Abstract
To Editor.— In article supporting concept of school-based clinics, 1 I note that you state that the St Paul program showed a decline in fertility rates in four participating high schools, from 59 births per 1000 female students in 1976-1977 to 26 per 1000 in 1983-1984. I should point out that, while statistically birth rate may be used as an assessment of fertility rate, it is not an assessment of number of pregnancies that occurred during period. The resulting drop in birth rate could be solely due to an increase in number of abortions, and indeed fertility rate, as measured by number of pregnancies, may have increased during same period. Perhaps you would clarify this for your readers.
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