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Ru 486 Misconceptions Myths and Morals - ressourcesfeministes

Ru 486 Misconceptions Myths and Morals - ressourcesfeministes

Ru 486 Misconceptions Myths and Morals - ressourcesfeministes

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Claims for RU <strong>486</strong>/PG Abortionby the actual age of the woman’s pregnancy. This too ispoorly defined with some studies proposing a cut-offpregnancy age of 42 days (e.g. Gao et al., 1988:676; Maria etal., 1988:255), but with the larger number of studiesadvocating an outer limit of 49 days (e.g. Somell <strong>and</strong> Ölund,1990:13; Zheng, 1989:19). Trials conducted in Engl<strong>and</strong>included women who were pregnant for up to 56 days (Roger<strong>and</strong> Baird, 1987:1415; Cameron <strong>and</strong> Baird, 1988:272) or,as in the UK Multicentre Trial, 63 days (1990:481).There are a multitude of other contraindications, manyrelating to a woman’s menstrual <strong>and</strong> reproductive history.Women with evidence of menstrual irregularities areexcluded from some trials. ‘Regularity’ is defined as 28 daysplus/minus three days (Couzinet et al., 1986:1565; Grimes etal., 1988:1307). Women with fibroids, abnormal menstrualbleeding, or endometriosis were not admitted to some studies(Li et al., 1988:733). ‘Cervical incompetence’ is anothercontraindication (Grimes et al., 1988:1307; <strong>and</strong> 1990:911).Other studies exclude women with a previous abortionhistory, spontaneous or induced (Sitruk-Ware et al., 1985:243;Grimes et al., 1990:911). Past <strong>and</strong>/or present history of‘abnormal pregnancies’ including multiple <strong>and</strong> ectopicpregnancies exempts a further number of women (Rodger<strong>and</strong> Baird, 1987:1415; Sylvestre et al., 1990:645). Pelvicinflammatory disease (PID) excludes still more women(Couzinet et al., 1986:1565; Maria et al., 1988:250).Some studies rule out women who have used IUDs orhormonal contraception three months prior to or during thelast cycle in which conception occurred (Swahn <strong>and</strong>Bygdeman, 1989:293; WHO Trial, 1989a: 719). The claimthat RU <strong>486</strong>/PG abortion is the safe treatment of choice forlarge numbers of women shrinks further in the light of thesignificant number of women worldwide who use eitherIUDs or the contr aceptive pill. However, because only afew studies disallow contraceptive users from chemicalabortion treatment, what awaits women who take the pill35

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