By R. Needle, L. Walker
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Extra resources for Abortion Counseling - A Clinician's Guide to Psych, Legislation, Politics and Competency
Originally this method became available to reduce complications in late second-trimester abortions. It is almost always performed over a protocol of 2–3 days. The procedure begins with inserting an osmotic dilator, called a laminaria, which dilates the cervix. Most providers use this with a combination of Cytotec on the actual day of the procedure. Cytotec is given vaginally or bucally (between the gums and cheek). This combination provides sufficient dilation so that the fetus can be removed intact.
These women usually turn to their own psychotherapists who are skilled in working with the client but again may not know a lot about the typical post-abortion effects. Thus, many people wonder whether or not there is a post-abortion syndrome and may blame a woman’s emotions and behavior after the abortion on the procedure rather than understanding the interaction between the woman’s biology and hormones, her previous mental health xxxi xxxii Introduction problems, the secrecy and shame under which the woman may be acting, the political climate and harassment she may have faced by protestors outside of the center, and the religious and moral values with which she may have grown up.
Perspectives for the Mental Health Professional 7 EXCEPTIONS: JUDICIAL BYPASS AND MEDICAL EMERGENCY One of the most important components of the parental notification or consent laws is the option for judicial bypass. All 34 states that have laws include a judicial bypass procedure (Guttmacher Institute, 2007). Judicial bypass allows a minor to apply to a court to waive the parental consent or notification requirement. The ease or difficulty of the judicial bypass process often depends on local officials and may vary judge by judge.