Name: 中絶の手順。第1、第2、第3妊娠期間 (Abortion Procedures: 1st, 2nd, and 3rd Trimesters)
Uploaded: 2021-01-14T06:06:03.000Z
Duration: 11 min 32 s
Description: VoiceTubeの動画で発音を聞きながら英語表現を覚えよう！学べる英語：

I’m a practicing Obstetrician-Gynecologist and I’ve performed over 1,200 abortions.

First, I’m going to describe a 1st Trimester Medical Abortion.

This is a procedure in which the mother swallows pills in order to terminate her baby, and

it is performed up to the 9th week of pregnancy.

At the abortion clinic or doctor’s office, the woman takes pills which contain Mifepristone,

also called RU-486. RU-486 blocks the action of a hormone called Progesterone.

Progesterone is naturally produced in the mother's body

When RU-486 blocks Progesterone, the lining of the mother’s uterus breaks down, cutting

off blood and nourishment to the baby, who then dies inside the mother's womb.

It is important to note that even after it has been taken, it is possible to reverse

the effects of RU-486 and save the baby, if Progesterone is administered.

24-48 hours after taking RU-486, the woman takes Misoprostol, also called Cytotec, that

is administered either orally or vaginally.

RU-486 and Misoprostol together cause severe cramping, contractions, and often heavy bleeding,

to force the dead baby out of the woman's uterus.

The process can be very intense and painful, and the bleeding and contractions can last

While she could lose her baby anytime and anywhere during this process, the woman will

often sit on a toilet as she prepares to expel the child, which she will then flush.

She may even see her dead baby within the pregnancy sac.

At 9 weeks for example, the baby will be almost an inch long, and if she looks carefully,

she might be able to count the fingers and toes.

After she has disposed of her baby, the woman may have bleeding and spotting

8% of women bleed more than 30 days, and 1% require hospitalization because of heavy bleeding.

RU-486 is only FDA approved for the first 7 weeks of pregnancy.

While RU-486 can be used off-label up to nine weeks,

the failure rate increases as the pregnancy progresses.

At 8 weeks, an 8% failure rate, and at 9 weeks, a 10% failure rate.

If failure occurs, she will usually be offered a surgical abortion.

For the mother, medical abortion often causes abdominal pain, nausea, vomiting, diarrhea,

Maternal deaths have occurred, most frequently due to infection and undiagnosed ectopic pregnancy.

1st Trimester Surgical Abortion, called Suction D & C, Dilatation and Curettage.

This is the most frequently performed abortion,

and is used typically from 5 to 13 weeks of pregnancy.

After administering anesthesia, the abortionist uses a speculum, like this.

This is placed inside the vagina, and opened using this screw on the side,

allowing the abortionist to see the cervix, the entrance to the uterus.

The cervix acts as a gate that stays closed for the duration of pregnancy, protecting

The abortionist uses a series of metal rods called dilators, like these, which increase

in thickness, and inserts them into the cervix to dilate it, gaining access to the inside

The baby has a heartbeat, fingers, toes, arms, and legs,

but its bones are still weak and fragile.

The abortionist takes a suction catheter, like this one.

This is a 14 French Suction Catheter. It’s clear plastic, about 9 inches long, and it

It is inserted through the cervix, into the uterus.

The suction machine is then turned on, with a force 10-20 times more powerful than your

The baby is rapidly torn apart by the force of the suction, and squeezed through this

tubing down into the suction machine, followed by the placenta.

Though the uterus is mostly emptied at this point, one of the risks of a Suction D & C

is incomplete abortion, essentially pieces of the baby or placenta left behind.

In an attempt to prevent this, the abortionist uses a curette

A curette is basically a long-handled curved blade.

Once the uterus is empty, the speculum is removed and the abortion is complete.

The risks of Suction D & C include perforation or laceration of the uterus or cervix, potentially

damaging intestine, bladder, and nearby blood vessels, hemorrhage, infection, and in rare

Future pregnancies are also at a greater risk for loss or premature delivery due to abortion-related

2nd Trimester Surgical Abortion, called Dilatation and Evacuation, or D & E.

A D & E is performed between 13 and 24 weeks of pregnancy.

After administering anesthesia, the abortionist uses a weighted speculum, like this one, that

Because 2nd trimester babies are so large, this greater access facilitates a late term

Late term abortion requires that the cervix be prepared 24-48 hours in advance with laminaria.

Laminaria is a type of sterilized seaweed that absorbs water over 8-12 hours and swells

Once removed, metal dilators can be used to further open the cervix as needed.

Once the cervix has been stretched open, the suction tube is placed inside.

A baby at 20 weeks gestation is as big as the length of my hand,

from head to rump, not counting the legs.

The suction machine is turned on, and pale yellow amniotic fluid surrounding the baby

But babies this big, they don’t fit through catheters this size.

The baby’s bones and skull are too strong to be torn apart by suction alone.

A Sopher clamp is made of stainless steel, it’s about 13 inches long.

The business end is about 2 1/2 inches long a 1/2-inch wide,

This is a grasping instrument and when it gets a hold of something,

The abortionist uses this clamp to grasp an arm or a leg.

Once he has a firm grip, the abortionist pulls hard,

in order to tear the limb from the baby’s body.

字幕リスト動画再生

中絶の手順。第1、第2、第3妊娠期間 (Abortion Procedures: 1st, 2nd, and 3rd Trimesters)

failure

great

risk

line