Tag Archives: embryo

Sound Science and Unsound Ideology: Sixty Years of Obstetric Ultrasound

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Ultrasound image used in an anti-abortion billboard in Ireland, 2012. Photo: The Vagenda

For decades now, ultrasound technology has been a fixture in the journey from pregnancy to parenthood. It has also become a prized weapon among abortion opponents in the battle over reproductive rights.

Ultrasound, which uses high-frequency sound waves to render images of a developing fetus, had its beginning 60 years ago this week, with the publication of a seminal paper in the British medical journal The Lancet. The development of the technology has a colorful history, one involving flying mammals, German submarines, a desert-dwelling inventor, and countless medical professionals who saw a range of patient care possibilities.

Ultrasound is a powerful tool, which can benefit patients or be used as a cudgel by abortion opponents.

But that colorful history belies the drab and fuzzy appearance of most ultrasounds. That limitation, though, has never stopped it from taking on enormous significance. When the technology was first developed, it gave obstetricians an unprecedented ability to survey fetal development, making it one of the most important advances in their field during the latter half of the 20th century.

By the same token, ultrasound has not only been a valuable medical tool but also a powerful storytelling tool. Today, it is often put to use four or more times before a patient’s due date. While the FDA and other authorities advise against ultrasounds that aren’t medically necessary — recommending just two for a low-risk pregnancy — many patients opt for additional, elective ultrasounds for the sake of having keepsake images. Posting those images online has become a popular way to share their news with family and friends. Continue reading →

A Gun in the Oven

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Last month, during an Arizona House debate on whether to ban bump stocks, which make semiautomatic rifles fire almost as fast as machine guns, Rep. Kelly Townsend (R-Mesa) blamed abortions for the epidemic of school shootings: “We are in a culture of death where it’s OK if you have an unwanted pregnancy to just go ahead and kill that child.”

This is not the first time a link between abortion access and school shootings has been suggested. In his commencement speech at the University of Maryland in 2013, U.S. Rep. Kevin Cramer (R-ND) proclaimed, “Forty years ago, the United States Supreme Court sanctioned abortion on demand. And we wonder why our culture sees school shootings so often.”

All morning, I’ve been trying to get inside the heads of these two legislators and follow the twisted reasoning behind their statements. Perhaps a Vulcan mind meld might work, though I suspect my brain could be permanently damaged. But, in the spirit of inquiry, I’ll take that risk.

OK, now that our minds are melded, I think I see a grand vision unfolding. Continue reading →

Book Club: Pro – Reclaiming Abortion Rights

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Pro PollittPro: Reclaiming Abortion Rights by Katha Pollitt, prize-winning author, poet, essayist, and columnist for The Nation, is a book for people who are in the “muddled middle” of the abortion debate. YOU are a member of this group — more than half of Americans — if you do not want to ban abortion, exactly, but don’t want it to be widely available, either.

Pollitt argues that “muddlers” are clinging to an illogical and ultimately untenable position and need to sit down and examine their reasoning carefully. She does so in a witty, engaging manner, taking us through 218 pages in the following six chapters:

RECLAIMING ABORTION. Pollitt states her case:

“Abortion. We need to talk about it. I know, sometimes it seems as if we talk of little else, so perhaps I should say we need to talk about it differently. Not as something we all agree is a bad thing about which we shake our heads sadly and then debate its precise degree of badness, preening ourselves on our judiciousness and moral seriousness as we argue about this or that restriction on this or that kind of woman. We need to talk about ending a pregnancy as a common, even normal, event in the reproductive lives of women … We need to see abortion as an urgent practical decision that is just as moral as the decision to have a child — indeed, sometimes more moral.”

WHAT DO AMERICANS THINK ABOUT ABORTION? Polls are one thing; voting, another. Voters in even the most conservative states reject extreme abortion restrictions, despite polls predicting passage. Continue reading →

Over 90 Percent of What Planned Parenthood Does, Part 24: Miscarriage Management and Counseling

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Welcome to the latest installment of “Over 90 Percent of What Planned Parenthood Does,” a series on Planned Parenthood Advocates of Arizona’s blog that highlights Planned Parenthood’s diverse array of services — the ones Jon Kyl never knew about.

holding handsMiscarriage. It’s a common occurrence — at least 10 to 15 percent of all pregnancies end this way — but one that is not often spoken about. When carrying a wanted pregnancy, its sudden loss can trigger a range of emotions. During this time, Planned Parenthood can help.

