Abortion Reform: History, Status, and Prognosis
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Hysteroscopy with Dilation and Curretage (D & C)
501 19th Street, Trustees Tower FORT SANDERS WOMEN’S SPECIALISTS 1924 Pinnacle Point Way Suite 401, Knoxville Tn 37916 P# 865-331-1122 F# 865-331-1976 Suite 200, Knoxville Tn 37922 Dr. Curtis Elam, M.D., FACOG, AIMIS, Dr. David Owen, M.D., FACOG, Dr. Brooke Foulk, M.D., FACOG Dr. Dean Turner M.D., FACOG, ASCCP, Dr. F. Robert McKeown III, M.D., FACOG, AIMIS, Dr. Steven Pierce M.D., Dr. G. Walton Smith, M.D., FACOG, Dr. Susan Robertson, M.D., FACOG HYSTEROSCOPY WITH DILATION AND CURRETAGE (D & C) Please read and sign the following consent form when you feel that you completely understand the surgical procedure that is to be performed and after you have asked all of your questions. If you have any further questions or concerns, please contact our office prior to your procedure so that we may clarify any pertinent issues. Definition: HysterosCopy is an outpatient procedure that allows your doctor direct visualization of the inside of the uterine cavity (womb) by inserting a thin lighted telescope (hysteroscope) through the vagina (birth canal) and cervix, without making an abdominal incision. This procedure enables your doctor to examine the lining of the uterus, look for polyps, fibroids, scar tissue, blockages of the fallopian tubes, and abnormal partitions. In addition, this procedure allows your doctor to remove or surgically treat many of the abnormalities seen. Dilation and Curettage (D&C) allows your doctor to take a sample of the tissue that lines your uterus (endometrium) and/or to remove polyps, fibroid tumors, or hyperplasia. Suction D&C is used in cases of miscarriage. -
Personhood Seeking New Life with Republican Control Jonathan Will Mississippi College School of Law, [email protected]
Mississippi College School of Law MC Law Digital Commons Journal Articles Faculty Publications 2018 Personhood Seeking New Life with Republican Control Jonathan Will Mississippi College School of Law, [email protected] I. Glenn Cohen Harvard Law School, [email protected] Eli Y. Adashi Brown University, [email protected] Follow this and additional works at: https://dc.law.mc.edu/faculty-journals Part of the Health Law and Policy Commons Recommended Citation 93 Ind. L. J. 499 (2018). This Article is brought to you for free and open access by the Faculty Publications at MC Law Digital Commons. It has been accepted for inclusion in Journal Articles by an authorized administrator of MC Law Digital Commons. For more information, please contact [email protected]. Personhood Seeking New Life with Republican Control* JONATHAN F. WILL, JD, MA, 1. GLENN COHEN, JD & ELI Y. ADASHI, MD, MSt Just three days prior to the inaugurationof DonaldJ. Trump as President of the United States, Representative Jody B. Hice (R-GA) introducedthe Sanctity of Human Life Act (H R. 586), which, if enacted, would provide that the rights associatedwith legal personhood begin at fertilization. Then, in October 2017, the Department of Health and Human Services releasedits draft strategicplan, which identifies a core policy of protectingAmericans at every stage of life, beginning at conception. While often touted as a means to outlaw abortion, protecting the "lives" of single-celled zygotes may also have implicationsfor the practice of reproductive medicine and research Indeedt such personhoodefforts stand apart anddistinct from more incre- mental attempts to restrictabortion that target the abortionprocedure and those who would perform it. -
Do Nothing, Do Something, Aspirate: Management of Early Pregnancy
Disclosure Do Nothing, Do Something, • I train providers in Nexplanon insertion and removal Aspirate: • I do not receive any honoraria for this Management Of Early Pregnancy Loss Sarah Prager, MD, MAS Department of Obstetrics and Gynecology University of Washington Objectives Nomenclature By the end of this workshop participants will be able to: Early Pregnancy Loss/Failure (EPL/EPF) Spontaneous Abortion (SAb) 1. Understand diagnosis of early pregnancy loss (EPL) Miscarriage 2. Describe EPL management options in a clinic or the ED. 3. Describe the uterine evacuation procedure using These are all used interchangeably! the manual uterine aspirator (MUA). 4. Demonstrate the use of MUA for uterine Manual Uterine Aspiration/Aspirator (MUA) evacuation using papayas as simulation models. Manual Vacuum Aspiration/Aspirator (MVA) 5. Express an awareness of their own values related Uterine Evacuation to pregnancy and EPL management. Suction D&C/D&C/dilation and curettage Background Imperfect obstetrics: most don’t continue • Early Pregnancy Loss (EPL) is the most common complication of early pregnancy • 8–20% clinically recognized pregnancies • 13–26% all pregnancies • ~ 800,000 EPLs each year in the US • 80% of EPLs occur in 1st trimester • Many women with EPL first contact medical care through the emergency room Brown S, Miscarriage and its associations. Sem Repro Med. 1 Samantha Risk Factors for EPL • Age • 26 yo G2P1 presents to the • Prior SAb emergency room with vaginal • Smoking bleeding after a positive • Alcohol home pregnancy test. An • Caffeine (controversial) ultrasound shows a CRL of • Maternal BMI <18.5 or >25 7mm but no cardiac activity. • Celiac disease (untreated) • She wants to know why this • Cocaine happened. -
