INTRODUCTION

When one thinks about the possibility of the abortion, generally the take lightly very without measuring the serious consequences that can affect to other people aside from the mother and of the boy, of those who think that the only ones involved in this great problem are. 1.1. - OBJECTIVE. - This monograph goes directed to our society, to inform it and to orient it about the reality in which we lived and of the constant abortions that exist at the present time. It goes directed to our youth, so that they are conscious of the crude reality which we lived in the country and of the constant sexual harassments that we suffered in our society. Is form to orient to our youth on reality to have relation sexual and future consequences, on that they will have to rely by this illegal diversion which they had a certain day, not indicated by his parents. In summary this monograph goes directed to all the society to thus be able to lower the high index of daily abortions that are made in the country. 1,2 JUSTIFICATION. - In this monograph we presented/displayed in clear and direct form to those who truely it damages and it affects the abortion and we do it with the intention so that we pruned to reflect very at great length before making this ominous decision. In this work we will try to give a clear Vista and specifies on all the problems that can ocacionar to practice an abortion. We will try to inform on but you suffer statistics that give and show the crude reality that exerts the abortion in Bolivia. We are going to present youth, the lack of information which they lack from its parents since from fear of which happens through bad steps or deviations leave their children, so that they look for their information, that often they find in magazines, books, and television. We are going to know legal, psychological the problems social problem, physiological or medical spiritual or religious problem, problems, that can bring when an abortion practices. We are going to know the different types from abortions that exist at the present time and because I know compel these types of abortions, its only exit is to abort to the creature who is a difficult situation for a mother and her son. 2.0. - TO WHO DAMAGES THE ABORTION. - 2.1. - TO THE ASSASSINATED BOY. - In the first place the abortion damages the boy assassinating to him, clearing the life to him. It has been verified medical and scientifically, that at he himself moment of the union of the spermatozoon with the ovum, exists a new person, since that seed, has all the physical characteristics and psychological of a unique being having contributed each one of the parents 50% of the chromosomes you will take part. The boy to the hours to be developed already even has an own metabolism and a hormonal system, being layers to create natural defenses against the biological mechanisms of rejections that are inherent to the mother. (1) The author gives a clear example us on the responsibility that gives us when aborting, since as much the man as the woman is responsible for that boy who in future goes to be born. When aborting we are committing a murder, since the boy from the moment at which he forms already considers one but of our society he is due to which we must think well before making any class of escape to a problem like this. 2.2. - TO ITS MOTHER. - Secondly the abortion damages the mother. Perhaps the woman who is put under an abortion does not understand exactly her responsibility and what that act can carry to him, but the made studies clinically give the following results us: - Infections caused by rest of the fetus and/or placenta that is in the matrix. - Trombosis of pelvis. - Great hemorrhages - Perforation of the uterus - Trombosis - Embolia - Sterility - Transtornos menstrual. PSYCHIC CONSEQUENCES: Shepherd: Eladio Alvarez Balcazar (1) Dr Eladio Alvarez B. - In defense of defenseless p 2 - Irrefrenable Anguish of the young lady under the idea of: (Like serious its boy if it had not aborted) - Depressive Humor. • Psychosomatic Disturbances • Disturbances of the dream, tremendous nightmares • Deformations of the personality • Difficult and prolonged Treatment • Accusation in its conscience that has committed a murder. (2) The abortion damages the mother so that she is she who is put under a wished abortion and does not run with the responsibility that can carry to him. All the problems before mentioned are a clear example of all the infections upheavals that can get to infect themselves or can get to have the mother because this aborting. All the psychosomatic disturbances, dream, deformations accusations against she herself irrefrenable anguish, they are some cases of which gets to suffer the mother who to aborted. As much the infections as the psychic consequences can affect the mother thus being sterile and becoming thus a lunatic one it is possible to be gotten to hate to all class of children. 2.3. - DAMAGES THAT CAUSE THE DOCTORS ABORTANTES. - Often we thought that the abortion only affects to the boy and slightly the mother, but is not thus, thirdly we see that the abortion also affects the “DOCTORS” ABORTANTES, who by money or to make a “favor” to the patient carry out the abortion, without a doubt is under the imminent judgment of God, like homicidas, and undergo in themselves the spiritual death still more and, the cauterization of the conscience, that slowly makes arrive at the total dehumanization Let us remember that all doctor when withdrawing makes his oath committing itself to use all his knowledge to save the life, because for this has studied and it has become qualified. The HIPOCRATES oath the father of the medicine says: “MANTENDRE UPPER THE RESPECT BY THE HUMAN LIFE FROM THE MOMENT OF THE CONCEPTION” (3) (2) Dr Eladio Alvarez Balcazar- In defense of but the defenseless Pag.8 When making an abortion he doctor this failing to fulfill the oath that I make that it says well clear that respect by the human life will upper maintain he from the moment of the conception. She is