Abortion Debate-Providers must be OB/GYNs
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Thread: Abortion Debate-Providers must be OB/GYNs

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    Community Host wlillie's Avatar
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    Default Abortion Debate-Providers must be OB/GYNs

    http://www.cnn.com/2012/07/11/us/mis...tml?hpt=hp_bn1

    *I know it is and am not asking whether you think it's a move towards getting abortion out of the state.

    Do you think that abortion providers should be certified OB/GYNs and have hospital privileges?

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    I am very much against abortion. However, I was under the understanding that the reason that it is legal to many people is that people will do them anyway. That they will be done in back allies without licensed doctors. If someone is going to be preforming a major surgery on someone, they should at least be a licensed doctor made to with hold the same safety standers as any other doctor in any other specialty. In any surgery something can go wrong and the need could arise to need to be taken to a bigger facility.

    In no other specialty could you operate on someone without a licence or without the ability to take them to the hospital in the event it was needed. I do not see why this would be different.

    ~Bonita~

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    I know I haven't posted here in forever, but this question is bringing me out of the woodwork.

    No, there is no medical reason why abortion providers need to be board certified OB/GYNs with hospital privileges. Many (most?) providers of surgical abortion in this country are OB/GYNs because you are more likely to encounter the training during that residency, but they are certainly not the only safe, trained providers. For one, family medicine residencies often include abortion training and family doctors are often abortion providers. So far, research also shows that Nurse Practitioners and Certified Nurse Midwives (CNM) have just as good surgical abortion outcomes as physicians. CNMs and family doctors safely attend births and deliver live babies, and birth is much riskier than a surgical abortion, so why would only OB/GYNs be safe to provide abortions?

    Additionally, there is no reason abortion providers need hospital admitting privileges. For one, they are highly trained and can handle all but the most dire situations. When a hospital transfer is necessary, an ambulance is called and the patient is transferred. Requiring admitting privileges is not at all about safety and all about the knowledge that most of the current providers come in from out of state to do this work and will be unable to get admitting privileges.

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    Online Community Director MissyJ's Avatar
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    Quote Originally Posted by CalBearInBoston View Post
    Requiring admitting privileges is not at all about safety and all about the knowledge that most of the current providers come in from out of state to do this work and will be unable to get admitting privileges.
    This is the part of the article that struck me -- actually not focused solely on abortion, but those CNM and family practioners that cross state lines for attending births. (For example, I know in some states home-births are illegal and midwives must be "overseen" by an OB/GYN -- even in hospitals )

    Does anyone know whether these providers, (or any other medical caregiver crossing into ANY state to give medical treatments for whatever reason), are required to be licensed by the state medical board of the state they are practicing in?

    Btw, nice to see you Kate.

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    Quote Originally Posted by MissyJ View Post
    This is the part of the article that struck me -- actually not focused solely on abortion, but those CNM and family practioners that cross state lines for attending births. (For example, I know in some states home-births are illegal and midwives must be "overseen" by an OB/GYN -- even in hospitals )

    Does anyone know whether these providers, (or any other medical caregiver crossing into ANY state to give medical treatments for whatever reason), are required to be licensed by the state medical board of the state they are practicing in?

    Btw, nice to see you Kate.
    My understanding is that you do need to be licensed in any state you provide services. I believe that if you pass your boards in a state and then apply for a license in another state, that it is a pretty common and straightforward process to obtain an additional license. In many smaller by population states, the only abortion providers are those willing to come in from out of state to do the procedures either because training is difficult for clinicians to receive in that state or frankly it's just too dangerous for a resident of that state to be an abortion provider.

    Board certification is a different thing than a license, which I meant to mention in my earlier post. Board certification is an entirely voluntary procedure and something you generally cannot do in the early years of specializing. Not being board certified does not mean a physician is unlicensed; they are two separate steps.

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    Mega Poster mom3girls's Avatar
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    I have no issue with general care practitioners being licensed to perform abortions.

    I do believe that they should have admittance rights before they can perform them though. Abortions are a surgery, anyway you cut it.
    Lisa
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    Posting Addict ClairesMommy's Avatar
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    I see this as all in an effort to slowly and effectively eliminate the right to abortion in that state. There is no valid medical reason why an abortion needs to be performed by an OB with admission privileges. (Btw, what type of doctor doesn't have admission privileges? Never heard of that before.)

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    The doctors probably don't have admission privileges if they are coming in from out of state. A clinic usually is set up as a surgi-center so no need to admit to hospital.

    I don't think it has to be ob/gyn for all the reasons previously stated.

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    Posting Addict Spacers's Avatar
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    Abortion (when done in the first trimester, as the vast majority are) is not major surgery, and it's not even surgery, at all; it's an outpatient medical procedure that requires similar techniques to that of inserting an IUD -- giving a shot of local anesthetic, manually dilating the cervix a bit, measuring the depth of the uterus to avoid puncturing it, and moving something around inside the uterus. Nurse practitioners insert IUDs all the time and no one is up in arms over them working beyond their skill level or needing hospital privileges. This is nothing more than an attempt to ban abortions, and it shouldn't be allowed to stand. Kudos to Judge Jordan!
    Last edited by Spacers; 07-16-2012 at 05:22 PM.
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    Well in the technical sense it is surgery. Anything invasive is classified as surgery. Removing an IUD is surgery so this should be also.

    I get what you mean though at the simplicity of a first term abortion for a practitioner.

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