Dilation and Curettage (D&C) Consent Form
Dilation and Curettage (D&C) Consent Form Patient Name: ____________________________________________ Date of Birth: __________ Guardian Name (if applicable): ________________________________ Patient ID: ___________ Washington State law guarantees that you have both the right and the obligation to make decisions regarding your health care. Your physician can provide you with the necessary information and advice, but as a member of the health care team, you must participate in the decision making process. This form acknowledges your consent to treatment recommended by your physician. 1 MY PROCEDURE I hereby give my consent for Dr. or/and his/her associates to perform a Dilation and Curettage upon me. I understand the procedure is to be performed at the First Hill Surgery Center. This has been recommended to me by my physician in order to diagnose or treat dysfunctional uterine bleeding, menorrhagia (heavy menstrual bleeding) increased endometrial thickness, uterine polyps, and/or miscarriage. I understand that the procedure or treatment can be described as follows: The cervix is mechanically dilated and the lining of the uterus is either scraped or suctioned to remove tissue for possible biopsy. This procedure is routinely done in an outpatient surgery center and typically takes 15-20 minutes to complete. General anesthesia or sedation may be required for this procedure and will be administered by a qualified anesthesiologist. Your anesthesiologist will be available to discuss this further with you on the day of your procedure. 2 MY BENEFITS Some potential benefits of this procedure include: Removing tissue from the uterus may temporarily relieve abnormal bleeding lining; removing tissue for biopsy of the uterine lining; resolution of failed pregnancy. -
Mifepristone
1. NAME OF THE MEDICINAL PRODUCT Mifegyne 200 mg tablets 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains 200-mg mifepristone. For the full list of excipients, see section 6.1 3. PHARMACEUTICAL FORM Tablet. Light yellow, cylindrical, bi-convex tablets, with a diameter of 11 mm with “167 B” engraved on one side. 4. CLINICAL PARTICULARS For termination of pregnancy, the anti-progesterone mifepristone and the prostaglandin analogue can only be prescribed and administered in accordance with New Zealand’s abortion laws and regulations. 4.1 Therapeutic indications 1- Medical termination of developing intra-uterine pregnancy. In sequential use with a prostaglandin analogue, up to 63 days of amenorrhea (see section 4.2). 2- Softening and dilatation of the cervix uteri prior to surgical termination of pregnancy during the first trimester. 3- Preparation for the action of prostaglandin analogues in the termination of pregnancy for medical reasons (beyond the first trimester). 4- Labour induction in fetal death in utero. In patients where prostaglandin or oxytocin cannot be used. 4.2 Dose and Method of Administration Dose 1- Medical termination of developing intra-uterine pregnancy The method of administration will be as follows: • Up to 49 days of amenorrhea: 1 Mifepristone is taken as a single 600 mg (i.e. 3 tablets of 200 mg each) oral dose, followed 36 to 48 hours later, by the administration of the prostaglandin analogue: misoprostol 400 µg orally or per vaginum. • Between 50-63 days of amenorrhea Mifepristone is taken as a single 600 mg (i.e. 3 tablets of 200 mg each) oral dose, followed 36 to 48 hours later, by the administration of misoprostol. -
Model for Teaching Cervical Dilation and Uterine Curettage
Model for Teaching Cervical Dilation and Uterine Curettage Linda J. Gromko, MD, and Sam C. Eggertsen, MD Seattle, W a s h in g to n t least 15 percent of clinically recognizable pregnan METHODS A cies terminate in fetal loss, with the majority occur ring in the first trimester.1 Cervical dilation and uterine The fabric model was developed under the guidance of curettage (D&C) is frequently important in the manage physicians at the University of Washington Department ment of early pregnancy loss to control bleeding and re of Family Medicine and is commercially available.* The duce the risk of infection. D&Cs are also done for thera model, designed to approximate a 10-week last-menstrual- peutic first trimester abortions in family practice settings. period-sized uterus, is supported by elastic “ligaments” Resident experience may vary greatly, and some may feel on a wooden frame (Figure 1). A standard Graves spec inadequately trained in this procedure. The initial use of ulum can be inserted into the “vagina,” permitting vi gynecologic instruments (ie, tenaculum, sound, dilators, sualization of a cloth cervix. After placement of a tena curette) can feel awkward to the learner, and extensive culum onto the cervix, a paracervical block can be verbal tutoring may be discomfiting to the awake patient. demonstrated and the uterus sounded. Progressive dilation Training on a model can reduce these problems. After with Pratt or Denniston dilators follows: a drawstring al gaining basic skills on a model, the resident can focus on lows for the cervix to retain each successive degree of di gaining additional skills and refining technique during pa lation. -
