RangerDave wrote:
Screeling wrote:
I can't think of a single medical problem where the mother's health is in imminent danger requiring termination of pregnancy AND requires the additional steps to kill the baby. I separately asked the OB's I was with on rotations (4 women, 1 man) this question and their answer was that they never encountered a situation that required killing the baby to save mom. A reasonable attempt could always be made to save both, though gestational age would have a large hand in success for the baby.
I suspect the words "imminent" and "requires" are doing a lot of work there. I'm happy to be corrected if I'm wrong, but my understanding is that induced labor involves more risk to the mother than a D&E procedure (which obviously involves killing the baby). If nothing else, I would expect that to be the case when there are other complicating factors to the pregnancy (e.g., mother has a heart condition, symptoms of pre-eclampsia, etc.). I'm not saying that necessarily justifies allowing D&E to be used instead of induced labor in all or perhaps even most ordinary circumstances, but I think it's important to grapple with the actual trade-offs involved when we're deciding what should and should not be permitted.
tl;dr: C-section still appears to be a safer practice than abortion but the data are not easy enough for me to find (or may not exist) to make a good comparison.
From just about everything I've studied, something posing imminent danger goes straight to C-section (C/S) because the OB does not want to risk any further deterioration. So major things would be like for placental abruption (placenta tore from uterine wall and actively hemorrhaging), uterine rupture (baby's now in abdominal cavity), or like an uncaught placenta/vasa previa (placenta or blood vessels laying over the uterine exit-hole and tore or may tear, so you can't deliver through it). These would be situations where mom can go into shock or die within a matter of minutes.
Even in preeclampsia that's going downhill, the evidence does not absolutely contraindicate normal birth though it seems C/S is probably preferred. If I understand you right, you're arguing that perhaps it's safer to perform an abortion than either induction or C/S. I'm having a hard time finding data to support that. On the CDC website, I found this quote on the page with all their abortion-related data tables:
Quote:
The national legal induced abortion case-fatality rate for 2008–2013 was 0.62 legal induced abortion-related deaths per 100,000 reported legal abortions.
Perhaps I'm completely missing it, but I could not find a similar table for C/S's on the CDC's website. UpToDate (a physician resource) estimates it as 0.2 to 0.6/100k cases:
Quote:
Maternal mortality is rare. A significant proportion of the surgical mortality (and morbidity) of cesarean delivery is related to the underlying medical and obstetrical factors that necessitate the surgical delivery. One group estimated that two to six women die annually in the United States because of cesarean delivery, which is approximately 0.2 to 0.6 maternal deaths/100,000 cesarean deliveries
PubMed reference this quote is based on.The bolded part above may also apply to abortions. I don't have apples-to-apples data to make a valid comparison, let alone stratify it by emergent cases. CDC even states for their abortion data: "excludes 16 areas (California, Connecticut, District of Columbia, Florida, Hawaii, Illinois, Kentucky, Louisiana, Maryland, Massachusetts, New Hampshire, New York State, Pennsylvania, Tennessee, Wisconsin, and Wyoming) that did not report, did not report by method type or gestational age, did not meet reporting standards, or did not have medical abortion as a specific category on their reporting form."
All this is to say what I've said earlier. Abortions due to medical danger are not the vast majority of cases taking place. We are dealing with life, or from the other side's perspective, that which becomes life at some point. If the left is going to say the baby is not alive yet, they should be declaring when it is alive, if for no other reason than to assuage their own consciences they're not legislating murder in the cases of abortion for convenience's sake.