Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
=3. Complete.= A complete abortion, as the term suggests, is one in
which all the products of conception are expelled. The treatment and
care are exactly the same as are given after a normal delivery. This
point cannot be stressed too strongly, for it is because so many
women fail to appreciate the necessity for adequate post-partum
care, that abortions are so often followed by ill health and
invalidism.
Many doctors follow these various remedial measures with a search for
the cause of the abortion just past, in order that it may be corrected
if possible and recurrent abortions prevented.
=A missed abortion= occurs but rarely, and is one in which the embryo,
or fetus dies, and is retained within the uterine cavity for months, or
even years, sometimes without any unfavorable results to the mother. In
these cases, symptoms of abortion sometimes appear and then subside
without any part of the uterine contents being expelled. In other cases
there are no signs except that the abdomen stops growing. There are
cases on record in which the fetus has become mummified and others in
which it has been partly absorbed by the maternal organism.
In addition to abortions which occur spontaneously there are also
induced abortions, and these are designated as therapeutic or criminal,
according to the motive for the induction.
=Therapeutic abortions= are resorted to when the patient’s condition is
so grave that it is apparently necessary to empty the uterus in order to
save her life. Such a condition may exist, for example, when pregnancy
is complicated by pulmonary tuberculosis, heart disease, toxemia,
hemorrhage or some condition which is inherent to pregnancy. An abortion
induced under these circumstances is countenanced by law, as it is
performed to prevent the loss of life from disease; but an abortion is
not legal if brought on to save the woman from suicide, because of her
unwillingness to become a mother.
The Catholic Church, however, teaches that it is never permissible to
take the life of the child in order to save the life of the mother. It
teaches that, even according to natural law, the child is not an unjust
aggressor: and that both child and mother have an equal right to life.
There is apparently no reason why a therapeutic abortion should be
followed by ill health, for, since it is performed openly, it is done
under clean, and otherwise favorable conditions, and the patient is
given adequate after-care. It is only because the reverse conditions
frequently prevail: the unclean delivery and subsequent neglect which go
hand in hand with the secrecy of illegal performance that abortions are
followed so often by disaster.
As to the legal aspect of the matter, the laws relating to therapeutic
abortion vary in the different states. But they are fairly uniform in
their intent, and make quite clear the difference between this procedure
and the induction of abortion for any reason other than medical
necessity.
Public-domain text, read in full here on John Shaqi.
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