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The technique chosen to terminate pregnancy depends on the stage of pregnancy and the policies of the institution and patient needs. It is rare for a fetus to survive if it weighs less than 500 g, or if the pregnancy is terminated before 20 weeks of gestation. These factors are, however, difficult to determine with a high degree of accuracy while the fetus is still in utero; survival of the fetus delivered near the end of the second trimester often depends to a great extent on the availability of personnel and equipment capable of supporting life until the infant develops sufficiently.
Viability of the fetus outside the uterus is frequently used as the determining factor in deciding the legality and morality of induced abortion. Whether this is a valid criterion is essentially based on whether one believes that the fetus is human from the moment of conception or that it achieves humanity at some point during physical development. Those who oppose abortion on moral grounds believe that the fetus is human or potentially human and that destruction of the fetal body is tantamount to murder. Many others have equally strong beliefs that abortion is a woman's right.
The liberalization of abortion laws has resulted in a dramatic increase in the number of abortions performed in physicians' offices, clinics, and hospitals. While this has diminished the occurrence of septic abortions performed at the hands of unscrupulous abortionists and has improved the possibility of safe and uneventful physical recovery from an induced abortion, the issue remains controversial and charged with emotion. The health care provider who strongly objects to abortion is legally and morally free to choose not to participate in the procedure and is advised to avoid situations involving responsibility for the care of patients who have chosen abortion as a means of ending an unwanted pregnancy. Women who have made a decision to have an abortion need a safe, non-judgmental environment to recover physically and emotionally from the procedure.
The patient should know that other alternatives are available and that an abortion after 20 weeks is inadvisable for medical and other reasons. Preabortion counseling in the psychological, religious, and legal aspects of abortion should be readily available, with immediate referral to the proper resources. Although delay in carrying out the procedure may increase the risk of complications, no patient should be encouraged to go through with an abortion until she has had time and sufficient counseling to reach a rational decision. During postabortion counseling there should be a discussion of various methods of contraception. The client will need information on the advantages and disadvantages of each method, her responsibilities in preventing future unwanted pregnancies, and available help in initiating and following through on a program of effective contraception. She should be informed that women who have had two or more abortions run a greatly increased risk of miscarriage or spontaneous abortion in the first six months of subsequent pregnancies.
In cases of spontaneous or habitual abortion, patient care is directed toward emotional support of the patient and acceptance of her feelings of bitterness, grief, guilt, relief, and other emotions associated with the loss of the fetus. The patient should be able to express her feelings in an open, nonjudgmental, and nonthreatening environment.
abortionThe premature expulsion of the products of conception (POCs) from the uterus of the embryo or of a nonviable foetus. While the term abortion is generic and implies a premature termination of pregnancy for any reason, ‘miscarriage’ is popularly used for involuntary foetal loss or foetal wastage, which occurs naturally when the mother expels a dead foetus that may have genetic or developmental defects, or due to infection or illness in the mother, and abortion for the intentional elimination of gestational products.
Rate (of women age 15–44): 5% in Netherlands; 1.4% in UK; 2.7% in US; 6% in Cuba; 18% in Russia; where abortions are illegal, the rate of complications are much higher.
Uterine contractions, uterine haemorrhage, softening and dilatation of cervix, presentation or expulsion of all or part of POCs.
abortionObstetrics The premature expulsion of the products of conception–POCs from the uterus of the embryo or of a nonviable fetus Clinical Uterine contractions, uterine hemorrhage, softening and dilatation of cervix, presentation or expulsion of all or part of the POCs Statistics Rate—0.5% of ♀ age 15–44 Netherlands; 1.4% in UK; 2.7% US; 6% Cuba; 18% Russia; where abortions are illegal, the rate of complications are much higher. See Complete abortion, Criminal abortion, Early abortion, Elective abortion, Habitual abortion, Incomplete abortion, Induced abortion, Inevitable abortion, Late abortion, Late-term abortion, Medical abortion, Missed abortion, Partial birth abortion, Prostaglandin-induced abortion, Recidive abortion, Recurrent abortion, Saline abortion, Septic abortion, Spontaneous abortion, Threatened abortion, Urea abortion, Vacuum abortion.
abortionLoss of the FETUS before it is able to survive outside the womb (UTERUS). The term abortion covers accidental or spontaneous ending, or MISCARRIAGE, of pregnancy as well as deliberate termination, whether for medical reasons or as a criminal act. At least 1 in 10 pregnancies ends in abortion, the great majority of these being spontaneous. Deliberate termination of pregnancy is called induced abortion. When this is legal it is called ‘therapeutic abortion’. Abortion may be performed legally under certain circumstances and in approved hospitals or clinics. Two doctors, who have seen the patient, must agree that continuation of the pregnancy would be detrimental to her or her baby, or her existing children's, physical or mental health. The term derives from the Latin aborior , to set, as of the sun.
abortionthe spontaneous or induced expulsion of a foetus before it becomes viable outside the uterus or womb.
Patient discussion about abortion
Q. What do you know about abortions? How safe is it, are there pills that you can take to avoid the process?
Q. I had an abortion which was unexpected.. Could I be pregnant again? Hello, I got married in Aug 2008, when I was 3 weeks pregnant I had an abortion which was unexpected. This happened 2 months back. Now I am using my rest room more often and I am not convenient with the natural disposes. I don’t know if these symptoms are due to any sickness or due to pregnancy. I took a pregnancy test but it came out negative. Could I be pregnant again?
Q. HOW CAN WE THE PEOPLE GROW TO UNDERSTAND WHY AND HOW ABORTIONS WORK?PLEASE HELP ME UNDERSTAND THANK YOU!A.M.C