EDP 363-3 1st Edition Lecture 16Outline of Last Lecture I. Birth Control Pill (Continued)II. Other Methods of BCIII. Permanent Methods of BCOutline of Current Lecture I. Essure (female sterilization method)II. Plan B (for emergency use only)III. AbortionsIV. Roe v. WadeV. Abortions p. 2VI. Harris v. McRae (1981)VII. Hypocrisy in DebatesVIII. How to have an abortion in TexasCurrent LectureI. Essure (female sterilization method)a. Inserts metal mesh with polyester fibers into both sides of the fallopian tubes through osb. Injection to prevent spasm during procedurec. Not immediate sterilization (cells grow on mesh)i. Over a few mothers, cells go around mesh and eventually block tubes d. Done in doctors officee. About same price as tubular ligation but will become cheaperf. After insertion, don’t get pregnant for 3 monthsg. After 3 months, dye will be inserted into uterus to see if dye gets in fallopian tubesh. Not reversibleII. Plan B (for emergency use only)a. Used in BC failures or unprotected intercourseb. Set of pills you can get without a prescriptionc. Sooner use = better (still good up to 3 days after)d. Progesterone-only pill = 10x amount as mini pill taken all at oncee. Might prevent ovulation at the last minutef. No LH released, (propels egg out of ovaries)g. Side effects: nausea, headache, throws off period)III. AbortionsThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.a. Both POV’s are reasonable and legitimate (write a thought paper on your position onabortions and should men be involved, due next class)b. Pro-lifei. Protection of human lifeii. Human life begins 2 days after conception (when DNA mixes)iii. Separate entity from woman’s body, simply dependent on mother to survivec. Pro-choicei. Desire for women to not be controlled by an unwanted pregnancy ii. Abortion is escape mechanismd. Debate: whether fetus deserves protection of laws as a human beingi. When is life developed enough to protect with lawii. All pecan trees begin as pecanse. Statistics: i. Every 24 hours, 100 million acts of sexual intercourse, which results in 1 million conceptions (50% unplanned)ii. 250,000 unwanted pregnancies: 150,000 legal abortions and 50,000 othersiii. 500 women die each day from unsafe illegal abortionsiv. over 50 million abortions each year in the world (33 million are legal)1. 1.2 million in the United States since Roe v. Wadev. making abortions illegal will not stop them (the rich will travel to have them done where they are legal and the poor will have unsafe illegal abortions)IV. Roe v. Wade (TX))a. Overruled state laws on abortions (only 5 states legal previously) making them illegalb. Roe (women) v. Wade (Dallas DA)c. Roe got pregnant, claimed rape and wanted an abortion (against law in TX)d. Roe is now strictly pro-life and protests Roe v. Wadee. Said women have right of privacy (like Griswold v. Connecticut); Constitution implies that rightf. Roe now admits she was not molested, said she made it up for sympathyg. Has not bee overruled – Supreme Court can overturn Roe v. Wadei. Congress can pass Constitutional Amendmenth. Has been alteredi. Allowed abortions through 24th week (1st 2 trimesters) with exception for women’s health)ii. Now abortion is allowed until fetus is viable outside wombV. Abortions p. 2a. Most abortions: 20-25 age cohort, then 25-30, then teens/30sb. 40 million abortions since Roe v. Wade in 1973c. 90% in 1st trimester (1st 12 weeks)i. less than 0.001% performed in third trimesterVI. Harris v. McRae (1981)a. Hyde Amendment in 1976 prevented government funds giving towards abortionsi. Can be reversed by Congressb. 1973-1976 Medicare paid for some low-income abortersc. Pro-choice: as long as abortion is legal it should be coveredd. Pro-life: Congress can declare to pay or noti. Supreme Court: Healthcare is not a rightii. Congress forbade federal money for abortionsiii. Some states and cities pay for some abortionsVII. Hypocrisy in Debatesa. Pro-life: Woman wants to kill baby for her own conveniencei. Unwanted pregnancy are not an inconvenience, they turn lives upside downii. When shit hits your fan, you became pro-choiceb. Pro-choice: when arguing they use the word “fetus” but when pregnant they use the word “baby”i. They will not allow you to use the word baby when discussing an unborn child, they insist on the word fetus. But when they are talking casually, they call it a baby. 1. “Want to feel my fetus kick”?ii. Use “Abortion” no “fetuscide”iii. Pretending a fetus is just a mass of cellsVIII. How to have an abortion in Texasa. Lawsi. Must see doc twice during processii. Doctor must do an ultrasoundiii. Under 18: must have consent (must tell one parent or go to court for a waiver)iv. Dr. must have admitting privileges on an ambulatory surgical center (hospital)v. Ban on abortions after 20 weeksb. Proceduresi. RU486 1. May take up to 8 weeks into pregnancy2. Chemicals dislodge embryo from wall lining3. Must get prostaglandm shot to contract fetus outii. Suction Curettage (90%) – must be given A Woman’s Right to Know before1. Lie down on exam table, feet in stirrups and separate vaginal walls2. Open os and expand it using larger and larger rods3. Insert Canula (straw) which vacuums and tears apart amniotic sac andfetus4. Curette (scraper) to scrape out endometrial lining and dislodge any fetal parts5. Repeat process and a nurse counts fetal parts to ensure everything is out (anything left in can cause infection)6. Women stays in the clinic for a couple of hours as the bleeding slows7. 4-6 days of heavy period8. Must return to clinic 2 weeks later to