General Discussion
Showing Original Post only (View all)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 dont that Im 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 womans hormones may dip or fluctuate so much that the pregnancy is unsustainable. Sometimes the fetus is malformed or incomplete and isnt going to keep growing normally. Maybe a trauma happens;
at any rate the fetus isnt 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 dont 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 isnt passed out it can keep bleeding or just stay behind. The body has hormones telling it hey, youre pregnant and dont let go. So that is considered an Incomplete abortion or miscarriage.
Point: The uterus is NOT empty and in some cases the hormones didnt get the message.
Most people dont know that during the first trimester a womens 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 doesnt 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 womansplaining rant.