Claims for RU <strong>486</strong>/PG Abortionseveral visits. During the 48 hours between RU <strong>486</strong><strong>and</strong> PG administration, women are required not to smokeor drink alcohol.3. Procedures at this point vary. Some centers that giveRU <strong>486</strong> alone require the woman to visit the clinic sevendays after RU <strong>486</strong> administration to confirm that theembryo has been expelled completely. Most centers,however, now administer prostagl<strong>and</strong>ins in concert withRU <strong>486</strong> to hasten <strong>and</strong> strengthen the contractions thatwill ultimately propel the embryo from the uterus. Thuswomen once again must return to the clinic for aprostagl<strong>and</strong>in injection, vaginal prostagl<strong>and</strong>insuppositories or, more recently, oral prostagl<strong>and</strong>ins. Theprostagl<strong>and</strong>ins are usually given 36–48 hours after RU<strong>486</strong> administration because it takes this time to fullysensitize the myometrium (part of the uterine lining) tocontract (see Chapter Four for an alternative theory).When the woman returns to the medical center for theprostagl<strong>and</strong>ins, she is given another pelvic examination,the second one in 48 hours. Since the two cardiovascularaccidents, which occurred in France after theadministration of prostagl<strong>and</strong>ins, women are nowrequired to lie prone <strong>and</strong> have their blood pressuremeasured every half hour during <strong>and</strong> after PGadministration. Again, this warrants further medicalsupervision, restricted to a medical center equipped withan electrocardiogram, cardiorespirator, <strong>and</strong> coronaryspasm medication (La Révue Prescrire, 1990:288).4. Then the wait begins. Many clinics keep women pronefor three to four hours, in the hope that the embryo willbe expelled before sending them home. Other womenwait longer hours, days, <strong>and</strong> some even weeks. The onlything private about RU <strong>486</strong> is that the final stage of theabortion, the expulsion of the embryo, often happens athome—or someplace else. To call this an at-home abortionis deceptive, to say the least, since most of the treatment27
RU <strong>486</strong>transpires in the clinic or hospital <strong>and</strong> is extremelymedicalized. What actually happens at home can be anexcruciatingly long wait for the embryo to be expelledfrom the uterus, accompanied by pain, bleeding,vomiting, nausea, <strong>and</strong> other complications that are drawnout over a substantially lengthy period of time, comparedwith a conventional abortion.5. Finally, a woman must return several days later for aphysician’s examination to make sure abortion is complete.(Some studies mention as many as three follow-upappointments, e.g. Hill et al., 1990a: 415). Again, vaginalultrasound <strong>and</strong>/or a determination of ß-hCG is used toascertain whether the pregnancy has been terminated <strong>and</strong>whether the embryonic tissue has been totally expelled.At this point the woman receives another pelvicexamination, the third within a time period of usually eightdays. The pelvic examination, vaginal ultrasound, <strong>and</strong>other instruments used internally in chemical abortion areimportant to emphasize, because women have been led tobelieve that an RU <strong>486</strong>/PG abortion is free of medicalinstruments inserted into the body. This misrepresentationsingles out only suction curettage as an invasive internalor instrumental procedure. In actual fact, chemical abortioninvolves the use of more interventionist instrumentationthan conventional abortion.6. If abortion is not complete, then a conventional abortionis performed. Between two <strong>and</strong> 13.4 per cent of womenundergoing RU <strong>486</strong>/PG terminations endure doubleabortion jeopardy (Gao et al., 1988).How does the claim that RU <strong>486</strong> is a private means of abortionsquare with the claim that it needs close medical supervision?It doesn’t Physicians have been very explicit that RU <strong>486</strong>will never be available over the counter for do-it-yourselfabortions. Allan Templeton, professor of obstetrics <strong>and</strong>gynecology at the University of Aberdeen, who is leading28
- Page 2 and 3: Renate Klein is Lecturer in Women
- Page 4 and 5: RU 486Misconceptions,Myths and Mora
- Page 6 and 7: ACKNOWLEDGEMENTSWe would like to ex
- Page 8 and 9: CONTENTSINTRODUCTION 1CHAPTER ONETh
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- Page 18 and 19: CHAPTER ONEThe History of RU 486RU
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What Is RU 486 and How Does It Work
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What Is RU 486 and How Does It Work
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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The Role of Prostaglandins: Known a
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ConclusionInstead, Baulieu uses the
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Conclusionintervention. Thus, RU 48
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Conclusionbetween population contro
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ConclusionThis article, appearing i
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Conclusion‘a whole net of relatio
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ENDNOTESChapter One1The paten t lic
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Endnotes12The Journal Officiel publ
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Endnotesin Gynecology and Obstetric
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Endnotesof menses. On the third day
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EndnotesAnother such example is the
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Bibliographyand Segal, Sheldon (Eds
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Bibliographyprostaglandin F 2•. A
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BibliographyDelaney, Anne. (1991, 2
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Bibliographyresponses to the steroi
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Bibliographyabnormalities resulting
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Bibliographyprogesterone receptor b
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BibliographyOdlind, Viveca and Birg
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BibliographyBinding of the anti-pro
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BibliographyUlmann, André, Teutsch
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Bibliographytermination by vacuum a