- Joined
- Oct 9, 2007
- Messages
- 77
- Reaction score
- 15
I just wanted to try to help everyone in the Senate make an informed decision about the new legislation regarding mandating ultrasounds before pregnancy termination. As a 4th year medical student I have had the pleasure of working with quite a few doctors over the last couple years. If you were to ask any physician about current guidelines I can pretty much guarantee that Uptodate.com is where they would refer you.
I have quoted the guidelines regarding abortion on Uptodate as follows: "physicians performing any uterine evacuation procedure should obtain a comprehensive patient history, including any complications during previous similar procedures. A complete physical examination should be performed with special attention to the uterine size and position, and obtain confirmation of pregnancy (eg, urine or serum human chorionic gonadotropin assay, documentation of fetal cardiac activity, or sonographic visualization of an intrauterine pregnancy). The gestational age should be determined by both menstrual history and bimanual examination; ultrasound examination is useful if there is any uncertainty and at advanced gestational ages"
One of the important points these guidelines show is that there are many ways to skin a cat. For example, if it's an early pregnancy, it will probably be pretty easy to determine gestational age based on menstrual history, hcg levels, etc. If the gestational age is closer to 12 weeks it might be worth it to get an ultrasound to see exactly how far things are to help determine exactly what procedure to use. The point I am trying to make, is that no specific case is exactly the same. That is why we call it a PRACTICE. There is no need to mandate an unnecessary procedure. It's very insulting that our government feels the need to tell us how to do our job. I assure members of the senate that we physicians are perfectly capable of providing our patients with all the information they need to help them make an informed decision.
Thank you for your time,
Thoughts?
I have quoted the guidelines regarding abortion on Uptodate as follows: "physicians performing any uterine evacuation procedure should obtain a comprehensive patient history, including any complications during previous similar procedures. A complete physical examination should be performed with special attention to the uterine size and position, and obtain confirmation of pregnancy (eg, urine or serum human chorionic gonadotropin assay, documentation of fetal cardiac activity, or sonographic visualization of an intrauterine pregnancy). The gestational age should be determined by both menstrual history and bimanual examination; ultrasound examination is useful if there is any uncertainty and at advanced gestational ages"
One of the important points these guidelines show is that there are many ways to skin a cat. For example, if it's an early pregnancy, it will probably be pretty easy to determine gestational age based on menstrual history, hcg levels, etc. If the gestational age is closer to 12 weeks it might be worth it to get an ultrasound to see exactly how far things are to help determine exactly what procedure to use. The point I am trying to make, is that no specific case is exactly the same. That is why we call it a PRACTICE. There is no need to mandate an unnecessary procedure. It's very insulting that our government feels the need to tell us how to do our job. I assure members of the senate that we physicians are perfectly capable of providing our patients with all the information they need to help them make an informed decision.
Thank you for your time,
Thoughts?