New research issued by The Hospital for Sick Children in Toronto has detailed the "catastrophic outcomes" that occur when ectopic pregnancies are misdiagnosed and then "treated" with chemical abortions – something the authors say amounts to a "serious public health issue.
Citing previous studies, the new study revealed that a shocking 40% of initial diagnoses of ectopic pregnancy are erroneous, although remains unclear how many of these are ultimately mistreated as ectopic.
An ectopic pregnancy occurs when the developing baby lodges in the mother's fallopian tube instead of her uterus. Ectopic pregnancies can be dangerous, as the growing baby may rupture the blood vessels of the fallopian tube, which can cause severe blood loss and even death to the mother.
The new study, "Outcome Following High-Dose Methotrexate in Pregnancies Misdiagnosed as Ectopic," which is to be published in the American Journal of Obstetrics and Gynecology, tracked a number of mothers with normal, desired pregnancies, who were erroneously given high doses of Methotrexate in their first trimester to end a misdiagnosed ectopic pregnancy.
The study stated that all of the misdiagnosed pregnancies ended with "catastrophic outcomes," including the births of "severely malformed" newborns, miscarriages, and physician-advised deaths of the normally implanted babies through surgical abortions on account of the adverse effects of Methotrexate on the pre-born baby.
In the cases of the three women who subsequently underwent surgical abortions, their physicians advised the mothers to abort for fear of potential "medico-legal repercussions ensuing from adverse fetal outcome," said the study. All the mothers in the study reported "significant emotional suffering as a result of the misdiagnosis and dire outcomes."
Methotrexate has become the standard method in treating ectopic pregnancies, even in Ireland, but this study begged the question as to whether or not it is ethical treatment for ectopic pregnancies.
Dr Nicholas Tonti-Filippini, professor of Bioethics and Philosophy at the John Paul II Institute in Australia, said that the use of Methotrexate is a direct assault on the embryo and should never be used under any circumstances."I would not advocate the use of Methotrexate in the circumstances of pregnancy at any time. It is a poison which has ... no legitimate purpose in relation to treating ectopic pregnancy," he said. "It is a disaster to give a woman Methotrexate during pregnancy."
The FDA states that Methotrexate, which is also used in cancer treatments and in treating other conditions, in addition to inducing abortions, "interferes with DNA synthesis, repair, and cellular replication." It especially affects tissues that increase rapidly in numbers such as "fetal cells." Methotrexate has been reported to cause "fetal death and/or congenital anomalies," and is "not recommended for women of childbearing potential."
Pro-life ethicists argue, using the "principle of double-effect", that some medical procedures are permissible in order to save the life of a mother with an ectopic pregnancy who is at risk of bleeding to death from a ruptured fallopian tube, even though the procedure may cause the unintentional and indirect death of the unborn child.
Dr Tonti-Filippini said that the use of Methotrexate is never permissible because he feels there is always an intentional killing of the embryo. When asked if there is a moral alternative for treating ectopic pregnancies, he pointed to recent studies that indicate that eighty percent of mothers with ectopic pregnancy experience spontaneous resolution, with no medical intervention. But, he said that, "If she is at risk of haemorrhaging, which is life-threatening, it is at that stage legitimate to intervene in order to treat a life-threatening condition."
Tonti-Filippini said that a salpingectomy is another moral alternative, which involves removing the segment of the fallopian tube containing the embryo and is a morally permissible means of dealing with a life-threatening ectopic pregnancy. In this procedure, the goal is to remove the life-threatening length of tube which carries the embryo, while the death of the embryo is an unintended side-effect. Dr Tonti-Filippini said that with a salpingectomy there is an "effort to save the mother's life, that indirectly affects the embryo." Because of this, salpingectomy is a "legitimate and effective treatment for ectopic pregnancy."
Source: The Life Institute/Life Site news: http://www.lifesitenews.com/news/shock-study-describes-catastrophic-outcomes-when-ectopic-pregnancies-misdia
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