Tuesday, December 06, 2005

Question

以下內容抄自benbirdie的日記。
給日記原主:我沒有事先得你准許,希望你不介意。

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Today, is a bad day.

Witnessed a termination of pregnancy at 23.5 weeks of gestation.
Indication: Amniocentesis revealed monosomy X, Turner Syndrome 45,X (mosaic type)
Procedure: Inject KCl to stop the baby's heart beat, then insert prostagladin to induce labour so that the mother will deliver the dead fetus.

The patient came with her mother. Before the procedure, the mother stated clearly that she does not want to see the baby after it is born. She refused any future notice of results of the baby whatsoever.

Then she was told to lie down on a bed beside the ultrasound machine in the ward. She was told that it would be like doing amniocentesis. She closed her eyes, refusing to see anything related to this baby.

Was she disgusted about this defective baby? Does she feel ashamed about her?

No. Couldnt be. Afterall, she had been carrying her for almost 6 months. It is her daughter. I guess she did not want her decision to be shaken. She doesnt want to carry this psychological burden to her next baby.

An ultrasound scan was performed to locate the best position for insertion. I saw the fetal heart beat, I saw her head, I saw her limbs. She looked so helpless, yet, there was nothing I could do.

The procedure began.

The first injection was to kill pain.

Then the real thing came. A needle was inserted into the fetal heart, guided by ultrasound. Without hesitation, the doc inserted the needle. The fetus moved.

Did she feel pain? Did she sense danger? Was she pleading for mercy? Was she just trying her last effort to kick her mother, so that she would change her mind?

The first attempt failed, because the baby moved. The doc adjusted the position again. The fetus moved. Adjustment. The fetus moved again. The fetal heart was still beating.

The patient's mother started weeping. My eyes got watery.

Readjustment. The needle reached the ventricles. The nurse injected 3ml KCl.

5 sec later. The fetal heart was still beating, weakly. Even when everyone else had given up on her, she was not ready to give up.

Another 1ml KCl.

It stopped.

End of procedure.

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I have went thru my Obs and Gyne already.
G5P0+4 is not uncommon.
The average waiting time for IVF is 5-6 years.
Though controversial, at least she has a reason. The 2 most common reasons for TOP are "psychological disturbance" and "population control".


Do you understand medicine? I don't.

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