tazzygirl -> RE: 20 weeks abortion bill passes the HOR (6/20/2013 2:43:17 AM)
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ORIGINAL: calamitysandra If I am understanding her right, and there is no guarantee that I am, Maria is making the point that there are cases in which an option other than abortion exists, even if the health of the mother is in danger. She questions the reccomendation of an abortion in cases of severe, pre-term preeclampsia over a delivery via c-section coupled with all possible efforts to safe the baby. I think she may be mistaken. An abortion for pre-eclampsia is not the expected outcome. The delivery would be for maternal health. Severe pre-eclampsia can lead to seizures or even death. By the time it becomes severe, there is no choice but to deliver. A decision to induce is based upon the condition of both the mother and the fetus. Once either starts to deteriorate, for any reason, then a section is called for. Making a blanket statement that all pre-eclamptic women should be delivered by section is overkill (1) Labor induction should be considered a reasonable option for patients with severe preeclampsia at </=34 weeks' gestation because 48% of patients given the chance were successfully delivered vaginally. (2) The Bishop score on admission is the best predictor of success, although the chance of successful labor induction increases with advancing gestational age. http://www.ncbi.nlm.nih.gov/pubmed/9822502 48% sucessfully delivered. Why put both mother and fetus in danger with surgery when that many delivered vaginally? A c-section is always the last consideration unless the mother is in severe condition and there is no other option. With an earlier pregnancy (typically before 37 weeks) many physicians will start giving corticosteriods with the intention of maturing the fetuses lungs in preparation for need for a section, should the situation worsen. Its not always possible to save the fetus. Calling it an "abortion" is extremely misleading. However, the RFT'ers see it that way. On December 8th, a resident walked into my hospital room. I will never forget it. Mr. Spit and my mum had gone home, to eat and shower and pack some things. I was in the room with my midwife. She'd given me a shower, the Magnesium Sulfate was hooked up. And this resident walked in my room. She took her surgical cap off. She sat down and picked up my hand. She said "I need you to sign a consent form to be induced. I have to tell you that in all likelihood your baby will die. I have to tell you that at this point, given his gestational age and weight, and given the pre-existing complications, he will die. Most likely before he's born. Do you understand?" I nodded. She handed me the pen. I signed my name. I, (name redacted for TOS). I signed my name. I gave full, free and informed consent. I had options open to me, and this is the choice I made. I consented to kill my child. I had an abortion. http://mrsspitspouts.blogspot.com/2009/03/abortion.html The clue here is the mention of magnesium sulfate, which is used to treat pre-eclampsia. She didnt have an abortion, there was no option for the woman unless she wished to die. That was the only option, have the delivery or die. Abortion is about choice... this situation isnt a choice.
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