Recent Abortion Law Reforms (Or Much Ado About Nothing) Harvey L
Journal of Criminal Law and Criminology Volume 60 | Issue 1 Article 2 1969 Recent Abortion Law Reforms (Or Much Ado About Nothing) Harvey L. Ziff Follow this and additional works at: https://scholarlycommons.law.northwestern.edu/jclc Part of the Criminal Law Commons, Criminology Commons, and the Criminology and Criminal Justice Commons Recommended Citation Harvey L. Ziff, Recent Abortion Law Reforms (Or Much Ado About Nothing), 60 J. Crim. L. Criminology & Police Sci. 3 (1969) This Article is brought to you for free and open access by Northwestern University School of Law Scholarly Commons. It has been accepted for inclusion in Journal of Criminal Law and Criminology by an authorized editor of Northwestern University School of Law Scholarly Commons. THE JounN.e., or CatnaA, LAw, CRIMnOLOGY AND POLICE SCIENCE Vol. 60, No. 1 Copyright @ 1969 by Northwestern University School of Law Pri ed in U.S.A. RECENT ABORTION LAW REFORMS (OR MUCH ADO ABOUT NOTHING) HARVEY L. ZIFF The author is a graduate of Northwestern University School of Law's two-year Prosecution-Defense Graduate Student Program. He received his LL.M. degree in June, 1969, after completing one year in residence and one year in the field as an Assistant United States Attorney in San Francisco, Califor- nia. The present article was prepared in satisfaction of the graduate thesis requirement. (It repre- sents the author's own views and in no way reflects the attitude of the Office of United States Attorney.) Mr. Ziff received his B.S. degree in Economics from the Wharton School of Finance of the Univer- sity of Pennsylvania in 1964. -
Summary of Roe V. Wade and Other Key Abortion Cases
Summary of Roe v. Wade and Other Key Abortion Cases Roe v. Wade 410 U.S. 113 (1973) The central court decision that created current abortion law in the U.S. is Roe v. Wade. In this 1973 decision, the Supreme Court ruled that women had a constitutional right to abortion, and that this right was based on an implied right to personal privacy emanating from the Ninth and Fourteenth Amendments. In Roe v. Wade the Court said that a fetus is not a person but "potential life," and thus does not have constitutional rights of its own. The Court also set up a framework in which the woman's right to abortion and the state's right to protect potential life shift: during the first trimester of pregnancy, a woman's privacy right is strongest and the state may not regulate abortion for any reason; during the second trimester, the state may regulate abortion only to protect the health of the woman; during the third trimester, the state may regulate or prohibit abortion to promote its interest in the potential life of the fetus, except where abortion is necessary to preserve the woman's life or health. Doe v. Bolton 410 U.S. 179 (1973) Roe v. Wade was modified by another case decided the same day: Doe v. Bolton. In Doe v. Bolton the Court ruled that a woman's right to an abortion could not be limited by the state if abortion was sought for reasons of maternal health. The Court defined health as "all factors – physical, emotional, psychological, familial, and the woman's age – relevant to the well-being of the patient." This health exception expanded the right to abortion for any reason through all three trimesters of pregnancy. -
Partial-Birth Abortion Ban Act SECTION 1
PUBLIC LAW 108–105—NOV. 5, 2003 117 STAT. 1201 Public Law 108–105 108th Congress An Act Nov. 5, 2003 To prohibit the procedure commonly known as partial-birth abortion. [S. 3] Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, Partial-Birth Abortion Ban Act SECTION 1. SHORT TITLE. of 2003. 18 USC 1531 This Act may be cited as the ‘‘Partial-Birth Abortion Ban Act note. of 2003’’. SEC. 2. FINDINGS. 18 USC 1531 note. The Congress finds and declares the following: (1) A moral, medical, and ethical consensus exists that the practice of performing a partial-birth abortion—an abortion in which a physician deliberately and intentionally vaginally delivers a living, unborn child’s body until either the entire baby’s head is outside the body of the mother, or any part of the baby’s trunk past the navel is outside the body of the mother and only the head remains inside the womb, for the purpose of performing an overt act (usually the puncturing of the back of the child’s skull and removing the baby’s brains) that the person knows will kill the partially delivered infant, performs this act, and then completes delivery of the dead infant—is a gruesome and inhumane procedure that is never medically necessary and should be prohibited. (2) Rather than being an abortion procedure that is embraced by the medical community, particularly among physi- cians who routinely perform other abortion procedures, partial- birth abortion remains a disfavored procedure that is not only unnecessary to preserve the health of the mother, but in fact poses serious risks to the long-term health of women and in some circumstances, their lives. -
