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boquiabierta
May 27, 2010


I did this thread a few years ago when I was working in abortion clinics as an unlicensed clinic assistant. Abortion care has long been my passion and it made me decide to go to nursing school. My first few years as a nurse I primarily worked in a hospital in maternity (labor & delivery/postpartum) while also working per diem in an abortion clinic. Now I'm back to full-time abortion care as an RN and I absolutely love what I do.

sex with love video A quick overview of abortion in the U.S...
In the U.S., because of a long history of lovely politics involving the rise of the Christian right in the 70s and 80s, abortion care has almost entirely been pushed out of hospitals and private doctors' offices to freestanding clinics, the most well-known of which are Planned Parenthood affiliates. So I work in an outpatient clinic. Our work is constantly under political and legal threat, not to mention violent threats. I've worked in abortion clinics in four states and the sociopolitical climate is different in every one, but the work is always fraught to say the least. There are always people protesting outside my workplace and harassing the people seeking our services. The downside to the work being pushed to these freestanding clinics is that people know what goes on in them and we're an easy target. The upside is we get dedicated people who are super specialized in this care and passionate about providing good, safe, compassionate care to this particular patient population.

Abortion is an incredibly common experience in the U.S.; pictures of trina naked will have an elective termination of pregnancy by the age of 45. Most people have no idea that it's that common. We always have full schedules and people sometimes have to book their appointments out a few weeks. The demand is high and unfortunately the supply of services is low depending on the state and region. A lot of states have laws that make patients jump through hoops, like making them come back to the clinic two or three times before they can actually have their abortion. These laws have nothing to do with clinical safety and everything to do with making abortion as hard as possible to access.

mature amature porn tube How does abortion work?
There are two main ways to perform an abortion.
  • step yo pussy up Surgical abortion: so-called because it's a procedure, but it isn't surgery in the traditional sense of cutting into the body. My workplace prefers to call it the "in-clinic" option. The doctor opens the vagina with a speculum and washes and numbs the cervix. The cervix is dilated using metal instruments or, in cases of later gestation, using osmotic dilators that stay in the cervix for several hours or overnight to open the cervix gradually. We can also use medications for this purpose. When the cervix is dilated enough, a tube is inserted into the uterus that is connected to a vacuum, and the pregnancy and related tissue is removed using suction and sometimes instruments. The whole procedure takes about 5-7 minutes in the first trimester and closer to 15 in later cases.

  • boyfriend always wants sex Medication abortion: also known as the abortion pill or RU-486, it's only used in early pregnancy (up to 10 weeks LMP, or 10 weeks from the beginning of the patient's last menstrual period). The patient takes one medication in the clinic, mifepristone, which blocks progesterone and stops the pregnancy from growing. Later on at home she takes another set of medication, misoprostol, which causes contractions and makes her uterus expel the pregnancy. It's similar to the process of having a miscarriage. Medication abortion does have a small failure rate and it's important to follow up to ensure the process was complete.
Both types of abortion are incredibly safe and effective. As with any medical procedure they do have some risks. The risks are far less than the risks associated with continuing a pregnancy to term and giving birth.

foto porno de belinda Is medication abortion the same as the morning-after pill?
No. The morning-after pill, also known as emergency contraception or Plan B, is essentially a large dose of birth control pills (oral contraceptives) that work to free swedish porno movies prevent pregnancy, not terminate it. If you are already pregnant when you take Plan B it will have no effect, just like if you continue taking your regular birth control without realizing you are pregnant. Medication abortion, on the other hand, acts upon an existing pregnancy to stop it from growing and then expel it from the uterus.

TV and film need to get it the gently caress together on this issue. If shows like Black Mirror would stop irresponsibly conflating the two medications we might not have so much confusion and misunderstanding around them.

girl sex with man What is it like to have an abortion?
Different for everybody. Patients run the gamut from terrified to nonchalant, grief-stricken to relieved, angry to grateful, victimized to empowered, and a mix of everything inbetween, often with conflicting emotions. By far the most common emotion patients report feeling lesbian girls big tits after abortion is relief, but there is so much mystery and misinformation surrounding abortion that feeds a lot of fear and anxiety before they come to us. I've had many patients tell me they expected us to be mean and judgmental or even that we were going to be like the protesters outside and try to convince them not to have an abortion (wtf). The circumstances surrounding the pregnancy also largely dictate the patient's experience. If it was a much-wanted pregnancy and then circumstances changed, or if the patient is in an abusive relationship, she might have a much harder time than someone who feels like it's a straightforward decision. By and large, most patients are extremely confident in their decisions, even if they experience complex emotions, and do not regret their abortions later.

