{"id":15834,"date":"2022-10-07T05:55:04","date_gmt":"2022-10-07T10:55:04","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=15834"},"modified":"2024-04-03T14:29:36","modified_gmt":"2024-04-03T19:29:36","slug":"%d0%bb%d0%b5%d1%87%d0%b5%d0%bd%d0%b8%d0%b5-%d0%b2%d1%8b%d0%ba%d0%b8%d0%b4%d1%8b%d1%88%d0%b0-%d0%b0-%d0%bd%d0%b5-%d0%b0%d0%b1%d0%be%d1%80%d1%82%d0%b0","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/ru\/miscarriage-treatment-not-an-abortion\/","title":{"rendered":"\u0418\u0441\u0442\u043e\u0440\u0438\u044f \u041b\u0430\u0443\u0440\u044b \u043f\u043e\u043a\u0430\u0437\u044b\u0432\u0430\u0435\u0442 \u043d\u0430\u043c, \u043a\u0430\u043a \u043d\u0430 \u0441\u0430\u043c\u043e\u043c \u0434\u0435\u043b\u0435 \u0432\u044b\u0433\u043b\u044f\u0434\u0438\u0442 \u0443\u0445\u043e\u0434 \u043f\u043e\u0441\u043b\u0435 \u0432\u044b\u043a\u0438\u0434\u044b\u0448\u0430 (\u0438 \u043d\u0435\u0442, \u044d\u0442\u043e \u043d\u0435 \u0442\u043e \u0436\u0435 \u0441\u0430\u043c\u043e\u0435, \u0447\u0442\u043e \u0430\u0431\u043e\u0440\u0442 \u043f\u043e \u0436\u0435\u043b\u0430\u043d\u0438\u044e)"},"content":{"rendered":"\n

I\u2019ll never forget the shock to my core I felt when I saw my medical chart while pregnant with my third child. It read \u201cAbortions: 1, Live Births: 1,\u201d with the fates of my first two pregnancies (and the lives of my first two children) laid out neatly in a table. I balked, and called it to the attention of the nurse doing my intake paperwork that I had never had an abortion\u2013rather, my first pregnancy had ended in miscarriage at 8 weeks gestation. However, as the nurse informed me, it\u2019s an unfortunate quirk of medical terminology that any pregnancy that meets an untimely end is called an \u201cabortion,\u201d albeit a \u201cspontaneous\u201d one if it\u2019s the result of a miscarriage. The medical establishment uses the term \u201celective abortion\u201d for those performed at the choice of the mother. Here, when I use the term \u201cabortion\u201d I refer to elective abortions. <\/p>\n\n\n\n

The lack of nuance in medical terminology is unfortunate for more than one reason. For starters, it\u2019s a shock for women like me to hear the devastating, premature ending of a wanted pregnancy referred to as an \u201cabortion.\u201d For another, there are individuals and organizations currently taking advantage of the confusion in terms<\/a> to deliberately foment fear surrounding miscarriage care, now that matters of (induced) abortion have been returned to the states after the recent overturn of Roe v Wade<\/em>. <\/p>\n\n\n\n

Headlines abound from irresponsible news sources claiming that a woman\u2019s ability to get miscarriage care is now in jeopardy, thanks to the Supreme Court\u2019s decision in Dobbs<\/em>. Of course, nothing could be further from the truth, as miscarriage care is not an abortion (and vice-versa). I recently spoke with Laura, a woman who unfortunately miscarried her 6th pregnancy at 12 weeks, but did not realize it until week 14 (a phenomenon known as a \u201cmissed miscarriage\u201d), and ultimately required medical and surgical intervention to resolve the no-longer-viable pregnancy. <\/p>\n\n\n\n

Laura\u2019s story is especially illustrative, because she lives in Ohio, which has a \u201cheartbeat law\u201d (the Human Rights and Heartbeat Protection Act) that went into effect after Roe <\/em>was overturned. Furthermore, she received her miscarriage care in a Catholic hospital (which did not allow abortions, even prior to Roe\u2019<\/em>s overturn). As readers will see, neither of these two facts impeded Laura from receiving necessary care in the wake of her miscarriage.  <\/p>\n\n\n\n

