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Abortion May Lead To

Following abortion, many women experience initial relief. The perceived crisis is over and life returns to normal. For many women, however, the crisis isn’t over. Months and even years later, significant problems develop. There is evidence that abortion is associated with a decrease in both emotional and physical health, long term

BREAST CANCER:

There is strong evidence that abortion increases the risk of breast cancer. A study of more than 1,800 women appearing in the Journal of the National Cancer Institute in 1994 found that overall, women having abortions increased their risk of getting breast cancer before age 45 by 50%. For women under 18 with no previous pregnancies, having an abortion after the 8th week increased the risk of breast cancer 800%. Women with a family history of breast cancer fared even worse. All 12 women participating in the study who had abortions before 18 and had a family history of breast cancer themselves got cancer before age 45. The risk of breast cancer almost doubles after one abortion, and rises even further with two or more abortions.

CERVICAL, OVARIAN, AND LIVER CANCER:

Women with one abortion face a 2.3 relative risk of cervical cancer, compared to non-aborted women, and women with two or more abortions face a 4.92 relative risk. Similar elevated risks of ovarian and liver cancer have also been linked to single and multiple abortions. These increased cancer rates for post-aborted women are apparently linked to the unnatural disruption of the hormonal changes which accompany pregnancy and untreated cervical damage

UTERINE PERFORATION:

Between 2 and 3% of all abortion patients may suffer perforation of their uterus, yet most of these injuries will remain undiagnosed and untreated unless laparoscopic visualization is performed.(5) Such an examination may be useful when beginning an abortion malpractice suit. The risk of uterine perforation is increased for women who have previously given birth and for those who receive general anesthesia at the time of the abortion.(6) Uterine damage may result in complications in later pregnancies and may eventually evolve into problems which require a hysterectomy, which itself may result in a number of additional complications and injuries including osteoporosis.

CERVICAL LACERATIONS:

Significant cervical lacerations requiring sutures occur in at least one percent of first trimester abortions. Lesser lacerations, or micro fractures, which would normally not be treated may also result in long term reproductive damage. Latent post-abortion cervical damage may result in subsequent cervical incompetence, premature delivery, and complications of labor. The risk of cervical damage is greater for teenagers, for second trimester abortions, and when practitioners fail to use laminaria for dilation of the cervix

PLACENTA PREVIA:

Abortion increases the risk of placenta previa in later pregnancies (a life threatening condition for both the mother and her wanted pregnancy) by seven to fifteen fold. Abnormal development of the placenta due to uterine damage increases the risk of fetal malformation, perinatal death, and excessive bleeding during labor

COMPLICATIONS OF LABOR:

Women who had one, two, or more previous induced abortions are, respectively, 1.89, 2.66, or 2.03 times more likely to have a subsequent pre-term delivery, compared to women who carry to term. Prior induced abortion not only increased the risk of premature delivery, it also increased the risk of delayed delivery. Women who had one, two, or more induced abortions are, respectively, 1.89, 2.61, and 2.23 times more likely to have a post-term delivery (over 42 weeks).(17) Pre-term delivery increases the risk of neo-natal death and handicaps.

Pregnancy problems

Cervical damage from previously induced abortions increase the risks of miscarriage, premature birth, and complications of labor during later pregnancies by 300 - 500 percent. The reproductive risks of abortion are especially acute for women who abort their first pregnancies. A major study of first pregnancy abortions found that 48% of women experienced abortion-related complications in later pregnancies. Women in this group experienced 2.3 miscarriages for every one live birth. Yet another researcher found that among teenagers who aborted their first pregnancies, 66% subsequently experienced miscarriages or premature birth of their second, "wanted" pregnancies. When the risks of increased pregnancy loss are projected on the population as a whole, it is estimated that aborted women lose 100,000 "wanted" pregnancies each year because of latent abortion morbidity. In addition, premature births, complications of labor, and abnormal development of the placenta, all of which can result from latent abortion morbidity, are leading causes of handicaps among newborns. Looking at premature deliveries alone, it is estimated that latent abortion morbidity results in 3000 cases of acquired cerebral palsy among newborns each year. Finally, since these pregnancy problems pose a threat to the health of the mothers too, women who have had abortions face a 58 percent greater risk of dying during a later pregnancy

HANDICAPPED NEWBORNS IN LATER PREGNANCIES:

Abortion is associated with cervical and uterine damage which may increase the risk of premature delivery, complications of labor and abnormal development of the placenta in later pregnancies. These reproductive complications are the leading causes of handicaps among newborns

ECTOPIC PREGNANCY:

Abortion is significantly related to an increased risk of subsequent ectopic pregnancies. Ectopic pregnancies, in turn, are life threatening and may result in reduced fertility.(10) Ectopic pregnancies. If the scar tissue covers the openings from the fallopian tube to the uterus only partially, then the sperm will be able to reach the egg in the tube. Conceptions occurs, and fertilized egg (baby) begins to grow and move toward the uterus. The fertilized egg is too large to get from the fallopian tube to the uterus opening because of the scar tissue blocking part of the opening. The baby continues to grow inside the tube, eventually causing the tube to burst. If surgery is not done to remove the baby, then the mother will die. There has been a 300% increase in ectopic pregnancies since abortion was legalized. (US Dept. H.H.S., Morbidity and Mortality Weekly Report, no. 33, no. 15, April 20, 1984--quoted in Willke's book p. 108). Among women who aborted their first pregnancy there was a 500% increase in subsequent ectopic pregnancies.

