Late term abortions ..................

iVillage Member
Registered: 03-19-2003
Late term abortions ..................
38
Sat, 06-28-2003 - 11:35am
http://gynpages.com/ACOL/category/late.html


http://www.drhern.com/procedures.htm#MEDICAL%20PROCEDURES%202nd%20Tri



20 to 26 Weeks

Four day outpatient procedure

Late second trimester patients receive all of their preoperative evaluation and consultation on the first day of their appointment, and return on the second day for the initial steps of the abortion procedure.

At 20 menstrual weeks and later, the first step in the abortion procedure on the second day of her appointment is an injection of medication into the fetus that will stop the fetal heart instantly. The patient is awake during this procedure, which is done under local anesthesia and with the use of direct ultrasound vision. The woman does not observe the fetus on the ultrasound screen in this process. The injection, done with strict attention to sterile technique, usually takes about ten minutes, although the appointment may take longer because of preparations that must be made.

Following the injection into the fetus, the first laminaria is placed in the cervix. The patient may leave at that time and must stay in Boulder unless arrangements are made for the patient to stay in a neighboring town.

On the third day, the late second trimester patient returns for a brief appointment, at which time the first laminaria is removed and more are placed under local anesthesia. This process permits maximum gentle dilation of the cervix over a two-day period.

On the fourth day, the patient returns for her abortion. Following observation of vital signs (blood pressure, temperature, and pulse), the laminaria are removed and a long-acting local anesthesia is again placed in the cervix. Under direct ultrasound vision, the amniotic membrane is ruptured so as to permit free flow of the amniotic fluid from the uterus. The amniotic fluid is drained as completely as possible. Dr. Hern developed this technique for the following reasons:


Removal of the amniotic fluid reduces if not eliminates the risk of amniotic fluid embolism (AFE), probably the most dangerous possible complication of late abortion.

Release of the amniotic fluid allows the uterus to contract and become firm, reducing the risk of perforation of the uterus with instruments.

Contraction of the uterus reduces blood loss.

Release of the amniotic fluid and contraction of the uterus enhances movement of the fetus and placenta into the cervix, the opening of the uterus, thereby adding safety and reducing discomfort of the procedure.

This maneuver permits the accurate measurement of blood loss, which is usually minimal. However, heavy bleeding may occur in late abortion, and it is absolutely necessary to know accurately the volume of this bleeding in order to guide fluid or blood replacement if this should become necessary.*

Photobucket

Pages

iVillage Member
Registered: 03-19-2003
Sat, 06-28-2003 - 11:39am
from the same link (2nd)

MEDICAL PROCEDURES - Third Trimester

Four day outpatient procedure

Patients coming in for very late abortion - over 26 menstrual weeks' gestation - are almost always seeking services for termination of a desired pregnancy that has developed serious complications. This usually means the discovery of a catastrophic fetal anomaly or genetic disorder that guarantees death, suffering, or serious disability for the baby that would be delivered if the pregnancy were to continue to term. Occasionally a woman presents at this stage for pregnancy termination because of her own severe medical illness or a psychiatric indication. (See "A Special Note About Fetal Anomaly")



****** UMMM are ALMOST always seeking services for termination of a desired pregnancy that has developed serious complications? ALMOST always? What does that mean?

Photobucket

iVillage Member
Registered: 03-19-2003
Sat, 06-28-2003 - 11:43am
Up to 26 weeks at this place http://www.atlantasurgicenter.com/late.html

THE FACTS ABOUT LATE ABORTION

(UP TO 26 WEEKS)

At the Atlanta SurgiCenter second trimester abortions are provided for women who are between 15.0 to 26.0 weeks pregnant. This procedure is known as a dilation and evacuation (D&E procedure). A D&E procedure can be scheduled for a one-day or a two-day procedure, depending upon the length of the pregnancy and the doctor's criteria for eligibility.

The D&E procedure consists of two parts: dilation and evacuation. Dilation means a slow and easy enlargement of the opening of your uterus, which is your cervix. The cervix is enlarged with the use of laminaria. The Laminaria are sterile sticks of compressed seaweed that gradually swell in size over a number of hours. The Laminaria gently opens (dilates) the cervix and the evacuation (removal) of the contents of the uterus is done by suction combined with the use of instruments.

Two-day procedures are performed on two consecutive days. Our D&E method is a safe and easy outpatient office procedure. On the first day of the two-day procedure patients receive an ultrasound, laboratory work-up, and physical examination. Your medical history is taken and you will have a private counseling session. After all pre-screening and counseling has been completed each patient is ready for the D&E procedure.

It is important for you to know that once laminaria has been inserted the abortion procedure has begun. You cannot change your mind about terminating your pregnancy without the VERY HIGH RISK of miscarriage. After the laminaria is inserted the patient and her driver are required to stay at a nearby hotel overnight unless otherwise determined by the clinic staff.

