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Information about Abortion Procedures (Pregnancy Termination)

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RU486

- Within 4 to 7 weeks

- Fetal Development

- Cost - $450

 - Experience

Manual Vacuum

- Within 7 weeks

- Fetal Development

- Cost - $600-5000+

- Experience

D&C

- Within 6 to 14 weeks

- Fetal Development

- Cost - $600-5000+

- Experience

D&E

- Within 13 to 14 weeks

- Fetal Development

- Cost - $600-5000+

 - Experience

D&X

- from 20 weeks

- Fetal Development

- Cost - $600-5000+

- Experience

also see

Risks and Side-effects

 

 

RU486, Mifepristone: within 4 to 7 weeks after LMP

 

Also known as the Abortion Pill, this medical abortion is used for women who are within 30 to 49 days after their last menstrual period. This procedure usually requires three office visits. The RU 486 or mifepristone pills are given to the woman who returns two days later for a second medication called misprostol. The first pill depletes the lining of the uterus. This prevents the progesterone from working and cuts off the blood supply to the baby, causing it to suffocate to death. The second pill induces labor and causes her to deliver her little baby. A third visit is then required to be sure the baby and uterine contents are completely gone. If not, a surgical abortion as the ones described below would need to be done. A surgical abortion is necessary 10% of the time following RU486.

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What she experiences: After the second pill there is a lot of intense cramping and bleeding accompanied by nausea and sometimes vomiting. These feelings can be overwhelming and are intense until the completion of the baby being delivered. She is at home, in a private setting, alone, not at the doctor’s office. She has the potential of seeing the baby, with arms and legs, after the abortion is complete. Bleeding continues for up to six weeks with the potential of cramping.

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 Manual Vacuum Aspiration: within 7 weeks after LMP


This surgical abortion is done early in the pregnancy up until 7 weeks after the woman's last menstrual period. The cervical muscle is stretched with dilators (metal rods) until the opening is wide enough to allow the abortion instruments to pass into the uterus. A hand held syringe is attached to tubing that is inserted into the uterus and the baby is torn from the uterine wall and suctioned out into a collection bottle.

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What she experiences: The procedure is explained and consent forms are signed. She may be awake or given some sort of medicine to make her drowsy. The doctor performs the painful procedure. She is given medications to prevent infection. She is left with cramping, bleeding and overwhelming emotional feelings.

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Dilation and Curettage (D&C): within 6 to 14 weeks after LMP


In this procedure, the doctor opens the cervix with a dilator (a metal rod) or laminaria (thin sticks derived from plants and inserted several hours before the procedure). The doctor inserts a loop-shaped steel knife into the uterus and connects the tubing of a suction machine. The knife cuts the baby’s body into pieces and the suction pulls the parts out of the uterus. The placenta is also scraped off the uterine wall with the knife.

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What she experiences: She may be awake or given medication to make her drowsy. As the doctor performs the painful procedure, she may feel pressure in her lower abdomen. Throughout the procedure she will hear the noise from the powerful suction machine used. Following the procedure she is left with bleeding for up to six weeks, cramping in her abdomen for weeks and overwhelming emotional feelings.

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Dilation and Evacuation (D&E): within 13 to 24 weeks after LMP


This surgical abortion is done during the second trimester of pregnancy. Because the developing fetus doubles in size between the eleventh and twelfth weeks of pregnancy, the body of the fetus is too large to be broken up by suction and will not pass through the suction tubing. In this procedure, the cervix must be opened wider than in a first trimester abortion. This is done by inserting laminaria a day or two before the abortion. After opening the cervix, the doctor twists and tears away parts of the baby with forceps. This continues until the entire baby is removed from the womb. The baby’s head needs to be crushed so it can be removed. The bones in the skull are so hard that they could cut the cervix upon removal.

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What she experiences: She may be awake or given medication to make her drowsy. As the doctor performs the procedure which has been described as, very painful, she could be aware of everything that is going on. She may see some of the parts of the baby as they are removed. She is left with bleeding, cramping and emotional feelings.

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Dilation and Extraction (D&X): from 20 weeks after LMP to full-term


Also known as Partial-birth Abortion, this procedure takes three days. During the first two days, the cervix is dilated and medication is given for cramping. On the third day, the woman receives medication to start labor. After labor begins, the abortion doctor uses ultrasound to locate the baby's legs. Grasping a leg with forceps, the doctor delivers the baby up to the baby's head. At this point, the baby is alive. And in most cases, the baby is able to survive outside the mother’s womb at the age of 23 weeks. Next, scissors are inserted into the base of the skull and the scissors blades are spread apart to create an opening. A suction catheter is placed into the opening and the brain is sucked out. The skull collapses and the baby is removed.

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What she experiences: The woman goes into labor to deliver her baby. The doctor reaches into her uterus with forceps and grabs the baby. The baby is mostly delivered when the brains are sucked out. She feels and hears everything that is going on. She can catch a glimpse of the baby that was inside her. She is left with a six-week recovery period, if not longer. This period includes bleeding, cramping and extreme emotions.

