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  • This was one of those episodes where we've wanted to talk about it for a long time, and

  • people are surprised we've never covered it before. So, welcome to the future. Let's explain

  • abortion.

  • A new study in PlosOne says 99% of women who received induced abortions believed it was

  • the right decision, even years later. But even with the near-constant prattle on the

  • subject of abortions in the United States, many people are completely unaware of what

  • the procedure entails. Well, no longer.

  • Firstly, the term abortion, is actually an umbrella term for a number of different medical

  • procedures resulting in the termination of a pregnancy in the first 28 weeks. Therapeutic

  • abortion is when a pregnancy is terminated to save the life of the mother, and elective

  • abortion is when someone chooses to terminate for another reason. Abortions can happen naturally

  • too! These 'spontaneous abortions' are commonly called a miscarriage.

  • There are two categories of abortion, Medical (or Clinical) and Surgical. Medical uses a

  • drug to terminate the pregnancy, and surgical involves physically clearing the uterus.

  • The most common type of abortion in the US is the surgical procedure Suction Curettage.

  • It's commonly used in the first 12 weeks of pregnancy (the first trimester). It involves

  • numbing and dilating the cervix, the opening into the uterus, and inserting a pencil-sized

  • plastic tube. The tube is attached to a suction device, and once in place, the fetus (or embyro

  • if it's earlier than 8 weeks), placenta and other uterine contents are evacuated. Occasionally,

  • the doctor must brush the inside wall of the uterus to ensure it's clear; the whole procedure

  • takes 10 to 15 minutes and is 100 percent effective. Afterward, many doctors prescribe

  • painkillers, as they'll experience pain similar to menstrual cramping.

  • After 16 weeks (and up to viability) a different procedure is done called D&E or dilation and

  • evacuation. It's different because the cervix must be dilated slightly wider to accommodate

  • the larger mass. As this is the second trimester, the fetus ranges from six to twelve inches,

  • depending on the number of weeks pregnant. Once the cervix is dilated, the doctor uses

  • forceps and a light suction device to remove the fetus, placental tissue and uterine contents.

  • A study in the American Journal of Obstetrics and Gynecology found more than 90 percent

  • of women who have had surgical abortions would recommend it to a friend, but 40 percent of

  • patients would opt for a medical abortion if a future procedure was required. Medical

  • abortions are non-invasive and use drugs like mifepristone and misoprostol, to block the

  • activity of progesterone in the human body. Without progesterone, the lining of the uterus

  • thins until the cells inside are evacuated naturally, similar to a natural miscarriage.

  • Bleeding usually occurs for a week and a half to a month after taking the drugs, and it's

  • 97 percent effective. Medical abortions are simple procedures, but are only used in the

  • first 49 days of a pregnancy. The drug is also used to induce labor, and as an emergency

  • contraceptive.

  • In 1973 the United States Supreme Court ruled, in a landmark decision, women's choice of

  • abortion falls under the right of privacy under the Fourteenth Amendment to the Constitution.

  • If the fetus can live outside the womb, even with medical assistance, however, then it

  • is considered viable and elective abortion is not usually protected under the law. Viability

  • ranges from pregnancy to pregnancy, but is usually from 22 to 24 weeks into a pregnancy.

  • These abortion procedures don't involve body parts, surgery or the horrible pictures pro-life

  • activists put on their signs. The American College of Obstetricians and Gynecologists

  • point out abortions have few side effects or risks for the women. Medical abortions

  • will sometimes not be complete, and will require a follow-up visit, but there's no increased

  • risk for breast cancers, or future pregnancy complications; and no change in fertility.

  • Interestingly, "For women with an unplanned pregnancy, there is no difference in risk

  • of depression or other mental health problems between those who have an abortion and those

  • who have the baby."

  • The first recorded abortion was in 1550 BCE, and was recorded on the Ebers Papyrus, medical

  • scrolls used by ancient Egyptians. Ancient Chinese have documentation of it as well,

  • and the Christian Church even allowed elective abortions until the mother could feel the

  • fetus moving which is called the quickening; though that changed in the 18th and 19th centuries.

  • Making these procedures illegal doesn't halt them being performed either. In Nigeria, where

  • elective abortion is illegal, fully half as many abortions are performed as in the US

  • with a much lower population, but 60 percent of those are done by untrained non-physicians,

  • risking the life and health of the women seeking the procedures.

  • In the end, the study from PLOSone also found as time goes by, any positive and negative

  • feelings around the procedure fade, though again, 99 percent are happy with their decision..

  • Over time, all memories lose their sharp edge, and it's no different with something as contentious

  • as induced abortion.

  • You're going to comment, maybe you have already. I hope you watched this whole video, and I

  • hope you learned something. I'll be down in the comments for a while, so let me know what

  • you think and thank you so much for watching DNews.

This was one of those episodes where we've wanted to talk about it for a long time, and

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中絶はどのようにして行われるのか? (How Do Abortions Work?)

  • 117 9
    Abair Liang に公開 2021 年 01 月 14 日
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