not. 51:19 Yeah, but you can find that on abortion pill reversal.com and and think a link there and they'll connect you. Okay. How 51:28 do you determine how many women are looking for APR in a given area? 51:33 Well, I don't know how you determine that unless you do some sort of a survey. 51:39 But I can tell you that we know that abortion pill uh the abortion pill counts for 70% or more of the abortions 51:46 these days. I think women are going to have more regrets because they're not 51:51 reflecting on as much. And we know that there are about 51:57 uh 700,000 chemical abortions in the US every year. So that's a lot of women probably a lot of women in your area. So 52:04 that mean there's probably a great need in your area. Any 52:10 last minute questions before we wrap up? 52:15 Oh, and I I found that website for you looking for the u policies and procedures and how to get connected um 52:22 and and how to join the network. It's aworldwide.com. 52:29 aprn worldwide.com. 52:34 Maybe you could put that in the chat, Sam. It is in the chat. Great. Yeah. So, that'd be the place to 52:40 go. Oh, great. Yeah, you did. You're fast. So, go there instead of abortion pillreversal.com. That'll be your direct 52:46 uh avenue to learning more about the network and about joining the network. 52:55 Okay, any other questions? 53:02 Wow, this has been awesome. Um, so much information and it's it's been great. 53:07 Thank you so much, Dr. Delgado. Um, would love to end this time in 53:14 prayer. Um, would you like to close things up for us in prayer? Dr. Delgato? 53:20 Sure, I'd be happy to. Good and loving God, thank you for the opportunity 53:26 to serve you, to serve our community, to serve our churches, and serve women who 53:32 are being victimized by the medical abortion complex. We ask, Lord, that you bless women who are in these situations. 53:38 Let them choose life, Lord. And if they've taken me personal, let them choose abortion pill reversal. Please 53:43 bless all of us here, all of our pregnancy help centers. Let us be filled 53:50 with your spirit of charity, of fortitude, and of willingness to serve 53:57 all those we meet. We ask that you bless us on our way. Help us to be your faithful witnesses to all those we meet. 54:04 Bless our families. Bless all of our organizations, our boards, our benefactors, that together we may truly 54:12 be your hands, your loving heart to all those we meet. in the abortion pill 54:18 reversal movement and in our pro-life activities. We ask all this in Jesus name. Amen. 54:26 Amen. Thank you so much. We really appreciate the work that you do and all that you've done and I'm excited about 54:31 the new book. Um I'm going to order mine, that's for sure. 54:38 Thanks everybody. Thank you guys for coming. Um, don't forget next next month um we'll see you 54:45 back here um and you'll be receiving a link for the um for the transcript of 54:53 this um the video and um and then the you can always look on our website too 54:58 on our um webinar Wednesday link and it will have all of our past ones as well. 55:04 So, thank you guys so much. Um, I will I did put the chat the link in the chat, 55:11 but let me do that again for you. Um, let's see here. 55:20 It's on the Steno Institute. Here is the 55:25 direct link. 55:31 There's the direct link um to Ignatius Press. And then um 55:39 here is the link to his website. And on Dr. Delgato's website again, he 55:46 has um just a large amount of resources um 55:52 peer-reviewed articles, other articles, videos, and his books. So um you can 55:58 definitely go to his website and get all of that information. Um there is also a 56:03 speakers bureau if you ever need to or want to um invite any of the speakers 56:08 there. Um that information is there on his website as well. So just lots of 56:13 information on his website um to be able to to access. Other than that, thank you 56:20 again all for coming. I really appreciate it. And you guys have a great 56:25 afternoon and um hopefully we'll see you next month. Okay. Hi. 56:43 Heat.