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Example research essay topic: Short Term Effects Surgical Abortions - 1,465 words

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Since the Supreme Court's 1973 Roe v. Wade decision, about one out of three pregnancies end in abortion. This means that 1. 5 million abortions are performed in the United States each year (Flanders 3). Not since slavery has an issue posed a greater moral dilemma.

It ranks among the most complex and controversial issues, arousing heated legal, political, and ethical debates. The modern debate over abortion is a conflict of competing moral ideas and of fundamental human rights: to life, to privacy, to control one's own body. Trying to come to some sort of a compromise has proven that you cannot please all of the people on each side of the debate. Many people describe the abortion debate in America as bitter and uncompromising, usually represented on both sides by people with an intense devotion to their cause and usually with irreconcilable positions.

Many of those who are pro-choice insist that a woman's right to abortion should never be restricted while those who are pro-life maintain that a fetus has an unequivocal right to life that is violated at any stage of its development if abortion is performed. Discussions between both sides are usually argumentative, and sometimes violent, so any attempt at coming to a mutual agreement is drowned out. How can anyone hear if they refuse to acknowledge the other side except to shout at them? Since the Roe v. Wade decision legalized abortion, proposed compromises on limiting or allowing abortion have taken two forms: those based on the reasons for abortion and those base on fetal development at different stages of pregnancy. The first compromise would allow abortion for "hard" cases (rape, incest, or risk of the life or health of the pregnant woman), but not for the "soft" cases (financial hardship, inconvenience, possible birth defects, or failure of birth control).

Compromises of the second type would allow abortions, but only until a given stage of pregnancy, which is usually much earlier than the medically accepted definition of viability (when the fetus can survive outside the womb) (Flanders 8). Although compromises based on reasons for abortion have been incorporated in law (the Hyde Amendment, for example, restricts Medicaid funding for abortion to so-called hard cases), many people now focus on time-based restrictions. This idea is more realistic and practical than banning abortion all together since there would still be many women who would find a way to have the procedure done even if it became illegal or highly restricted. Agreeing to a time-based restriction could protect older fetuses and still safeguard the rights of most of the women seeking abortions, who are usually within 12 weeks of pregnancy. Coming to an agreement as to when the fetus is viable is the next step to coming to a time-based restriction agreement. Medical science has advanced the ability of the fetus to survive outside the womb from about 28 weeks to about 23 to 24 weeks.

Since the progression of medical technology is always changing, suggestions for compromise propose a cutoff date for elective abortions at eight to sixteen weeks, which is well before viability (Flanders 25). One of the strictest proposals includes prohibiting abortions after approximately the eighth week when fetal brain waves can be detected. Some say that this is appropriate because this is the same way that doctors determine the end of a persons life. The counter-proposal to eight weeks was a less strict sixteen weeks since this would acknowledge that women would still have the right to make reproductive decisions and that they may need a reasonable period of time in which to acquire and think about relevant information for making a decision with which she feels comfortable. Pro-choice people argue that this restriction would be less objectionable than the eight-week restriction since ninety percent of all abortions are performed within the twelfth week of pregnancy (Driefus 101). Millions of pro-choicer's and pro-lifers believe that any such compromise would be impossible.

From different ends of the argument, they criticize any proposal of time limits that would, according to one side, violate the rights of women or, according to the other side, violate the rights of fetuses. They all agree that denying some fetuses life and some women liberty is hardly a solution to this very heated debate. Since abortion is going to remain a fact of our time, a compromise based on the time-based restriction should be resolved. While the abortion debate is continuing and compromises are still being argued over, a new method of abortion is about to become available in the U. S.

Mifepristone (aka RU 486 or "the abortion pill") is an abortion method and medical advance that has created yet another heated controversy in this debate. The development of a safe and effective anti progestin compound had been the goal of researchers in the field of reproductive biology for decades (Points 106). The ingenious work of French scientists led to the approval of RU 486 to be used as an alternative to surgical abortion in France in September of 1988. RU 486 is not a magic pill that allows a woman to have an easy or painless abortion. In fact, a RU 486 abortion, which can be done up to the forty-ninth day of pregnancy, requires three office visits over more than two weeks.

On the first visit, a physical exam, medical history and a possible vaginal ultrasound (to determine how far along the woman is in her pregnancy) is performed. Then she swallows three RU 486 pills to block the action of the hormone that makes the uterus receptive to an embryo. She waits half an hour (in case she vomits) and goes home. Two days later, her second visit, she is given a second drug, a prostaglandin, to trigger contractions that cause a miscarriage. She waits at the clinic or doctors office for several hours while the miscarriage occurs. Between the two appointments, the woman may experience bleeding, cramping, nausea, and vomiting.

A third visit is necessary to confirm that the abortion was complete (Points 106). The long- and short-term effects of using RU 486 are unknown. It would be impossible to compare the death rate from surgical abortions to that of present RU 486 figures because only 100, 000 RU 486 abortions have been performed (Bender 145). One major difference is that the majority of RU 486 abortions were performed under strict trial conditions. Accidents are more likely to happen in less controlled general use. A drawback to RU 486 becoming legalized in America for general use is that since 30 percent of fertilized eggs are spontaneously aborted, large numbers of women may be unnecessarily exposed to the drug.

Once approved, this drug should be administered only by physicians and under strict conditions to protect women from possible extreme reactions. RU 486 does not seem to make abortion painless, but it would make it more available. Research shows that doctors who do not perform surgical abortions today would offer the drug to their patients once it is legalized for use in America (Carlin 6). Even if it is legalized, many women may still prefer to have a surgical abortion instead. Surgical abortion may be opted for over RU 486 since many women may be against using drugs with unknown long- and short-term effects. Surgical abortion requires less time spent at the hospital or clinic than that of a RU 486 abortion.

In a surgical abortion, the doctor inserts a long tube into the uterus, which is used for suctioning the fertilized egg out of the womb. The woman will feel some cramping, but the pain should not be intense. The doctor then checks for any excessive bleeding and instructs the patient to return for a checkup in two weeks to confirm that the abortion was successful. What kind of abortion to have is a personal, and often difficult, decision. Some women find that a chemical abortion is troubling because of the unknown long-term effects the chemicals may have on the body although, to date, no health problems have been associated with RU 486 (Alcorn 88). Some women prefer surgical abortion because it is more convenient for them since less time is required at each visit.

Other women would prefer RU 486 because they do not want surgical instruments put inside their uterus. With either procedure, fewer than one percent of women suffer serious complications. An advantage to taking RU 486 is that after taking it, a woman has two days to think about what she is doing. If she has decided that she has been too hasty in making her decision, she can choose not to go in for the prostaglandin that triggers the contractions which aborts the fetus. With surgical abortion, you do not have that chance.

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Research essay sample on Short Term Effects Surgical Abortions

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