why this failing to fulfill with the medicine norms, and the professional ethics, is so not-single the mother becomes jumbled aborted also he but that doctor who practices an abortion. If there were not doctors who practiced the abortions, the percentage of daily abortions would diminish. RIGHTS AND OBLIGATIONS OF A DOCTOR A doctor (doctor) has the following right and obligations towards the community or the society in general: * The doctor will have to give the benefits of the medicine without distinction to all person who needs it. * In case of urgency, that he implies imminent danger of death, no doctor will be able to deny the attention to the person or the people who are wounded or unconscious, after some accidents and/or urgency where the aid of some doctor is due to require. * It is obligation of the doctor to grant to the patient the human consideration, offering his moral aid him and respecting his religious beliefs. * The doctor must scrupulously respect the pudor of the person and all clinical or instrumental examination that makes. * The doctor has the power and obligation to make an abortion in case that the this in danger life of his patient and of the neoborn one, previous consultation to the family parents. * The doctor can make an abortion when the case appears that has morphologic malformations the boy. * The doctor can make an abortion in case the boy has been concevido by a violation. * The doctor must maintain the medical ètica in the attention of the patient. • The doctor has the right of not paying medical attention to those people who incur against the “Oath of Hipócrates”. (the HIPOCRATES oath the father of the medicine says: “MANTENDRE UPPER THE RESPECT BY THE HUMAN LIFE FROM THE MOMENT OF THE CONCEPTION” (3)) He is why it has the right and the power to refuse to make any type of abortion, when carrying out he himself would go against his oath by the life from the moment of the conception. Also we do not have to leave of sides that by a certain amount of money, any doctor offers to make this special job class. 2.4. - DAMAGES THAT IT CAUSES TO GOD. - The abortion damages to God, because he has created us according to his image and similarity, forming lovingly in the maternal belly each human creature. The right only keeps to give or to clear it. S generally thinks that God has little to do with the gestation, occurring that as a biological process and considers person to the boy only to the salary transposed the uterus towards an independent existence. Nevertheless, the word of God describes, a beautiful and impressive way what happens before the lighting: Because you formed my you involve, you did to me in the belly of my mother. He will praise to you; because formidable, wonderful they are your works; I am astonished, and my soul knows it very well. My body, that in hidden was formed, and well entretejido was not concealed of you in deepest of the Earth. My embryo saw your eyes and in your book those things that soon were formed, without lacking one of them were written all (Psalms 139:13 - 16). (4) The abortion goes against the laws of God that us to created to its image and similarity forming to us lovingly in the maternal belly to each new creature. It is why he is the unique one that can give the life and clear it to us. In the Bible we found and it describes clearly to all the laws or orders to us that the Gentleman for us gave us. As the author mentions some versicles and some chapters of the Bible we can find, but amount, where she explains clearly the orders to us that give us children to their who we are. He is why we must follow on foot signs all the orders that he gives us, and not to turn aside when practicing an abortion. When we made an abortion we are going against the orders of the Gentleman, which us makes worthy to receive a ejemplarizador punishment. So that we are becoming assassins when killing our own son who is not the guilty to come to be created or to occur to know like a fetus. “Jehovah, to you I have cried out; my voice apresúrese to my listening when it invokes to you. Pon keeps to my mouth, oh JEHOVAH; it keeps the door from my lips. You do not leave inclines my heart to bad thing, to make works impías. With that they make iniquidad; and noncomma I of its delights. (4) Dr - Eladio Alvarez Balcazar. - In defense of defenseless That the right one punishes to me, will be a favor, and that reprimands to me it will be an excellent balsam. That they will not hurt the head to me; but my oration will be continuously against the badnesses of those. 2.5. - DAMAGE THAT IT CAUSES TO THE SOCIETY. - In each Aborto, the society is private of a new human being and the social conscience, simultaneously is affected. Today lamentably the abortion is almost natural and people in the end ignore it and until she accepts it, also falling in the sin of the homicide. From We remember the alarming numbers our city Santa Cruz on the abortion, 150 daily abortions in our city and of those 65% correspond to young ladies of between 14 and 18 añosde age. Of whichever lives I really know this depriving our society and the future of our country it would be possible to be found in these so defenseless beings that they die day to day in our houses, hospitals, streets and in all the clandestine clinics. The murders that are made atravez of the abortion are but high that the deads in accidents and of the street fights product of the violence. It admires to us that the abortion surpasses not only in a 100%, but perhaps in 500% or 1000% of deads of our society. Really these numbers alarm to us, for that reason it is necessary that we do something against this great slaughter. Let us think that if we continued this way we get to dehumanize said to the Mother Teresa to it de Calcuta very well when making a tremendous question: “If a mother is able to kill her own children, who we can hope later? (5) In each abortion it is clear and specifically that the society this losing a human being, a person who can guide the country in future stages.