Laura\u2019s Story<\/span><\/h2>\n\n\n\n

Laura, 36, and her husband were thrilled when they got the positive test for what was her sixth pregnancy. At first, everything seemed normal, similar to her other pregnancies. This time though, during week 14, Laura started noticing fewer classic pregnancy symptoms. This wasn\u2019t a huge red flag for her initially, because, as many women know, it\u2019s fairly normal for first trimester symptoms (like nausea and heightened sensitivity to smell) to start lessening once a woman reaches her second trimester of pregnancy.<\/p>\n\n\n\n

The moment she learned something was wrong<\/h3>\n\n\n\n

But when Laura went in for her 14-week checkup, something was off. After chatting normally with the PA, who at the close of the appointment said, \u201clet\u2019s listen to the heartbeat and we\u2019ll get you out of here,\u201d Laura was shocked when the PA informed her that she couldn\u2019t find a heartbeat with the Doppler. The PA then proceeded to call in the ultrasound technician, who had a handheld ultrasound device. But the ultrasound tech also had a difficult time finding the heartbeat, and wondered aloud if the lighting in the room \u201cjust wasn\u2019t good enough.\u201d <\/p>\n\n\n\n

Laura and the team then made the decision to go to the ultrasound room to do a full scan. It was only during this third and final attempt that Laura learned the news she\u2019d been dreading to hear: her baby no longer had a heartbeat. <\/p>\n\n\n\n

With the baby measuring at only 12 weeks gestation, it became clear that the baby had passed away two weeks prior, unbeknownst to Laura. \u201cI lost it,\u201d says Laura, \u201cmore than I would have expected to, I just completely broke down.\u201d Soon afterwards, the doctor was brought in to speak with Laura about her options, beginning with expectant management, and, if necessary, medical management or surgical management.<\/p>\n\n\n\n

Ohio\u2019s \u201cheartbeat law\u201d did not impact Laura\u2019s after-miscarriage treatment<\/h3>\n\n\n\n

When I asked Laura if there was any holdup or obstacles to receiving after-miscarriage care, or if she had ever been worried about that possibility for any reason, Laura said \u201cthere was absolutely no discussion about any kind of difficulty I might have in choosing any of those options.\u201d \u201cWe could go any route we wanted,\u201d she continues, \u201cand they [the hospital] could easily accommodate that,\u201d even though, as Laura points out, \u201cwe live in Ohio, and do have a heartbeat law.\u201d <\/p>\n\n\n\n

Laura, who has read the full text of Ohio\u2019s heartbeat law, notes that it \u201cdoes not apply to miscarriage care,\u201d and that it only restricts terminating a pregnancy in non-emergency circumstances without first attempting to find a heartbeat (or after detecting a heartbeat)*, so she \u201cknew for a fact that there was no legal reason why I wouldn\u2019t be able to receive miscarriage care.\u201d<\/p>\n\n\n\n

After Laura talked things over with her husband later that day, she called her doctor and informed him that they had decided to opt for medical management (misoprostol, also known as Cytotec, which both dilates the cervix and induces contractions). With the advice of her doctor, Laura and her husband reasoned that since the baby had passed at 12 weeks, there was a greater chance of retained placenta than if the baby had passed earlier on. Expectant management, therefore, could be risky. At the time, they also did not want to go the surgical route (known as a dilation & curettage, or a D&C), since Laura wanted to deliver her baby whole and intact, if possible. <\/p>\n\n\n\n

Induction to preserve the health of the mother is not an abortion<\/h3>\n\n\n\n

On the day of her induction, Laura checked into the hospital and was able to deliver her baby after several more doses of misoprostol. She and her husband were given time to spend holding their sixth child. After a while, however, complications arose, and Laura started passing large clots and bleeding excessively. An ultrasound revealed that most of the placenta had not yet been delivered, and a D&C would be necessary to remove it. Laura\u2019s doctor quickly performed the D&C, and her bleeding resolved. <\/p>\n\n\n\n

Thanks to the expedient action taken by her medical team, Laura is physically recovering from her ordeal, even as she and her family are heartbroken at the loss of her child. Laura and her husband are grateful they had the time to hold their baby, even for a short amount of time. Their child\u2019s brief life was honored and its body was buried with dignity, just as any other member of their family who had passed away would have been.<\/p>\n\n\n\n

