ENGLISH PROJECT

“ABORTION”

B CLASSFACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY

2012/2013

By forth group:

•I Wayan Angga Suamerta Putra 12700010•Cokorda Gede Bagus Prandyana Sanjaya 12700012•I Made Mega Kencana Putra 12700066•I Gede Kadek Candra Mahardika 12700016•Dewi Indrawati 12700020•Mahesa Diantari 12700112•A.A. Ngurah Wisnu Adiputra 12700128•Oktavia Henny 12700132•Fildza Lovelia Pribadi 12700150•Ririn Riwayati 12700136

Journal of Fransisca S. K. S.Ked (Medical Faculty of Wijaya Kusuma University)

Definition

• Abortion is spending the products of conception in pregnancy less of 26 weeks or fetal weight less than 500 grams or fruit pregnancy has not been able to live outside the womb.

Etiology• In young pregnancies abort

not rarely preceded by death. In contrast to the more usual pregnancy the fetus is removed in a State still living. The things that caused the Abort can be caused by the following:

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

a. GROWTH

b. Abnormalities in the placenta

c. Mother's sudden Illness d. Tracktus

Disorders Generalist

PATHOGENESISEarly abortion occurs in the basal deciduas bleeding,

followed by the surrounding tissue necrosis which causes conception results regardless and is considered a

foreign object inside the uterus. Then the uterus contracting to remove foreign matter.

Clinical ManifestationClinical manifestation of abortion among other things; late menstruation or amenote less than 20 weeks-On physical examination: general circumstances appear weak or consciousness decreases, blood pressure normal or decreased, the pulse is normal or fast and small, normal or elevated body temperature.

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

DiagnosisIncludes Diagnosis anamnesis, physical examination, checking the status of Psychiatry, investigations.1. Anamnesis was done to

look for the etiology of abort.

2. Physical examination3. Physical examination

(Complete blood laboratory Examination, Positive pregnancy test, and Examination of fibrinogen in blood missed abortion).

TreatmentGiven in accordance withetiology underlying an onsetabortion. Treatmentcommon:1. Break baring2. On pregnancy more than 12 weeks given infusion oksitosin begins 8 drops every minutes. 3. When patients shock bleeding internally give infusion ringer taktat selekas and maybe a blood transfusion.

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

ABORTION METHODES

In Clinic Abortion

The Abortion

Pill

In Clinic Abortion

Who Gets Abortions?

• 50% have no other children• 44% had previous abortion• 20% married• 20% under 19 years old• 43% of women will have an abortion• 6 times more common in unmarried women• 1% of abortions are for rape or incest

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

• Each year, about 1.3 million pregnancies are terminated by abortion in the United States.

• Some 2.2% of all women aged 15–44 had an abortion in 1997.

• Abortion is one of the most common surgical procedures in the United States.

• By age 20, one in seven women have had at least one

abortion; by age 45, four in 10 have done so.

Source: Alan Guttmacher Institute’s 2001b; Henshaw, 1998a

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

Reasons for Abortion

• Wants to postpone childbearing: 25.5%

• Wants no (more) children: 7.9%

• Cannot afford a baby: 21.3%

• Having a child will disrupt education or job: 10.8%

• Has relationship problem or partner does not want pregnancy: 14.1%

• Too young; parent(s) or other(s) object to pregnancy: 12.2%

• Risk to maternal health: 2.8%

• Risk to fetal health: 3.3%

• Other: 2.1%

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

Selling Baby Parts• Exposed in ABC-TV’s 20/20• Health Revitalization Act of

1993 – Allows fetal tissue research– Requires

• Separate consent• No alteration of timing or

method of abortion• Abortion in accordance with

state law.

• Congressional investigation went nowhere--practice continues.

Human Brain < 8 weeks

$999

Fetal Eyes $100

Ears $50

Intact Trunk $500

Fees for Services Scheduled

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

The “Goods” of Abortion?