At the present time too many abortions exist as much that I know this turning something natural, much people practice without knowing them the consequences that can bring. Most of the abortions that are made in the present time youngsters of between 14 and 18 years do thus being able to leave the hardship in which they have put due to an illegal sexual relation. The amount of abortions is demagogic since many abortions exist but that births from children to the country. This present problem could be corrected orienting better to the society, educating to youth in schools and universities that killing or aborting that creature can be left or not always be escaped of this problem in which it is. (5) Dr.Eladio Alvarez Balcazar - In defense of defenseless - Page 10 Also this problem could be corrected giving one better direction to the parents so that they in the future years try to simply orient them to their children so that thus they do not put in this class of problems and recall to mind before having a sexual relation, but hoping until the marriage to be able to plan the amount of children whom they love to have. 3.0. - UNMARRIED MOTHER. - She is the woman who for different reasons and circumstances, in most of the times without wanting it, is more with the responsibility of a son or, than often instead of being his joy, is his calvario and estigma. Next we will give some and the main causes: 1. - THE SEXUAL IGNORANCE, THE DECEIT AND THE ABILITY OF THE GALLANT. 2. - THE SOCIAL PRESSURE SINCE ALL THEY DO IT. 3. - THE EAGERNESS TO RETAIN THE FIANCÈ WHO GOES AWAY. 4. - THE LACK OF A REAL AND PERTINENT SPIRITUAL LIFE 5. - THE LACK OF MORAL AND SPIRITUAL PRINCIPLES LIKE OF AN INADEQUATE DISCIPLINE 6. - THE LACK OF A PLAN IN THE LIFE AND A GOAL THAT TO REACH AS MUCH IN THE MORAL, SPIRITUAL, SOCIAL AND PERSONAL, THAT GIVES SENSE HIM TO THE LIFE LIKE A SUITABLE DIRECTION. (1) All the previous points can bring constants rejections from the relatives, friends and before itself, the lack of respect and dignity as much in front of the pair as also next to other people. They can bring frustration and solitude, uncertainty and anxiety before which can be or it cannot be. It can bring psychological problems of the adolescent who this pregnant woman, since often we do not know to confront a problem like the this and worse one if it is of a so great amplitude. Divided families and shamed mutually. Truncated races and possibilities frustrated. Children without parents, padrastros, stepbrothers. Constant problems in the labor works or. POSSIBLE ALTERNATIVES We must at least see the problem in two perspective: a) How to come up? - Developing a program of familiar direction with a suitable sexual education. Somehow this must be oriented to the groups according to its necessity. (1) Pierre Lanares- the Secrets of the Love p 57-58 - There are groups that suffer of different elements according to the social level which they live, but that of way some they such induce to results that others in another level. b) TO HELP the UNMARRIED MOTHERS. - To create centers of emotional support (psychological), as much social and of work. To create support battalions directed specially to the children and relatives of the unmarried mothers. To create a law where an embarrassed girl says that, can be sustained by the father of the son whom it has in the belly. 4.0. - DAMAGES THAT CAUSE DIFFERENT MEANS FROM COMMUNICATION IN THE NATIONAL SCOPE. From 1995 that was the year in which they left the different preservative marks as much for man as for woman an increase of near 200% in relation to the abortions has been seen that existed day to day in our country. We would not let pass through stop the different commercial propagandas or that exist as much in the TV. , radio and presses in which appear attractive women urging to use its products without no problem, so it is the case of following products: Preservatives: panther, protector delux, sultán, play boy, trementor (masculine use) Preservatives in capsules or tablets for feminine use: Meninginon, Ginovin, Nordete, Lofemenal, Mesigina, Duofen, Noriday, Microginon, Microblar. Injectable for women: Mesigina, Deproprobera 100ml., Deproprobera 50ml. , Perlutan, Perlutal. Feminine preservative delux: Realiti, Meninginon, etc. Outside these products we could name other companies that they urge to have sexual relations with any person so is the case of cigarettes and the spirits. The most excellent company in this point is the cigarette distributor DERBI, who introduces to the national market her new promotion: SMOOTH DERBI. “For intense people '' In which it reflects a pair having sexual relations without no class of protection and we can observe the complete relation soon to smoke a cigarette. This commercial one would have to be vetoed so that any moment a minor one can see this class of images, that would think our childhood of this class of sexual hint by television. Also we found calendars, magazines, figures, posters, facades and other accessories within reach of our childhood and also these young innocents grow with this mentality of free sex, anyone and surely. From the month of March incursiona in all the new country a matutinal one: It was “the Extra” newspaper, in which aside from bringing certain class of information, very it jeopardize