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flying_wahini

(8,043 posts)
Sun Oct 6, 2024, 01:47 PM Oct 6

I'm gonna woman'splain something to men here about abortion as health care. Just so you know. [View all]

Most women know this stuff but so many men don’t that I’m going to use my nursing background to tell you. I also have had personal experience with a D&C after losing a twin pregnancy at 20 weeks.
Pregnancy 101 starts here.
Apologies in advance if this is too rudimentary for you.
A D&C is a surgical procedure to remove abnormal tissues from the uterine lining. Dilation and curettage (D&C) is a surgical procedure in which the cervix is opened (dilated) and a thin instrument is inserted into the uterus. This instrument is used to remove tissue from the inside of the uterus (curettage).
Statistically, It is safer than having a tooth pulled.

When a woman miscarries several things can go bad. During the first 3 months (first trimester =12 weeks)
a woman’s hormones may dip or fluctuate so much that the pregnancy is unsustainable. Sometimes the fetus is malformed or incomplete and isn’t going to keep growing normally. Maybe a trauma happens;
at any rate the fetus isn’t going to make it. Sometimes women choose to get an abortion for whatever reasons they have. Plan B pills are designed to open and empty the uterus by stimulating a period within a few days of conception. Most of the time these drugs work well and women don’t need to see a Dr at all.
Most women in the first trimester just have a hard period and the uterus is emptied. Miscarriage is fairly common and most women have no complications. BUT sometimes there may be something left behind.
Now the uterus, by design is very vascular, after all we produce the bloody lining for an egg every month.
If something isn’t passed out it can keep bleeding or just stay behind. The body has hormones telling it hey, you’re pregnant and don’t let go. So that is considered an Incomplete abortion or miscarriage.
Point: The uterus is NOT empty and in some cases the hormones didn’t get the message.
Most people don’t know that during the first trimester a women’s blood volume is TRIPLED, so when we mean bleeding we are talking about a LOT of blood. The fetus is not yet an ounce in size at twelve weeks.
Most women have missed a period at 6 weeks. By the way abortion nationwide used to be available until 16 weeks. This was kind of the golden week when the heartbeat first starts up. At 20 weeks a fluttering is felt by the mother.
Around the transition into the second trimester things get tricky. Fetus/placenta is growing larger and with all that blood severe complications happen, and can happen quickly. When things go bad to worse, there are the most common problems.
Whatever is going on these problems mean the pregnancy is over, the fetus is dead or dying.
The point is NOTHING will sustain life.
Problems like:
The amniotic fluid is escaped, thru a tear or spontaneous rupture.
The placenta detached and no blood or nutrients can get to fetus.
The fetus just doesn’t develop as it should. Trauma can be a factor;
a fall or car wreck, the flu, or just a miscarriage happening late.
The problem at this point is if the fetus is dead and the contents are not expelled it festers.
The further along in the pregnancy the worse the complications.

Now Mom needs real HELP. Second trimester from 12- 20 weeks problems are much more serious.
She will need Mifepristone or a like drug to stimulate contractions to expel the remainder
and sometimes followed with a D&C to suction out anything left behind.
This is the SAME drug that is used in labor/delivery to stimulate labor or post partum bleeding.
Also some women will also need a D&C in a timely manner.

These drugs and procedures will save almost anybody. They are fairly simple to perform and effective.

Unless you wait.

A high fatality rate is associated with bleedouts. I am talking a LOT of blood, too. (Remember that blood volume is tripled by now).
NOW Mom needs a transfusion and possibly (in severe bleeds)
surgery to remove the uterus before they bleed to death. QUICKLY too. This is the way we used to do it.
Now with our draconian laws, the Dr thinks she will spontaneously abort on her own and he just has to wait for this. Fever, pain and advancing systemic infection is setting in.
Now, If the contents are still there, the patient may have waited weeks, sometime months the woman is going into sepsis. A systemic infection that goes into every organ . Kidneys shut down, patient can go into shock or a coma. Death is imminent. Surgery and heavy medical support is your only hope.
They will take the whole uterus is it gets this far.

NOW imagine bleeding out in a parking lot with your husband, because the Dr is worried about losing his or her license. Or losing consciousness and waking up without a uterus because YOU waited too long.
Or explaining to her family why she died.

I will add that I saw a statistic that most of the women that have abortions are married with 3 children at home.
Sorry if this went on too long, but I keep seeing erroneous posts about abortion (not here usually)
and had to clear this up.

