jueves, 10 de enero de 2008
QUESTIONARY
ABORTION
DEVELOPMENT
- The Medicine understands by abortion all expulsion of the fetus, natural or caused, in the nonviable period of its intrauterine life, that is to say, when it doesn`t have any possibility of surviving. If that expulsion of the fetus is made in viable period but before the term of the pregnancy, premature childbirth is denominated, as much if the fetus survives as if it dies.
- The church and the constitution consider abortion the death of the fetus by means of their destruction while it depends on claustro maternal or by its expulsion prematurely caused so that it dies, as much if is not viable as if it is it.
- In the current language, abortion is the death of the fetus by its expulsion, natural or caused, at any time of its intrauterine life.
All these concepts you have something in common and this is the death of the caused or natural fetus or while this it is in the maternal uterus.The abortion can spontaneous or be caused. The spontaneous one takes place or because the death arises intrauterinely, or because diverse causes motivate the expulsion of the new being to the outside, where passes away given its lack of capacity to live outside the belly of its mother. If the abortion is caused, it is made either killing to the son in the maternal sine or forcing artificially his expulsion so that it dies in the outside.
Sometimes it is acted on pregnancies of viable children, killing them inside the mother or trying his death after being born alive. This is not, medically speaking, an abortion, and in fact many legislations that consider permisivas in the tolerance of the abortion prohibit it specifically, because they include it in the figure of the infanticide. But it does not happen thus in other cases, like for example in Spain, where the Penal Code does not consider the viability of the fetus so that the abortion crime occurs, and, in counterpart, it is possible to be killed in some cases to viable fetuses without receiving no penal punishment, under protection of the effective legislation indeed in the matter of abortion. For that reason we will use in these pages the abortion definition according to the current language, so that the caused death of a viable fetus also will be considered as abortion. Ever since the fertilization by means of the union of the spermatozoon with the ovum takes place, a new human being different from all arises.Then a vital process new and essentially different from those begins from the spermatozoon and the ovum, that life expectancy in fullness has already. From that first moment, the life of the new being deserves respect and protection, because the human development is a continuous one in which there are no qualitative jumps, but the progressive accomplishment of that personal destiny. There were times in which, by ignorance of the genetic mechanisms, one thought that a woman fertilized by a man could conceive a nonhuman or mean-human being. This idea is a manifestation of superstition and scientific ignorance that today must be had by surpassed. Another thing is that, by diverse diseases or alterations, upheavals at the moment of the fertilization can take place that end at the anomalous product formation, like the vesicular "mola" call or the "abortion eggs", that will lack development capacity. Or that, sometimes, leads to children with congenital malformations, whose life, nevertheless, she is deserving of the same respect and the same protection that the one of the beings normally constituted.Many people says that this is a crime, that it doesn`t have to be, cause you are killing a kid, that doesn`t have the fault that the parents have, cause they couldn`t protect themselves with a condom or other preservative; but if the ones who says it have a no desire embarrass, now them could look for an abortion. Well, there are different types from abortion:
- Aspiration: The first uterine neck with suitable instruments dilates to this function, so that by him a tube can fit that goes connected to a powerful vacuum cleaner. The force of the suction drags to the embryo and the rest of the uterine content, all exhausted in small pieces. Once finished the operation of suction usually it is made legrado to obtain the certainty that the uterus has been well empty. This method usually is used when the pregnancy is of less than ten or twelve weeks.
- Legrado: The scraped legrado one or, also call "curetaje", is the method that is used more frequently. It is begun to properly expand the neck of the uterus, which can only be done under anesthesia. Soon a species of teaspoon of sharp edges is introduced in the uterus called legra or "cureta", that it divides well to the placenta and the son to the being walked from top to bottom by all the cavity of the uterus. The pieces thus obtained are extracted with same legra. This method usually practices mainly in the three or four first months of the life of the son. If the pregnancy has surpassed the twelve weeks, the difficulties increase and is necessary to crush the body of the fetus to remove it very well to the outside. Sometimes they can be left great rest in the interior of the uterus, for example the head, and for that reason the abortador must identify all the extracted rest carefully to make sure that it has not been left anything within the mother. These methods are only carried out in the first months of the pregnancy, because the son grows and he is developed very quickly, and last east time its crushing and its expulsion by vaginal route becomes very difficult for that makes the very dangerous abortion and for the mother.
- Histerotomía ("mini Caesarean"): The Caesarean one is an intervention that is made at the end of the pregnancy, and that consists of extracting to the son through an incision in the abdomen of its mother, when by the causes who will be it is not possible his birth by the normal conduit. This operation has saved many lives as much of mothers as of children. A Caesarean one practiced when they have still passed few weeks of pregnancy is called "mini Caesarean", and consists of practicing an incision in the uterus through the maternal abdomen to extract by her to the son and the placenta. This method usually is made as of the fifteenth or sixteenth week of the pregnancy. Habitually alive children are extracted, who die being shortly after nonviable. But sometimes by this procedure they have obtained itself young alive that was viable, and then it has let itself to them die without lending the cares to them that would possibly have allowed to save them, or the death has been caused them, habitually by asphyxia.
- Induction of contractions: It consists of the provocation of the expulsion of the fetus and the placenta by means of the administration to the mother, of diverse routes, of substances (prostaglandins, oxitocina) which they produce similar contractions to those of a childbirth, which cause as well the expansion of the uterine neck, and stock-market in which is in favor the son is come off the walls of the uterus. The boy can be born dead, because asphyxia inside his mother, or alive. Also they are used sometimes, and previously to the use of oxitócidos, stems or hydrophilic dilatadores that, placed in the uterine neck, they are swollen progressively and expand it.
