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February 22, 2006
Manual Vacuum Aspiration
of three forms of vacuum aspiration:
MVA, EVA (electronic) and D&C Key Distinction: MVA uses an IPAS manual syringe
through first 14 weeks after last period ► Vacuum Aspirations account for 90%
take in fluid/stretch cervix (generally overnight) Medication ► Tube inserted into uterus via cervix ► Hand-held pump flushes uterus .MVA: The Procedure ► Speculum inserted ► Possible injection of numbing medication in/near cervix ► Dilation: Increasingly thick rods Absorbent Dilators.
5% Effective Procedure is repeated for the 0.5% failures ► Lower to be one of the safer forms of Cost ► Quieter than a machine pump ► Can remove full gestational sac .MVA: Relatively Speaking ► Considered abortion ► Procedure is 5-15 minutes long (others take longer) ► 99.
MVA still has its side effects: Abdominal cramping/pain Bleeding ►Several days of heavy bleeding ►Spotting for up to 6 weeks Rare. complications: ►Uterine/Cervical ►Pelvic perforation Infection ►Excess Bleeding .MVA: Side Effects ► Despite being a ‘safer’ method. but more severe.
MVA in Moldova ► Moldova is located between Russia and Romania 50 Years of Legal Abortion NAF funds the improvement of their abortions ► Began the MVA Project in Moldova in 2002 .
Dilation and Curettage (D&C) ► Curettage: Using a loop-shaped knife to remove tissue from the uterus ► Common gynecological surgical procedure Following miscarriages. followed by cleaning out the uterus. To treat excessive mentral flow ► Used for first trimester abortions ► As an independent procedure: May use the knife to dismember the body. ► Often involves dilation followed by suction of the contents of the uterus .
4% of abortions ► 2002: D&C accounted for 2.4% .D&C: Why It’s Uncommon ► Considered ► Asherman’s a relatively risky abortion procedure Syndrome: excess tissue seals the uterus shut ► WHO recommends D&C only if vacuum aspiration unavailable ► 1972: D&C accounted for 23.
Dilation and Evacuation (D&E) ► Surgical ► Most procedure common second trimester abortion procedure. and becomes too large to extract with suction aspiration techniques . 12-24 weeks Baby doubles in size from weeks 11-13.
skull crushed inserted. spine snapped. baby dismembered (10-15 mins) ► Body may be reassembled outside of uterus to ensure completion empty ultrasound to confirm that the uterus is ► Possible .D&E: Procedure ► Dilation Conical rods or absorbent dilators of cervix (1-2 days) ► Forceps twisting of limbs.
general anesthesia. painkillers. numbing injections to the cervix during procedure ► Possible Complications: Perforation of uterus Cervical laceration Incomplete removal Infection Inability to become pregnant Hemorrhage .D&E: For the Mother ► Sedatives.
Without progesterone. either a dose of mifepristone in tablet form or an injection of methotrexate is given. It also stops those that develop in a fallopian tube — ectopic pregnancies. Available first 63 days of pregnancy (9 weeks) . Mifepristone blocks the hormone progesterone.Medical Abortion (RU-486) ► ► Three steps First. another medication called misoprostol is taken in tablet form. Methotrexate stops pregnancy in the uterus. Third. ends pregnancy in the uterus. the lining of the uterus breaks down. the woman must return to the clinician for followup to make sure the abortion is complete. ► ► ► Second. and causes vaginal bleeding. This causes the uterus to contract and empty with vaginal bleeding.
About 50 percent of women who use methotrexate have the abortion the same day they take misoprostol — as early as five days after taking the methotrexate. bleeding may occur for up to four weeks ► ► . In some cases. For others.RU-486: How it Works ► Most women who use mifepristone have the abortion within four hours of taking misoprostol. It happens within a week for another 35–40 percent. bleeding begins within 24 hours of taking misoprostol. About 10 percent of women who use mifepristone have the abortion before they take misoprostol — as early as a day after taking mifepristone. The whole process can take up to 14 days. The process usually takes about a week.
