Mom to Brad, Ma
MARYLAND'S ABORTION LAW
Does the Maryland law protect babies after viability (when the child is able to survive outside the womb with or without artificial support)?
No. In fact, the law allows abortions after viability if needed to protect the "health" of the mother. "Health" is defined very broadly, to include "distress...associated with the unwanted child,...the problem of bringing a child into a family already unable, psychologically and otherwise, to care for it,...the additional difficulties and continuing stigma of unwed motherhood...." Under Maryland law, any abortion--even a late abortion well after viability--performed because the unborn child is "unwanted" is considered a legal abortion provided for "health" reasons.
******** I haven't researched this yet (and will) but it sure reads like sometimes the *health* of the mom may be misleading and not a direct threat to her life or health as some are led to believe. Besides IMHO after viability why not do a c/s to give mom and child both a chance at life?
I think the choice between c/s and induction would be based on what the mother's orb baby's) particular problem is?
I know that my friend has a scheduled c/s planned based on the fact that her child has known issues and they feel a c/s birth would be less stressful on him.
Okay, so they do late term abortions up to viability. Viability is 24 weeks. This is legal in a handful of states. This doesnt prove that these folks are doing so called "PBA's." And it certainly doesnt prove they are doing elective abortions past viability. In fact, quite the opposite.
Elective abortion happens to be illegal after 24 weeks. Therefore, its seriously doubtful that any legit clinic would risk performing an abortion after 24 weeks.
" And how could they not be doing PBAs or ID&X unless they are not doing the "safest" method of aborting an unwanted fetus? I say safest not because I think it is, but because some in this field feel it is."
Perhaps they are doing ID&X. But, its not done for elective reasons on a viable fetus, or, a fetus who is at or greater than 24 weeks gestation.
And if you read the procedure part of it -- it clearly describes what is done.
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.*