Thanks for listening to my woman’splaining rant.

105 replies = new reply since forum marked as read
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Thank you for this clear and helpful explanation! spooky3 Oct 6 #1
great summary... thx for taking the time! WarGamer Oct 6 #2
It is refreshing and emboldoning FirefighterJo Oct 6 #3
You are very much welcome. This is a valuable service. eppur_se_muova Oct 6 #4
The only way to be ignorant of all this is... Girard442 Oct 6 #5
We went through three miscarriages central scrutinizer Oct 6 #6
Uglicans *NEVER* understand these things UNTIL IT HAPPENS TO THEM. eppur_se_muova Oct 7 #95
Thank you! alwaysinasnit Oct 6 #7
And the already-born children, now without a mother. CrispyQ Oct 6 #8
Make this a talking point Blue Full Moon Oct 6 #31
It's not 'splaining when you answer questions, and I have one... Hugin Oct 6 #9
I can answer that. Yes. yardwork Oct 6 #14
I thought that was the case. Hugin Oct 6 #17
I had a uterine mole aka a molar pregnancy and had one. ❤️ littlemissmartypants Oct 6 #25
You see... Hugin Oct 6 #51
Happy to help, Hugin. ❤️ littlemissmartypants Oct 6 #77
Those are very rare. My MAGA ex sister in law had one and which had a 'stunted growth' fetus as well. flying_wahini Oct 6 #54
I had one. Lunabell Oct 6 #32
I'm so sorry, Lunabell. ❤️ littlemissmartypants Oct 6 #78
Thanks. Lunabell Oct 6 #83
I had to have a D&C. . . Collimator Oct 6 #26
A similar circumstance occurred to someone I knew years ago... Hugin Oct 6 #44
Yeah, uncontrolled bleeding during menopause comes to mind. flying_wahini Oct 6 #50
Yes. I just had one. Whatthe_Firetruck Oct 6 #74
Thank you for sharing your experience. Hugin Oct 6 #85
Yes, I had one because of a condition called fibrous tumors. summer_in_TX Oct 6 #94
It seems like there are a wide variety of conditions... Hugin Oct 7 #97
Thank you for this explanation... MiHale Oct 6 #10
This is important information that many of us men are smart enough to trust women and their docs to handle appropriately bluesbassman Oct 6 #11
If men had to experience childbirth or even a heavy menstrual period milestogo Oct 6 #12
My Catholic raised (but non-practicing) mom used to say: Cadfael Oct 6 #19
My Catholic mom had surgery after ectopic pregnancy, D&C after miscarriage, had her tubes tied after the 8th child SharonAnn Oct 6 #24
Stuff the Virgin Mary never told us. BattleRow Oct 6 #38
And there would be a clinic... 3catwoman3 Oct 6 #42
I don't think it is as much lack of empathy but a misunderstanding that abortions (D&C's) really is flying_wahini Oct 6 #56
Thank you. In NC the Republican state legislature wouldn't allow public comments. yardwork Oct 6 #13
I think refusing to hear expert input about these laws is deliberate. ShazzieB Oct 6 #34
Yeah, the "irresponsible sluts" who are married Wednesdays Oct 6 #52
This is a fantastically concise explanation -- thank you! LauraInLA Oct 6 #15
I'm one of those men who didn't know this stuff.. Permanut Oct 6 #16
Awesome explanation! Thank you so much! Tanuki Oct 6 #18
Thank you. K&R. c-rational Oct 6 #20
I don't resent you 'splainin' all that. 'Splain away, though I know most of it... Wounded Bear Oct 6 #21
I had a miscarriage at 22 weeks and my husband and I waited in the ER littlemissmartypants Oct 6 #22
Recced and book marked! LostOne4Ever Oct 6 #23
Thanks for this! ShazzieB Oct 6 #27
One of my siblings had two boys malaise Oct 6 #28
This should be all over social media. nolabear Oct 6 #29
Thank you! This is so useful MaryMagdaline Oct 6 #30
Debbie Reynolds' miscarriages prior to Roe vs Wade MaryMagdaline Oct 6 #33
Just because something is normal and even necessary doesn't mean it's SAFE Warpy Oct 6 #35
Thank you for explaining! Elessar Zappa Oct 6 #36
THIS should be published on the front page of every major newspaper - TBF Oct 6 #37
You did good, flying wahini. After Dobbs, I guess everybody here heard me explode I was so triggered... Hekate Oct 6 #39