The abortion experience physically is also different for everyone. Surgical procedures can be extremely painful for some patients and barely a blip for others. Most people say something along the lines of it wasn't as bad as they were expecting. There are a variety of pain and anxiety medications we can offer patients depending on their preferences, including being put to sleep at some clinics. Medication abortion, similarly, has a spectrum of experience, with many patients coming back and telling us it was no worse than a heavy period and others saying it was terrible. But everyone gets through it.

lesbian anal strap on Who gets abortions?
There is no one type of abortion patient. We see patients of all races, ethnicities, religions, and socioeconomic statuses; those who have children and those who don't; young teenagers and women who will soon go through menopause; married, divorced, and single patients; patients who are strongly pro-choice and patients who always considered themselves to be against abortion. (Sometimes the latter category develops empathy and perspective and humility; sometimes they believe their circumstances are different from everyone else's and remain firmly in denial throughout their abortion. beautiful nude teen pics collected years ago from abortion providers on providing abortions to anti-choicers, including their own protesters.)

Patients who are poor and of color do make up a disproportionate number of abortion patients, because of health disparities and racism and classism and capitalism and how much the U.S. sucks at taking care of its people.

nude tyra banks pics How far into pregnancy can you get an abortion?
Depends entirely on the state and region. A lot of states have banned abortion at 20 weeks, which is about halfway through a normal pregnancy, or 24 weeks, which is considered "viable" meaning the age at which ~50% of fetuses born will survive with intense medical intervention. Some states have so-called "heartbeat bans" which criminalize abortion when a fetal heartbeat is detectable, which happens so early (around 5-6 weeks from the beginning of the last menstrual period) most people don't even realize they're pregnant by then. These heartbeat laws almost universally get challenged in court because they are a clear and obvious unconstitutional violation of Roe v. Wade -- and that's what the antis want, ultimately, a challenge to Roe that they hope will end with overturning the 1973 law. We'll see what happens in bmx xxx nude video

It's important to note that the overwhelming majority (some 90%) of abortions occur in the first trimester. Most people who want abortions don't want to wait. But circumstances change, diagnoses are made later on, they have to jump through lots of hoops or come up with a ton of money for a procedure that gets more expensive the longer they wait, they just don't know they're pregnant until later because of reasons, etc.

There are only a handful of physicians openly providing third trimester abortions in the U.S. so these services are very hard to access and generally only provided in exceptional circumstances. I have no experience with third trimester abortions.

I could go on with FAQs forever and maybe I'll update this later, but for now let's see what you want to know!

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I'll start with the good one: How many anti-abortion people do you perform abortions on, and what are their justifications?

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boquiabierta
May 27, 2010


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I'll start with the good one: How many anti-abortion people do you perform abortions on, and what are their justifications?

I've never knowingly cared for a patient who was a protester or a professional anti-abortion activist, to my knowledge. Those people definitely have and do seek abortions, though. free teen striptease video

More common in my experience is just your run-of-the-mill patients who always considered themselves to be against abortion, whether passively or fervently. I find these patients often have some humility and say things like "I never thought I'd be in this position!" Of course, some remain in denial about their decision and insist that they are different from the other patients in our waiting room, often objecting to the fact that those "other" women might be doing things like laughing or chatting casually. Their reasons are always the same as everyone else's: they feel they cannot parent at this point in their life, though they feel certain that their reasons are more legitimate than anyone else's.

(Also, to clarify, I don't perform the abortions myself. In my state an abortion can only be performed by a physician, which includes dispensing the medication for medication abortion. I do participate in every part of the process that I'm able to as a registered nurse.)

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What’s your role in medication vs surgical abortions? Do you do mostly intake/vitals/education on the medications, and hold instruments/manage meds for the other?

It seems like you get to interact closely with some seriously vulnerable people— how does the psych aspect compare to inpatient critical care?

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boquiabierta
May 27, 2010


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What’s your role in medication vs surgical abortions? Do you do mostly intake/vitals/education on the medications, and hold instruments/manage meds for the other?

Medication: yeah, intake/vitals/education/counseling for the most part. Giving Rhogam shots as needed and dispensing all the other meds they'll need at home besides the actual abortion meds (anti-nausea, antibiotics, pain meds mostly). Also responsible for managing follow-up, haranguing patients who don't come back that they really do need a follow-up ultrasound because even if they had lots of bleeding they could still have some retained tissue or clots or an incomplete abortion.

