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Sunday, October 21, 2007

 

SPECIAL REPORT - ABORTION: SILENT SCREAM

‘Confessions’ of an abortionist

By Sherryl Anne G. Quito, Senior Reporter

First of three parts

The fetus moves in the womb, sucking its thumb at times. His heartbeat of 140 a minute speeds up to 200 as the abortionist’s suction tip begins to invade his mother’s womb. He senses aggression. He moves violently to avoid the instrument. His mouth is visibly open in a cry for help.

The above is a scene from the 1980 pro-life documentary, The Silent Scream. It shows how a helpless human being is attacked during abortion. It also shows that a fetus, often referred to as “just a blob of tissue or blood,” already has an instinct for survival.

In the Philippines, there are no reliable statistics available since abortion is illegal. No woman, doctor or hospital will admit to having committed the crime for fear of legal sanctions. It is estimated, however, that 1 of 4 pregnancies ends up in abortion. Researches show that 17 percent of women in Metro Manila alone undergo an induced abortion owing to unwanted pregnancy. Women resort to various abortion methods ranging from taking drugs or herbal preparations, to consulting doctors, nurses, midwives and even approaching a hilot (quack doctor).

Myrna Sanchez of the Center for Family Ministries explains that abortion refers to the process of terminating the life of an unborn child not only through mechanical means that are usually done in dark, discreet and dangerous alleys, but includes taking abortifacient pills, herbal concoctions being sold in Quiapo district, Manila, or even doing strenuous physical activities to discontinue a pregnancy. The pro-life website www.silentscream.org defines abortion as “the willful killing of the fetus in the uterus; the violent expulsion of the fetus from the maternal womb, resulting in its death.”

Living with guilt

The documentary, SONDA: buhay.bata. aborsyon, done by a group of University of Santo Tomas (UST) nursing students presents a first-hand account of the lives of an abortionist and an abortionee.

The research was conducted in the streets of Quiapo, considered an abortionist hub and where there is a reported rampant selling of abortifacient drugs. Police officers roam the vicinity but none of them seems to be alarmed by the number of vendors selling Cytotec (generic name Misoprostol), a drug used to prevent gastric ulcers among people who have to take nonsteroidal anti-inflammatory drugs. The Bureau of Food and Drugs banned its sale and distribution in the Philippines in the late nineties after receiving reports that the drug was being misused as an abortifacient. Despite this, the selling and usage of Cytotec has increasingly become an epidemic.

The Manila Times sources disclose that Cytotec vendors can easily dispose of 50 boxes at P60 to P100 each in Quiapo alone. Their customers range from 17- to 28-year olds and come from various walks of life—students, married couples, prostitutes. A customer is supposed to buy at least six pills that are sold with an instruction manual on how to use Cytotec as an abortifacient.

Aside from taking abortifacient pills, women also undergo certain procedures using instruments such as the “sonda.” Sonda, a urinary catheter to health-care professionals, is the instrument that a 60-year-old woman abortionist has been using for the past 18 years. She declines to give her real name. She said, “The use of sonda, Methergine [which promotes uterine contractions and allows expulsion of the fetal fragments] and an antibiotic [which prevents the occurrence of infection] are all it takes to complete an abortion procedure.”

The society refers to abortionists as silent killers. Abortion is easily done by the likes of the 60-year-old woman abortionist and those who have become used to doing it, especially that they consider it an “out-patient” procedure. After sterilizing the sonda in hot water, it is inserted in a woman’s vagina and left inside her system for 24 hours. While the instrument is inside the uterus, the abortionist prescribes an antibiotic to prevent infection.

When contractions begin, the abortionist said, she makes the pregnant woman take methergine to start the abortion.

Women who approach her claim to be 18-year old or older but she thinks otherwise. She believes some of the women are younger. She quickly asserts, though, that she does not do the procedure on everyone who comes to her.

The woman said she doesn’t perform abortions on all those who see her, adding that she turns away minors. The abortionist also makes sure the woman looks physically fit and certain about the procedure. The abortionist also chooses those who are only in the first trimester of their pregnancy.

The same woman admits that guilt has haunted her for years. But she needed the money. Money is the reason why she never stopped from doing abortions.

One abortion procedure costs a four-digit amount, enough to sustain her and her family’s day-to-day life. 

Induced and surgical abortions

While induced abortion requires only taking abortifacient drugs, submitting to strenuous exercises and other fairly simple activities, there are a number of procedures used in surgical abortion. The website www.pro-life.org enumerates the following as the most common procedures used in surgical abortion:

Dilation and curettage (D&C). The cervix, or the mouth of the womb, is first stretched open. A curette, or sharp, loop-shaped knife, is then inserted, cutting the fetus into small pieces. His head is crushed with the forceps to remove the fetus. The womb is then scraped out completely.

Suction-curettage. A tube is inserted into the uterus; the suction breaks and crushes the body parts of the fetus, drawing them out into a jar. With this and previous methods, the resulting tissue is clearly identifiable as small pieces of a baby. The cause of death is the physical dismemberment of the body.

Saline injection. This method is used when the child is too small for the D&C and suction-curettage. A long needle is injected through the mother’s abdomen to extract a certain amount of amniotic fluid. A portion of the fluids is replaced with a toxic salt (strong salt poisoning solution), which burns the outer layers of the child’s skin. An increase in movement is noted as the baby inhales and swallows the solution. The baby often convulses, goes into a coma, and dies an hour or two later.

Hormone drug injection. Prostaglandin drug is injected into the amniotic sac, producing labor and premature birth. The baby, in most cases, is born alive with a heartbeat, then put aside to die.

Hysterectomy. It is generally used when saline injection is impractical. The baby is delivered as it would be in a caesarean section. Almost all babies delivered by hysterectomy are born alive. Within a few minutes, the baby dies from willful neglect.

RU486, Mifepristone (an abortion pill). This drug is approved only for use in women up to the 49th day of their last menstrual period. This is a potentially life-threatening condition in which the embryo lodges outside the uterus, usually in the fallopian tube. This pill will not work in ectopic pregnancy cases. If an ectopic pregnancy is not diagnosed early, the tube may burst, causing internal bleeding and, in some cases, the death of the woman.

In the Philippines, studies indicate that the methods most frequently used outside the hospitals are inserting a catheter (sonda), followed by deep abdominal massage, and the use of drugs, herbs and other medicinal concoctions.

(To be continued)

Editor’s note: The stories by Sherryl Anne Quito are based on a report by the bioethics class taught by professor Rowena Escolar-Chua of the University of Santo Tomas’ College of Nursing. The graduating students who prepared the report are Justin Siy, Christopher So, Jaymee Sosa, Aeron Suarez, Shanelyn Sudario, Maryjane Sulit, Bernadette Sunga, Clarice Susmiran and Tiffany Sy Tu.

   
 

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