Can someone clarify "partial birth" ?

iVillage Member
Registered: 08-16-2007
Can someone clarify "partial birth" ?
11
Sat, 08-18-2007 - 7:50pm
Without preaching to either side, can someone please clarify what exactly is partial birth abortion. I know its preformed later, but how late? I have never had an abortion and don't ever intend on it, but I can't seem to get a clear answer without someone giving me there opinions too.

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iVillage Member
Registered: 06-07-2007
Sun, 08-19-2007 - 2:06am
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iVillage Member
Registered: 08-16-2007
Sun, 08-19-2007 - 11:58am
Thanks...I don't understand why someone would choose to do that. I mean, if there is no medical reasons like stated on that website, why would someone want to do something that sounds so violent?
iVillage Member
Registered: 06-07-2007
Sun, 08-19-2007 - 1:48pm
They may have not found out about their pregnancy until later (I've been known to not find out before 20 weeks). They may have been informed by their Dr. that the child has some abnormality. Perhaps a young girl is hiding her pregnancy, and her parents insist on it when they learn her secret. The mother may find out she cannot possibly carry the baby to term without detriment to her health. I'm sure nobody plans to do something like this in eagerness, even if they are pro-choice. By this time, you are feeling the child move inside of you. I truly doubt that anyone would question whether the baby feels pain, or has emotions, or is truly a person at this point. I can only assume this would be a total act of desperation, done in total sorrow.
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iVillage Member
Registered: 06-24-2007
Sun, 08-19-2007 - 8:35pm
A late term abortion is done in the last trimester. I used to use the phrase "partial birth" and i wasn't sure what it meant. I'm pro-choice so now i use the medically correct phrase of "late term abortion".
iVillage Member
Registered: 06-03-2007
Mon, 08-20-2007 - 9:11pm

I don't intend to inject bias here, but to honestly answer your question of why someone would choose this procedure over another, available at the same gestational age.

Between circa 15 weeks to circa 24 weeks, as best as I understand it, there are options - ID&E, D&E, induction abortion, probably even a hysterotomy. One long time poster here describes that she chose to have an induction abortion, despite it being rarely used at that gestational age, because she wanted the emotional closure of seeing her daughter intact.

These choices may not be commonly described to all patients, because it's clear that from the pure perspective of protecting the woman's life, health, and future fertility, the safest available procedure is the ID&E (also called ID&X). The so-called partial-birth abortion.

ID&E is what the ACOG thinks the SCOTUS was probably most closely describing - the fetus is delivered in breech position (feet first) up to the widest point (the skull) which is decompressed before being delivered.

D&E requires a wider dilation of the cervix, and removal of potentially sharp fetal fragments individually, which requires multiple reintroductions of the instruments. Every time you go in and out you are slightly increasing the risk of hemorrhage, infection, scarring.

Induction abortion is a lethal injection followed by stimulation of uterine contractions - it probably most closely follows the natural history of a spontaneous stillbirth or late spontaneous abortion, were it to go to completion on its own. This requires more cervical dilation and carries more risk of retained placental products which could lead to hemorrhage and infection.

Hysterotomy is the analog of a cesarean section, with all the risk of abdominal surgery and uterine scarring.

I hope this provides more information without being obnoxious.

iVillage Member
Registered: 07-16-2007
Tue, 08-21-2007 - 3:36pm


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What is a hysterotomy?

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iVillage Member
Registered: 04-03-2005
Tue, 08-21-2007 - 3:47pm
Basically, a hysterotomy is where they cut a hole directly into the uterus.



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iVillage Member
Registered: 07-16-2007
Tue, 08-21-2007 - 7:22pm
So then basically a hysterotomy is a c-section.
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iVillage Member
Registered: 04-03-2005
Tue, 08-21-2007 - 7:35pm

Eh, not really...



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iVillage Member
Registered: 07-16-2007
Tue, 08-21-2007 - 7:40pm

Eh, not really...

So what is the difference then. I have never heard of this term used. I am really just wondering.

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