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Late Abortion Care For Fetal Anomaly Information
If you are reading this information regarding late abortion for fetal anomaly it may mean that either you or someone close to you has received catastrophic news regarding their pregnancy. I am very sorry that this has occurred. At the same time, we are here to help and guide you through one of the most difficult times in your life. Finding out that your fetus or someone that you know has a severe fetal or congenital abnormality, or a lethal health problem is a very serious matter from both a Physical and Psychological aspect. You want to have the Physicians and medical staff who have the experience, understanding, and compassion, in caring for patients that have a fetus with anomalies. It is my belief that Prenatal testing should include giving the patient the choice to keep or terminate her pregnancy after being given detrimental news about her pregnancy.
Patients can spend a lot of physical and psychological energy which creates tremendous stress, anxiety, depression, worry, and lack of sleep. This is not to mention the time, and money, finding out the patient is carrying a fetus that has a lethal or severe abnormality. We at the Women's Centers acknowledge the heartbreaking and dreadful situation that this causes you and members of your family. Unfortunate news like this is always devastating. To diagnose fetal abnormalities and not be able to terminate the pregnancy is wrong if the woman chooses to do so. Hospitals across the U.S. as well as the majority of Maternal-Fetal Medicine Specialist, and some OB/Gyn Physicians choose not to participate in ending pregnancies even when the fetus has lethal abnormalities. This is the sole reason that I ultimately chose not to practice High Risk pregnancy which I was trained in a prestigious Fellowship to do. Patients elect to end their pregnancies early based on the information their physician, genetic counselor, pediatric surgeons, Primatologist, or other medical personnel have given them when diagnosing the abnormalities of the pregnancy. Patients end pregnancies early for several reasons:
We recognize the grief, sorrow, and suffering that this health care has caused you and your family. Most families or individuals have never faced a catastrophe of this magnitude.
At our Women's Centers, numerous patients and loved ones we see are confronted with these complex issues where they were prepared to have a healthy child and suddenly they are faced with the prospect of terminating the pregnancy.
There are people who believe that fetal abnormalities are part of life and God's plan even if lethal to the fetus. They feel that some way and somehow couples are to accept the process of bringing a child into the world and carry the Psychological and perhaps physical scars forever of having a baby with severe abnormalities that are incompatible with life. Dr. Pendergraft, other Physicians, and the medical staff who work in the Women's Centers believe the decision to carry a pregnancy to term with severe complications is a personal matter and should be a decision that is made between the patient and her Physician.
At the Women's Centers we are prepared to aid patients and their families in getting through the entire process with our compassionate and caring staff, supporting them from the beginning to the end of the termination procedure. Each patient goes through the procedure process differently. We encourage all patients to at least see the baby minimally as we believe that this is the best way to bring closure for families. We are also prepared to help families have a memory of their child such as having a handprint or a footprint. Some patients want the baby to be cremated and others want a burial to take place.
For the past 15 years, we have helped hundreds of families cope with similar circumstances. We provide the safest methods for ending pregnancies.
Criteria for Admission
A patients private Physician, genetic counselor, or Primatologist, generally provides medical records that include documentation and diagnosis of fetal abnormalities that state that continuing the pregnancy will be a threat to the mother's life, or health. For the past 14 years we have terminated pregnancies for fetal abnormalities such as 1) Central Nervous System that include: holoprosencephaly, encephalocele, encephalomyelocele, hydrocephalus, Spina Bifida, holorachischisis, Dandy Walker, anencephaly, holoanencephaly, absence of corpus callosum; 2) Cardiac abnormalities that include: Primary Pulmonary Hypertension, Hypolastic left and right ventricle, holoacardius, tetraloy of Fallot, Eisenmenger's complex, transposition of great vessels; 3) Chromosomal abnormalities that includes a) Common: trisomy 13, 18, 21, b) less common: trisomy 16, short arm and long arm deletions; 4) Skeletal abnormalities: Polydactyly, Achondroplasia, Osteogenesis imperfecta, lethal dwarfism, 5) Kidney abnormalities: Adult and Infantile Polycystic Kidney diseases, Potter's Syndrome; 6) GI abnormalities: gastroschisis, omphalocele.
Why do these fetal and other abnormalities occur?
Women's Centers Late Term Abortion Care:
Women should not have to undergo the emotional, psychological, physical, or emotional stress that is involved with having to go through a full term delivery if the fetus is diagnosed with a fetal abnormality or an increase risk to her life or health.