Surgical: before I was an RN I did do the surgical tech's job (assisting the doctor during the procedure, handing instruments etc). Now I will be managing their sedation during the procedure. We only offer minimal and moderate sedation at my clinic (minimal = PO Ativan/Percocet, moderate = IV Fentanyl/Versed; some clinics offer deep sedation with propofol though unfortunately we currently do not) and in my state it's within an RN's scope of practice to administer moderate sedation. In other states I've worked in that had to be a CRNA. I also run the recovery room, do counseling/education and follow-up. At some point I may be trained to assess the POC (products of conception) to ensure that the abortion was complete immediately following the procedure. And I'm supposed to be trained to do ultrasounds as well, which are done both before the abortion to determine gestational age and sometimes during the surgical procedure for guidance and afterwards to ensure completion.

Also take call for both types of procedures, which is 95% saying "yes, bleeding and cramping is normal".

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It seems like you get to interact closely with some seriously vulnerable people— how does the psych aspect compare to inpatient critical care?

Honestly, I don't know that the population is that much more vulnerable than any other patient population. Pregnancy IS a major risk factor for domestic violence but, y'know, we tend to take care of that factor. Most patients needing abortion are relatively young and healthy and this is just something they need to do. Most are very confident in their decision and are unlikely to cope poorly afterwards, even if they have feelings of sadness/anger/confusion/grief, which is totally normal. The #1 emotion people report feeling after abortion is relief. When they are vulnerable or having a rough time, I think it's almost always related to the circumstances surrounding the abortion or their general life circumstances rather than the abortion itself, like being poor, lacking familial or emotional support, being in a bad/abusive relationship, etc. We screen those patients and offer social support resources as best as we can. But I really feel like that aspect was way more intense when I did maternity care and oh wow now there's an actual baby they have to deal with.

Does that answer your question? If not, I can try to elaborate.

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boquiabierta
May 27, 2010


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no question, but thank you for all you do 💜

💜 I love what I do and have never found as much personal gratification in any other field. It's certainly nice to be considered "heroic" or "badass" or whatever by some people, but I honestly feel like I do it for mainly selfish reasons.

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Oct 27, 2010



Do you routinely use the term abortion for your work? I ask because we're moving more towards 'termination of pregnancy' in the UK, mainly to avoid any confusion with spontaneous abortion but also because some people have a knee-jerk reaction to the word.

Have you had any negative experiences or hostility from anti-abortion people? Either at work or just when you tell people what you do?

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boquiabierta
May 27, 2010


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Do you routinely use the term abortion for your work? I ask because we're moving more towards 'termination of pregnancy' in the UK, mainly to avoid any confusion with spontaneous abortion but also because some people have a knee-jerk reaction to the word.

Yeah, we pretty much use abortion exclusively. Sometimes "induced abortion" or "elective abortion" and yeah sometimes "termination", but I've never found it to make much difference. People know what we're talking about and I don't think changing the nomenclature will really change people's feelings about it.

On a related note, I always start off talking to my patients about the "embryo" or "fetus" or just "pregnancy" because that's what it is and it's a neutral scientific word, but if they call it a "baby" then I don't have a problem reflecting their language. You meet people where they are. Similarly, sometimes patients who choose the medication abortion prefer to think of it as having a miscarriage. I used to have a real problem with that because I felt like they needed to own the fact that they were choosing to terminate their pregnancy and it wasn't just happening by chance like they wished it would. But now I feel more like whatever people need to do and however they need to think about it for their own sanity or coping is their business and I should just support them where they are. As long as they're confident in their decision, who am I to tell them how to think about it?

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Have you had any negative experiences or hostility from anti-abortion people? Either at work or just when you tell people what you do?

Mainly just the protesters outside the clinic, who I'm very used to ignoring. And I've never had any truly violent or scary incident, thank goodness. When I was in college I volunteered for a year as a clinic escort, walking patients from their cars through the throng of protesters to the clinic door. That's when I had the most face-to-face interaction with protesters and I got it out of my system. I don't think there's ever a reason to engage with them now and I rarely feel compelled to yell back at them. There's never any point; it's never productive and just gets my blood boiling. Plus it pisses them off when I ignore them.

