Sunday, October 28, 2007

Get To Know Death And Abortion Sticks

Once abortion is banned in the United States your reality will change (and by "your" I mean all females of reproductive age, children, men and family members; basically, everybody). To help you adapt to what's coming, here are two things you need to familiarize yourselves with--death and the "abortion stick".

Death

A 23-year-old woman, para one [one pregnancy], presented with a complaint of abdominal pain for 2 days. She had a history of 3 months of amenorrhoea [no menses]. The patient had undergone vaginal abortion (details obscure) 2 days previously, followed by a low-grade fever (102º F) with progressively increasing pain and a foul-smelling vaginal discharge. There was no history of excessive vaginal bleeding or bowel/bladder complaints.

...

With a provisional diagnosis of septicemia following septic abortion with peritonitis, the patient underwent emergency exploratory laparotomy [the abdomen was opened up]....There was rupture of the uterine fundus [top part], with fetal products encapsulated in blebs throughout. The patient’s fallopian tubes and ovaries appeared to be normal. The uterine and ovarian pedicles were not thrombosed. Bowel exploration did not reveal any perforation. Given the extensive uterine involvement a total abdominal hysterectomy was performed.

...

Postoperatively the patient received intensive medical support, but her condition followed a progressive, downhill course. Subsequently, she developed a high-grade fever, hypotension, and acute respiratory distress syndrome. The patient died on postoperative day 9.


The "Abortion Stick"

An 18-year-old woman presented with a complaint of acute abdominal pain for 2 days following termination of a 2-month pregnancy performed by a local woman who served as an untrained midwife. The pain was acute in onset with increasing intensity, and localized to the lower abdomen. She gave a history of high-grade fever and a blood-stained, foul-smelling vaginal discharge for 2 days. She reported no bowel or bladder complaints.

...

Surgical findings included approximately 200 mL of intensely foul-smelling, dark-colored fluid in the peritoneal cavity. The uterus was soft in consistency, congested, and discolored, suggestive of gangrenous change. Both ovaries appeared to be normal. Subtotal hysterectomy was performed. On gross pathologic evaluation of the uterus, a foreign body consistent with a 2-X-4-cm tree twig was found in the cervix....The patient gradually recovered in intensive care. She was discharged in a healthy condition after 3 weeks of hospitalization.


Abortion stick

Two final notes.

First, what the physicians did in both cases was to perform an abortion (via a hysterectomy).

Once abortion becomes illegal here physicians will face jail time for caring for these septic abortion patients. So, fingers crossed and let's all hope these patients will be considerate enough to expire before they get to the hospital.

[Don't even bother with the "but any ban will have an exception for the woman's life" nonsense, unless you can 1) show why one embryo-American is less deserving of legal protection than another (either terminating a pregnancy is so icky that the practice needs to be made illegal, or it's not), and 2) medically justify treating female patients only, and only if, their life is in danger. And while you're at it, you also need to came up with a precise demarcation line. How unstable do we allow a female patient to become before we consider her worthy enough of receiving medical care?]

Second, in case you think this could never happen here because we live in a country where the standard of care is far superior to, well, everywhere else, think again.

The care received by the patients described in these case reports isn't the problem; it's on par with that available at any Level III hospital in the US. The problem is that despite the best medical and surgical management, the gangrenous uterus is often associated with a mortality rate of up to 70%.

Living across the street from the best hospital in the US won't guarantee your survival. Not banning a safe and effective medical procedure will.

Labels: ,

11 Comments:

At 2:48 PM, Blogger scalpel said...

"Once abortion becomes illegal here physicians will face jail time for caring for these septic abortion patients."

Hysterical nonsense.

 
At 5:49 PM, Blogger ema said...

scalpel,

No need to project. After all, you are a physician, so more facts and less emotional outbursts.

 
At 8:51 PM, Blogger scalpel said...

First, both examples presented here concerned fetuses that were either already dead or represented inevitable fetal demise. This is nothing like a typical elective abortion, which concerns a fetus that is otherwise healthy.

Second, you have presented no evidence that physicians would be prosecuted for performing life-saving hysterectomies in cases of uterine rupture caused by a patient's own attempt at a botched home abortion.

So what you are presenting is nothing more than scare tactics to stir up support for your political agenda. If you can't support your positions with facts, than perhaps you should re-examine them.

Hmmm?

 
At 1:39 PM, Blogger scalpel said...

Have you no retort to my reply? Does it not suit your agenda? Are you unable to discuss the facts without sensationalism?

If you want to say that banning abortion is wrong because it might lead to women harming themselves with illegal attempts at self-abortion, then you would have a valid (or at least an arguable) point, with some basis in historical facts to support it.

But apparently that argument wasn't good enough for you, so you stretched the truth a bit.

Your claims in this post are simply inflammatory dramatization, without factual basis. And what is worse, you can't even admit it, won't even try to defend your own words, and won't allow any dissenting comments.

That turns you into a mere propagandist.

 
At 4:08 AM, Blogger ema said...

scalpel @ 1:39 PM,

My reply is over at Kevin's (it's still in moderation, so I'll wait a bit. If it doesn't show there I'll repost here.)

scalpel @ 8:51 PM,

First, both examples presented here concerned fetuses that were either already dead or represented inevitable fetal demise. This is nothing like a typical elective abortion, which concerns a fetus that is otherwise healthy.

Both examples are exactly that, elective abortions (granted, unsafe abx, but still elective).

Second, you have presented no evidence that physicians would be prosecuted for performing life-saving hysterectomies in cases of uterine rupture caused by a patient's own attempt at a botched home abortion.