with the facts and embers that happen in the country and presenting/displaying information that other newspapers do not dare, presents/displays certain class of pornográficas covers, including also pornográficas photographies and that present/display some class of poses or positions In that any person can badly form a criterion on the women. Here one is born of the greatest faults of education, since we do not know to educate our children and they easily receive bad information without no class of own effort since they find SWEEPINGS in the television. Towards they grow and they arrive at the adolescence and they look for to experiment by its own account, this class of pleasing sexual with its companions, friends, etc. Here he is where they are with the reality of the problem in which they put since as much the girl does not want to be unmarried mother and to ruin her so provisory future, the boy washes the hands saying that it was not his fault if not the one of her, or easily he says to him that he is not his son if not who is of another boy. The only nearer exit is the one to abort to that small creature who does not have any class of fault to have so irresponsible parents that they do not want to admit his error and they want to go out by the small door that is a clinic where the abortions are made. Without knowing the problems that can cause to them to make this abortion, as much physically, as intellectually, also with justice that can go to prison by but of 15 years. The mother can be sterile for all her life. Aside from these points, we could also name the different points of contact to have relations or easily to pass moments intimate of our youth so it is the case of squares, parks, cinemas, hotels, motels, etc. These are very common places where the well-taken care of young people meet to know themselves more good and on the seriousness and of our youth depends there to deny or to accept to make acts illegal of which they are possible to be regreted for all the life, besides to exist certain class of sexual incitación if the man or the woman does not accept due to his direction properly prepared, we can decrease or lower the index of abortions, in special in Santa Cruz who is the department with the greater index of abortions in the country. The sexual act is a free act, of personal and responsible decision. Single your you are the person in charge of your acts. At the present time we counted on televising programs where they give the sufficient information us and direction on this so delicate subject so is the case of the program: “WE SPEAK OF SEX” of the DRA. Elena Ochoa, who is spread by Network BOLIVISION. In this program it gives a good base us of information about different the points about SEX, the positive and negative, the reality and the lie on this controversial point that affects the society. (This program is spread by Bolivision all Sundays to the 23 hours, this program is rematizado of a channel of Spain. We back do not leave the program of denominated Network One of Bolivia: RED CHRONICLE, under the conduction of the Lic. Oscar Vargas and presents/displays different points from national interest. These are one of the few educative programs on which we counted at the moment. But we do not let pass through stop the great amount of novels that emit my television channels, in which it presents/displays problems and more problems, caused cases of pregnancies nonwished, abortions, sexual relations with other people that are not their spouses and spouses, kids enamored with their professors, abandonment of their children and soon repentance, deaths and treason, proxenetismo, brothers and sisters who hate themselves and by revenge they have relations with the fiancès of his sisters, harassment sexual from its companions, loving relations within the educative establishments of our children, etc. In order to spread this class of programs yes they have hearing whereas educative programs do not have any class of attention from our young people which causes that we act against our moral principles. When seeing and observing this novel class we are putting MENTAL SWEEPINGS, we already thought that everything is thus and we began to act thus and the only thing that we do it is to move away but and more of the spiritual and moral reality. We must create a calm emotional atmosphere and in the only thing that the women and men would have to think it is in having a good education and as much demonstrating it in our houses as in the different educative centers. Most of our young ladies they are dedicated to see novels, horóscopos, calendars, social magazines of beauty, modelaje, areas of national ours farándula, etc. Whereas our young people look for calendars, pornográficas magazines, pósters with naked women exhibiting the intimate parts of its body, etc. I asked myself: HOW LONG DEDICATES OUR YOUTH TO ITS STUDIES AND TO PRACTICE SOME SPORT? Most of our young people minutes for their studies and 1-3 dedicate daily of 30-45 hours for the different sports. But they do not see that necessity to look for in a book, the sufficient information to be able to have a life heals and good health. Our youth this badly customary one so that with great difficulty they fulfill the tasks of school and the university where commands to us to read some book and is like