The same procedure that is used to carry out abortions is also often necessary to remove miscarriages. Today is the anniversary of RoevWade and no matter how you feel about abortion, you need to understand D&C, because pregnancy loss can happen to anyone.
Dr. Horvath adds that the political fight over abortion has created an “artificial division” between women whose wanted pregnancies end and those whose unwanted pregnancies end. First of all, the medical procedure is identical in both cases; and then there’s the fact that many times the same woman will undergo it for both reasons over the course of her lifetime.
“There's not one kind of person who has an abortion, and one kind of person who has a miscarriage and needs a D&C, and one kind of person who has a baby. That’s the same person at different points in their life,” Horvath says. “Plenty of people who have had a miscarriage may go on later to have a healthy pregnancy, carry to term and have a delivery, and then may go on to have an abortion after that, or vice versa.
At first, Marcy*, 30, worried even friends and family wouldn’t understand her decision to end the pregnancy she had wanted so badly. The New York City-based media professional was 12 weeks pregnant for the first time in April 2018 when she went to her ob-gyn for a nuchal scan, a routine ultrasound to detect fetal abnormalities.
She was unconscious for the procedure itself, and woke up feeling surprised at how simple it had been. The feelings that came after were less simple. “I remember feeling completely empty. It was as if I had been whole, and now I was only a fraction of what I had been before. But I also felt relief,” Marcy says. “I knew in my heart that as hard as it had been, we made the right decision for us. I was relieved to not have to spend every day wondering if today was the day I would lose the baby.
Dr. Horvath says that’s why it’s so crucial that abortion care, including D&Cs, remain accessible. “If the idea of having a miscarriage at home is traumatizing for someone, then I want to be able to offer them a few-minute procedure in my office with sedation medication so that they can be done with that episode of their life,” she says.
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