Rationale Essay

In the United States today, 25% of all pregnancies end in abortion (Abortion: All Sides). With so many lives in the balance, one of the primary arguments has become the physical health of women who have abortions. Of the women that previously had a surgical abortion 90% said they would prefer the pill if they had another abortion and would recommend it to others (Robinson). However one of the side effects of RU 486 is bleeding up to 9 days, compared to a surgical abortion’s five day duration (Robinson). The recovery process is quicker with a surgical abortion but more traumatic. One death in 200,000 occur with a surgical abortion, compared to one in 500,000 with the abortion pill. Both of these alternatives are far safer for the mother than childbirth that claims one death in every 14,300 births (Robinson). These statistics prove that the safest alternative for the mother in the event of a pregnancy is an abortion using the abortion pill and the most dangerous is going through with childbirth. However the safest thing for the child is natural childbirth by far. The voice of the life in question is never heard and it has a one hundred percent chance of death in the first 2 cases.

Methotrexate has been used in the US since 1953, when it was approved by the FDA to treat certain types of cancer. Since that time, “medical researchers have discovered other important uses for the drug” (Ankerberg and Weldon 4). One of these uses is to end unintended pregnancies. Although the “FDA did not consider methotrexate for this specific purpose, clinicians may prescribe and are now prescribing methotrexate for early abortion”(Ankerberg and Weldon 4). Methotrexate is usually given to a pregnant woman in the form of an injection or shot, although it can be taken orally. “Methotrexate stops the ongoing implantation process that occurs during the first several weeks after conception. Another medication that might be used is mifepristone”(Ankerberg and Weldon 4). Mifepristone is a newer medication that was developed and tested specifically as an abortion inducing agent. It works by blocking the hormone progesterone, which is necessary to sustain pregnancy. Without this hormone, “the lining of the uterus breaks down, the cervix opening of the uterus or womb softens, and bleeding begins”(Ankerberg and Weldon 5). A few days after taking either methotrexate or mifepristone, a second drug, misoprostol, is taken. “Misoprostol tablets cause the uterus to contract and empty”(Ankerberg and Weldon 5).

medicines to cause a miscarriage or by surgery, where the pregnancy is out of the uterus. The

One of the nine reasons found that we should not legalize abortion is the laws against abortion kill women (Kilinger). Many women are killed each year during childbirth, but almost four times more women are killed when they have an abortion (Lowen). Women need to know the health risks involved with abortions before making that choice. Having an abortion has many long lasting effects such as: emotional disorders, blood infections, and an increase in breast cancer (Lowen). The leading causes of death for the women who had an abortion are infection, hemorrhage, bowel injuries, clotting disorders. If air was to get to the amniotic fluid, or fetal tissue to get into the woman’s blood stream they would die (Kilinger).Sometimes abortions are not effective, and

In general, if medication is required, the lowest dose possible should be used and combination drug therapies and first trimester exposures should be avoided (“Teratogens/Prenatal”, 2008).

Fosamax is a biphosphonate that is commonly used for the prevention and treatment of osteoporosis. It would be best to take Fosamax on an empty stomach with plenty of water. Do not lie down or eat for at least 30 minutes after taking the pill. The side effects for Fosamax are abdominal pain, bone/skeletal pain, constipation, diarrhea, dyspepsia, and nausea. I would also tell M.S that osteonecrosis of the jaw may occur after dental extraction, root canal, dental implant or other oral surgeries. Lastly I would tell M.S. that oral biphosphonates are commonly associated with a serious problem called esophagitis which is inflammation of the esophagus. If chest discomfort occurs which is a symptom of esophageal irritation, she should discontinue the drug and contact her health care provider. I would assess her for poor renal function, hypocalcemia, and GERD because if she has any of these, she would not be able to take Fosamax.

There are currently six medical abortion procedures in practice in the United States: MTX, Mifeprex, MVA, D&C, D&E, induction abortion, and D&X. MTX or Methotrexate and Misoprostol is used during the first seven weeks of pregnancy and is not as commonly used as other abortion procedures. It is a non-surgical method that prevents embryonic cells from dividing and multiplying. This abortion mimics an early miscarriage. Mifeprex, also known as the abortion pill, is used up to the ninth week of pregnancy. The pill blocks progesterone, a hormone necessary to support pregnancy, and also mimics an early miscarriage. MVA or Manual Vacuum Aspiration can be used up to the twelfth week of pregnancy and is considered to be less invasive than other procedures. D&C or dilation and curettage can be performed up to the sixteenth week of pregnancy. D&C is also known as vacuum aspiration. D&E or dilation and evacuation can also be performed up to the sixteenth week of pregnancy. It includes vacuum aspiration and the use of surgical instruments such as forceps to complete the procedure. D&X or dilation and extraction is used to terminate pregnancy after twenty-one weeks. D&X is also known as Intrauterine Cranial Decompression and Partial Birth Abortion (Abortion

There are several reasons why Nexplanon should be used by many women in America. However, not all women agree that it is beneficial because the Etonogestrel Implant also has many negative side-effects that may adversely affect them and consequently, has a negative repercussion on the country. Those women believe that Nexplanon should not be used because it affects the birth rate. The decreasing of the birth rate is one of the major negative effects that Nexplanon has on America who believes in the creation of life at all cost. It is a fact that many women in America use the Etonogestrel Implant to prevent unwanted pregnancies; however, it generally costs them much more on their health plan. Also, while using this form of birth control, women face irregular menstrual bleeding, dizziness, breast pain, back pain, headache, abdominal pain, ovarian cysts and infections, and much more. Those effects are not only faced in

Ingham, R. J., Ingham, J. C., Bothe, A. K., Wang, Y., & Kilgo, M. (2015, May 01). Efficacy of

In their research, Cohen, et al. (2001) and colleagues suggest that randomized controlled trials conducted in research settings, may not provide the whole picture about the most

The decision for a woman to abort her child can be influenced by many different factors to come to that conclusion and with this major decision comes a few different ways in which the abortion can be executed. Examples of different abortion methods include surgical and medication. This essay will discuss the ‘abortion drug’, Mifepristone or RU486 and the effect it has on the female reproductive system. In August 2012, the TGA announced on that two drugs, mifepristone and misoprostol, had been approved for distribution in Australia for use in early medical abortion (Children By Choice, 2016).

First, there is the medical abortion. Medical abortion, sometimes called Mifeprex™, RU-486, is a non-surgical abortion done using medication. There are two different methods of medical abortion available: mifepristone followed by misoprostol and methotrexate followed by misoprostol. Mifepristone is a pill that is swallowed by the patient. It interferes with a woman’s ability to produce a hormone called progesterone, which is needed for the fetus to grow. MTX or methotrexate is a drug or injection that stops embryonic cell growth and stops from growing outside the uterus. Misoprostol is either swallowed by the patient or placed in the vagina by the doctor. The second type of abortion is surgical abortion, also known as vacuum aspiration. Surgical abortion is when a doctor removes a fetus from the uterus. Ectopic pregnancy is an abnormal pregnancy that grows outside the uterus and is often found in the fallopian tube, and it is very dangerous because it can harm a woman or threaten her future fertility (Abortion: Which Method is Right for Me?).

Although, Cytotec is used to abort the fetus, it is only successful in 85% of cases, in the other 15% of cases, the pregnancy has continued or complications have occurred. The reason is because Cytotec does not have the ingredient that stops the development of the fetus like RU-486.

b.ii. The dosage will depend on the age, weight, and other health issues of the person.

Is this Safe?: NO. The dose should be lesser. 25-50mg for lesser interval of q2H.