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B2G

(9,766 posts)
Sun Oct 23, 2016, 12:19 PM Oct 2016

Question on late term abortion

I frequently hear people argue that these procedures are performed if the mother's life is at risk due to the pregnancy.

If the goal is to end the pregnancy to save the mother, why abort? Why not induce or perform a C-section.

Of course this is in the case that the baby is healthy and viable. If the baby has a condition incompatible with life, I totally get that.

33 replies = new reply since forum marked as read
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Question on late term abortion (Original Post) B2G Oct 2016 OP
The simple answer is your opinion doesn't matter and shouldn't matter DeeDeeNY Oct 2016 #1
That's right. yallerdawg Oct 2016 #3
The woman AND her physician vlyons Oct 2016 #7
I think inducing or performing a C-section would be methods to abort. Chemisse Oct 2016 #2
C-sections are a major surgery that bring a host of complications and risks. Abortions are Brickbat Oct 2016 #4
This is why Freddie Oct 2016 #9
I think you've answered your own question... Wounded Bear Oct 2016 #5
Thank you. Great response. B2G Oct 2016 #6
C-Section is major surgery. Lars39 Oct 2016 #8
This is true. procon Oct 2016 #10
Thank you for sharing that painful insight. Lars39 Oct 2016 #14
This article answered a lot of my questions. forgotmylogin Oct 2016 #11
In cases where... tonedevil Oct 2016 #12
Have you mercuryblues Oct 2016 #13
I had a C-section. They didn't cut through all the layers--they just cut through the first and then tblue37 Oct 2016 #32
After Tiller, documentary about late abortions, is giving away digital copies for free uppityperson Oct 2016 #15
your question about third way ColemanMaskell Oct 2016 #21
That's the procedure that the anti-abortion crowd likes fo focus on... Wounded Bear Oct 2016 #25
This message was self-deleted by its author uppityperson Oct 2016 #24
Hey, if you are ever in this unhappy situation lillypaddle Oct 2016 #16
There has to be a reason to perform surgery gwheezie Oct 2016 #17
Your post has made me cry. dmr Oct 2016 #23
Start here: MH1 Oct 2016 #18
Update - Please read THIS article: MH1 Oct 2016 #19
You're asking the wrong people. Glassunion Oct 2016 #20
I'm rec'ing this for the discussion that follows. Control-Z Oct 2016 #22
Another excellent explanation, by an OB-GYN— Demit Oct 2016 #26
Where in the U.S. are late term abortions performed Greybnk48 Oct 2016 #27
Honey, "late term" is anything after the first 12 weeks of pregnancy Warpy Oct 2016 #28
If the baby can't survive anyway, why risk the woman's life and fertility? gollygee Oct 2016 #29
Very late term abortions typically ARE either induced or C-sections. In those cases, the fetus is tblue37 Oct 2016 #31
Your question: If the goal is to end the pregnancy to save the mother why abort? OhioBlue Oct 2016 #33

DeeDeeNY

(3,356 posts)
1. The simple answer is your opinion doesn't matter and shouldn't matter
Sun Oct 23, 2016, 12:24 PM
Oct 2016

There is one and only one person who gets to decide and that is the pregnant woman.

vlyons

(10,252 posts)
7. The woman AND her physician
Sun Oct 23, 2016, 12:35 PM
Oct 2016

together decide the best course of action for each case. The woman decides whether to take a fetus full term, and the physician advises on the best course of action to support the woman's decision.

Chemisse

(30,817 posts)
2. I think inducing or performing a C-section would be methods to abort.
Sun Oct 23, 2016, 12:26 PM
Oct 2016

But it is called an abortion because it will result in the death of the fetus.

It may be that the fetus is killed ahead of time, thus making it different, but I don't know for sure.

Brickbat

(19,339 posts)
4. C-sections are a major surgery that bring a host of complications and risks. Abortions are
Sun Oct 23, 2016, 12:27 PM
Oct 2016

much safer.

Freddie

(9,273 posts)
9. This is why
Sun Oct 23, 2016, 12:36 PM
Oct 2016

The procedure that got named "partial birth abortion" (can't think of the medical term) is far safer for the woman than a c-section.

Wounded Bear

(58,706 posts)
5. I think you've answered your own question...
Sun Oct 23, 2016, 12:31 PM
Oct 2016

because in truth, only the woman involved can ask and then answer the "right" questions, in concert with her personal physician. My personal opinion is that it is none of my fucking business, and I certainly have no desire to force any medical decision, in any direction, on anybody through government coercion.

