Abortion in Medical School: Abortion is taboo

Abortion – methods

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A medicine containing the active substance mifepristone is used in every fifth abortion (20.7%). It blocks the action of progesterone, the pregnancy hormone. Prostaglandin, which can also be given, causes the uterus to contract. This leads to bleeding and stomach pain. Some women report nausea, vomiting, headaches, and skin sensitivity as side effects.

operating

Suctioning: The most common (60.6 percent) abortions today are suction (vacuum aspiration). The cervix is ​​slightly dilated with a metal rod, through which a suction tube passes through which the embryo and the lining of the uterus are sucked out.

Curving: Although according to pro familia, “international guidelines advise against curettage before the twelfth week”, the cure rate in Germany has recently increased slightly (15.3%). With curettage, the doctor removes the top layer of the uterine lining with a spoon-like tool.

Both surgical interventions can be performed under local anesthesia or short general anesthesia on an outpatient basis and last only about 15 minutes. The main risks are bleeding and infection. In general, abortion is considered a safe procedure if done correctly – in Germany complications occur in four out of 1,000 cases.

Baier himself learned how to perform abortions in the Netherlands and from Kristina Hänel, a family doctor who was convicted of “advertising” abortion. It was only this summer that the Federal Council decided to repeal the controversial section 219a of the Criminal Code – so that pregnant women in unintentional pregnancy can obtain better information on this topic and find a doctor’s office or clinic easier.

Not everyone believes that the training of gynecologists is incomplete

Matthias Beckmann cannot understand all the excitement about the supposed gaps in medical studies. The director of the women’s clinic at the University Hospital of Erlangen is a member of the so-called The committee cataloged learning goals and says, “There is no need to change the curriculum. The allegations that some methods are missing from the inventory are actually incomprehensible. ” One might criticize the fact that abortion examination questions rarely appear in state examinations. “But we don’t have a supply problem when it comes to technology information. Everything is over cooked and too emotional. «

“We have no problem with deliveries when it comes to technological information. Everything is cooked and too emotional «(Matthias Beckmann, Member of the Learning Objectives Directory Committee)

As representative of the guidelines of the German Society for Gynecology and Obstetrics (DGGG), Beckmann has registered the new S2k guideline on “safe abortion” in the Working Group of Scientific Medical Societies (AWMF) to be published in April 2023. BMG and DGGG have agreed on its development so far there are no guidelines for doctors regarding this procedure. According to Beckmann, there is no reason to be surprised that there have been no guidelines on abortion so far: “Doctors do not need their own guidelines to perform an operation. It just defines the corridor of action, it was a political wish, and the whole thing is a political question. These guidelines are not essential to our daily work, but are intended to ensure that all information is available. ”

The content is “learned” elsewhere

According to Beckmann, the criticism of Doctors by Choice that abortions are under-represented in medical schools is wrong: “Whether it’s a miscarriage or an abortion, the extraction technique is the same. We use the same drugs, the same type of anesthesia and the same techniques. It’s not that we don’t teach the subject. We teach this together with other subject areas. «Regarding the active ingredient in the morning-after pill, for example, inducing labor or dealing with miscarriages. “The rules are clearly presented at several training points,” says Beckmann. »On the other hand, there is no specific surgical techniques in the curriculum. We do not teach them in any specialized field, but only in specialized training. «

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