Biomedical Ethics: Induced Abortion

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    Abortionis the expulsion of a living fetusthe mothers womb before it is viable.

    Abortionis the termination of pregnancyspontaneously or by induction prior to via

    Thereafter, termination of pregnancy is cadelivery.

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    Spontaneous Abortion

    Induced Abortion

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    ccurs as a result of arti!cial or mechanicinterruption or due to voluntary and e"echuman intervention

    It may be sought as an end or as a mean

    As an end# get rid of the baby

    As a mean# therapeutic abortion wherein health of the mother is concerned.

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    Induced abortion isintrinsically evil and m

    be $uali!ed as homicid

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    Abortion by % and & '%ilatation and &urettage(

    Abortion by &aesarian Section or by Abdominal)ystoroctomy

    Abortion by Suction

    Abortion via Intra*Amniotic In!ltration Abortion via I+ infection of rostaglandin

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    Accomplished in the periods between - towee0s gestation

    1nder general anesthesia

    Scraping of endometrium until all embryofetal matters and surrounding placental tiare removed

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    Dilation and evacuation (D and E).This is the common procedure for ending a pregnancy betwe/ wee0s. It is similar to a suction % and & but witinstruments. The cervix has to be dilated or stretcto a si4e larger than re$uired for a % and &. Suctioalong with forceps or other special instruments tothe pregnancy tissue is removed.

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    &arried out in similar fashion as theprocedure but after the umbilical cocut, the neonate is left to die withou

    resuscitation %one during the last trimester since

    other techni$ue is available at this s

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    %one during the !rst trimester

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    %one by !rst extracting about 5 to 655camniotic 7uid through an abdominal punc

    This is followed by in!ltration of a /58 hysaline solution or 958 dextrose of water i

    amniotic sac. This causes necrosis of the and saline intoxication of the fetus. The feeventually dies within an hour.

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    Abortion is completed with the expulsion fetus at about 6: hours after the in!ltratiohypertonic solution. This techni$ue carriecertain ris0 of uterine perforation, not exc

    the death of the abortant mother on accothe passage of the saline solution into the

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    ;hen one considers the ideal periodto perform abortion by suction of byamniotic in!ltration, one observes b

    internal period from / wee0s to :A

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    %uring this period, the tiny human being ac$uired su=cient mass, ma0ing it di=cusuction, as the mangled parts may not eathrough the tubing. >either can one abort

    in!ltrating hypertonic solution because thnot enough amniotic 7uid.

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    Therefore, slow intravenous infusionprostaglandin is used by those bentgetting rid of the unborn baby at th

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    ?ecently, a new contraceptive pill, ?1 3@:'ifepristone( has been launched in the mis a progesterone antagonist which opposaction to sustain pregnancy. ?1 3@: is ass

    with prostaglandin which provo0es uterinecontraction and expels the embryo from twomb.

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    Article II, Section / of the B@: &onstitutprovides that CThe state recognizes thsanctity of life and shall protect andstrengthen the family as a basic

    autonomous social institution. It shaequally protect the life of the motherthe life of the unborn from conceptio

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    The direct and voluntary 0illing of ainnocent human being is always graimmoral, even when it is performed

    means to a good end.

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    ?espect for human life and the radicalcondemnation of abortion as intrinsically not an exclusive position of &atholics. All upright Eudgment share this view, which i

    on what a person is and should be.

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    Abortion destroys life and violates tright to life. As such it is morally evishould not be in any way legali4ed a

    liberally permitted in the laws andconstitution of a nation.

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    Abortion could have varied physical and psycholoe"ects on the woman concerned.

    n the physical aspect, the woman may su"er hamiscarriage, ectopic pregnancies, menstrual distuor discomfort, still births, bleeding, shoc0, insomn

    appetite, coma, fever and cold sweat, intense pailoss, frigidity.

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    sychologically, a woman may manifest gsuicidal tendency, loss of sense of ful!llmof con!dence, thwarted maternal instinct,destructive behavior, anger, rage, helples

    loss of interest in sex, inability to forgive and intense interest in babies.

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    &riminal abortion is a grave crime in penal codes.with the legislation and positive authori4ation of asome cases, things have changed. A review of theproceedings of those countries which have legali4show some di"erences in modalities, which can b

    upon reading the ;orld )ealth rgani4ation chronB-:.

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    The chronicle summari4es the condor situations in which the legislationdi"erent countries authori4e the pra

    of abortion.

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    Such situations are#

    F ;hen the mother is authori4ed to safegher physical and mental health

    F ;hen pregnancy is the conse$uence oincest, or when it occurs in minors

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    Such situations are#F ;hen the mother contracts sub*cola during a c

    stage of gestation 'which conse$uent ris0 of comalformations of the baby( or has been exposeother ris0s 'e.g. certain drugs or ioni4ing radiatwhich can lead to defective fetal development

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    Such situations are#F ;hen %owns syndrome or other chromosoma

    abnormalities are diagnosed through amniocen

    F ;hen the parents are mentally de!cient and c

    incapable of ade$uately rearing a child.

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    Abortion 'Termination f regnancy( * )ow ItGs %one H S'n.d.(. ?etrieved fromhttp#www.spar0people.comresourcehealthJa*4JdetailALM96NageM3

    &iabal, O. . '/556(. Ethics for Health Professionals. Pue