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Physical implications related to abortion

Infertility

The relative risk of secondary infertility among women with at least one induced abortion and no spontaneous miscarriages was 3-4 times that among non-aborted women. Reference: D. Trichopoulos et al., "Induced Abortion & Secondary Infertility," British Jour. OB/GYN, vol. 83, Aug. 1976, pp. 645-650 In 1974 Dr. Bohumil Stipal, Czechoslovakia's Deputy Minister of Health, stated: "Roughly 25% of the women who interrupt their first pregnancy have remained permanently childless." If the abortionist's curette scrapes or cuts too deeply across the opening of the tubes, there is scar formation and often, blockage. If total, the woman is sterile. But when partial blockage is a result of this procedure, the microscopic sperm can still travel through the tube to fertilize the ovum as it breaks out of the ovary. After fertilization, this new human life, many hundred times larger than the sperm, may not be able to get back through the tube if it has been partly scarred closed. Then, the tiny baby nests in the tube, and the mother has an extopic pregnancy.


Synechia

"The frequency of uterine adhesions [synechia] is especially high among patients who have had two or more curettages.... Dr. J. G. Asherman, for whom the syndrome is named, has reported intrauterine adhesions in 44 of 65 women who had two or more curettages." Reference: "Abortions Risks: Getting the Picture," Medical World News, Oct. 20, 1972


Do miscarriages occur more frequently after induced abortions?

A Boston study by a group who have aggressively done abortions denied any increase after one abortion, but, after two or more abortions, they did find a "two- to threefold increase in risk of first trimester spontaneous abortions," as well as "losses up to 28 weeks gestation." Reference: Levin et al,. "Association of Induced Abortion with Subsequent Pregnancy Loss," JAMA, vol. 243, no. 24, June 27, 1980, pp. 2495-2499 " Of a group of 52 women who had induced abortions 10-15 years previously and who were followed very closely for that length of time, it was found that one-half (27) had no problem with subsequent pregnancies. There was one ectopic pregnancy, eight subsequent -- but long-delayed -- conceptions, and three women with permanently blocked tubes. Of the remaining 11 women, there were 33 pregnancies with 14 early and 3 midtrimester losses, 6 premature deliveries, and only 10 full-term birth. Reference: In New Perspectives on Human Abortion, edited by s. Lembrych. University Publications of America, 1981, pp. 128-134 "A high incidence of cervical incompetence resultant from abortion has raised the incidence of spontaneous abortions (miscarriage) to 30-40% Reference: ibid, Kodasek Women who had one induced abortion had a 17.5% miscarriage rate in subsequent pregnancies, as compared to a 7.5% rate in a non-aborted group. Reference: Richardson &n Dickson, "Effects of Legal Termination on Subsequent Pregnancy." British Med. Jour., vol. 1, 1975, pp. 1303-4


What about second trimester losses?

There was a doubles incidence of midtrimester spontaneous losses.Reference: Herlap, New England Jour. of Med.,, no. 301, 1979, pp. 667-681 "In a series of 520 patients who had previously been aborted, 8.1% suffered a mid-trimester loss (compared to 2.4% controls)." Reference: G. Ratter et al., "Effect of Abortion on Maturity of Subsequent Pregnancy." Med. Jour. of Australia, June 1979, pp. 479-480 "There was a tenfold increase in the number of second trimester miscarriages in pregnancies which followed a vaginal abortion." Reference: Wright et al., "Second Trimester Abortion after Vaginal Termination of Pregnancy." The Lancet, June 10 1972


What of placenta previa?

Placenta previa is when the afterbirth (placenta) covers part or all of the cervix, the womb's opening into the birth canal. It can be very serious and usually requires a Cesarean section, sometimes with loss of the baby. Doctor Barrett and others did a study at Vanderbilt University in which they evaluated over 5,000 deliveries and found that those who had prior induced abortions in the first trimester had a "seven to fifteen fold increased prevalence of placenta previa." They linked it to scarring of the lining of the womb from the curettage or suctions aspiration "predisposing to the abnormal site of placental implantation and an increased placental surface area." They also found that the changes occurred with the first induced abortion and were permanent. Neither the time elapsed nor the number of induced abortions changed this. Reference: In New Perspectives on Human Abortion, edited by S. Lembrych. University Publications of America, 1981, pp. 128-134 "We rather often observe complications such as rigidity of the cervical os, placenta adherens, placenta accreta, and atony of the uterus." Reference: A. Kodasek, "Artificial Termination of Pregnancy in Czechoslovakia," Internatl. Jour. of GYN & OB, vol. 9, no. 3, 1971 "We cannot exclude the possibility that the large number of induced abortions plays a role in the remarkable increase in cases of placenta previa." Reference: Z. Bognar, "Mortality and Morbidity Associated with Legal Abortions in Hungary, 1961-1973" Amer. Jour. Public Health, 1976, pp. 568-575


What of uterine ruptures?

This condition occurs during labor in almost 1% of cases when women have had earlier first trimester abortions. Reference: Herlap New England Jour. of Med., no. 301, June 27, 1979, pp. 677-681 Six percent of women who become pregnant after hysterotomy abortions suffered rupture of their uterus. Substantial risk of rupture was demonstrated in 26% of these cases. Babies who were born subsequently were small for their due date. Reference: Clow & Crompton, "The Wounded Uterus: Pregnancy after Hysterotomy," British Med. Jour., Feb. 10, 1973, p. 321 Uterine rupture (1%) is also one of the feared and sometimes fatal complications from prostaglandin abortions. Reference: Duenhalter & Gant, "Complications Following Prostaglandin Mid-Trimester Abortion," OB & BYN, Vol. 46, no.3, Sept. 1975, pp. 247-250


What about endometriosis?

This can develop along the needle or catheter tract from the midtrimester puncture. Reference: Ferrare et al., Abdominal Wall Endometriosis Following Saline Abortion, edited by S. Lembrych. University Publications of America, 1981, pp. 128-134


Do abortions affect Rh sensitization?

"Even in very early suction abortions done prior to eight weeks, fetal-maternal hemorrhage can occur, thereby sensitizing Rh-negative women." Reference: M. Leong, "Rh Therapy Recommended in Very Early Abortion," OB-GYN Observer, June 1978 This means that in later pregnancies, babies of these mothers will have Rh problems, need transfusions, and occasionally be born dead or die after birth. This can be tested for prior to the abortion and largely prevented by giving the mother a very expensive medication called RhoGAM. If not done, the number who become sensitized varies from "3% to 17%." Unfortunately, many abortion chambers do not take this expensive precaution. Reference: J. Queenan, Cornell University medical World News, April 30, 1971, p. 36G


K-W & Area Right to Life Association    215 Lancaster St. West    Kitchener, Ontario    N2H 4T9    Tel/Fax: (519) 746-LIFE    Email: kwrtl@golden.net

The Right to Life Association of Kitchener-Waterloo and Area