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Abortion Procedures Manual Vacuum Aspiration: up to 7 weeks after last menstrual period (LMP) This surgical abortion is done early in the pregnancy up until 7 weeks after the woman's last menstrual period. A long, thin tube is inserted into the uterus. A large syringe is attached to the tube and the embryo is suctioned out. Suction Curettage: between 6 to 14 weeks after LMP This is the most common surgical abortion procedure. Because the baby is larger, the doctor must first stretch open the cervix using metal rods. Opening the cervix may be painful, so local or general anesthesia is typically needed. After the cervix is stretched open, the doctor inserts a hard plastic tube into the uterus, then connects this tube to a suction machine. The suction pulls the fetus' body apart and out of the uterus. The doctor may also use a loop-shaped knife called a curette to scrape the fetus and fetal parts out of the uterus. (The doctor may refer to the fetus and fetal parts as the “products of conception.”). Dilation and Evacuation (D&E): between 13 to 24 weeks after LMP This surgical abortion is done during the second trimester of pregnancy. At this point in pregnancy, the fetus is too large to be broken up by suction alone and will not pass through the suction tubing. In this procedure, the cervix must be opened wider than in a first trimester abortion. This is done by inserting numerous thin rods made of seaweed a day or two before the abortion. Once the cervix is stretched open the doctor pulls out the fetal parts with forceps. The fetus' skull is crushed to ease removal. A sharp tool (called a curette) is also used to scrape out the contents of the uterus, removing any remaining tissue. Dilation and Extraction (D&X) (partial-birth abortion): from 20 weeks after LMP to full-term This procedure takes three days. During the first two days, the cervix is stretched open using thin rods made of seaweed, and medication is given for pain. On the third day, the abortion doctor uses ultrasound to locate the legs of the fetus. Grasping a leg with forceps, the doctor delivers the fetus up to the head. Next, scissors are inserted into the base of the skull to create an opening. A suction catheter is placed into the opening to remove the brain. The skull collapses and the fetus is removed. RU486, Mifepristone (Abortion Pill) Within 4 to 7 weeks after LMP This drug is only approved for use in women up to the 49th day after their last menstrual period. The procedure usually requires three office visits. On the first visit, the woman is given pills to cause the death of the embryo. Two days later, if the abortion has not occurred, she is given a second drug which causes cramps to expel the embryo. The last visit is to determine if the procedure has been completed. RU486 will not work in the case of an ectopic pregnancy. This is a potentially life-threatening condition in which the embryo lodges outside the uterus, usually in the fallopian tube. If an ectopic pregnancy is not diagnosed early, the tube may burst, causing internal bleeding and in some cases, the death of the woman. Consider the Risks of Abortion Side effects may occur with induced abortion, whether surgical or by pill. These include abdominal pain and cramping, nausea, vomiting, and diarrhea. Abortion also carries the risk of significant complications such as bleeding, infection, and damage to organs. Serious complications occur in less than 1 out of 100 early abortions and in about 1 out of every 50 later abortions. Complications may include:
Abortion and Preterm Birth: Women who undergo one or more induced abortions carry a significantly increased risk of delivering prematurely in the future. Premature delivery is associated with higher rates of cerebral palsy, as well as other complications of prematurity (brain, respiratory, bowel, and eye problems). Abortion and Breast Cancer: Medical experts are still researching and debating the linkage between abortion and breast cancer. Here are some important facts:
Emotional and Psychological Impact: There is evidence that abortion is associated with a decrease in both emotional and physical health. For some women these negative emotions may be very strong, and can appear within days or after many years. This psychological response is a form of post-traumatic stress disorder. Some of the symptoms are:
Explore Your Options You have the legal right to choose the outcome of your pregnancy. But real empowerment comes when you find the resources and inner strength necessary to make your best choice. Here are some other options. Parenting Choosing to continue your pregnancy and to parent is very challenging. But with the support of caring people, parenting classes, and other resources, many women find the help they need to make this choice. Adoption You may decide to place your child for adoption. Each year over 50,000 women in America make this choice. This loving decision is often made by women who first thought abortion was their only way out. Help Is Available Facing an unexpected pregnancy can seem overwhelming. That is why knowing where to go for help is important. Talk to someone you can trust - your partner, your parents, a pastor, a priest or perhaps a good friend. Also, the caring people at your pregnancy center are available to help you through this difficult time.
You are doing the right thing by researching all of your options. If you feel that you can’t parent, no matter what the reason, adoption may be the right choice for you! Please read the answers to the questions asked below. How can I be helped financially? There is no cost to you for adoption. You do not need an attorney - Bethany (or your adoption agency) will handle all the legal and financial details for you. Can I get assistance with medical and living expenses while I am making an adoption plan? Assistance with medical and living expenses is available at Bethany. What services does Bethany offer for me?
For more information about Adoption and Bethany, please go to their website: http://www.bethany.org
Are you considering Parenting your Baby? Parenting can be both, rewarding and challenging. We are here to help you with that decision. Care Net Pregnancy Center provides the following for you if you choose to parent: Through our program, Earn While You Learn (EWYL), we can help you with:
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Last revised: May 27, 2008 | |||