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Tuesday, February 27, 2024

Gynecologist on emergency contraception: it is completely safe

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A medical facility should not have a conscience clause. We all pay health insurance contributions and everyone should have the opportunity to use health services that are covered by the National Health Fund contract – said gynecologist Dr. Anna Orawiec, author of the Doktor Ashtanga blog, on TVN24. She also talked about the so-called morning after pill. In her opinion, “an unwanted pregnancy or teenage pregnancy should arouse more emotions than the use of an emergency pill.”

– Gynecology and medicine believe that a woman, a couple, has the ability to consciously decide when and how she wants to get pregnant. And when a situation arises that we need emergency contraception, I believe that this is a new medical invention, that up to 120 hours after unprotected intercourse, after intercourse where the contraception has failed, where somehow this contraception simply used did not work, we can still safely use this emergency method – said gynecologist Dr. Anna Orawiec, author of the Doktor Ashtanga blog, on TVN24.

When asked what we should know about emergency contraception, she replied that it must be “first of all, safe.” – Of course, it should be used only in emergency situations. (…) It is not a question of a teenager or a person who does not want to have a child should use this type of protection permanently. However, there is not a certain number of permitted pills that could be used, so of course, education on how to protect yourself remembers that an emergency pill is a pill that can protect us against unwanted pregnancy, that the sooner we take it, the more effective it is because it is not an early abortion pill, said the gynecologist.

Emergency contraception, morning-after pill Shutterstock

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She explained that it is a pill that prevents or postpones ovulation. – This means that if fertilization does occur, this tablet will not have a negative impact on the course of pregnancy or the development of the embryo. There should be no such concerns here either, she reassured.

In her opinion, “an unwanted pregnancy or teenage pregnancy should arouse more emotions than the use of an emergency pill.”

“A medical facility should not have a conscience clause”

Minister of Health Izabela Leszczyna she presented on Wednesday project for women “Safe, conscious self”. She talked about, among other things, abortion. – The Minister of Health and certainly doctors, hospitals, and all gynecological and obstetric departments must ensure the safety of women who come to the hospital because their health or life is threatened by pregnancy – she emphasized.

She explained that “if we are talking about a threat to a woman’s health or life, a doctor cannot invoke the so-called conscience clause.” – We will remind and change the provisions in the general terms and conditions of contracts National Health Fund with gynecological and obstetric departments. (…) The head of a facility that has such a contract with the National Health Fund must ensure termination of pregnancy in accordance with Polish law, i.e. in these two cases – she emphasized. She announced that “there will be no lists of hospitals where pregnancies are terminated and those where it is not done.” – Do you want to have a contract with the National Health Fund? Well, you have to fulfill the benefits package for which you receive money. Otherwise, you simply won’t have this contract, said the minister.

Leszczyna: if there is a threat to a woman’s life or health, the doctor cannot invoke the conscience clauseTVN24

– I believe that a medical facility should not have a conscience clause. We all pay health insurance contributions and everyone should have the opportunity to use health services that are covered by the National Health Fund contract – commented Dr. Orawiec on TVN24.

When asked what shape the law on termination of pregnancy should take in her opinion, she replied that “these benefits should be available to every woman without giving a reason until the twelfth week.” – She should decide for herself whether she wants to carry out such a procedure at home, for example she goes to a doctor, says she has a problem and wants help. The doctor provides medical information on how to perform this procedure. The patient returns home with recommendations. This medical abortion is performed within four walls and then the patient is checked. For some patients, such a service could be provided in the hospital if they need to be under greater supervision – said the gynecologist.

"A medical facility should not have a conscience clause"

“A medical facility should not have a conscience clause”TVN24

According to her, “for women who struggle with abnormalities in the fetus, this possibility should be extended to at least the twenty-fourth week, and if the fetus has an abnormality that makes it impossible to live independently, even until the end of pregnancy.” – In situations where life and health are at risk, this is of course also indefinite – she added.

When asked whether information about such a procedure should be included in the medical documentation, she replied that “there is no reason why it should be.” – Polish women, every fifth or sixth pregnant woman experiences a miscarriage and these miscarriages are not documented anywhere. From a health point of view, I cannot justify it, she said.

In the opinion of the gynecologist, the “first step” should be the decriminalization of abortion. – Because in fact, a woman in Poland is not punished for having an abortion. Helping is punished, doctors are punished, and I think that health care and the comfort of doctors would definitely change if there was no risk of criminal liability for it, she said. She added that “the second step is to rebuild patients’ trust in doctors and to give them the widest possible decision-making opportunities when it comes to reproductive health.”

Main photo source: Shutterstock



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