As far as telling people what I do... I try very hard to be as open as possible because I believe strongly in destigmatizing abortion and an important part of that is not being afraid to tell people I work in abortion care. I pretty much surround myself with mostly like-minded people so I don't really run much risk of facing hostility in my community, and I'm lucky to have an incredibly supportive family. But I do have moments, like at parties or casual social interactions, where I have to negotiate how open I feel like being. Sometimes I just don't feel like dealing with it and I'll say something vague about working in women's health, or just that I'm a nurse. But I try not to because I think even if someone is against abortion, maybe meeting someone who works in abortion care will change their perspective the way a homophobic person might change their views when they know gay people personally. Most people are just kind of curious and I get to answer questions and pull back the curtain a little on something that's very mysterious and maybe feels shameful to them. But no, I can't think of a time when I've had a truly hostile reaction from someone who disagrees with what I do in a social setting, which is probably just a reflection of the kinds of communities I've been part of.

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Anya
Nov 3, 2004
"If you have information worth hearing, then I am grateful for it. If you're gonna crack jokes, then I'm gonna pull out your ribcage and wear it as a hat."

Does your state require you all to tell medical “fake news” to your patient? That would be so frustrating to me if I had to tell patients things that you know to be untrue because of the legislature.

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boquiabierta
May 27, 2010


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Does your state require you all to tell medical “fake news” to your patient? That would be so frustrating to me if I had to tell patients things that you know to be untrue because of the legislature.

No, as far as I can think of we don't have to outright lie to patients. Nothing like having to tell them abortion will increase their risk of breast cancer, which is the case in Alabama. Dr. Willie Parker, who is a total reproductive justice hero, talks about that law in the documentary young naked amateur girls which is absolutely amazing and you should watch it.

But we do have to offer patients a booklet that reviews fetal development at various stages with pictures, and we have to offer them referrals to crisis pregnancy centers that are known for lying to patients about the risks of abortion and coercing them to stay pregnant with truly despicable methods. We also have to tell patients if there is a detectable heartbeat and we're required to inform them if there is a multiple gestation, i.e. twins. One state I worked in before just offered patients the option to know if there is a multiple gestation, which is the way to do it in my opinion. I've actually seen a lot of patients change their minds about aborting when they find out it's twins, so it's certainly something they should have the option to know, but I definitely believe they should have the right to refuse to know.

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But we do have to offer patients a booklet that reviews fetal development at various stages with pictures, and we have to offer them referrals to crisis pregnancy centers that are known for lying to patients about the risks of abortion and coercing them to stay pregnant with truly despicable methods.

When you give this information to patients - "Here is a how to contact this crisis center" - can you also tell them something like "They are known to lie to patients, and have a clear agenda that has nothing to do with you or your health" ?

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No, as far as I can think of we don't have to outright lie to patients. Nothing like having to tell them abortion will increase their risk of breast cancer, which is the case in Alabama. Dr. Willie Parker, who is a total reproductive justice hero, talks about that law in the documentary free porn video list which is absolutely amazing and you should watch it.

But we do have to offer patients a booklet that reviews fetal development at various stages with pictures, and we have to offer them referrals to crisis pregnancy centers that are known for lying to patients about the risks of abortion and coercing them to stay pregnant with truly despicable methods. We also have to tell patients if there is a detectable heartbeat and we're required to inform them if there is a multiple gestation, i.e. twins. One state I worked in before just offered patients the option to know if there is a multiple gestation, which is the way to do it in my opinion. I've actually seen a lot of patients change their minds about aborting when they find out it's twins, so it's certainly something they should have the option to know, but I definitely believe they should have the right to refuse to know.

Just curious, but do you have any idea why women are more likely to keep the pregnancy if there are twins?

Seems to me if you didn't think you were ready for one baby you certainly wouldn't be ready for multiples.

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boquiabierta
May 27, 2010


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When you give this information to patients - "Here is a how to contact this crisis center" - can you also tell them something like "They are known to lie to patients, and have a clear agenda that has nothing to do with you or your health" ?

There's a disclaimer on it that we don't necessarily endorse all the referrals, but honestly it's a huge book (that also contains legit prenatal resources) and the vast majority of patients just give it right back.

It's much more common for patients to visit a CPC before they visit us than the other way around. They go to the CPC because they don't know it's an illegitimate loving hellhole, but they know they want an abortion and once it becomes clear that place is NOT an abortion provider, they come to us.


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Just curious, but do you have any idea why women are more likely to keep the pregnancy if there are twins?