The RW "Pro-life"-ers desire is to make it illegal for a woman to even discuss the questions you have brought up. They wish to make all options save live birth unavailable. Anybody who says differently is in denial, at best, and patently evil at worst IMNSHO.

I respect those with religious and personal reasons to oppose abortion procedures for themselves, I reject anybody's supposed right to force their opinions on others, no matter how that opinion is derived.

Assuming a rational woman and an ethical doctor, I trust them to make the correct decision to handle whatever situation may arise concerning her pregnancy.

Lars39

(26,116 posts)
8. C-Section is major surgery.
Sun Oct 23, 2016, 12:36 PM
Oct 2016

A woman possibly already sick from the pregnancy may not be healthy enough for major surgery.
Inducement and labor, same thing. They are hard enough when you're healthy. It's not like there is a one-size fits all answer because there are many life-threatening things that can happen...too many variables.
Women deserve the needed health care to survive with the best health possible.

procon

(15,805 posts)
10. This is true.
Sun Oct 23, 2016, 01:11 PM
Oct 2016

A number of years ago someone in my family had to make that terrible decision because it was a matter of life and death. She had multiple medical problems and a complicated pregnancy, and her body was failing and her weakened heart couldn't take the stress of supporting two lives. She wanted that child so badly, but it was literally killing her and she couldn't have survived the trauma of anesthesia or a major surgery, or the physical stress of post op and recovery.

It was a tragic decision she made with the advice of her doctors and the support of her family, and no one has any right to interfere in someone else's life.


 

tonedevil

(3,022 posts)
12. In cases where...
Sun Oct 23, 2016, 01:26 PM
Oct 2016

the choice is as you have outlined why do you think that isn't being done? Anyone I have known who was pregnant until the fetus was viable would have done most anything to have that child.
As others have pointed out, a c-section is not a risk free procedure. I would think the decision would be made with the best information from the doctor and not taken lightly.

mercuryblues

(14,537 posts)
13. Have you
Sun Oct 23, 2016, 01:28 PM
Oct 2016

ever had your mid section sliced open, hip to hip? I have. You seem to flip that choice out like eh no biggie. When the abdominal wall is cut, the uterus is not right there.

There are several layers the surgeon must cut through to reach the uterus, including muscle. The bladder has to be pushed and clamped aside. Sometimes the intestines have to be removed and placed on a tray. The uterus is pulled and lifted up for the surgeon to have a better view for delivery. After all this is over, it feels like it was all just shoved back in there and stapled shut. The general rule is if you have 1 C-section subsequent deliveries should also be C-sections. The more c sections you have the higher the risk of, delivery, future pregnancies and other post natal complications.

All this when there is a MUCH less invasive medical procedure to garner the same result.

Your other suggestions depend on what exactly is wrong with the fetus and mother. There are deformities in the fetus that can make a vaginal delivery highly risky for the woman. Because of the problems with the fetus a woman can also develop health problems and a vaginal delivery would put too much stress on her body. Some women can not emotionally bear going through hours and hours of labor and pushing knowing that the fetus will either be born dead or die within minutes of birth.

These choices do not come cheap. Drs want their fees up front. I can cost easily $10,000 - 25,000 depending on the circumstances. So no, it is not a fly by night choice for a woman to have an abortion at this point in a pregnancy.

For all these reasons and more I say LET THE WOMAN DECIDE WHAT IS BEST FOR HER. TRUST WOMEN.

tblue37

(65,487 posts)
32. I had a C-section. They didn't cut through all the layers--they just cut through the first and then
Sun Oct 23, 2016, 10:19 PM
Oct 2016

push the others apart to pull the baby out. (It actually felt like the doctors were jumping up and down on my abdomen when they were forcing the inner layers apart!)

uppityperson

(115,679 posts)
15. After Tiller, documentary about late abortions, is giving away digital copies for free
Sun Oct 23, 2016, 01:34 PM
Oct 2016

This came through on my Facebook page from one of the directors, I emailed and they sent me a link.

info@oscilloscope.net

http://www.aftertillermovie.com


The short answer to how it is fine is it depends on the health of the participants. If the pregnant woman has a eclampsia, with a sky high blood pressure, inducing will put her life at risk. If the fetus is not viable, will die or is dead, and the woman can tolerate labor, then she might be induced.

