The dialectic of pregnancy and abortion

  Everyone knows that you can’t take drugs indiscriminately when you are pregnant, but does taking drugs necessarily lead to fetal malformation? If you keep it, you are afraid of giving birth to a dysfunctional child, not only can your family not afford it, but you are also sorry for the child. If you want to abort, you can’t afford to do so, and you’re afraid that you won’t be able to conceive again. Many patients who come to us for help often have seen several doctors, but are still confused and do not know what to do, the doctors say that the child may be deformed, or may be fine, to keep or to abort, no one can say, you make your own decision.  In fact, there has been a lot of medical data proving that taking the emergency contraceptive pill, Yutin, does not increase the rate of deformities in this baby, and women with unplanned pregnancies do not need to terminate their pregnancies simply because they have taken this drug.  But then again, some couples have never taken any medicine, never had any injection, never had any disease, do not smoke, do not drink, sleep early and wake up in good health, and conditions to safe green pollution-free, fresh air everywhere in the forest of negative oxygen ions to conceive, but still give birth to a child with problems, and no way to find out the cause, and ultimately do not know why. Doctors are also unable to provide answers to the question of how to prevent similar tragedies from happening to the next child. It is an objective fact that birth defects occur in humans.  Every pregnancy has a 1% risk of ectopic pregnancy, every pregnancy has a risk of early miscarriage and embryonic abortion, every formed fetus has a risk of late miscarriage and premature birth, and every full-term fetus has a risk of obstructed labor, the last test of human birth, and 15% to 20% of all human pregnancies are destined to end in tragedy, 80% of which occur in early pregnancy. The birth of all new human beings is destined to have birth defects in 1% to 2% of all newborns. These problems, which accompany the human race throughout its reproduction, cannot be completely eliminated by medicine, nor can God.  Modern medicine seems to be very advanced, but there are not many problems that doctors can detect and change due to the limitations of medical technology itself. Prenatal testing is not a panacea. Ultrasound screening is only responsible for detecting serious and lethal structural malformations, whether 2D, 3D or 4D ultrasound, and can do nothing for functional defects, such as low vision and hearing, low intelligence, or the assessment of whether the child is intelligent. Many children with defects are not detected until after birth; many children have growth abnormalities that do not surface until quite some time after birth; and many children even die prematurely for which medicine cannot give an exact cause of death. If you are holding a deformed child, how can the OB/GYN who said “it’s okay, keep it” be held accountable?  Some doctors give straightforward advice on abortion, probably because they are limited by their old medical knowledge and have not kept up with the times. Some doctors give ambiguous advice, or simply let you do away with the child, not completely excluding the protection of the practice of medicine itself, if the child is done away with, naturally no follow-up deformities, as to whether the abortion when the uterus perforated, whether the abortion leads to lifelong infertility, these after you leave the clinic, will no longer have any involvement with the doctor. If the doctor-patient relationship is getting worse and worse, every pregnant woman who comes to the consultation room wants the doctor’s permission, wants to ask the doctor if she can guarantee the safety of the child in her belly, or wants to settle accounts with the doctor after giving birth to a deformed fetus, there may be a situation where everyone protects themselves, from then on there is no scientific consultation and pertinent explanation in the consultation room, everything is ambiguous, everything is left to your own discretion, what can you do?  Having said that, the next step involves the big proposition of how to be a smart patient, spilling over into almost a book. However, as the physician community reflects on itself and makes adjustments, and until the overall medical environment becomes more mature, it is obvious what the patient should do: if you can only rely on the doctor at hand, then use him or her, trust him or her from the bottom of your heart, give him or her a relaxed and safe environment, that is, give yourself a chance to be fully informed and free to choose, do not let Do not let your own words, behavior or even an inadvertent action make the doctor feel threatened and insecure, you and he, which are both prosperous and lossy.  By the same token, if you have a chest x-ray, a dental filling, or some anesthetic or anti-inflammatory medication during early pregnancy without your knowledge, not all of these children are unwanted, and most of them can be kept after a thorough consultation and detailed advice.  The use of medication during pregnancy is also a problem that often bothers women. Usually, for women who have regular menstruation with a cycle of about 28 days, the drugs taken within four weeks from the first day of the last menstrual period will have an “all or nothing” effect on the embryo. During the fourth week of gestation, the embryo is still an undifferentiated mass of cells that has not initiated the development of various tissues and organs, so if the embryocidal effect of the drug is strong enough, it will cause spontaneous abortion. From the 5th week of pregnancy, the embryo enters the stage of rapid growth and development, which is an extremely sensitive period for drug teratogenesis. Doctors will analyze specific problems according to the safety classification of pregnancy drugs and the dose of drugs taken, rather than generalizing and uniformly recommending women to go for abortion.  High doses of ionizing radiation can cause many serious damages to the fetus, such as miscarriage, fetal growth disorders, cerebellar malformations, mental development disorders, and increase the risk of malignant tumors in children, but according to the American Association of Radiology and Obstetrics and Gynecology, the dose of exposure to the fetus in the abdomen is only 0.02 to 0.07 millirad for chest radiographs taken during checkups, while doses higher than 5000 millirad can cause fetal damage. In a single abdominal X-ray, the fetus is exposed to 100 mrad, and in a mammogram, the fetus is exposed to 7-20 mrad, both of which are safe and do not require abortion. If multiple x-ray exposures are required, a radiologist should be consulted to calculate the total possible fetal exposure dose and then make a decision.  MRI and ultrasound have long been shown to be safe during pregnancy and can be used as an alternative or first choice, both for abdominal ultrasound and transvaginal ultrasound, which can be used safely and repeatedly during pregnancy.  In our country, abortion is allowed by law and medical institutions are obliged to provide abortion and induction of labor as long as the mother applies for it. 28 weeks before, the life of the fetus is in the hands of the parents, and in such a country, it is more important for parents to get professional and detailed advice before making the decision to keep the fetus, so that they can make a scientific decision without forgetting the warmth of humanity and the value of life, so as not to harm the life of the fetus. It is important to get professional and detailed advice before parents make a decision to keep the baby, so that they can make a scientific decision without forgetting the warmth of humanity and the value of life.  Throughout my clinical work, online consultation and medical science writing, I have always been concerned about women who are faced with the decision of unplanned pregnancy after taking the emergency contraceptive pill, and I have tried my best to provide scientific and rigorous advice to each family, however, the final decision is always in the hands of the parents who are the legal guardians of the fetus. Thank you to those parents who have love in their hearts and the courage to keep their children despite their apprehension. Every child who escapes the fate of “abortion” and comes to life in good health gives the doctor the greatest comfort and constant confidence, giving her the courage to carry out this life-defending work to the end.  The greatest sense of accomplishment in this profession is that there are always a few people who do survive because of you. Although this is a life-saving profession, the objective situation is that most patients can be saved, and most of them are not seriously ill, or should not have been killed, in the hands of anyone can live, but there are always a few people, because of your efforts to live, there are always a few did not see the day child life, because of your advice and recommendations to continue. Doctors, is not that the achievement of the bow and arrow bow, is not that the endless sky of the air.  Can I still have a baby if I take medication and get exposed to X-rays in early pregnancy?