• Prevents Suffering of Disabled Child

• Avoids Dangers of Illegal Abortions

• Prevents Child Abuse

• Prevents Overpopulation

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

Economic Impact of Abortion

*Reduced size of economy*Enormous Social Security problem*Reduced standard of living*Changed social makeup because of need for immigration

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013

Abortion Casus

*Abortion Pill, legal Sale in the Internet

Abortion CasusFrom: Kompas.com (http://regional.kompas.com/read/2012/06/15/20182257/Anak.Raja.Aborsi.di.Surabaya.Ditangkap)

Their OpinionI Gst Ayu Suyati. A.Md. Kes (Midwife)

“Abortion is an action performed on a fetus in the womb. is usually done at the age of 12 weeks. abortion is similar to a miscarriage, but there are differences in the actions taken. If the abortion is usually done with a special pill taking, or medical action such as a curette. and miscarriage (intentionally/unintentionally) will normally cause flecks of blood on the part of the vagina. After an abortion, indeed the mother feeling calmer, but the condition of her unborn child, also threatened to in the future. so it is recommended that abortion is the dwarf curette in hospitals (with approval). and keep a positive act.”

I Wayan Angga Suamerta Putra 12700010 (Medical Student)

“I think the abortion have many bad effect for the mother. So, many man dont think about the woman, he just want to do but not responsible to her. We know that, abortion is a very inhumane act. is a surrogate child of God that we should keep, not even killed. Should we as physicians do not support inhumane act with reason whatsoever.”

Their OpinionCokorda Gede Bagus P.S 12700012 (Medical Student)

“If asked, whether I agree with the existence of abortion? I will answer Yes, why? because, in my opinion abortion is arguably relevant enough to do when there is a deliberate action in respect to the husband and wife. It is also relevant to the Suppression of the population like the one in China. but look at our country is a country that is immoral, then abortion is a very despicable things when done. Same as with Euthanasia.”

I Gede Kadek Candra Mahardika 12700012 (Medical Student)

“That’s a baby, not a appendix.” We heard that. Abortion is the great crimes: murder. because has removed a potential for the emergence of a new life. in a number of seminars which I follow, abortion is a form of ethical violations and violate the rules of life.

Dewi Indrawati 12700020 (Medical Student)

“Abortion is a medical act to be done by way of appropriate and since the right reasons. So, we can’t say ' I want an abortion ' when his health allowed him to conceive a baby is lying.”

Their OpinionI Made Mega Kencana Putra 12700066 (Medical Student)

“In my opinion, abortion is the great crimes: murder. because has removed a potential for the emergence of a new life. in a number of seminars which I follow, abortion is a form of ethical violations and violate the rules of life.”

Mahesa Diantari 12700112 (Medical Student)

“Abortion is indeed a bad thing. This case can also negatively affect for the mother. I have a friend, a friend of mine used to be also a friend had. Friends of friends that I claimed to never have an abortion but using the pill. He Said; early does heartburn feel until 1/2 hour to 2 hours, and then he was going to the bathroom, and get out the fetus but still in the form of lumps. and the age of her unborn child was 3 months old. After doing that it feels at ease. but we also include murder. and it's not good.”

A.A. N Wisnu Adiputra 12700128 (Medical Student)

“I think, no one has the right to decide to abortion. When the sperm and ova have been met, there is already building the early seeds of an entirely new life. Thus the law of Karma that applies in this case.

Their OpinionOktavia Henny 12700132 (Medical Student)

“I think, Abortion is the Act forbidden by religion because of a person's life and death have been set by God the Almighty nor therefore have the right of a woman to have an abortion. be thankful a woman if she could conceive because not all women can contain.”

Ririn Riwayati 12700136 (Medical Student)

“In my opinion, A lot of people who want to have children but many also dismissed their subjects just because want to have children it is tragic, but the son is Grace's biggest and most beautiful of the creator”

Fildza Lovelia Pribadi 12700150 (Medical Student)

“In my Religion, Abortion is not just a medical problem or public health, but also a social problem that arises because people follow on Western civilization. Then the solution should be done comprehensively-fundamental-radical, which in essence is to deprive the attitude of taqlid to Western civilization by destroying all the values and institutions of Western civilization that is contrary to Islam, to later be replaced with Islamic civilization, humane and fair.”

ConclusionsAbortion is spending the products of conception at a

gestational age less than 20 weeks or heavy fetus less than 500 grams or fruit pregnancy cannot to live outside the womb. Etiology of abortion largely due to an abnormality of the products of conception growth. Diagnose usually cannot be determined in once examination, but it requires observation to assess signs not grow instead sags the uterus. The above will lead us to a planning and drug therapy choosing appropriate and effective will have an effect on a prognosis will happen one day.

Journal of Fransisca S. K. S.Ked (Medical Faculty of Wijaya Kusuma University)

B CLASS FACULTY OF MEDICAL WIJAYA KUSUMA SURABAYA UNIVERSITY 2012/2013