It's true that I assumed people would be familiar with this basic info (after all, the law making it illegal for MDs to care for critically ill pts s/p induced abx only dates to 1966). I've now given you enough hints, both here and over at Kevin's place, for you to go and do your homework.

So what you are presenting is nothing more than scare tactics to stir up support for your political agenda. If you can't support your positions with facts, than perhaps you should re-examine them.

Drawing conclusions from ignorance--never a good idea.

[Bonus points if you can show you actually know what my political position is, as opposed to what you believe it to be.]

 
At 6:51 PM, Blogger scalpel said...

You are the one making an unsupported claim. I'm asking you to support it, not to give me hints or assume that I can find the information myself.

 
At 5:18 AM, Blogger ema said...

scalpel @ 6:51 PM,

Asking for help because you're uninformed is understandable. Pretending that's what you were doing, in order to distract from what really happened, is just lame. If you recall:

1) I made a point.

2) You declared it hysterical nonsense.

That's it. You did not ask for anything. You did not mention you were unfamiliar with the facts and needed more information in order to evaluate what I said. You had an emotional reaction to my claim, dismissed it, and got called on it.

[I only tried to point you in the right direction, via hints, later, when the fact that I wasn't around to post a prompt reply caused you further emotional turmoil.]

 
At 1:46 PM, Anonymous Chuck McKay said...

I've never understood how abortion can be wrong, except in the case of rape or incest, which makes it OK.

 
At 11:50 AM, Anonymous Anonymous said...

people aren't going to agree with me but whatever. abortion is something you should come to on your own and quite frankly, it isn't right to bring a child into the world that you can not take care of. every baby deserves a healthy and happy home to live in and if you can not provide that sometimes the responsible thing to do is that or let the baby be adopted.

 
At 5:50 AM, Anonymous Anonymous said...

Ema - neither examples presented are a good "control category" for you to sell as your reasoning. If this is the case, then every abortion is wrong/presents complications revolving around the expecting mother choosing to take an alternate course for terminating her pregnancy and suffered complications? You didn't even list an example of when abortion is used as a standard contraceptive/knowingly did not use protection before the act. Isn't that the whole reason to be pro-life? Look, I get it. But, in what you wrote above - doesn't support your cause.

You "appear" to have a stick up your ass, leaving out any useful information for even the "pro-life" population to retain and learn from, and have both pro life, and pro choice folks laughing at your attempt. It is wrong to begin a life in this world, then terminate it due to lack of (fill in the blank). But, not every situation is that case. Not every child is meant to be born (you have a 25% chance miscarriage the second you get pregnant). This is not meant to stir up opinion - miscarriage are incredibly depressing, but its a fact of life. If every child that impregnates a woman was born, the welfare accounts would be maxed out, cost of living would sky rocket due to increase in population, you would have a lot of (not in most cases, but it'd be a lot more present) terrible parents out there, who would only raise their child to be very similar. Not intentionally, but have you ever met a 14 year old, pregnant woman, whose mother is 32, and her mother is only 15 years older than her, etc. It is a pattern. An unfortunate pattern of course, but one of the many, many studies that a population has to consider when calculating abortion laws.

Universal healthcare - I'm personally not for it, but if all embryos conceived, were born .... especially taking into account the women who attempt to "induce miscarriage" with (just one of thousands of methods which have been around since sex has) an aborficiant herb - this can severely harm a fetus. If surgical abortion wasn't an option, not only would the mother be forced to carry a highly unhealthy fetus to term, then care for his/her disabilities their whole life, times the amount of situations this occurs in, plus an entire country debating its healthcare system? You can forget that. You'll be paying for each new baby that is applied for Medicare out of your own pocket.

Look, women have been passing down methods to "self-abort" for thousands of years, it is an issue that will never disappear, as women will still do it. Heard of vitamin c? Highly effective aborficiant. Pineapple? Google the thousands of othe options.

Personally, if people are going to beat dead horses with talk of "an innocent child murdered" or "don't make them pay for your mistakes," how about you consider going to an adoption house and seeing all the children with no place to call home. Next time you walk in on your husband masturbating, or next time someone tells you about their hot night last night but its okay, they used a condom, etc. - how about you think of the baby making tools being wasted there. Most abortions happen when the embryo is the size on a bean or equivalent. Not when a BABY is 5 lbs in the womb during the third trimester.

Bottom line, figure out just what your argument is, find some evidence that actually supports your point, and try to teach people something other than your mindless opinions on life. If this article was well written .... no one would have commented like they did. I'm sure you've yet to get a comment agreeing with your point. Or, just keep doing what your told, like a sheep, keeping that little mind closed of yours .... you might make a great politician! Best of luck to you, your ignorance should get you very far in life.

 
At 7:02 AM, Blogger ema said...

Anon @ 5:50 AM,

Ema - neither examples presented are a good "control category" for you to sell as your reasoning.

and

You "appear" to have a stick up your ass, leaving out any useful information for even the "pro-life" population to retain and learn from, and have both pro life, and pro choice folks laughing at your attempt.

and

Personally, if people are going to beat dead horses with talk of "an innocent child murdered" or "don't make them pay for your mistakes," how about you consider going to an adoption house and seeing all the children with no place to call home.

and

Bottom line, figure out just what your argument is, find some evidence that actually supports your point, and try to teach people something other than your mindless opinions on life.

You seem to be confused. What exactly do you think this post is about?

 

Post a Comment

Links to this post:

Create a Link

<< Home