What Actually Happens When You Have An Abortion?

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The lesson on “Understanding Abortion: Procedures and Implications” provides an overview of the various abortion methods, including medical and surgical procedures, and highlights the importance of understanding these processes regardless of personal beliefs. It emphasizes that legal abortions are among the safest medical procedures, debunking common myths about associated health risks, while also addressing the dangers of unsafe abortions. Additionally, the lesson discusses the legal and social implications of abortion access, noting that restrictive laws do not decrease abortion rates but rather lead to unsafe practices, and underscores the role of comprehensive sex education and contraceptive access in reducing unwanted pregnancies.

Understanding Abortion: Procedures and Implications

Every year, around 56 million abortions are performed worldwide. While opinions on this topic can be quite strong, it’s crucial to understand the procedures involved, regardless of one’s stance. This article aims to provide a clear and informative overview of what happens during an abortion.

Types of Abortion Procedures

Abortion methods range from taking a pill to undergoing surgical procedures, often depending on the stage of pregnancy and the resources available. In the United States, the majority of legal abortions (92%) occur within the first thirteen weeks of pregnancy.

Medical Abortion

One common method is the use of an oral tablet, effective up to 49 days from the last menstrual period. This pill usually contains mifepristone, which blocks the hormone progesterone. Progesterone is responsible for maintaining the uterine lining during pregnancy. By inhibiting this hormone, the pill causes the uterus to contract and expel the embryo, similar to a heavy menstrual period.

Surgical Abortion

For pregnancies up to 16 weeks, vacuum aspiration is a typical surgical procedure. It involves numbing and dilating the cervix to insert a slender tube into the uterus, where suction is used to remove its contents. Another option within this timeframe is dilation and curettage (D&C), where the cervix is dilated, and a curette is used to scrape the uterine lining.

Dilation and Evacuation (D&E)

For pregnancies between 12 to 24 weeks, dilation and evacuation (D&E) is often used. This procedure involves dilating the cervix wider, frequently using osmotic dilators made from seaweed or synthetic materials that absorb moisture and gradually stretch the cervix. These are typically inserted the day before surgery. Once dilated, fetal and placental tissue is removed using forceps and a curette.

Safety and Myths

Abortions performed within the legal framework are among the safest medical procedures, with a case fatality rate of less than one death per 100,000 procedures. In fact, the risk of death associated with childbirth is 14 times higher than that associated with abortion in the U.S.

There are misconceptions that abortion increases the risk of cancer or future pregnancy complications, but extensive research has debunked these myths. However, unsafe abortions, often performed by unqualified individuals or in non-medical settings, result in approximately 68,000 deaths annually and cause temporary or permanent disabilities in 5 million women. Unsafe methods can include ingesting toxic substances or inserting foreign objects into the uterus. The World Health Organization has labeled unsafe abortions as a “preventable pandemic.”

Legal and Social Implications

Restrictive abortion laws do not reduce the number of abortions; instead, they often lead to an increase in unsafe procedures. Countries with illegal abortions have similar rates to those where it is legal. A study in 2011 found that anti-abortion laws in Texas correlated with lower abortion rates, but this did not account for women traveling to other states for the procedure. On the other hand, comprehensive sex education and access to contraceptives have been shown to reduce unwanted pregnancies and, consequently, the number of abortions. This trend is evident in the significant decrease in abortion rates in the developed world since 1990.

Ultimately, access to legal abortions contributes to safer and healthier lives for women. For those interested in learning about Plan B or emergency contraception, which differs from abortion, additional resources are available. Stay informed and engaged with ongoing discussions about reproductive health and rights.

  1. What new insights did you gain about the different types of abortion procedures discussed in the article?
  2. How did the information about the safety of legal abortions compared to childbirth challenge or reinforce your previous beliefs?
  3. Reflect on the impact of restrictive abortion laws as mentioned in the article. How do these laws affect women’s health and safety?
  4. What are your thoughts on the role of comprehensive sex education and access to contraceptives in reducing unwanted pregnancies and abortion rates?
  5. How does the article’s discussion on unsafe abortions highlight the importance of access to safe and legal abortion services?
  6. In what ways did the article change or deepen your understanding of the social and legal implications of abortion?
  7. Consider the myths surrounding abortion and its effects on health. How does debunking these myths contribute to informed decision-making?
  8. What further questions do you have about reproductive health and rights after reading the article, and how might you seek answers to them?
  1. Research and Presentation on Abortion Procedures

    Divide into small groups and research the different types of abortion procedures discussed in the article: medical abortion, surgical abortion, and dilation and evacuation (D&E). Prepare a short presentation for the class, highlighting the key steps, safety measures, and any recent advancements in these procedures. This will help you understand the medical aspects and implications of each method.

  2. Debate on Legal and Social Implications

    Engage in a structured debate on the legal and social implications of abortion laws. Form two teams, one supporting restrictive laws and the other advocating for access to legal abortions. Use evidence from the article and additional research to support your arguments. This activity will enhance your critical thinking and understanding of the broader societal impacts of abortion legislation.

  3. Myth-Busting Workshop

    Organize a workshop to address common myths and misconceptions about abortion, as highlighted in the article. Create informative posters or digital presentations that debunk these myths using scientific evidence. This will help you and your peers develop a more informed perspective on the topic.