"I will never forget your kindness and patience as I entered and departed from your facility. Thank you for everything." - Patient comment

"I feel that you offered the best care a person could expect. I wish every clinic in the medical profession were like yours. Thank you so much." - Patient comment







Photobucket

iVillage Member
Registered: 06-11-2003
Sat, 06-28-2003 - 12:58pm
at the time this was written, late term third trimester abortions were not illegal so the wording makes sense. Maybe they actually ahve had one or two persons who wanted to end a unwanted pregnancy this late?
iVillage Member
Registered: 06-09-2003
Sat, 06-28-2003 - 6:11pm
One or Two!?! How do you know- where is your proof? I personally do not believe they would go to the trouble of offering late term abortion if they didn't stand to profit from it. Well, you don't profit from one or two late term abortions. Come on Enjay, they brought you proof of what you refused to believe-where's yours? Also- I saw no mention in this clinic's ad about lethal injection that you have stated "always happens".

Photobucket

iVillage Member
Registered: 06-11-2003
Sat, 06-28-2003 - 8:38pm
"at the time this was written, late term third trimester abortions were not illegal so the wording makes sense. Maybe they actually ahve had one or two persons who wanted to end a unwanted pregnancy this late? "

did you notice the question mark? at all? or did you make some sort of assumption? and yes, the first and original post did mention the lethal injection. try reading, it wil help. I used a question mark becuae i was asking......it was not even close to trying to make a factual statement or assumption, which is what you did by jumping down my throat.

iVillage Member
Registered: 06-09-2003
Sat, 06-28-2003 - 9:44pm
I did READ! I was referring to the Atlanta Surgical Center because they did not state a lethal injection- something that you have repeatedly stated "always happens". It does not always happen. Try reading up before YOU speak. In Aug. of 2002 a law was passed that children "born alive" as a result of a late term abortion (which HAS happened) have a right to receive medical care, because up until then many were allowed to lay there until they died. There were no lethal injections in these cases obviously. Two cases used *in court* were those of Baby Hope (who died after not receiving help after a botched PBA, and Baby Grace who lived after a botched PBA). I'm asking-where is your proof? Where are your sites showing that this never happens? Are you afraid of what you might find? "jumping down your throat"? Why- because you refuse to believe what is happening? Or is it that you really don't care what is happening as long it doesn't infringe on a women having an abortion at any time for any reason? Where is YOUR compassion?

Photobucket

iVillage Member
Registered: 06-11-2003
Sun, 06-29-2003 - 3:05am
I have said that I beelived that was the case and according to everything I had read up until that point I beleived i was right. wonderful thing about debate and posting libnks is that we can all continue learning . and i like that. but jumping down my throat was uncalled for and rude. You could have said what you wanted to say without being rude about it, couldn't you?

and I still feel that a woman's rights, needs, and choices supercede all other considerations. oncwe you start taking away even a little of her right to choose you can start loosing it all. and it is frightening to me to consider the conseequnces.although i wil say that any woman who would allow a dr to perform such a procedure on her without first giving the fetus a lethal injection are not the kind of women i would want ever trying to raise a child.

iVillage Member
Registered: 04-15-2003
Sun, 06-29-2003 - 2:32pm
>>and I still feel that a woman's rights, needs, and choices supercede all other considerations.<<

Does anyone else here see the corollation between this kind of thinking and that of men before women even *had* rights? One persons' rights should not be above any other's. And yes, I know that a lot of PCers may take this to mean that the fetus should not come above the mother. But in cases where we aren't talking about the loss of the mother's life, I can't see how it could be any other way. IMO, I'll state it for the hundredth time, the mother's choice *ends* when she conceives. If there were a way to remove the fetus from the mother and gestate it elsewhere, I would be all for there being a choice after conception. But since it isn't possible, there has to be some consideration for the child's life.

And as for the arguement about the terrible things that children who are unwanted, Yes, I will freely admit that a lot of children who are given up for adoption have a lower quality of life than those who are born to loving parents who wanted them. But I would wager that very few would say they would rather have no life at all than the life they have had. --->Dawn

iVillage Member
Registered: 03-26-2003
Sun, 06-29-2003 - 6:34pm
So, in your opinion the kind of woman who should be raising a child is the woman who would give her own child a lethal injection? I don't know about the rest of you, but this is mindboggling to me. Go to the doctor, hand over money, and let him inject my child with a lethal substance that will kill him/her? My child? My own flesh and blood? Seems rather twisted.
iVillage Member
Registered: 06-09-2003
Sun, 06-29-2003 - 8:57pm
Enjay-

I have read and re-read my posts several times and I don't find anything "rude" in them. Exasperation- yes. Rude-no. And I must add that I was not simply responding only to this post, but to several you have posted where, IMO, you are completely disregarding factual information. I don't feel as you do, that by putting restrictions on abortions, we stand to lose all abortion rights whatsoever. Laws are amended all the time because certain situations arise, change, etc. or because laws are being abused. I would like to ask you for factual cases where this has happened before(rights being completely thrown out because of restrictions-not abortion, but other laws)? Please- give me an example where this has happened before and I will start taking this argument seriously. Until then- your argument doesn't hold water with me.

Photobucket

Pages