Would you assist in abortions? - page 8

I am just curious. Would you ever work in an abortion clinic? Would you give pills that would cause an abortion? Thanks... Read More

  1. by   Spidey's mom
    Wow, there is article after article . . . I'll just post one more. The effects of hormones on women seems to be front page news anyway . . . yesterday I read an article in "Self" magazine about the possible links between breast and ovarian cancer in women who have attempted to get pregnant using IVF due to the hormones used. Not to mention the controversy surrounding HRT - what's a woman to do?

    Emergency Contraception (Morning After Pill)
    February 6, 2004

    by Carrie Gordon Earll

    Is it truly contraception or it is abortion? The debate over "emergency contraception" may hinge on a single definition.
    Emergency Contraception" (EC) is a term coined to describe a series of pills given to women within 72 hours of unprotected sexual intercourse with the intent of preventing pregnancy. The pills, also referred to as "morning after pills", contain high concentrations of the hormones found in oral contraceptives. The U.S. Food and Drug Administration (FDA) first approved this off-label use of oral contraceptives in 1997. To date, the FDA has approved two brands under the names of Preven and Plan B. There is general consensus in the medical community that these pills can operate in a number of ways:

    To delay or prevent ovulation (the release of the woman's egg)
    To prevent sperm from reaching the egg, preventing fertilization and acting as a contraceptive
    To alter the lining of the uterus (endometrium), preventing implantation of an early embryo after fertilization
    This last point is one of major debate and one that pivots on the definition of pregnancy. Traditionally, fertilization-the joining of sperm and egg to form a zygote-is recognized as the beginning of pregnancy. Biologically, fertilization marks the creation of a genetically complete human being that only needs time, nourishment, and a place to grow.1 However, groups like the American College of Obstetricians and Gynecologists define pregnancy as "beginning with the successful implantation of a fertilized egg."2

    Based on the fertilization definition of pregnancy, "emergency contraception" can cause an early abortion. This is information women have a right to know before taking the pills.

    There are several additional concerns surrounding the use of EC:

    There is a lack of data regarding possible side effects due to repeated, long-term use of these drugs in high doses. This is of particular concern considering that the long-term use of smaller doses of oral contraceptives is linked to heart attack, stroke, blood clots, breast and cervical cancer.3
    The marketing of "emergency contraception" as a means of taking pills to bypass the risk of pregnancy may create a false sense of security and foster promiscuous sexual behavior by encouraging women, particularly teenagers, to be sexually active without considering the consequences, including pregnancy and sexually transmitted disease.
    In light of these concerns, consider the following survey of adolescent health professionals, as published in Family Planning Perspectives, January/February 1997:


    "One out of five physicians participating in the survey were unsure whether repeated use of emergency contraception would post health risks, while nearly one-third thought repeated use definitely would be risky...One-quarter of the physicians in the sample thought that providing emergency contraception would discourage correct use of other contraceptive methods."4

    For more information on the possible abortifacient effect of EC, see: C. Kahlenborn, et al., "Postfertilization Effect of Hormonal Emergency Contraception," The Annals of Pharmacotherapy, March 2002.
  2. by   Nurse Ratched
    Quote from tamrnmomof4
    I would love to see birth control be over the counter, and the cost greatly reduced. I think this would help eliminate the need for many abortions.

    Tammy
    This would likely prevent many women from getting the gyn care they should. The population I work with would never show up for pap smears if they could just buy it OTC. We would miss a lot of dysplasia and STD's.

    The cost of pills has increased recently, however, and it would be nice to have the buying power to get pills in sufficient bulk quantities to lower the price to the patient.
  3. by   Spidey's mom
    Boy is that ever true . . . I know nurses my age who avoid their pap/pelvic appts like the plague.

