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  • 56 million abortions occur annually worldwide

  • And though opinions on the matter are strong,

  • many are simply unaware of how they actually work

  • So, regardless of whether you're pro-life or pro-choice:

  • What actually happens during an abortion?

  • Abortion procedures range from taking a pill to surgical options

  • often based on availability or how far along a pregnancy is

  • And 92% of legal U.S. abortions take place within the first thirteen weeks of gestation

  • The oral tablet is effective 49 days from one's last menstrual period

  • Often containing mifepristone, it works by blocking the hormone progesterone

  • Progesterone promotes smooth muscle relaxation in the uterine wall throughout pregnancy

  • and so the pill causes the uterus to contract

  • and the embryo to be expelled in what seems like a heavy period

  • Vacuum aspiration is a surgical procedure

  • usually used up to 16 weeks after conception

  • and is typically performed under local or general anaesthesia

  • The cervix is numbed and opened wide enough to pass the Slender Tube into the uterus

  • where suction is used to empty the contents

  • Within the same time line, a D&C or dilation and curettage abortion can be used

  • First, this cervix is dilated using small instruments or medication

  • and then a curette is used to remove the contents of the uterus

  • If your pregnancy is between 12 to 24 weeks,

  • a D&E or dilation and evacuation abortion is likely used

  • although only 1.2 percent of abortions occur after 21 weeks

  • In a D&A abortion, the cervix needs to be dilated wider

  • often using osmotic dilators which are short rods made of seaweed or synthetic material

  • which absorb moisture and slowly stretch the cervix

  • These are usually inserted the day before surgery

  • Once dilated a fetal, aplacental tissue is removed at the evacuation of forceps and a curette

  • The decision to have an abortion after 24 weeks is extremely rare and often due to severe fetal anomalies

  • When abortions are allowed by the local law, they are one of the safest procedures in medicine

  • with case fatality rates less than one death per 100,000 procedures

  • In the U.S., the risk of death associated with childbirth is 14 times higher in women than that of an abortion

  • There are also myths that abortion is linked to an increased risk of cancer as well as

  • difficulties in conceiving or carrying a future pregnancy

  • But both of these claims have been refuted by extensive medical research

  • However, unsafe abortions practiced by individuals without the necessary skills

  • or in an environment that does not conform to medical standards

  • caused an estimated 68 thousand women to die yearly

  • while a further 5 million suffered temporary or permanent disability

  • Methods range from ingesting toxic solutions, inserting foreign bodies into the uterus and even trauma

  • The World Health Organisation has called unsafe abortions a 'preventable pandemic'

  • And laws that limit a woman's access to an abortion or make abortions illegal do not reduce the number of abortions

  • Countries where abortions are illegal have roughly the same number of abortions

  • What changes instead is the incidence of unsafe abortions

  • A 2011 study did find that state-level anti-abortion laws in Texas

  • correlated with lower abortion rates in the state

  • But these results did not account for women traveling to other states with less restrictive laws to receive a procedure

  • Conversely, researchers have found that sex education and access to contraceptive methods do reduce the number of abortions

  • by minimizing unwanted pregnancies

  • This can be seen in the abortion rates decreasing significantly in the developed world since 1990

  • Ultimately, access to legal abortions make women's lives safer and healthier

  • If you'd like to learn about plan B or emergency contraceptive

  • which is not the same thing as an abortion

  • you can check out our video on that [here]

  • And don't forget to subscribe for more weekly science videos every Thursday

56 million abortions occur annually worldwide

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