  4. Case Study Analysis

    Analyze case studies of countries with different abortion laws and their impact on women’s health and safety. Compare the outcomes in terms of legal versus unsafe abortions, as mentioned in the article. Present your findings in a written report or a class discussion. This will provide insights into the real-world effects of policy decisions on reproductive health.

  5. Role-Playing Exercise on Reproductive Health Education

    Participate in a role-playing exercise where you assume the roles of educators, policymakers, and healthcare providers to develop a comprehensive sex education program. Focus on how such programs can reduce unwanted pregnancies and abortion rates, as discussed in the article. This activity will help you explore the importance of education in reproductive health.

Here’s a sanitized version of the provided YouTube transcript:

56 million abortions occur annually worldwide. Opinions on this topic are strong, but many people are unaware of how the procedures actually work. Regardless of whether you’re pro-life or pro-choice, it’s important to understand what happens during an abortion.

Abortion procedures vary from taking a pill to surgical options, often depending on availability and how far along a pregnancy is. In the U.S., 92% of legal abortions take place within the first thirteen weeks of gestation. The oral tablet is effective up to 49 days from the last menstrual period. Often containing mifepristone, it works by blocking the hormone progesterone, which promotes smooth muscle relaxation in the uterine wall throughout pregnancy. As a result, the pill causes the uterus to contract, leading to the expulsion of the embryo, similar to a heavy menstrual period.

Vacuum aspiration is a surgical procedure typically used up to 16 weeks after conception and is usually performed under local or general anesthesia. The cervix is numbed and opened wide enough to insert a slender tube into the uterus, where suction is used to empty its contents. Within the same timeframe, a dilation and curettage (D&C) abortion can also be performed. In this case, the cervix is dilated using small instruments or medication, and a curette is used to remove the contents of the uterus.

For pregnancies between 12 to 24 weeks, a dilation and evacuation (D&E) abortion is often used, although only 1.2% of abortions occur after 21 weeks. In a D&E procedure, the cervix is dilated wider, often using osmotic dilators made from seaweed or synthetic materials that absorb moisture and gradually stretch the cervix. These are usually inserted the day before the surgery. Once dilated, fetal and placental tissue is removed using forceps and a curette.

The decision to have an abortion after 24 weeks is extremely rare and typically due to severe fetal anomalies. When abortions are permitted by local law, they are among the safest medical procedures, with case fatality rates of less than one death per 100,000 procedures. In the U.S., the risk of death associated with childbirth is 14 times higher than that associated with abortion.

There are myths suggesting that abortion is linked to an increased risk of cancer or difficulties in future pregnancies, but extensive medical research has refuted these claims. However, unsafe abortions performed by individuals without the necessary skills or in non-medical environments result in an estimated 68,000 deaths annually, with an additional 5 million women suffering temporary or permanent disabilities. Unsafe methods can include ingesting toxic substances, inserting foreign objects into the uterus, and other forms of trauma. The World Health Organization has described unsafe abortions as a “preventable pandemic.”

Laws that restrict access to abortion or make it illegal do not decrease the number of abortions; instead, they often lead to an increase in unsafe procedures. Countries where abortions are illegal tend to have similar abortion rates as those where they are legal. A 2011 study found that state-level anti-abortion laws in Texas correlated with lower abortion rates, but these findings did not account for women traveling to other states with less restrictive laws for the procedure. Conversely, research indicates that comprehensive sex education and access to contraceptive methods can reduce the number of abortions by minimizing unwanted pregnancies. This trend is reflected in the significant decrease in abortion rates in the developed world since 1990.

Ultimately, access to legal abortions contributes to safer and healthier lives for women. If you’re interested in learning about Plan B or emergency contraception, which is not the same as an abortion, you can check out our video on that. Don’t forget to subscribe for more weekly science videos every Thursday.

This version maintains the essential information while ensuring a more neutral tone and removing any potentially sensitive language.

AbortionThe medical termination of a pregnancy before the fetus can live independently outside the mother’s womb. – The university’s health sciences department hosted a seminar on the ethical considerations and medical procedures involved in abortion.

ProceduresA series of actions conducted in a certain order or manner, especially in medical or scientific contexts. – Medical students must learn various surgical procedures to ensure they can perform them safely and effectively.

HealthThe state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. – Public health initiatives aim to improve the overall health of communities through education and preventive measures.

SafetyThe condition of being protected from or unlikely to cause danger, risk, or injury. – Laboratory safety protocols are essential to prevent accidents and ensure the well-being of researchers and students.

MythsWidely held but false beliefs or ideas, often related to health and science. – The professor debunked common myths about vaccines during the lecture on immunology.

PregnancyThe condition or period of being pregnant, involving the development of an embryo or fetus within the womb. – The study focused on the nutritional needs and health care of women during pregnancy.

ContraceptivesMethods or devices used to prevent pregnancy. – The research paper explored the effectiveness of different contraceptives in reducing unintended pregnancies.

ResearchThe systematic investigation into and study of materials and sources to establish facts and reach new conclusions. – Graduate students are encouraged to participate in research projects to gain hands-on experience in their field of study.

RisksThe possibility of suffering harm or loss; a factor that could lead to a negative outcome. – Understanding the risks associated with certain medical treatments is crucial for making informed health decisions.

EducationThe process of receiving or giving systematic instruction, especially in a formal setting like a university. – Health education programs are essential for raising awareness about disease prevention and healthy lifestyles.

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