- Intraamniotic injection: It is injected in the amniotic liquid in which the son lives, through the abdomen of the mother, a hypertonic saline solution or a solution of urea. These hiperosmóticas irritating solutions cause contractions similar to those of the childbirth, and with an interval of one or two days after the injection, the son and the placenta usually are expelled to the outside. In a certain number of cases it is necessary to carry out legrado later to make sure the expulsion of the placenta. This method is used sometimes to evacuate a fetus dead spontaneously and retained in the uterus, and it only can be used in a pregnancy already advanced. If one is to cause an abortion, that is to say, if the son is alive within his mother and is necessary to suppress it, also the pregnancy must be of certain time, of more than four months. The irritating solution introduced previously usually poisons to the fetus, producing to him in addition extensive burns. Sometimes, instead of caustic solutions, prostaglandins have been introduced in the amniotic liquid; but those that cause abortions prefer the other solutions, because fetuses died with more security obtain themselves, and is disagreeable that the son is born alive and is necessary to kill it or to let it die at sight of all.
- Abortion pill (RU-486): By means of his administration at very early time of the pregnancy, before the sixth week of life of the son, that is to say, before the second lack of the regal one in the mother takes place, it is tried that this hormonal preparing annuls the function of the placenta in formation, with which the death of the son takes place, who is then an embryo and then it happens his consequent expulsion with all his envelopes. If the persecuted results are not obtained completely it is necessary to resort to legrado to complete the abortion.
- Menstrual evacuation: this one occurs in the first three months, the endometrium is retired by an instrument of empty.
Other coarser methods exist and dangerous for the mother, who has been used in the clandestine abortion, for thousands of years exist historical testimonies of caused abortions, with great risk for the life of the mother. Nowadays they continue being used homemade methods in the clandestine abortions.These methods are not safe for the life or the health of the mother since a risk is run, is explained down:
- Aspiration: the infections and even of perforation of the uterus, and that to the hemorrhage one the injury of abdominal organs of the mother.
- Legrado:it such has risks that previous only that with more increase.
- Induction ofcontractions: the most serious complications are the hemorrhages and embolias.
- "Mini Caesarean": tears of the scar and added extra infections.
- Intraamniotic injections: the passage of the toxic substances to the circulatory system of the mother can take place.
Sometimes these complications are not very frequent and that maternal mortality is not high (although there are complications and there are deaths), but important sequels derived from these manipulations exist, that they can influence seriously in the development of later pregnancies.It is necessary to mention also here the high risk of psychic alterations that can often appear of delayed form. The abortion supposes frequently for the mother, although it is put under him voluntarily, a strong psychic trauma.
The best thing would be to legalize the abortion, to avoid all the previous risks, so that the poorest women are not in inferiority with respect to richest, single than in the first place, it must even know that in the countries with very permisivo legislation on the abortion, the clandestine abortion continues existing, for thousand reasons very easy to include/understand (adulteries with consequences nonwished, necessity to hide a pregnancy to hold certain position, or so many others social). In any case, the outer circumstances that they surround to the abortion can make it more squalid and cruel put in danger the life of the mother in addition to the one of the son. But the abortion, is of rich women or poor, it is made clandestinely or under the protection of the State, it practices without means or with the most falsified technology, it is always the same crime against the life of a defenseless innocent, and this action never can be justified.
Now, we are gonna see many coments about abortion:What do you think about abortion? I really don't like abortion but once you think about it. There are way to many kids left in foster homes and most woman who get abortion have drug issues. So in torn. I wish more girls would wait to have sex or use a condom. murdering is so not cool well if your grown its your choice if you were raped its your choice but if your a kid and just haveoing sex with everyone then you should be held responsible for your actions and then maybe kids would reconcider i think its like a sin to kill a poor life b4 it has started. who knows, that baby could've brought world peace... It should be up to the individual to work out for themselves. But, there are few things in life that are cut and dry. There will always be exceptions. For example; if the woman knows that she herself will die if she carried the baby past a certain month and would be leaving her other kids orphaned, then I can understand why she would do it. Otherwise, that is something each person must decide for themselves. :) i think that until i am in a situation which may require one, i cannot make an opinion about it. i also believe that the government should take into consideration my point of view, and realize that it's none of their business what a woman does with her body. against it I believe its a personal choice, that should be used only when needed. As in rape, young pregnancys, or if the childs life endangers the mothers. VERY WRONG!!!!!!!!!!!!!!!!AND IRRESPONSIBLE!!!!!!!!!!!!!!!!!!!!!!!!! I think I'm sick of explaining why it's important that we have this option in our society. I think a lot of people who are "pro life" are very naive and/or judgemental.I think abortion is gross and unpleasant, but totally necessary in certain circumstances.I think I've written this all too often on these sites.I think tolerance is the best policy. It's a Mother's choice. She should know all the feelings involved and the history of the pregnancy. The Government has no right to dictate issues like Abortion. I think that is one of the hardest decisions a women would ever have to make. I dont agree with it but women should be able to make their own choice,its emotionally,physically and financially difficult having a baby,if abortion wasnt legal then women would probably find more dangerous ways to get rid of the baby. I could never have an abortion, I would never be able to live with the way it would make me feel for the rest of my life.I would hope that if others didn't want the baby they were pregnant with they would still have it and give it up for adoption. I think that if the pregnancy endangers the mothers life to carry the baby then that would be ok or if the mother was raped then it would be ok.But I feel in each case it would have to be ones own decision. It is always a choice. Each abortion releases enough resources to save the lives of 12 loved and wanted children. So the choice is do you save kids that are already born or do you save the fetus. Pro lifers choose to kill the twelve kids. I hope you are wise enough to let the twelve live and let the fetus pass. I think it's a choice that must remain safe and legal. So, what do you think about it???