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Dr. Hern subsequently obtained the copyright, formed a publishing company (Alpenglo Graphics), and published a soft cover edition of Abortion Practice in order to keep the book available to those who need it. [12] Hern, Warren M. (2024). Abortion in the Age of Unreason: A Doctor's Account of Caring for Women Before and After Roe V. Wade. Routledge.
Late termination of pregnancy, also referred to politically as third trimester abortion, [2] describes the termination of pregnancy by inducing labor during a late stage of gestation. [3] In this context, late is not precisely defined, and different medical publications use varying gestational age thresholds. [ 3 ]
The third trimester is defined as starting, between the beginning of week 28 (27 weeks + 0 days of GA) [36] or beginning of week 29 (28 weeks + 0 days of GA). [4] It lasts until childbirth . Timeline of pregnancy, including (from top to bottom): Trimesters, embryo/fetus development, gestational age in weeks and months, viability and maturity stages
Total cortisol increases to three times of non-pregnant levels by the third trimester. [5] The increased estrogen in pregnancy leads to increase corticosteroid-binding globulin production and in response the adrenal gland produces more cortisol. [5] The net effect is an increase of free cortisol.
Routine tests in the first trimester of pregnancy generally include: Complete blood count; Blood type. Rh-negative antenatal patients should receive RhoGAM at 28 weeks to prevent Rh disease. Indirect Coombs test (AGT) to assess risk of hemolytic disease of the newborn [5] Rapid plasma reagin test to screen for syphilis; Rubella antibody screen [6]
Also, vaginal bleeding in the third trimester, heavy pressure in the pelvis, or abdominal or back pain could be indicators that a preterm birth is about to occur. A watery discharge from the vagina may indicate premature rupture of the membranes that surround the baby.
For second-trimester abortions, in 2009, medical abortion (using mifepristone in combination with a prostaglandin analog) was the most common method of abortion in Canada, most of Europe, China and India; [7] in contrast to the US, where 96% of second-trimester abortions were performed surgically by dilation and evacuation. [106]
In the second trimester, a standard ultrasound exam typically includes: [12] Fetal number, including number of amnionic sacs and chorionic sacs for multiple gestations; Fetal cardiac activity; Fetal position relative to the uterus and cervix; Location and appearance of the placenta, including site of umbilical cord insertion when possible