Seems to me if you didn't think you were ready for one baby you certainly wouldn't be ready for multiples.

I know, it seems really weird; if you don't want one why on earth would you want two? I can't really give you a logical reason but I think twins are considered very special and it's just something that can change people's outlook for whatever reason. Or it makes the decision that much more emotionally difficult. Again, I wish they had the right to decide whether or not to know because I don't think they should have to have that added layer of confusion and emotion if they don't want it. But we had a patient come in the other day and before her ultrasound she actually said "the only thing that would make me not have this abortion is if it's twins" and then it was twins! I don't believe in signs but it really was kind of a sign.

On an emotional level I honestly get it because I have always kind of wanted twins (no kids yet but I want them) and I think, if it were five years ago and I didn't feel ready to have a baby but I found out I was having twins it would definitely make me reconsider. *shrug* These decisions are complicated and emotional and not always logically sound, but they are what they are.

e: I don't know that I would say *most* women are more likely to keep the keep the pregnancy if it's twins, just that it's a seemingly surprising thing I've observed in a not insignificant number of them.

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Feb 11, 2007
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From that angle it makes a little sense. Like if they abort a single pregnancy, they can always have another single pregnancy at a better time. But given the odds of multiples, this is probably their only chance to have twins.

Still a nightmare logistically, though!

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From that angle it makes a little sense. Like if they abort a single pregnancy, they can always have another single pregnancy at a better time. But given the odds of multiples, this is probably their only chance to have twins.

Still a nightmare logistically, though!

I totally get this and at the same time I find it totally absurd. I love humans.

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The twins thing makes sense to me just because twins are rare and we associate rare with valuable so it's got a weight to it beyond the normal morality of abortion. It's very illogical and very human.

If I had any control over my wife's pregnancy, I would have wanted it to have been twins. I can't imagine going through the first 2 years a second time, good lord. I'm already exhausted and feel like poo poo all the time; adding a second kid now isn't going to change that, but having a second kid later would sure as hell drag it out.

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If I had any control over my wife's pregnancy, I would have wanted it to have been twins. I can't imagine going through the first 2 years a second time, good lord. I'm already exhausted and feel like poo poo all the time; adding a second kid now isn't going to change that, but having a second kid later would sure as hell drag it out.

In my country parents with twins gets longer parental leave because of how demanding having twins is:
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Oh I for sure know that it's demanding and would have been harder and not easier, but I'd rather have an intense infant-toddler period than a dragged out infant-toddler period.

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The twins thing makes sense to me just because twins are rare and we associate rare with valuable so it's got a weight to it beyond the normal morality of abortion. It's very illogical and very human.

If I had any control over my wife's pregnancy, I would have wanted it to have been twins. I can't imagine going through the first 2 years a second time, good lord. I'm already exhausted and feel like poo poo all the time; adding a second kid now isn't going to change that, but having a second kid later would sure as hell drag it out.

Oh good lord, no.

They work as a tag team and make sure you don't get *any* rest.

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Mar 27, 2013


I'm not American (in my country abortion is mostly banned, and the Catholic church never stops trying to get it banned completely), so let me ask a dumb question: are the protesters a regular thing? Like, when you go to work in the morning they are always there? Or do they only come for special occassions? Are there many of them?

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May 27, 2010


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I'm not American (in my country abortion is mostly banned, and the Catholic church never stops trying to get it banned completely), so let me ask a dumb question: are the protesters a regular thing? Like, when you go to work in the morning they are always there? Or do they only come for special occassions? Are there many of them?

Thank your for doing your important work.

They are 100% regular. I've worked for clinics in four states (three in the Northeast, generally Democratic states) and one in the midwest where it's more conservative and the protesters are the same everywhere. They don't miss a day. The number varies but it's usually at least a handful, maybe a minimum of 3-4 to a half dozen, and on special occasions TONS of them are bussed in from church or whatever.

Back in college I used to volunteer as a clinic escort (someone who walks patients from their cars through the protesters to the clinic doors, which is needed in some clinics because of the geographical layout of the street, clinic, and parking lot) and we escorted patients through an actual free drunk sex stories blizzard once because the protesters wouldn't loving quit.

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How did you end up in your position as an abortion care nurse? Were they hiring and you were looking for work, did you specifically want to work in one and sought them out, etc.?

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May 27, 2010


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How did you end up in your position as an abortion care nurse? Were they hiring and you were looking for work, did you specifically want to work in one and sought them out, etc.?