    steph
  4. by   missmercy
    Aargh!!! and we all know better!!!! It shouldn't take losing someone you love to wake you up! We see the consequences of people avoiding the "discomfort" or "embarassment" that accompanies that sort of exam -- we know what avoidance can cost someone!!! OK Folks -- my soap box: Get those check-ups, those mamograms, the paps etc!!!
  5. by   nurseygrrl
    No, I would not assist in abortion as I do not support it. I think birth control starts before you have sex when you use a condom or other method. You should be thinking about whether you want to be pregnant before you decide to have sex and before you decide to not use birth control. I would like to also add that I respect everyone's opinion even if I do not agree with it. Let's keep this discussion civil.
  6. by   edib1
    I think the thing that we are all forgetting here is that as nurses we have a job to do. When we get to work we leave our prejudices at the door. Just like a drug seeker in the ER, who are we to tell them no you cant have this pain med go home. Are we to tell a woman no you cant have an abortion so go home. Then maybe later we can see her on the news for beating or maybe even killing her child, We have no right to judge people we are nurses we take care of those that are sick, it is our job to educate, so that women do not find themselves in the same position. I know that it is not right but for some people it is the only way that they have out of who knows what kind of situation, and you know what not everyone thinks before they act. That is why we have freedom to make the decisions we make. Whos to say that you wont see the baby in heaven that was raped and killed because no one wanted it around. That baby just might ask why you didnt help them when you could.
  7. by   Spidey's mom
    edib1 . . . may I gently say that as I read your post about not judging people who choose abortion, I was struck about your judgment that people who are not allowed to have an abortion will then beat their child or worse, kill their child. I think that is an unfair characterization and I doubt that most people who are troubled by a pregnancy then go on to abuse that child. People abuse their children even when they are planned children. Not being able to have an abortion does not automatically = child abuse.

    Three of my children were unplanned and I was upset each time and actually with my last child, who was a surprise baby when I was 43 and my husband was 47, I was terrified and angry and we didn't know what we were going to do.

    However, I have not abused any of my "unplanned" children or the one I planned.

    Using the child abuse argument is just a little disingenuious, in my opinion and not a good argument for legalized abortion.

    steph
  8. by   KMSRN
    Quote from edib1
    Whos to say that you wont see the baby in heaven that was raped and killed because no one wanted it around. That baby just might ask why you didnt help them when you could.
    I don't think killing someone before they have a chance to live on the off chance they might be raped or killed is an act of kindness. On the other hand, just think of all the millions of babies in heaven who might ask, " Why did you kill me before I had a chance?" or "Why didn't you help me when you could?" I don't think most women willing choose abortion, I highly suspect that most are bullied into it by boyfriends, husbands, and parents.
  9. by   Marie_LPN, RN
    Quote from stevielynn
    edib1 . . . may I gently say that as I read your post about not judging people who choose abortion, I was struck about your judgment that people who are not allowed to have an abortion will then beat their child or worse, kill their child. I think that is an unfair characterization and I doubt that most people who are troubled by a pregnancy then go on to abuse that child. People abuse their children even when they are planned children. Not being able to have an abortion does not automatically = child abuse.

    Three of my children were unplanned and I was upset each time and actually with my last child, who was a surprise baby when I was 43 and my husband was 47, I was terrified and angry and we didn't know what we were going to do.

    However, I have not abused any of my "unplanned" children or the one I planned.

    Using the child abuse argument is just a little disingenuious, in my opinion and not a good argument for legalized abortion.

    steph

    Well said.
  10. by   kmchugh
    Quote from edib1
    I think the thing that we are all forgetting here is that as nurses we have a job to do. When we get to work we leave our prejudices at the door. Just like a drug seeker in the ER, who are we to tell them no you cant have this pain med go home.
    And, a gentle addition to Steph: You are correct, we should leave our prejudices at the door. However, nothing says we must leave our personal morals at the door.

    I am not in favor of outlawing abortion, because what you and I consider morally correct may be very different. This is just that kind of issue. This goes beyond a question of prejudice. I pre-judge no woman who has had or wants an abortion. I can only sit in judgement of my own actions. I know for myself personally, I could not participate in an elective abortion.

    In recognizing the rights of the women, you must also recognize my right to act (or not act) according to my moral beliefs.

    Kevin McHugh
  11. by   sbic56
    I would. I don't believe in abortion for me, but this isn't about me.
  12. by   lady_jezebel
    Yes, I definitely would. Abortion is a personal & difficult decision, and I support choice. These women need compassion, understanding, and support. Not judgement.
  13. by   Spidey's mom
    I realize that in saying I would not assist in an abortion, I am "judging" the situation and "judging" that it is something I morally could not do. And I realize that sounds like I'm judging the woman. And that that sounds mean. However, we are all "judging" no matter what side of the issue we come from. The nurses who would assist are judging those who would not assist. And making a "judgment" about the woman who has a right to an abortion and helping her to uphold that right.

    I really think that we have the legal right as nurses to make this decision to assist or not and we should really just leave it at that. I do not mean to come down on a woman who makes that choice. Really, she would never know because I would not be her nurse. So, my making a decision not to assist doesn't really affect her. There are plenty of nurses who feel strongly about assisting a woman at this difficult time and I commend them. And even though I do not agree with abortion, I would NEVER treat a woman with anything but compassion for making that choice.

    I guess I don't see why we need to question each other about this.

    steph

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