The Women's Center's approach is for the patient to have a miscarriage which is 1/6 to 1/3 the size in weight of a normal pregnancy. At the Women's Centers, the Fetal Indication Pregnancy Termination Program consists of inducing labor and delivery of a stillborn fetus. Priming of the cervix (opening and softening) will be initiated with the Physician's discretion using either Misoprostol and or Laminaria. Labor will be induced by continuing to use Misoprostol, or beginning an IV infusion of Oxytocin (Pitocin). The fetal heart is generally stopped on the first day of the process via an injection of medications called digoxin and potassium chloride into the fetal heart, Intramuscularly, or injected into the amniotic fluid (sac around the fetus). Cervical priming of the cervix (opening and softening) can be started on an outpatient basis and the labor and delivery process takes place in our offices. Patients are usually able to travel home or to their hotels within 45 minutes to an hour after delivery.
What To Expect During the Labor Induction Process
This is initiated by injection of the combination of Digoxin and Potassium Chloride (most commonly) into the fetal heart to assure the following:
Priming of the Cervix (softening and opening):
They are found in most cells in the body at low doses. They have different actions from preventing peptic ulcer disease, vasoconstriction (tightening of the blood vessels), vasodilation (opening of the blood vessels), bronchospasms (tightening of lung tissue), and asthmatic symptoms, to bronchodilation (opening of lung tissue. They increase during the start of labor which causes uterine contractions and cervical softening which leads to dilation of the cervix.
There are several types of prostaglandins.
• Prostaglandin E2
• Prostaglandin F2
• Prostaglandin E1 (Misoprostol)
A naturally occurring seaweed that has been used as an energetic food in Northern China for over 1000 years. They come in single sterilized packets which are about the length of Q-tip. They expand by absorbing the fluid that is being excreted from the cervix within several hours of being inserted and become larger. One to as many as thirty Laminaria can be inserted inside the cervix depending on the dilation that is necessary to carry out the termination procedure safely. They can be removed after being placed inside the cervix for several hours or the patient is discharged overnight and returns to the facility the next day where the Laminaria are removed. Laminaria help to dilate (open) the cervix so that it will be less dangerous to induce labor or perform surgery to remove the premature pregnancy. The advantages of using Laminaria include less pain during labor process, a decrease in the incidence of uterine perforation, or damage to the bowel, bladder or other pelvic organs.
A hormone that is secreted in the brain that is important for initiating breast feeding, female orgasms, and when present in artificial high doses it can begin the labor process by causing uterine contractions. Oxytocin is used for priming of the cervix (opening and softening) for term delivery or premature delivery of the fetus.
Intrauterine Instillation of Caustic Agents
Side effects include:
What to expect with Stillborn Birth
There are no absolutes that must be done after the birth of a Stillborn. We are here to serve our patients and carry out their requests the best we can. We understand that each patient and her family members are individual people and their background socially, culturally, spiritually, and emotionally must be considered when caring out their final wishes for the Stillborn fetus.
Some women want to bond with their baby once the premature delivery occurs. This is an important step for the patient and her family which helps bring closure to this devastating crisis. Some couples initially find this a very frightening thought, but we have found that couples who wish to view or hold their child are able to work through the grieving process more effectively and efficiently. When couples elect not to see their child they may later regret their decision. We encourage you to take pictures of the baby alone and with family members. We can arrange for your baby to have an autopsy or other confirmatory studies that must be arranged prior to your arrival with your doctor or geneticist. Cremation or a funeral with burial can be arranged.
Support and Healing Group
Patients may see and talk to women that are in our facility for the reason of carrying a fetus with a lethal anomaly. Patients occasionally exchange e-mails, addresses, and phone numbers and continue to communicate with each other for days, months and years later.
How does this premature delivery process work?
Women seeking termination of pregnancy at the Women's Centers have highly different reasons, needs, and desires for terminating their pregnancy. These needs vary widely; the pregnancy may be highly desired by the woman and her partner, but cannot be continued because of abnormal development. The pregnancy may be desired, but comes at the wrong time in the woman's life or in her relationship with her partner. She may not have a satisfactory, or even any relationship with the man by whom she became pregnant. Some women do not ever want to have children; many become pregnant when they are not prepared to become a mother or to have another child.
When we use the term counseling at the Women's Centers, it does not mean that we delve into psychotherapy or interventional techniques as those patients in need of this type of service will be referred to the appropriate professional. Our first concern is to provide support for the women seeking our services. In addition, we wish to provide support for their families to the fullest extent possible and appropriate.