Abortion and reproductive healthcare has been my passion for a long time and I sought this position out. Quick personal backstory: I'm a longtime feminist who became radicalized in college (Gender & Sexuality Studies major, Students for Choice president, etc). I thought I wanted to do something in reproductive rights advocacy like work for Planned Parenthood's political arm; I was never interested in the medical side of things. I never in a million years considered med school, for example. Then the first job I was offered after college was as an abortion counselor for a small private clinic. I accepted it because I needed a job (2009 was such an awesome time to enter the job market) and I thought it would be good experience for my later work even though I didn't think I had any interest in clinical stuff. That job honestly changed the course of my life. I fell in love with direct patient care and also worked with nurses for the first time, including a really kickass nurse manager. Over the next few years I worked in a few different clinics and realized I wanted to go to nursing school so that eventually I could be nurse manager of my own clinic, which is still my ultimate goal.

After nursing school my full-time job was on a postpartum hospital unit, though I continued working per diem in an abortion clinic. Postpartum was cool and I learned a lot, but it was definitely not what I wanted to do forever and hospital life suuuuucks. Recently I moved across the country, and it took a few tries (this is now my third job since I moved) but fiiiinally I got my full-time job back doing what I love!

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Back in college I used to volunteer as a clinic escort (someone who walks patients from their cars through the protesters to the clinic doors, which is needed in some clinics because of the geographical layout of the street, clinic, and parking lot) and we escorted patients through an actual free crossdress porn videos blizzard once because the protesters wouldn't loving quit.
Did you do a thread about this here several years ago? It sounds familiar.

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May 27, 2010


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Did you do a thread about this here several years ago? It sounds familiar.

There's someone else who did a thread specifically about escorting, I believe. I don't know who. I did do another thread just like this one about working in abortion care back in, oh, 2010?

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Aug 19, 2012



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Surgical: before I was an RN I did do the surgical tech's job (assisting the doctor during the procedure, handing instruments etc). Now I will be managing their sedation during the procedure. We only offer minimal and moderate sedation at my clinic (minimal = PO Ativan/Percocet, moderate = IV Fentanyl/Versed; some clinics offer deep sedation with propofol though unfortunately we currently do not) and in my state it's within an RN's scope of practice to administer moderate sedation.

This is quite interesting from an international perspective. In the UK the standard is general anaesthesia for vaginal terminations of pregnancy.

Fentanyl, propofol, inhalational sevo and the insertion of a supraglottic airway is the norm- administered by an anaesthetist.

By the norm I mean it doesn’t happen without a FRCA qualified doctor and trained assistant giving a general anaesthetic.

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General China
Aug 19, 2012



I only know about this second hand. I’ve never taken part in a vaginal termination of pregnancy as a health care professional.

In the UK we have a get out clause for the abortion act- conscientious objection for health care professionals.

Health care professionals can object to carrying out abortions and their objections have to be respected.

Now this is going to sound bad here. I pretend to have a conscientious objection to abortion. I don’t really and I respect women’s choice and the reasons they do it. I have read everything the OP has posted and I agree with it all.

But, given the choice I would rather not get involved. And the choice was given.

VTOP ( vaginal termination of pregnancy) lists are hard work. It’s a very short surgical procedure but there are a lot of them on an operating list. I admit they are all ASA 1 or 2 but it’s still a lot of work going through the WHO checklist, putting the legs up in stirrups and then down.

I’d rather not do it.

I’d prefer to be in the next theatre doing longer operations involving less work for me.

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boquiabierta
May 27, 2010


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Fentanyl, propofol, inhalational sevo and the insertion of a supraglottic airway is the norm- administered by an anaesthetist.

By the norm I mean it doesn’t happen without a FRCA qualified doctor and trained assistant giving a general anaesthetic.

Wow, that's crazy. It's such a minor procedure and most patients are completely fine with no sedation at all. General anesthesia! That makes it SO much riskier than it has to be. Wow. Why would you do all that when propofol alone is perfectly adequate and the procedure is SO short?

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No one here is forced to take part in abortions either, and as long as you have enough people who are willing to do it I don't have a problem with it.

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PopeCrunch
Feb 13, 2004

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Yeah honestly I'd really rather not know why a provider who has the option chooses not to - it's none of anyone's business why, and allows for folks who don't want to go on record as having a moral objection and also those who do have one but are either having trouble articulating it and folks who have a subconscious objection they haven't consciously articulated even to themselves. I'd rather avoid the idea of a provider waking up from a dead sleep in the middle of the night to a crisis of conscience.