RU-486: Side Effects ► ► ► ► ► Can cause serious birth defects if pregnancy continues Bleeding as if a heavy period Strong cramps Temporary abdominal pain Feel uncomfortably warm ► ► ► Have fever and chills Feel nauseous or vomit Diarrhea .
and convulsions.Saline Abortions (Saline Amniocentesis) ►A needle is inserted through the mother’s abdomen and 50-250 ml (as much as a cup) of amniotic fluid is replaced with a solution of concentrated salt. dehydration. ► The baby breathes and swallows the solution. ► The mother goes into labor about 33 to 35 hours delivers a dead baby ► Used after 16 weeks . ► The baby’s skin is often stripped or burned off by the salt solution. hemorrhages of the brain and other organs. and usually dies 1 to 2 hours later from salt poisoning.
coma.Complications for the Mother ► Hypertonic saline may initiate a condition in the mother called "consumption coagulopathy" (uncontrolled blood clotting throughout the body) with severe hemorrhaging as well as other serious side effects on the central nervous system ► Seizures. or death may also result from saline inadvertently injected into the woman’s vascular system .
the abortion doctor grabs the baby’s legs with forceps and repositions the child in the birth canal in the breech position. legs first . or approximately 20-26 weeks With the help of an ultrasound.Partial-Birth Abortion (D&X) ► ► This form of abortion takes place in the fifth and sixth months of pregnancy.
except for the head.Partial-Birth Abortion ► The abortionist delivers the entire child. which he purposely leaves in the canal so the medical definition of “birth” does not occur .
the abortion doctor punctures the base of the living baby’s skull and spreads the scissor blades apart to widen the hole .Partial-Birth Abortion ► With a scissors.
and the contents of the child’s skull is sucked out.Partial-Birth Abortion ► A catheter is inserted into the resulting hole. painful death ► The collapsed head is then removed from the birth canal . causing him or her a brutal.
he or she is only inches from a medical definition of live birth. in at least 80% of cases. partial-birth is only performed on a child who has serious mental or physical disabilities about 20% of the time. very obviously a person and very obviously alive ► Like most abortion procedures. and nearly all victims of partial-birth abortion are viable at the time of the procedure—adoption would be a perfectly plausible solution if the mother couldn’t care for the child .The Tragedy ► When the child is partially delivered. he or she is often kicking and moving his or her arms. the mother simply chooses abortion because the child is unwanted ► By the time the baby is killed.
which could result in the condition known as Incompetent Cervix and interfere with the woman’s ability to have children in the future The child is partially-delivered in the breech position. Labor is induced by artificially dilating the cervix over a period of three days. a position undesirable for safe live births—maneuvering the baby into this position can cause uterine rupture Surgical instruments are inserted into the birth canal. it is likely to be painful and is potentially damaging to her fertility. in fact. partial-birth abortion is definitely not the safest method for the mother .Despite What They Say… ► This procedure is NEVER necessary to protect the mother’s health. increasing risks of infection or uterine puncture Regardless of pro-choice claims to the contrary.
xml#1097785696224::8279011707666963798 http://www.optionline.net/gynecology/diseases/abortion.wikipedia.com/topic/dilation-and-curettage http://www.org/international/training/moldova.com/hw/womens_conditions/tw1469.org/abortion.thedoctorslounge. Project: http://plannedparenthood.nrlc.prochoice.com/reference/dilation_and_curetta ge http://www.fwhc.html Parenthood: Services: ► National Abortion Foundation: .com/pp2/portal/files/portal/medicalinfo/abortion/pubabortion-surgical.asp Health Tech.org/wiki/Dilation_and_evacuation http://www.htm http://www.asp http://en.org/abortion/ASMF/asmf5.rhtp.org/abortion/ab-procedures.org/abortion/mva/default.html http://www.absoluteastronomy.webmd.htm http://www.answers.html http://www.References ► ► ► ► ► ► ► ► Reproductive ► Planned ► FWHC http://www.