![]() |
|
|||||||
| Debating with the enemy Discuss politics, current events, and other hot button issues here. |
|
|
Thread Tools | Display Modes |
|
|
#8 | |
|
Hail Raiser
![]() Join Date: Feb 2004
Age: 53
Posts: 100,050
|
Re: The Most Fresh & Cordial Political Thread Ever
Quote:
https://www.kff.org/womens-health-po...-in-pregnancy/ Non-Medical Reasons: Individuals seek abortions later in pregnancy for a number of reasons. As part of the Turnaway study out of the University of California San Francisco, from 2008-2010 over 440 women were asked about why they experienced delays in obtaining abortion care, if any (Figure 2). Almost half of individuals who obtained an abortion after 20 weeks did not suspect they were pregnant until later in pregnancy, and other barriers to care included lack of information about where to access an abortion, transportation difficulties, lack of insurance coverage and inability to pay for the procedure. This is unsurprising, given abortions can be cost-prohibitive for many; in a study from 2011-2012, the median cost of a surgical abortion at 10 weeks was $495, jumping to $1,350 at 20 weeks (range $750-$5,000) excluding the cost of travel and lost wages. Yet the Federal Reserve Board found 40% of U.S. adults do not have enough in savings to pay for a $400 emergency expense, meaning many individuals may need to delay having an abortion until they can raise the necessary funds. Additionally, of all the abortion-providing facilities in the U.S., only 34% offer abortions at 20 weeks and just 16% at 24 weeks, meaning individuals may need to travel a significant distance to find an available, trained provider. Abortions at this stage also typically require two days to complete with inpatient care, as opposed to outpatient or at-home management that is possible earlier in pregnancy.1 In the years since these data were collected, dozens of abortion restrictions have been enacted across the county, including mandated waiting periods; it is therefore possible that individuals seeking abortion today may face even more delays in care than these data reflect. Fetal Anomalies: Individuals also seek abortions later in pregnancy due to medical reasons. With medical advances, many genetic fetal anomalies can be detected early in pregnancy; for example, chorionic villus sampling can diagnose Down Syndrome or cystic fibrosis as earlier as 10 weeks gestation. Structural fetal anomalies, however, are often detected much later in pregnancy. As part of routine care, a fetal anatomy scan is performed around 20 weeks, which entails ultrasound imaging of all the developing organs. Many structural anomalies are discovered at this time that would not have been apparent previously. A proportion of these are lethal fetal anomalies, meaning that the fetus will almost certainly die before or shortly after birth, meaning the fetus may be nonviable.2 In these cases, many individuals wish to terminate their pregnancies, rather than carrying the pregnancy until the fetus or newborn passes away. Very often these pregnancies are desired, making this decision exceedingly difficult for parents. Inadequate data exist to know how many abortions later in pregnancy occur due to fetal anomalies, but a study by Washington University Hospital showed almost all women whose fetuses had lethal fetal anomalies chose to terminate their pregnancies. A study of maternal fetal medicine (MFM) doctors—specialists who manage pregnancies with fetal anomalies— found most agreed that termination of pregnancy due to a lethal fetal anomaly should be allowed in all circumstances (76%). The majority (75%) discuss abortion as a management option soon after diagnosing a lethal fetal anomaly, but services for terminating pregnancies in these scenarios are limited. Only 40% of MFMs worked at healthcare centers offering abortions past 24 weeks for lethal fetal anomalies. An additional 12% knew of available services <50 miles away. Health Risk to the Pregnant Person: Life threatening conditions may also develop later in pregnancy. These include conditions like early severe preeclampsia, newly diagnosed cancer requiring prompt treatment, and intrauterine infection (chorioamnionitis) often in conjunction with premature rupture of the amniotic sac (PPROM). If these conditions arise before the fetus is viable, the pregnant individual may pursue termination of pregnancy to preserve their own health. If these conditions arise after the fetus is considered viable, Roe v. Wade still protects the right for these individuals to obtain an abortion in cases of health or life endangerment, however it may be difficult to find a provider for this service as previously mentioned. Typically every effort is made to save the life of both the pregnant individual and the fetus, pursuing delivery rather than abortion. |
|
|
|
|
|
|