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Chef Bourgeoisie
Oct 8, 2016

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This is a great thread, and thank you so much for what you do.

Have you ever had previous patients come back after an abortion and be mad at you for 'letting' them go through with it?
Other side, do you ever get contacted after the fact by grateful patients?

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boquiabierta
May 27, 2010


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Have you ever had previous patients come back after an abortion and be mad at you for 'letting' them go through with it?
Other side, do you ever get contacted after the fact by grateful patients?

I've never seen a patient come back and be mad at us. Some patients are really angry when they're in the clinic, but they don't tend to contact us after the fact. That doesn't mean they had a good experience, of course, and who knows, maybe they write us a bad review or something, but I haven't seen anyone actually write us an angry letter (/email, phone call, whatever) after the fact.

I have definitely had grateful patients contact me, though. They're few and far between but I've gotten a few letters of appreciation and thanks. When we remember we ask patients to fill out surveys of their experiences and most of those comments are really positive too. I think people are surprised by how well they're treated; for a lot of them we're the only healthcare they access at all.

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Jan 16, 2004

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I had a surgical abortion back in the early 90's and I went through the whole "get a pregnancy test from the fake place that literally locks you in a room and makes you watch abortion movies for an hour" place before I pretty much punched my way out to the real place next door to get my actual abortion (which was pretty gnarly still back then because it was like 20 weeks and it turned out I had twins and there was a leftover tissue situation)

But 20 years later when I was married, I had a nice pill abortion that was not entirely pleasant, but I couldn't explain the difference between the polite and understanding lady doctors and the entire way that the whole thing worked. The second pill HURT and I spent one night in the shower, but it was absolutely nothing like the first time when I was 19 and I was cursed and spit at, and nearly died from sepsis from the second fetus, hiding it from everyone I knew.

I absolutely adore you, and the work that you do, to give women equal access to healthcare, and just drat, I love you, please keep doing what you do.

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boquiabierta
May 27, 2010


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I had a surgical abortion back in the early 90's and I went through the whole "get a pregnancy test from the fake place that literally locks you in a room and makes you watch abortion movies for an hour" place before I pretty much punched my way out to the real place next door to get my actual abortion (which was pretty gnarly still back then because it was like 20 weeks and it turned out I had twins and there was a leftover tissue situation)

But 20 years later when I was married, I had a nice pill abortion that was not entirely pleasant, but I couldn't explain the difference between the polite and understanding lady doctors and the entire way that the whole thing worked. The second pill HURT and I spent one night in the shower, but it was absolutely nothing like the first time when I was 19 and I was cursed and spit at, and nearly died from sepsis from the second fetus, hiding it from everyone I knew.

I absolutely adore you, and the work that you do, to give women equal access to healthcare, and just drat, I love you, please keep doing what you do.

Thank you so much for your post. I'm so sorry you had to endure the disgusting evils of a CPC. They are truly horrible and perhaps the biggest threat to reproductive justice outside of legal threats. 20 weeks with twins and an infection from leftover tissue is no fun at all I'm glad your experience with the medication abortion was better. It's so lovely how many people need to hide these experiences from their loved ones and everyone they know. Shame and stigma are powerful, dark forces.

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JustinMorgan
Apr 27, 2010


Do you feel that if there was a better support system in place for new, single mothers there would be fewer abortions?
Personally, i hate the term pro-choice because i feel a lot of women who have abortions do so because they feel they have no other choice. They don't have the finances to care for a child, they don't have adequate health care, they don't have anyone to care for the child as they have to go back to work almost immediately, what kind of a choice do they have then?
And the hypocrisy of those who claim to be pro life and only care about the baby until it's born, and then they want to cut welfare, chip, etc... Don't even get me started on them.

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UnSmith
Oct 7, 2008

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As a male in America, I just want to say: thank you for what you do. I've always considered myself a feminist, probably because of how close I was to my mom, and I really believe that the freedom to choose is a big part of a woman's freedom, and right now I know that the culture of our society is very, very anti-choice. So, for continuing your work in the face of that, thank you.

Actual question: how do you deal with the bullshit rhetoric you hear? That includes any protestors you run into, family members who want to tell you you're going to hell, etc. Since I work with other abortion providers, I want to have some good advice for helping them with burnout/doubts.