What Laura\u2019s story teaches us about miscarriage care in a post-Roe world<\/span><\/h2>\n\n\n\n

Now, it is true that misoprostol is often used to induce the abortion of an early viable <\/em>pregnancy\u2013a topic we have covered extensively<\/a> at Natural Womanhood. It\u2019s true, too, that the D&C procedure Laura had is also used for first-trimester surgical abortions (and likewise, a D&E or dilation and extraction procedure that may be necessary to manage second-trimester miscarriages is also used for second-trimester abortions). However, these medications and procedures clearly have a place outside of induced abortion, and can truly be life-saving in situations like Laura\u2019s\u2014which the Ohio law, and others like it, recognize and allow. <\/p>\n\n\n\n

Because miscarriage treatment isn’t an abortion, laws that restrict abortion do not impact miscarriage management<\/h3>\n\n\n\n

Regardless of a state\u2019s stance on abortion<\/a>, treatments for life-threatening circumstances like ectopic pregnancies<\/a>, premature rupture of membranes (PROM), and missed or incomplete miscarriages (to name a few), are often explicitly stated as being protected procedures, and are categorically different from induced abortions of viable pregnancies. Laura\u2019s story corroborates the fact that miscarriage treatment is not an abortion. \u201cThere was no talk about any obstacles, or any talk of extra legal waivers,\u201d says Laura, \u201cit was just \u2018let\u2019s get you into surgery, let\u2019s get you cared for\u2026\u2019 At no point was there any trouble getting medication or getting into surgery.\u201d <\/p>\n\n\n\n

Laura\u2019s doctor knew what many other good doctors know: Miscarriage care is fundamentally different than an abortion, and laws aimed at curtailing abortion do not apply to cases like Laura\u2019s, where the baby has already died (or even when the baby is not dead but will die, and the only life that can be saved is that of the mother, such as with ectopic pregnancies<\/a> or PROM). Laura\u2019s experience, while undoubtedly tragic, is an excellent example of the care that has been\u2013and still is\u2013available to women facing miscarriage. Those claiming that this kind of care is now in jeopardy do women facing these tragic circumstances no favors, only adding to their confusion and heartbreak.  <\/p>\n\n\n\n

*Note that per Section 2919.193 of Ohio’s Human Rights and Heartbeat Protection Act, medical providers need not check for a heartbeat before providing treatment in a medical emergency. <\/p>\n\n\n\n

Additional Reading:<\/p>\n\n\n\n

5 ways the medical community can support women who experience miscarriage<\/a><\/p>\n\n\n\n

Healing after the loneliness and heartbreak of a miscarriage<\/a><\/p>\n\n\n\n

Four things everyone needs to know about miscarriage<\/a><\/p>\n\n\n\n

How to chart your cycle and figure out when you will ovulate after a miscarriage<\/a><\/p>\n\n\n\n

Progesterone helps prevent miscarriage: good news for moms and babies<\/a><\/p>\n\n\n\n

Your treatment options for an ectopic pregnancy, and why the overturn of Roe<\/em> hasn\u2019t affected them<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"\u041e\u043a\u0430\u0437\u0430\u043d\u0438\u0435 \u043f\u043e\u043c\u043e\u0449\u0438 \u043f\u0440\u0438 \u0432\u044b\u043a\u0438\u0434\u044b\u0448\u0430\u0445 \u043d\u0435 \u043d\u0430\u0445\u043e\u0434\u0438\u0442\u0441\u044f \u043f\u043e\u0434 \u0443\u0433\u0440\u043e\u0437\u043e\u0439 \u043f\u043e\u0441\u043b\u0435 \u0420\u043e","protected":false},"author":31,"featured_media":15835,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5509,5181],"tags":[5495,5320],"class_list":{"0":"post-15834","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pregnancy-loss","8":"category-reproductive-and-menstrual-disorders","9":"tag-abortion-and-womens-health","10":"tag-miscarriage","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nMiscarriage Treatment isn't an Abortion<\/title>\n<meta name=\"description\" content=\"Medical treatment of miscarriage is not an abortion and therefore is not in jeopardy after the overturn of Roe v. 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