Religion & Ectopic Abortion

Nurses Spirituality

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Hello nursing community!

I have a question for you all. How do you feel about methotrexate or other drug-based treatment for the termination of ectopic pregnancy? As someone who was raised with very loose christian beliefs and spent some of my young adult years in the Catholic Church, I'm really intrigued to see how much focus there really is on this topic in the medical community. I work in an OBGYN hospital on the triage floor, and many times have had methotrexate used to terminate ectopic pregnancy in non emergent situations. I have seen patients take this in different ways, varying from complete emotional breakdown to sigh of relief. I see this method as one of the safest ways to handle the situation and find the noninvasive nature of it very appealing, but according to the bylaws of the Catholic Church it is still abortion and an excommunicable offense. I am not certain of how other denominations of christianity or other religions view it, and would be curious to learn.

On that note, a couple of questions for you:

How do you feel about termination of an ectopic pregnancy by pharmaceutical means?

What religious background are you speaking from?

How does your denomination/church/religion view this? Are your views in line with theirs, or do you find yourself on the outskirts like me?

And to better understand your viewpoint, do you identify yourself as pro-life, pro-choice, or undecided?

Just so you don't think I am skipping out on the tough one: I am pro-choice (politically speaking) because I believe every woman has a right to make her own choice until the point of fetal viability. Morally speaking, I know that I could not choose to terminate a viable pregnancy under normal circumstances, because I do not believe it is right.

I know this can be a touchy subject for some, therefor I'm asking you to be kind. Please take care when choosing your words, and be kind to others. Everyone with personal connections to this topic will appreciate your gentle approach.

angel0309 said:
I wish I could give this comment 100 likes. Preach!

Not for nothing, but I'm a Christian and I totally agree with everything you're saying. It's just like when someone makes a broad statement about white people being racist, only those who are feeling guilty take offense.

To everyone one who is upset about what he's saying: If you're not one of the Christians who force their beliefs into everyone else-through politics or otherwise-then why are you so damn upset?

Thank you. I really don't mind.

FacultyRN said:
Almost always, ectopic pregnancies implant in a fallopian tube. They can also implant in ovaries, cesarean scars, or abdominal cavities, although those cases are rare. As the fetus grows, it can literally tear through/rupture the attachment site, resulting in massive internal bleeding.

A good history and physical assessment can help an OB or ER nurse identify which patients have a high likelihood of ectopic pregnancy so they can advocate for expedited diagnostic testing (ultrasound).

Common risk factors include a history of PID, tubal ligation, or previous ectopic, current use of an IUD, and smoking. Presenting symptoms often include unilateral lower abdominal pain (the side where the pregnancy has implanted) and spotting. Some women experience referred right shoulder pain, and unfortunately, sometimes the first symptom is loss of consciousness.

Is there any case that when an ectopic pregnancy is discovered the woman needs an emergency abortion?

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