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boquiabierta
May 27, 2010


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Do you feel that if there was a better support system in place for new, single mothers there would be fewer abortions?
Personally, i hate the term pro-choice because i feel a lot of women who have abortions do so because they feel they have no other choice. They don't have the finances to care for a child, they don't have adequate health care, they don't have anyone to care for the child as they have to go back to work almost immediately, what kind of a choice do they have then?
And the hypocrisy of those who claim to be pro life and only care about the baby until it's born, and then they want to cut welfare, chip, etc... Don't even get me started on them.

I agree 100% and don't even get ME started on everyone who is only "pro-life" before birth. Yes, absolutely there would be fewer abortions (and not just of new or single mothers) if we had a better social safety net, if we had universal healthcare, if we had paid parental leave FOR ALL PARENTS for a decent period of time, if racism and classism and capitalism weren't things... yes. I would go so far as to say that probably most people having abortions (certainly not all, but maybe a plurality) do it for financial reasons and lack of support. And I agree that that's not a choice we should celebrate. It's necessary, of course, and it's worlds better than NOT having abortion available, but it's still not a really free choice.

I also hate the term "pro-choice". It's consumerist; it ignores the realities of people's lives and how abortion is so much more than a "choice". I prefer the term rachel hunter nude pictures (RJ), coined by women of color, which places abortion in a larger context that includes all aspects of reproductive health, parenting, economic justice, social oppression, etc, recognizing that abortion does not exist in a vacuum outside all these other aspects of our lived realities. I will still call myself "pro-choice" casually because people understand it but RJ is a much better frame for these issues.

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As a male in America, I just want to say: thank you for what you do. I've always considered myself a feminist, probably because of how close I was to my mom, and I really believe that the freedom to choose is a big part of a woman's freedom, and right now I know that the culture of our society is very, very anti-choice. So, for continuing your work in the face of that, thank you.

Actual question: how do you deal with the bullshit rhetoric you hear? That includes any protestors you run into, family members who want to tell you you're going to hell, etc. Since I work with other abortion providers, I want to have some good advice for helping them with burnout/doubts.

I'm very lucky that I come from an extremely supportive and progressive family who supports what I do 100%. I never really have to deal with any bullshit from them. Same goes for my friends -- I tend to surround myself with like-minded people and these values are so essential to who I am that I don't think I could ever be good friends with anyone who opposed legal abortion.

As for protesters, I used to be a patient escort (a volunteer who walked patients from their cars through the throng of protesters to the clinic doors) and I really got my need to be confrontational with the protesters out of my system then. You get into a few shouting matches with them, you've gotten into all the shouting matches with them. There's no point. I don't have much interaction with protesters now because I get to drive past them and don't have to walk through them. They are mostly background noise for me at this point.

Of course there is always an implicit threat of violence, which is scary, but luckily I've never had anything happen anywhere I worked. I really don't know what to say in terms of advice. I think everyone goes through their own journey working in abortion care. I know I'm lucky. I have coworkers who don't tell their families where they work and are not able to be nearly as open as I am about it. For me, being open and having a supportive community is absolutely key. If I couldn't come home and debrief with my husband, or tell my parents things that happened at work, or rant to my best friend who's also worked in abortion care, I don't know how I'd be able to handle it.

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jabby
Oct 27, 2010



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This is quite interesting from an international perspective. In the UK the standard is general anaesthesia for vaginal terminations of pregnancy.

Fentanyl, propofol, inhalational sevo and the insertion of a supraglottic airway is the norm- administered by an anaesthetist.

By the norm I mean it doesn’t happen without a FRCA qualified doctor and trained assistant giving a general anaesthetic.

I'm not sure you're right here. I don't work in abortion provision but the NHS website says a general is not usually required, as does Marie Stopes and BPAS. Local anaesthetic only or conscious sedation are both used, especially for procedures before 12 weeks gestation.

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Similarly, sometimes patients who choose the medication abortion prefer to think of it as having a miscarriage.

Do you mean they refer to it in conversation as a miscarriage? Interesting if so. I wonder if it's a way of distancing themselves from the decision or if it just makes more sense to them because in a medical termination the expulsion of fetal material is not as predictable, making it like an 'induced' miscarriage.

Another question: what would you do if your state passed restrictive new laws requiring you to treat patients inappropriately? I'm talking about still like forcing them to listen to the heartbeat, or long waiting periods, or having to read out a lying script telling them fetuses can feel pain or they'll increase their risk of breast cancer? Would you do your job 'by the book', or is there some ethical line you would refuse to cross and either bend the new law or get out of the business?

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