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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 Abortionfrom April 1990 <strong>and</strong> confirmed by the April 1991 Frenchwoman’s death blamed on cardiovascular complicationscaused by ‘heavy smoking’.Increasingly, there are more <strong>and</strong> more contraindicationsadded to the list Obesity is now identified as an additionalfactor detracting from the RU <strong>486</strong>/PG success rates (Vervest<strong>and</strong> Haspels, 1985:627; Cameron <strong>and</strong> Baird, 1986:273;WHO Trial, 1989a: 722; Grimes et al., 1990:913). Moreconditions will certainly be added in the future, restrictingRU <strong>486</strong>/PG to a further diminished population of women.ComplicationsIn a comprehensive review of medical journal articles, weexamined <strong>and</strong> analyzed complications of chemical abortions.These articles covered a span of seven years (1984–90),<strong>and</strong> included the most well-known as well as some of thelesser known research. Because these studies have differentcriteria for measuring success, efficacy, <strong>and</strong> complications,<strong>and</strong> because they often use different protocols within the samestudy, it is difficult to ascertain patterns <strong>and</strong> an agreed-uponsystem of evaluation.The difficulty starts with the definition of age of pregnancy.Most researchers would agree that RU <strong>486</strong>, when used alone,or when used in combination with prostagl<strong>and</strong>ins, worksbest when the pregnancy is less than 42–49 days. There is adisparity in how the 42–49 days figure is arrived at, sincesome researchers count from the first day of the last menstrualperiod (Swahn <strong>and</strong> Bygdeman, 1989); some are not specific,merely stating 42–49 days since the last menstrual period(Somell <strong>and</strong> Ölund, 1990; <strong>and</strong> Grimes et al., 1988); <strong>and</strong> somecount from the expected onset of the last missed menstrualperiod, in which case there are only approximately 14–21days when RU <strong>486</strong>/PG is operational (see Couzinet et al.,1986). Since timing is critical to an RU <strong>486</strong>/PG abortion,the exact age of pregnancy is crucial.There is, however, at least one study that maintains that37

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