Your poor mother. Yes, I knew of so many women that came in for their 8,9 tenth pregnancies flying_wahini Oct 6 #59
My mom's choice of family doc was a good man. Dr O was a Roman Catholic, but no fanatic... Hekate Oct 6 #67
This is why I have been on DU for 20 years. My wife had two miscarriages madinmaryland Oct 6 #40
Thank you for this explanation LogDog75 Oct 6 #41
This is an excellent OP. MontanaMama Oct 6 #43
Thank you so much for this post!! Sogo Oct 6 #45
Thank you. It made me cry. To be so helpless and at the mercy of these goddamn thugs Joinfortmill Oct 6 #46
I hate these chickenshit Dr.s who are scared to death to ACT. The Hippocratic Oath flying_wahini Oct 6 #60
Good info. Thank you for posting. FSogol Oct 6 #47
This bugs me, and please forgive me calling anyone here an idiot. rockbluff botanist Oct 6 #48
You know it occurred to me that maybe that is part of the problem. That men flying_wahini Oct 6 #62
Very interesting. I readily found the Emily Martin article from 1991, and look forward to reading it Hekate Oct 6 #71
But how do you square this with a pregnancy that results from rape? CTyankee Oct 6 #81
Well, maybe this is over-simlifying, Mr.Bill Oct 7 #103
I agree 100% on that for sure. CTyankee Oct 7 #104
Wow, interesting! electric_blue68 Oct 6 #90
That's excellent detail LittleGirl Oct 6 #49
K&R Bayard Oct 6 #53
Yea, they are hearing nothing at 6 weeks. Pumping from the placenta makes a kind of swooshing sound. flying_wahini Oct 6 #64
Thanks for that... learned a few things!! InAbLuEsTaTe Oct 6 #55
Could you, or someone, please make a graphic nonfiction book with clear illustrations, and personal stories, Timeflyer Oct 6 #57
As I mentioned earlier, maybe we should use the term D&C instead of 'abortion'. It might help get thru. flying_wahini Oct 6 #65
Those books already exist, but you might have to look in the Women's Health section of bookstores... Hekate Oct 6 #76
And honestly, we shouldn't have. Doctors get years Ilsa Oct 6 #91
It's cruel to make women have to face a long road trip right after dealing with these sorts of medical complications. nt Shermann Oct 6 #58
K&R canetoad Oct 6 #61
I would bet you that most of the men on SCOTUS don't understand it all. flying_wahini Oct 6 #66
Someone at my job taught me the perfect retort GAJMac Oct 6 #63
I think women need medical professionals that take charge in these situations. And angry husbands. flying_wahini Oct 6 #68
It makes no sense that anyone else should care what is happening in the patients life. flying_wahini Oct 6 #69
um, Kali Oct 6 #70
I stand corrected. The latest figures I just saw said 60% . We were taught tripled and I didn't recheck. flying_wahini Oct 6 #72
Might want to edit the OP. Ms. Toad Oct 6 #93
Dear op: It isn't a rant. It's plain old, B.See Oct 6 #73
People familiar with genealogy know what happened to women in the past wnylib Oct 6 #75
Thank you for this very clear and excellent explanation. A must read! HeartsCanHope Oct 6 #79
K & R - this is an excellent post FakeNoose Oct 6 #80
I don't think most Republicans consider this kind of care an 'Abortion'. They consider it birth control. flying_wahini Oct 6 #82
Lifetime maternal death rate used to be 50% IbogaProject Oct 6 #84
This coming from a nurse bdamomma Oct 6 #86
Thank you, excellent post wendyb-NC Oct 6 #87
Your post raises one question for me hvn_nbr_2 Oct 6 #88
Thanks. Good job. philly_bob Oct 6 #89
Good explanation. mdbl Oct 6 #92
The thing that gets me is, these MAGA crazies want women to die because they couldn't sustain a pregnancy. mucholderthandirt Oct 7 #96
woman'splaining means telling the truth if..fish..had..wings Oct 7 #98
Every GOP politician should read this. surfered Oct 7 #99
This is Great Mr. Mustard 2023 Oct 7 #100
Thank you Wild blueberry Oct 7 #101
Labor and delivery nurse friend KT2000 Oct 7 #102
Fantastic post. You put several points into context lostnfound Oct 8 #105
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