Archive for Friday, March 16, 2018

Report: Abortions in the U.S. are safe, but barriers in states like Kansas reduce quality of care

This Thursday, March 8, 2018 file photo shows dead razor grass and masked fencing at the entrance to the Jackson Women's Health Organization clinic in Jackson, Miss. The facility is currently the state's only abortion clinic. Abortions in the U.S. are very safe but getting one without facing delays and false medical information depends on where women live, says a broad examination of the nation's abortion services. (AP Photo/Rogelio V. Solis)

This Thursday, March 8, 2018 file photo shows dead razor grass and masked fencing at the entrance to the Jackson Women's Health Organization clinic in Jackson, Miss. The facility is currently the state's only abortion clinic. Abortions in the U.S. are very safe but getting one without facing delays and false medical information depends on where women live, says a broad examination of the nation's abortion services. (AP Photo/Rogelio V. Solis)

March 16, 2018

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— Abortions in the U.S. are very safe, but getting one without facing delays and false medical information depends on where women live, says a broad examination of the nation's abortion services.

Friday's report from the National Academies of Science, Engineering and Medicine shows abortion increasingly is performed early in pregnancy, when it's safest. The risk of maternal death is higher from tonsillectomies, colonoscopies and childbirth, according to the independent panel, which advises the government on scientific issues.

Although state restrictions may be intended to reduce overall abortions, the panel said those barriers can reduce the quality of care for women who undergo the procedure by preventing them from receiving the type of abortion that best meets their needs in a timely, equitable, science-based manner.

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Among the examples cited in the report: Missouri and four other states require waiting 72 hours after mandated abortion counseling. Large studies show abortion doesn't lead to breast cancer, contrary to patient information provided by five states, including Kansas. Fourteen states require a medically unnecessary pre-abortion ultrasound, and 17 require that all methods, even the abortion pill mifepristone, be offered in clinics that meet hospital-like standards.

"Clearly some of the regulations are having a real impact on quality," said panel co-chair Dr. Helene Gayle, a public health specialist and president of Chicago Community Trust.

The findings echo previous safety reports and a 2016 Supreme Court ruling that gutted a sweeping Texas anti-abortion law by citing medically unnecessary limits. States have tested the limits of abortion law since it was legalized in 1973 and as the methods to provide it have evolved.

Here is the report's snapshot of the state of abortion care:

ABORTIONS, AND PROVIDERS, ARE DROPPING

The abortion rate dropped from about 29 per 1,000 women of reproductive age in 1980 to about 15 in 2014. Better contraception, fewer unintended pregnancies and state restrictions may have played a role, the report said.

Ninety percent are performed by 12 weeks, and a growing number far earlier as more women are turning to medical abortions.

Most women seeking abortions are low-income, Gayle noted.

At the same time, 25 states have five or fewer abortion clinics and a handful, including Mississippi, have only one, the panel found. About 17 percent of women travel more than 50 miles to obtain an abortion.

SAFETY, RIGHT AWAY AND LONG-TERM

Bleeding and cramping are expected side effects, but serious complications including infection and hospitalization are very rare, the panel found.

Long-term, "abortions do not increase the risk of breast cancer and abortions have no effect on future mental health issues including depression, anxiety or PTSD," said panel co-chair Dr. Ned Calonge of the University of Colorado.

Nor do they affect future fertility or other pregnancy outcomes with one potential exception: Studies link multiple abortions, two or more, with increased risk that an eventual first birth is premature.

PROVIDER REQUIREMENTS

Most abortions can be provided safely in office-based settings, the panel concluded. A physician is not required for the two methods of early abortion, including a medical abortion; they can be performed by other trained providers including nurse-practitioners, midwives and physicians assistants.

Other abortion procedures used in the second trimester require more specialized skills. Additionally, like with any outpatient procedure, increased sedation used with more invasive methods requires appropriate equipment and trained staff, said the report, which was funded by six private foundations.

Comments

David Reynolds 2 months ago

Saying that abortions are safe is an interesting statement, especially when one asks the question, "safe from what perspective"? Additionally, the article is written so matter of fact & coldly. The article's timing is also unfortunate given the current debate regarding the taking of life with guns.

Two of the most hotly debated topics today are gun rights & abortion.

Since Roe v Wade, 1973, there have been over 60 million abortions in America. Since 1968 there have been 1.5 million gun deaths, & in all wars since 1775-2017, 1.2 million deaths, for a total of about 2.75 million deaths. That is about 21.8 abortions per gun death, & 40 abortions per non-war gun death.

https://www.nbcnews.com/storyline/las-vegas-shooting/more-americans-killed-guns-1968-all-u-s-wars-combined-n807156

http://www.numberofabortions.com

The current populations of the states of New York & California combined is approximately 59.4 million. Thus, since Roe the USA abortion industry has wiped out the equivalence of the entire population of two of our most populated states.

One must ask, with those statistics, what does “safe” have to do with anything? Also, where is the outrage?

From a medical & legal perspective, the definition of human death can be summarized as follows. Medically there is no brainwave activity & deprivation of oxygen to the brain via blood flow for a period of time leading to brain death. Legally, the courts generally have ruled death as no heartbeat for a period of time leading to multiple organ failures. Scientifically death is described based on the combination of brain, heart, & multiple organ failure. In summary, death is defined as no heartbeat or brain activity for a period of time & multiple organ failures.

Logically, the reverse of these situations must define life. The AMA & others agree that 10-12 days following conception there is a heartbeat, & within 12-14 days there is blood flow to a primitive brain and the brain is active…Life is present! There is the potential for a very productive & societal contributing life.

Given these facts how can the writer of this article so coldly make the comments contained in this article?

Now I agree any form of needless death is the ultimate tragedy.

But I take issue with the ideas in this article that abortions are safe, & rules should be loosened to allow easier access to abortion.

Also, with the current calls for gun control, confiscation, age limits, etc, where are the calls for control of the various instruments used in abortion?

Richard Heckler 2 months ago

Planned Parenthood prevents more than 620,000 unintended pregnancies each year, and 220,000 abortions.

Right wing politicians and supporters have been promoting abortions for 38 years by standing in the way of sex education and birth control.

Conservatives ARE AGAINST humans enjoying sex!

Planned Parenthood has prevented millions of abortions over time. Where's this conversation?

Birth Control is abortion prevention absolutely.

Sex Education is abortion prevention.

Conservatives Supporting No Birth Control and No Sex Education = more abortions.

How many know that Planned Parenthood is wayyyyy more pro-active about abortion prevention than right wing politicians and their supporters have ever been?

Planned Parenthood locations are more like medical clinics which offer a variety of services for both male and female. A great source for low income human beings.

http://www.plannedparenthood.org/health-info

Bob Smith 2 months ago

So we can list you as a supporter of eugenics?

Bob Summers 2 months ago

What is it with congenital Liberal females? Do they and their irresponsible males favor the temporary exhilaration of carnal knowledge over life and what the momentary exhilaration creates?

It appears so.

But of course, self discipline and self control is not a symptom of their condition.

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