Seatuck:
Someone from the AMA has testified that there is no medical condition that late term abortion is necessary for perhaps that is what you were thinking of.
- Gunshot wound to the abdomen where the uterus is knicked. while not ruptured, continuous movement of the baby most likely would cause a rupture. it is completely up to the surgeon whether or not he induces labor, but if the uterus ruptures, both will die.
at least if you induce labor, the mother will live and the child has a fighting chance.
- pregnant women in ventricular tach or fibrillation. protocol calls for giving Amioderone which blocks inactivated sodium channels and slow activating potassium channels. VERY harmful to a fetus, if not fatal in repeated doses. Bretylium is wicked on a fetal nervous system, as is procainamide.
but yet again, which is better a dead mother AND baby, or a dead baby but the mother lives? in EMS we almost always consider the child of a pregnant women to be secondary. the mother is a full grown, developed adult with a statistically significantly higher chance of survial. we play the best odds and the statistics. if it comes down to a choice, i always go with the mother. prenates just cant handle it, and almost always die, especially in trauma.
- cardioversion of a pregnant woman. delivering 60-100 joules is enough to knock a younger fetuses’ heart into V FIB or asystole.
- transcutaneous pacing of a pregnant women.
while these are not abortions, they can often result in the death of the fetus. its not our
direct intent to kill the child, but as side effects, a fragile nervous system and overall general health of a prenate just cannot handle the treatments.
HOWEVER, because of cutting edge research and enlightened minds, we are a few years away (as paramedics) from being able to use supersaturated oxygen solutions in the field whereby we intubate a prenate and infuse its lungs with the super O2 solution. oxygen literally falls out of solution in the lungs right into alveoli, as well as the liquid keeping the lungs from drying out.
hopefully the moronic, paranoid medical directors out there will have the guts to let us medics actually perform a c-section and do all this. or maybe not, some of those MDs have a
Maestra
Deo complex, and are afraid to let anyone else do anything.