PELVIC INFLAMMATORY DISEASE (PID):

PID is a potentially life threatening disease which can lead to an increased risk of ectopic pregnancy and reduced fertility. Of patients who have a Chlamydia infection at the time of the abortion, 23% will develop PID within 4 weeks. Studies have found that 20 to 27% of patients seeking abortion have a Chlamydia infection. Approximately 5% of patients who are not infected by Chlamydia develop PID within 4 weeks after a first trimester abortion. It is therefore reasonable to expect that abortion providers should screen for and treat such infections prior to an abortion

ENDOMETRITIS:

Endometritis is a post-abortion risk for all women, but especially for teenagers, who are 2.5 times more likely than women 20-29 to acquire endometritis following abortion.(12) Endometritis is an inflamatory disease caused mainly by bacteria that can lead to infertility due to obstruction of the falopian tromps

IMMEDIATE COMPLICATIONS:

• infection, Signs of infection are fever, abdominal pain, vaginal secretion. Best treatment is a repeated aspiration procedure or D&C to empty the uterus in case of retention and to remove the infected endometrium, combined with an antibiotic course. Salpingitis may lead to sterility. The typical infection involving the woman's reproductive organs (uterus, fallopian tubes, and ovaries) is pelvic inflammatory disease or PID. PID is often difficult to manage and often leads to sterility, even with prompt treatment. Some women have serious chronic pain the rest of their lives because of PID. Some women even have pain every time they have sex because of PID. (M. Spence, "PID: Detection and Treatment," Sexually Transmitted Disease Bulletin, Johns Hopkins University, vol. 3, no 1, February 1983). (PID is not a sexually transmitted disease but is a common complication from infection from abortion and STD's such as gonorrhea and chlamydia.) Sterility. Because of such early complications as infections after an abortion, the uterus is often scarred. If the scar tissue covers the opening from the tube to the uterus, then the tiny sperm cannot reach the egg. Fertilization cannot occur

• excessive bleeding,

• embolism: An embolism is an obstruction of a blood vessel by a foreign substance such as air, fat, tissue, or blood clot. Childbirth is a normal process, and the body is well prepared for the birth of the child and the separation and expulsion of the placenta. Surgical abortion is an abnormal process and slices the unripe placenta from the wall of the uterus into which its roots have grown. This sometimes causes the fluid around the baby, or other pieces of tissue or blood clots, to be forced into the mother's circulation. These then travel to her lungs, causing damage and occasionally death. Usually, such a blockage is minor and goes unnoticed and is eventually dissolved. But if the block occurs in the brain or heart, it may result in a stroke or heart attack. This condition may occur anywhere from 2-50 days after an abortion and is a relatively frequent major complication.

• ripping or perforation of the uterus,

• anesthesia complications, Due to the rich blood supply around the uterus during pregnancy, local and general anesthesia during abortions is risky. Convulsion, heart arrest and death are not an uncommon result because outpatient abortion clinics generally have little equipment and expertise to deal with it.

• convulsions,

• hemorrhage, Bleeding from the injection sites after injecting the local anesthetic occurs frequently but invariably ceases within a few minutes. So we are only concerned with uterine bleeding of the uterus by classical D&C in an advanced pregnancy blood loss may be abundant, first from the partly removed placenta, later from the exposed implantation site of the uterine wall. The latter will finish if the uterus is empty, because then the uterus contracts and thereby closes its vessels. Termination with prostaglandins too is generally accompanied with much blood loss probably due to early separation of the placenta from the uterine wall.

• cervical injury

• and endotoxic shock.

The most common "minor" complications include:

• infection,

• bleeding,

• fever,

• second degree burns,

• chronic abdominal pain,

• vomiting,

• gastro-intestinal disturbances, and

• Rh sensitization.(13)

INCREASED RISKS FOR WOMEN SEEKING MULTIPLE ABORTIONS:

In general, most of the studies cited above reflect risk factors for women who undergo a single abortion. These same studies show that women who have multiple abortions face a much greater risk of experiencing these complications. This point is especially noteworthy since approximately 45% of all abortions are for repeat aborters.

LOWER GENERAL HEALTH:

In a survey of 1428 women researchers found that pregnancy loss, and particularly losses due to induced abortion, was significantly associated with an overall lower health. Multiple abortions correlated to an even lower evaluation of "present health." While miscarriage was detrimental to health, abortion was found to have a greater correlation to poor health. These findings support previous research which reported that during the year following an abortion women visited their family doctors 80% more for all reasons and 180% more for psychosocial reasons. The authors also found that "if a partner is present and not supportive, the miscarriage rate is more than double and the abortion rate is four times greater than if he is present and supportive. If the partner is absent the abortion rate is six times greater." This finding is supported by a 1984 study that examined the amount of health care sought by women during a year before and a year after their induced abortions. The researchers found that on average, there was an 80 percent increase in the number of doctor visits and a 180 percent increase in doctor visits for psychosocial reasons after abortion.

INCREASED RISK FOR CONTRIBUTING HEALTH RISK FACTORS:

Abortion is significantly linked to behavioral changes such as promiscuity, smoking, drug abuse, and eating disorders which all contribute to increased risks of health problems. For example, promiscuity and abortion are each linked to increased rates of PID and ectopic pregnancies. Which contributes most is unclear, but apportionment may be irrelevant if the promiscuity is itself a reaction to post- abortion trauma or loss of self esteem.

INCREASED RISKS FOR TEENAGERS:

Teenagers, who account for about 30 percent of all abortions, are also at much high risk of suffering many abortion related complications. This is true of both immediate complications, and of long-term reproductive damage

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