There is no “right” or “wrong” way to feel after having a miscarriage.

What Is Miscarriage?

When a pregnancy ends before it has reached the 20-week mark, a miscarriage has occurred; most miscarriages occur within the first eight weeks of pregnancy. Pregnancy loss after the 20-week mark is called stillbirth, and while it isn’t as common as miscarriage, stillbirth occurs in 1 out of 160 pregnancies.

Signs of a miscarriage include vaginal bleeding or spotting, severe abdominal pain or cramping, pain or pressure in the lower back, or a change in vaginal discharge. These symptoms aren’t specific to miscarriage — they could indicate other problems, so visit a health-care provider if you experience them during your pregnancy.

After a miscarriage, you might have pregnancy-related hormones circulating in your body for one or two months. Your period will most likely return within 4 to 6 weeks. While you may be physically ready to get pregnant again after you’ve had a normal period, you might want to consult with a health-care provider about the need for medical tests. You also might need to think about when you will be emotionally ready to try for another pregnancy. Continue reading →

Book Club: Crow After Roe

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Crow After RoeA new book by Robin Marty and Jessica Mason Pieklo takes readers on a tour of a disaster. It was a catastrophe that swept through much of the Midwest but also shook states like Arizona, Idaho, and Mississippi. Its widespread effects raised numerous health concerns as it made its way through much of the country, and its repercussions are still felt today. Undoing the damage could take years.

The disaster was not natural, but political. The 2010 midterm elections saw a wave of Republican victories, giving state legislatures a new makeup and a new agenda. Reacting to a recently elected Democratic president who had called himself “a consistent and strong supporter of reproductive justice,” conservative lawmakers introduced one bill after another to limit access to reproductive health care — especially, but not exclusively, abortion.

The defeat of Arizona’s 20-week abortion ban is a timely reminder of what activists can accomplish.

In Crow After Roe: How “Separate but Equal” Has Become the New Standard in Women’s Health and How We Can Change That (Ig Publishing, 2013), Marty and Pieklo, both reporters for the reproductive health and justice news site RH Reality Check, take a state-by-state look at the many bills that were introduced in the wake of the 2010 midterm elections. Those bills made the next year, 2011, a record year for state-level legislation to restrict abortion. States passed more anti-abortion laws in 2011 than in any year in the last three decades. What was quickly dubbed the War on Women continued into 2012. That year saw the second highest number of new state-level abortion restrictions. This year is shaping up to be much like the prior two, with new restrictions introduced in more than a dozen states, according to the Guttmacher Institute.

Marty and Pieklo argue that this onslaught of bad legislation has put women — especially poor, minority, and rural women — in a separate and secondary class of health care consumers who have little choice or control over their reproductive health. The authors posit that the goal of the many restrictions is to render abortion “legal in name only” — still legal, but largely unavailable. Continue reading →

September 9: Fetal Alcohol Awareness Day

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September 9 is Fetal Alcohol Awareness Day. At 9 a.m. the bells of the St. Augustine Cathedral in downtown Tucson will ring, so we can remember on the ninth hour of the ninth day of the ninth month not to drink alcohol during the nine months of pregnancy.

Fetal alcohol syndrome is entirely preventable.

I became aware of fetal alcohol syndrome the way many parents do — by dealing with a child affected by a mother’s drinking while pregnant. I had to learn about it to parent my son, who had come to me when he was 7 years old, and who, in his teens, had regressed in his emotional and cognitive functioning. I needed to understand the outbursts that resulted in holes punched or kicked in the walls; broken mirrors, broken windows, broken china; stolen jewelry, my winter jacket that I saw walking down the street worn by his friend, who had given money for it; the daily swearing and the inability to understand that his behavior had consequences.

What is fetal alcohol syndrome (FAS)?

Fetal alcohol syndrome is the leading cause of IQ scores below 70 in this country (though most people with FAS have normal intelligence), and is entirely preventable. You have probably seen ads talking about the importance of not drinking during pregnancy. But it is not only women of childbearing age who need to be educated. Doctors, especially ob/gyns and pediatricians, teachers, and social workers — everyone who works with children, in fact — need to learn about the effects of prenatal exposure to alcohol. Also judges, probation officers, and others working in the juvenile and adult criminal justice systems need to be educated; most of them have quite a bit of contact with the victims of fetal alcohol exposure, whether diagnosed or not. Continue reading →