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Fetal Development

The age of the baby starts counting at your LMP (last menstrual period) and ends with the birth of your baby. The typical pregnancy is 40 weeks.

[ FIRST TRIMESTER ]

- Week 1-2 LMP and conception
- Week 3 Baby attaches itself to the uterus
- Week 4 Nervous brain and spinal cord are developing
- Week 5 Heart begins to beat
- Week 6 Menstrual period is missed, Usual time a urine pregnancy test will be positive >> Check Image
- Week 7 Facial features are visible, hands and feet are forming
- Week 8 0.5 inch long, fingers visible, toes begin to form
- Week 9 Toes and genitals are forming
- Week 11 Baby starts to produce urine

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 [ Second Trimester ]

- Week 13 Baby's footprints and fingerprints are developed
- Week 14 Hair is growing on head, and all over his body
- Week 16 Baby is 4.5 inches long and 3.5 ounces (The size of a fist)
- Week 19 Baby's brain is developing, especially the areas for hearing, seeing, touching, smelling and tasting
- Week 20 HALF WAY !!!
- Week 21 Baby will be able to hear if you read, sing to them
- Week 22 Teeth begin to bulb under the gums
- Week 23 Baby weighs about a pound and can swallow
- Week 24

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 [ Third Trimester ]

- Week 25 Baby is making breathing movements
- Week 26 Eyes begin to open
- Week 28 Fat layers are forming, getting ready for life outside the womb
- Week 30 Baby is gaining weight rapidly and is a little over 15 inches long
- Week 31 Baby turns head from side to side
- Week 32
- Week 35 Baby's movements slow down related to small space to move
- Week 37 Pregnancy considered full-term
- Week 40 Birth of baby, 5% are born on their due date (avg size is 7.5# and 20.5")

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Heavy Bleeding | Infection | Incomplete Abortion | Allergic Reaction | Tearing

Scarring | Uterus | Damage Organs | Death | Pregnancy | Emotional Impact

 

Risks and Side-effects

Some side effects may occur with induced abortion. These include abdominal pain and cramping, nausea, vomiting, and diarrhea. However, complications may happen in as many as 1 out of every 100 early abortions (4-7 weeks) and in about 1 out of every 50 later abortions (8 weeks and beyond). Such complications may include:

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Heavy Bleeding

Some bleeding after abortion is normal. Large clots may also be passed. There is, however, a risk of hemorrhage, especially if the uterine artery is torn. When this happens, a blood transfusion may be required.

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Infection

Bacteria may cause an infection which is a result of the abortion doctor having incompletely removed all parts of the baby. A serious infection may lead to persistent fever over several days, extended hospitalization and death.

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Incomplete Abortion

Some of the baby’s body parts may not be removed by the abortion. Bleeding and infection may occur. RU486 fails in up to 1 out of every 20 cases.

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Allergic Reaction to Drugs

An allergic reaction to anesthesia used during abortion surgery may result in convulsions, heart attack and, in some cases, death.

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Tearing of the Cervix

The cervix may be cut or torn by abortion instruments.

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Scarring of the Uterine Lining

Suction tubing, curettes, and other abortion instruments may cause permanent scarring of the uterine lining resulting in infertility up to 14% of the time.

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Perforation of the Uterus

The uterus may be punctured or torn by abortion instruments. The risk of this complication increases with the length of the pregnancy. If this occurs, major surgery, including a hysterectomy, may be required.

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Damage to Internal Organs

When the uterus is punctured or torn, there is also a risk that damage will occur to nearby organs such as the bowel and bladder.

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Death

In some cases, other physical complications from abortion including excessive bleeding, infection, organ damage from a perforated uterus, and adverse reactions to anesthesia may lead to death. http://www.afterabortion.org/PAR/V8/n2/finland.html

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Effect on Future Pregnancy


Scarring or other injury during an abortion may prevent or place at risk future wanted pregnancies. The risk of miscarriage is greater for women who abort their first pregnancy.

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Emotional Impact

Women experience strong negative emotions after abortion. Some of these feelings are masked or compounded by changing hormone levels. Sometimes this occurs within days and sometimes it happens after many years. This psychological response is known as Post-Abortion Stress (PAS). Several factors that impact the likelihood of Post-Abortion Stress include; the woman's age, the abortion circumstances, the stage of pregnancy at which the abortion occurs, and the woman's religious beliefs.

Post-Abortion Stress Symptoms - Guilt
- Anger
- Anxiety
- Depression
- Suicidal Thoughts (30-50%)
- Actual suicide attempts (7-30%)
- Anniversary Grief
- Flashbacks of Abortion
- Sexual Dysfunction
- Relationship Problems
- Eating Disorders
- Alcohol and Drug Abuse
- Psychological Reactions

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