A counseling session has several objectives:
To give the opportunity to express and understand her feelings about the pregnancy and the decision to have or not to have an abortion. We want to determine that this is really the patient's decision and that she is not being pressured in any way to end the pregnancy against her will.
To provide accurate information about the procedure; it is important that patients know and understand important facts and details in order to give informed consent.
To make sure the patient understands her own reproductive anatomy and physiology. Most women do; however, even highly educated women sometimes have misunderstandings or questions.
To help patient understand the methods of contraception available to her and her partner following the abortion. As a part of this, we want to make sure each woman has a plan for follow-up care in order to assure she does not experience complications, and that she receives appropriated treatment should they develop. We encourage each patient to see her own physician or other qualified physician in her community for follow-up care; however, we will provide this care if the patient desires.
For couples who come to us with a desired pregnancy which must be terminated for reasons of fetal malformation or genetic disorder, we are prepared to give total support. However, we feel that their most satisfactory, permanent support is likely to be found with their own physician or counselor in their home community.
The individuals who provide counseling and information sessions for patients at the Women's Centers are experienced nurses and counselors who are thoroughly familiar with all aspects of abortion. They are fully supportive of women who wish to terminate a pregnancy, and are able to answer most of their questions. After the patient reviews informational material and meets with her counselor, she will meet with the Doctor. If she has questions that have not been answered by her counselor, she may have them answered at this time. She then signs the consent form indicating that she understands and requests the procedure to terminate her pregnancy. She may bring her partner or other family members with her during this session. The patient's partner, friends, or family may accompany her during her counseling session, the meeting with the Doctor, and they may even be in the recovery room when appropriate; however, these persons are not permitted in the operating room.
Because pregnancy is not a benign condition, and terminating a pregnancy is a surgical procedure, each patient must have excellent post-operative and follow-up care. This is absolutely necessary to prevent complications. No matter how well an abortion is performed, complications can occur. The difference between a safe result with a full return to good health and an undesirable result is often good post-operative care and prompt treatment of complications.
Each patient who has an abortion at the Women's Centers is taken from the procedure room into a recovery room where she can lie down, relax, and receive the attention of the recovery room staff as well as her family members and friends. During this time, her blood pressure and pulse as well as other aspects of physical evaluation will be monitored by expert recovery room staff. She will receive information concerning aftercare and her follow-up examination. If she has chosen a method of birth control, she may receive information or, in the case of oral contraceptives, a starting supply. Her vital signs (blood pressure, pulse) will be observed on several occasions after the abortion, before leaving the operating room, upon arriving to the recovery room, and before being discharged. The medical staff makes numerous other observations of each patient such as general status, presence or absence of abdominal pain, amount of bleeding, and state of recovery from pain medications. Follow-up exams at the Women's Centers are included in the fee for those who can and wish to return to see the Doctor and medical staff for the follow-up exam.
Our purpose is to ensure that every woman who comes to our Women's Centers for a termination of pregnancy receive the safest possible care and the most compassion and support for both the patient and her family. When she leaves, we want her to feel confident that she is returning to good health and able to live her life as she chooses.
The Women's Centers are a professional organization dedicated to providing expert, confidential, and respectful health care services. We maintain an international reputation for providing the highest quality abortion services in a safe and caring environment. Kindness, courtesy, and respect are the cornerstones of our patient-provider relationships.
We believe that women and their families are intellectually, emotionally, spiritually, and ethically competent to face complex health issues - including abortion - and are able to arrive to decisions that are appropriate for themselves.
MATERNAL MORBIDITY AND MORTALITY
Over 1000 procedures performed with our technical procedure
Extensive review of statistics and reports from the facilities that perform induction procedures show that the Women's Centers are one the safest places worldwide to have a premature delivery for Fetal Indication for termination of pregnancy performed.
Patient safety and comfort are our number one priority.
Staff is Caring and Compassionate.
Major hospital is located 0.2 miles from our office. Back up coverage with OB/GYN service is available at all times.
A patient may request an exclusive or private appointment with Dr. Pendergraft by contacting him by E-mail preferable: Drpendergraft@gmail.com or call him directly at 321-445-2545 or call office location nearest you by clicking locations. Same day appointments can be arranged.
For further information including family planning, please visit our premiere website.
Legal Abortion By Pill Clinic
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