I am not sure what why mean though in that the only 2 ways to get something out of the uterus is vaginally or c-section. How else can an abortion be done? Clarify p!ease?

ColemanMaskell

(783 posts)
21. your question about third way
Sun Oct 23, 2016, 03:24 PM
Oct 2016

Wow this is not the place to come for someone to ask a question, is it? Being one (apparently of few) who thinks having information is a good thing for its own sake, I'd like to answer your question about there seemingly being only the two methods. There is a third option, but warning it's kinda gross. (So stop reading now if you don't want to risk being grossed out.)

If the fetus is already lifeless inside the womb, the body might expel the remains naturally if everything is working right, but if something goes wrong so that it has not been expelled naturally, it is possible for doctors to reach up with forceps and other implements and -- how can this be phrased least grossly -- disassemble what remains, then remove the disassembled parts. Warned you it was gross. The alternative is letting the mother die from sepsis and such, so sometimes this is the only thing that can be done to save the mother.

Additional even more unpleasant details. There are things that can go wrong with a fetus that don't cause it to die immediately, but that make it impossible to have a normal live birth. The most common one I've read about is that the mostly-developed head malfunctions in such a way that it starts swelling up with water. The head becomes too large for a natural birth to take place. Such a fetus will never develop into a viable human being that can survive, but for a time the fetus might be considered alive in some sense. The mother will die if nothing is done to stop the swelling. You see what the choices are, and that there is really only one reasonable choice. Some people have great difficulty facing reality, unfortunately.

Wounded Bear

(58,706 posts)
25. That's the procedure that the anti-abortion crowd likes fo focus on...
Sun Oct 23, 2016, 03:47 PM
Oct 2016

but of course, no ethical doctor would do that unless, like your scenario presents, it is an extreme life threatening situation.

Thankfully, it is rare that it happens.

Response to uppityperson (Reply #15)

lillypaddle

(9,581 posts)
16. Hey, if you are ever in this unhappy situation
Sun Oct 23, 2016, 01:36 PM
Oct 2016

ask your doctor and see if s/he can clear it up for you.

No one needs to explain anything to you to make you feel better. Bottom line, none of your business.

gwheezie

(3,580 posts)
17. There has to be a reason to perform surgery
Sun Oct 23, 2016, 01:39 PM
Oct 2016

I have a family member who had a late term abortion and she asked the doctor to perform a csection because she was worried an induced vaginal delivery would cause pain to the catastrophically damaged fetus. The doctor refused and when he explained the fetus would die before the delivery of the contents during abortion she did feel releaved. The fetus was not going to survive and carrying it to full term and having a vaginal delivery would have been cruel beyond words. Carrying it one more day would have been unthinkable.
The fetus was having multiple spontaneous bone fractures in the womb without the pressure of contractions. Late term abortion was heart wrenching but the only choice.

dmr

(28,349 posts)
23. Your post has made me cry.
Sun Oct 23, 2016, 03:38 PM
Oct 2016

Your family member was a loving mom.

After reading your post, I had to go back and reread your opening sentence. It broke my heart.

MH1

(17,600 posts)
18. Start here:
Sun Oct 23, 2016, 02:26 PM
Oct 2016
http://www.huffingtonpost.com/search?keywords=abortion&sortBy=recency&sortOrder=desc

I was looking for a specific article that was very good. I thought it was on HuffPo so did that search. There's a lot of articles there that probably answer your question, but I'm still trying to find the one I was thinking of.

MH1

(17,600 posts)
19. Update - Please read THIS article:
Sun Oct 23, 2016, 02:31 PM
Oct 2016
http://www.huffingtonpost.com/entry/donald-trump-confuses-birth-with-abortion-and-no-there-are-no-ninth-month-abortions_us_5808dfa2e4b0dd54ce389b61

It's written by an ob/gyn and goes into specifics about the types of situations that women face in so-called "late term abortion" decisions, and what the options are for the different scenarios, and why a doctor may do one thing vs. another.

Bottom line though: it is between the woman and her doctor(s). PERIOD.

100% of anything you hear from the talibornagain faction on this topic is total and complete bullshit.

Glassunion

(10,201 posts)
20. You're asking the wrong people.
Sun Oct 23, 2016, 02:39 PM
Oct 2016

Every single pregnancy is unique, and carries with it, its own complications.