Abortion Laws and Women's Health
DISCUSSION PAPER SERIES IZA DP No. 11890 Abortion Laws and Women’s Health Damian Clarke Hanna Mühlrad OCTOBER 2018 DISCUSSION PAPER SERIES IZA DP No. 11890 Abortion Laws and Women’s Health Damian Clarke Universidad de Santiago de Chile and IZA Hanna Mühlrad Lund University OCTOBER 2018 Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world’s largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. IZA – Institute of Labor Economics Schaumburg-Lippe-Straße 5–9 Phone: +49-228-3894-0 53113 Bonn, Germany Email: [email protected] www.iza.org IZA DP No. 11890 OCTOBER 2018 ABSTRACT Abortion Laws and Women’s Health* We examine the impact of progressive and regressive abortion legislation on women’s health and survival in Mexico. Following a 2007 reform in the Federal District of Mexico which decriminalised and subsidised early-term elective abortion, multiple other Mexican states increased sanctions on illegal abortion. -
Editor's Message
6 Osteopathic Family Physician (2014)4, 6-7 Osteopathic Family Physician, Volume 6, No. 4, July/August 2014 Editor’s Message Control Issue Merideth C. Norris, DO, FACOFP Editor, Osteopathic Family Physician In the early 1900’s, the only reliable method of avoiding of a barrier, and the concern that this would lead to female pregnancy was abstinence. There were no safe commercial promiscuity without consequence. Whether for or against, to alternatives, and very little access to education on the subject. call the Pill “revolutionary” would not be an overstatement. Then in 1916, a nurse named Margaret Sanger opened a clinic in New York, the purpose of which was to educate women Although I do not know of any clinician who longs for the days about family planning. Although she was initially arrested for of restricted reproductive choice, I know of many a clinician promoting the then-radical idea that women might want to who would admit that at least when there were only one or two choose whether or not to become pregnant, she continued her hormonal contraceptives, it was a lot easier to tell them apart. mission upon her release. She founded the American Birth My friends who have done international work universally Control League, which later became Planned Parenthood.1 describe how jarring it is to return from a developing nation and enter an American supermarket: the sheer volume of Although Ms. Sanger’s encouragement of women to make options is dizzying. It would seem that the range of options reproductive choices gained grudging acceptance in some for those who wish to manipulate their reproductive cycle arenas, birth control was not legally accessible in all states is similarly imposing. -
Abortion, Mainline Protestants, and the Rise of the Religious Right
University of Pennsylvania ScholarlyCommons Publicly Accessible Penn Dissertations 2014 Creating the Litmus Test: Abortion, Mainline Protestants, and the Rise of the Religious Right Sabrina Danielsen University of Pennsylvania, [email protected] Follow this and additional works at: https://repository.upenn.edu/edissertations Part of the Sociology Commons Recommended Citation Danielsen, Sabrina, "Creating the Litmus Test: Abortion, Mainline Protestants, and the Rise of the Religious Right" (2014). Publicly Accessible Penn Dissertations. 1251. https://repository.upenn.edu/edissertations/1251 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/edissertations/1251 For more information, please contact [email protected]. Creating the Litmus Test: Abortion, Mainline Protestants, and the Rise of the Religious Right Abstract Scholars and laypeople have become concerned that American religion and politics has increasingly divided between conservatives and liberals, resulting in a "culture war" that leaves little common ground on salient social issues. Drawing on archival and periodical sources and a comparative-historical research design, I seek to understand the causes and consequences of the shifting relationship between religion and politics by examining how large, moderate and mainstream Protestant institutions have struggled to maintain cohesion and prestige throughout the increasingly contentious politics of abortion. In the early-1960s, no Mainline Protestant institutions supported expanding abortion access. Over 1966-1972, all the same institutions released official onouncementspr in support of expanding abortion access. Since this time, particularly from 1987-1992, all these institutions faced increased internal debate over the issue and shifted in conservative directions to varying degrees. I find that the debate around abortion among Mainline Protestant institutions was not generally characterized by polarization around two sides but rather by much consensus, change over time, ambiguity, and often ambivalence toward the issue.