スペインのマドリッドの公立病院は、32歳の女性の妊娠20週間で、破水して羊水欠落で胎児は生存不可能で、妊娠中絶を拒否!?
“El feto era inviable y se lavaron las manos”
Un hospital público de Madrid se niega a practicar un aborto terapéutico con riesgo para la madre
La Paz da de alta a la mujer para que vaya a la privada
Rafael Méndez / Elena G. Sevillano Madrid 4 FEB 2014 - 22:11 CET
"The fetus was not viable and washed their hands"
A public hospital in Madrid refuses to therapeutic abortion with risk to the mother
La Paz discharged the woman to go to private
Rafael Mendez / Elena G. Sevillano Madrid 4 FEB 2014 - 22:11 CET
Hospital La Paz, one of the largest public schools in Madrid , has refused to perform an abortion to Daniela , a woman aged 32 who had suffered a rupture of membranes and 20 weeks of gestation was without amniotic fluid. Under these conditions , the fetus is not viable , according to the experts consulted, and no risk of serious infection to the mother. Despite having met the requirements set by the current abortion law , which the government plans to toughen - center refused to terminate the pregnancy. Daniela , who was admitted and intravenous antibiotic, was discharged for him to come to a private clinic after the Madrid find that fit the bill for an abortion . A hospital spokeswoman confirmed that the medical center are all objectors and the service of Gynecology and Obstetrics collectively decided in 2010 not to perform abortions in any case.
Daniela , a physiotherapist by profession, recounts his trauma with integrity . Take freshly washed hair and speaks with a soft Brazilian leave : "He was a very wanted child , we had two years of fertility treatment ," she says in her flat in north Madrid with her husband , Michael, a college professor .
Daniela accurately remember dates . " At 13 weeks I had bleeding , but was told it was normal. On December 27 , when he was 16 weeks, I woke up with blood everywhere . " Then began the tests, but despite signs doctors ruled that La Paz has broken the amniotic sac in which the fetus grows . On New Year's Eve trip back to the hospital and was admitted and put antibiotic for prevention . A rupture of the bag can cause an infection to the mother.
On the 7th of January and sent home with a diagnosis of severe oligohydramnios , which implies that there is little amniotic fluid. She is convinced that time I had a broken bag, but it does not matter if there was a misdiagnosis . " We were told that the fetus had little chance , but decided to wait because it was a very wanted child ," says Miguel .
On January 23 , 20 weeks pregnant , emergency Daniel returns to La Paz , the public hospital nearest your home , again with fluid loss . " LA [ Amniotic Fluid ] absent fetal impossible folding measures ," says the clinical report. The diagnosis is already clear: "RPM [ Premature Rupture of Membranes ] in previable gestation ." The bag is broken and they put intravenous antibiotic .
Without amniotic fluid , the uterus presses the fetus does not develop lung capacity and may suffer malformations, explains Juan Fernández , section chief of Obstetrics , Hospital Severo Ochoa de Leganés , one of the few public practicing abortions . This suggests that if the rupture of membranes occurs with more advanced options may have to survive pregnancy, but if no amniotic fluid before 20 weeks , " the natural evolution of that picture is that the fetus will die. It is not feasible and no risk of infection to the mother. " You can give a serious infection of the uterus pass through the mother called chorioamnionitis .
The case is also clear to Javier Perez - Pedregosa , specialist in prenatal diagnosis in clinical Sanitas La Moral . "With an early membrane rupture as the lack of amniotic fluid inevitably causes pulmonary hypoplasia : a serious disorder that prevents the lungs develop. Furthermore, there is serious risk of joint deformities by lack of mobility . A fetus with these characteristics has no chance of survival. You can come to birth , but then die " he explains.
Here begins what Daniela and Miguel qualify as torture. " We were told that the child was not form the lungs and there was a risk of infection for Daniela . Painted a terrible picture but did not give a solution. We had a week to decide because the deadline approached by law , "says Miguel .
Convinced that there was another , and after four weeks from the first loss of liquid, asked the hospital to end the pregnancy. " We were told that there did not, if the fetus had no heartbeat but what drew me if I had would not do anything ," recalls Danielle.
In these cases, normal if the hospital does not practice abortions , we refer you to a private clinic. But Daniel was told that they did not know what to do, if I wanted to terminate the pregnancy should take the high and gestionárselo it. "For me it is not voluntary , but therapeutic. There was no solution. It hurts to put that I asked to terminate the pregnancy , "says Daniela .
It was Friday and , because of the obstacles , Michael and Daniela you decide to go with a medical discharge . We removed the intravenous antibiotics and prescribe it orally. Then go to an office of the Community of Madrid- the only one in the region - for , now deriving them Dator private clinic specializing in abortions . " It is hypocritical to be told that the fetus is not viable but then they wash their hands when it comes to resolving the situation ," reflects Michael. The couple wanted to tell their case for the reality of abortion in Madrid know and ask what public health guarantee "at least in the case of treatment interruptions due to the fetus is not viable."
A hospital spokeswoman said yesterday that La Paz all medical objectors declare , following a decision taken collectively by the service. This contravenes the Abortion Act 2010 , which states that conscientious objection is a " always individual healthcare staff directly involved in performing the abortion , must manifest advance by writing " right . In La Paz there is no record of this type . The Act also states that professionals have this right " without the access and quality of care delivery can be undermined by the exercise of conscientious objection ."
Given the possibility that there was a genetic problem, the couple asked to La Paz to conduct an autopsy the fetus , and again there were problems . They asked that they themselves collect the remains of the Dator clinic and take him to the hospital, he saved swallow sister of Miguel who is a nurse .
In Madrid 20,134 voluntary abortions were performed in 2012. Only 27 of them (0.13 %) , in public hospitals , according to the Ministry of Health. In Spain , there were 112,390 outages , of which 6.5% were conducted in public schools . A few years ago did not reach 3% .
The president of the Association of Clinical Voluntary Interruption of Pregnancy ( ACAI ) , Francisca García explains that public hospitals generally throughout Spain refuse to perform abortions , even if it is viable fetuses and no risk to the mother. "If the fetus is alive , it is usual that the woman is sent to accredited private clinics," he says. While in the Basque Country, Catalonia , Galicia and Valencia yes there are public hospitals that practice therapeutic abortions , Andalusia , Murcia , Madrid , Navarra , no note from the clinics.
There is a protocol by which hospitals are the Andalusian Health Service ( SAS) which contact the accredited clinic , they send the necessary paperwork and manage the event in Andalusia. This is to avoid inconvenience to women , explains Eva Rodriguez, medical director of the private clinic Sur , Seville. Also notes that in some cases hospitals are responsible for the transfer. " If a woman had entered , for example, in Almería , send us the Seville -son 500 kilometers ambulance " he explains. " If they are wrong and are Sevilla , give them high and come on their own feet ," he adds .
" In Andalusia doctors are accustomed to that abortions are not done in public and do not even raise it . Why bundling wondering if there are gynecologists who they would. Not done , period, " says Rodriguez . Something similar occurs in Madrid . Often they are department heads who decide not perform them said a gynecologist who works in Madrid. However, another of the Basque Country is surprised that in a case like Daniela your hospital does not undertake to practice abortion when " in reality is not a voluntary termination ."
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