What you would need to do, is speak to every woman who has had one. Then speak to their doctors and walk through the entire decision making process based on all of the variables present in each and every one of them.

At the end of the day it is an intimate and difficult decision that is made based on the information available gained by those who have devoted their lives to the health and welfare of all humans, but it is none of our business.

Control-Z

(15,682 posts)
22. I'm rec'ing this for the discussion that follows.
Sun Oct 23, 2016, 03:29 PM
Oct 2016

There is some really excellent information to be found.

 

Demit

(11,238 posts)
26. Another excellent explanation, by an OB-GYN—
Sun Oct 23, 2016, 04:28 PM
Oct 2016
http://www.vox.com/first-person/2016/10/21/13352872/donald-trump-abortion-wrong

The doctor says: "Abortions for the health of the mother only happen before 24 weeks. After 24 weeks, if a pregnant woman needs to deliver for her health, obstetricians either induce labor or perform a C-section, and the baby is attended by the neonatal intensive care unit. No OB-GYN is doing third-trimester abortions for the health of the mother.

There's much more at the link. Worth a read.

Greybnk48

(10,176 posts)
27. Where in the U.S. are late term abortions performed
Sun Oct 23, 2016, 04:47 PM
Oct 2016

if the mother and fetus are healthy? As far as I know, nowhere.

My Aunt had an emergency abortion in the 1940's, the one the politicians call "partial birth abortion." Her baby had hydrocephaly (fluid in the skull) and got stuck in the birth canal during delivery. They had to use the trocar to drain the head to save my aunt's life and get the baby out fast. It would not have survived even if it had been detected in advance by ultrasound and a c-section was performed. Profound brain damage.

With ultrasound, situations like this are extremely rare and late term abortion is seldom done. Molly Ivans talked about this way back in the 90's and said there had only been two performed in the State of Texas since the early 70's and the passage of Roe v Wade. The politicians are lying for votes.

http://www.dailykos.com/story/2015/1/23/1342876/-Molly-Ivans-Explains-Late-Term-Abortion-Perfectly

Warpy

(111,339 posts)
28. Honey, "late term" is anything after the first 12 weeks of pregnancy
Sun Oct 23, 2016, 05:37 PM
Oct 2016

It takes until week 24 to make the fetus viable outside the womb with hundreds of thousands of dollars worth of medical heroics. That's 12 weeks of "late term abortion" right there before a fetus has any hope of survival outside the womb.

Most states have restrictions on abortions done after the 24th week. Usually all care is dedicated to keeping a viable fetus alive. However, in some cases, a woman is so ill that she can't survive eithe many hours of labor or major surgery, which is what the C-section you so blithely suggest is. I've seen one such case, myself.

In most cases, unless the fetus is so damaged as to be non viable or already dead, you'll see a premature birth instead of a third trimester abortion. Women don't go into abortion clinics in their ninth month to abort because their due dates conflict with hair appointments, no matter what propaganda to the contrary you have heard,

Late term abortions are already extremely rare and performed only for the most tragic medical reasons. At some point, you have to realize that the medical profession is telling the truth and the antiabortionists are all pathological liars.

gollygee

(22,336 posts)
29. If the baby can't survive anyway, why risk the woman's life and fertility?
Sun Oct 23, 2016, 05:47 PM
Oct 2016

You have to remember that any pregnancy that makes it to 9 months is a wanted pregnancy - the woman wanted a baby. She is very likely to try to have a baby after that, and her future pregnancy will be easier if she hasn't just had a C-section too. C-sections are wonderful if you need them, but they are not ideal. They create additional risk and there's no reason to do that.

tblue37

(65,487 posts)
31. Very late term abortions typically ARE either induced or C-sections. In those cases, the fetus is
Sun Oct 23, 2016, 10:13 PM
Oct 2016

usually not viable, and does not live long after being delivered by induction or C-section.

They don't do it the way Trump described it.

OhioBlue

(5,126 posts)
33. Your question: If the goal is to end the pregnancy to save the mother why abort?
Sun Oct 23, 2016, 10:26 PM
Oct 2016

Why not induce or perform a C-section? Answer: This is what is almost always done once the fetus has reached the point of viability.

Every pregnancy is different and no medical procedure should be banned IMO. Regulated, yes. However, there will be a very rare situation in which that medical procedure is the best course of action in a medial professional's opinion and should not be an option that isn't available to them and their patient.

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