a punishment for us, whereas simply it is for cultivating and learning a little but about the events that happen and futures problems that we are going to have to surpass. The serious error that a father commits is to give the control of its life to its son and to let to him do what he wants at the moment that he wants. The parents would not have to loosen to their children with as much facility to nocturnal places, social celebrations, special events, etc. In these exits our young people tend to turn aside themselves towards the different ways that took us problem to both which already never but we perhaps pruned to leave, so is the case of the alcoholism, illicit drugs, sexual relations, loving appointments, pregnancies nonwished and soon the different classes from escapes will come like: to rob for being able to maintain the vice, to escape or to join themselves with boys who do not know of where they removed the sufficient money as to be able to maintain to a family and for the end of everything he gets himself to plan an abortion to leave the hardship and so that thus they do not have problems with his own parents and to either create conflicts and enemistad between the different families from the boys involved in this problem. RECOMMENDATION TO OUR YOUNG PEOPLE. - All young person must know how to define and to consider the attitude of which she has he towards his friends and their friends towards him, therefore as they say that way, respect keeps respect. We do not have to be influenced by our friends, so that this it is a democratic country and it frees, of any way we are going away to consider less if one of them indicates to us that we watered down something and we do not do it.

Not so that all I also do I am going it to do, not because your friend smokes, I I am going to smoke, not so that my friend consumes spirits I I am going to consume them. By you are not the owner of your body, of your soul and of your being, if your tea ill, your friend does not suffer with you, is not going to go with you to the cemetery, nor she is going to die with you; rather one is going away to laugh of which incredulous but a key in its trick and murrio. For that reason your you choose: IT CHOOSES THE GOOD WAY, SANO, WITH GOD AND YOUR PURE CONSCIENCE. WITHOUT FEAR TO MISTAKE DIRIAMOS TO ME THAT IS THE BEST ADVICE THAN TEA DARIA A FRIEND REALLY. You do not forget: YOUR YOU CHOOSE, NOT YOUR FRIENDS. With your clean conscience and without no error behind you, you will live peacefully By always. Very Good Advice: Edwin Ricardo Serrudo Barrionuevo. JUDICIAL SCOPE As far as the point of view of justice we will say the following thing: We have different articles in the penal code, civil code and in the familiar code, in which they say worse that of no way they let pass through high no assassinated type of of no nature, if is a minor who has made the point before mentioned. Next we will say that to justice in our country this not exerting itself with much clarity, because they do not put in practices all its articles and laws in general, in addition that often are let confuse by the facts and not by the attempts of the fact before mentioned. Next we will offer all the articles that talk about and punish the people who are made an abortion, to that help to make them, etc. We will go to Capitulo I number Two of the Penal Code and we will mention: I ARTICULATE 258: “Infanticide” The mother, to encibrir her horrorosidad of a fact, death to her son during the childbirth or three days despuès will incur to deprivation of freedom of one to three years. I ARTICULATE 263: “The one that caused the death of a fetus in the maternal sine” The one that caused the death of a fetus in the maternal sine or will cause its premature expulsion, will be sanctioned: 1. - With deprivation of freedom of two to six years, if the abortion were practiced without the consent of the smaller woman of sixteen years. 2. - With deprivation of freedom of one to three years, if outside practiced with the consent of the greater woman of sixteen years. 3. - With imprisonment of one to three years, to the woman who has offered her consent. The attempt of the woman is not unpunished (punible). I ARTICULATE 265: “Abortion Honóris and Causa” If the crime were assignment, to save the honor of the woman, it is by she herself or by third people, with consent by those, the sanction will have imprisonment of 6 months to two years having agrabando itself if the death happened. Very special gratefulness to our Legal Adviser: Dra. Claudia Bonillas Rojas 5.0. - RECURRENT AND SPONTANEOUS ABORTION Recurrent abortion. - There is no doubt that with the abortions produced in a woman in several opportunities the probability that it appears another one later is of 47%. The possible causes of the abortions are many, but the investigation of 3 categories you diagnose main, genetic, hormonal and anatomical they explain the recurrent ones most of. Genetic causes. - The genetic causes of the abortion go from new reacomodo chromosomal structural neumerico or that affects fetal products, until a new structural chromosomic disposition of one of the parents who transmit the embryo. Hormonal causes. - The suitable function of special the corpus luteum in the progesterone production is indispensable for the implantation like for the conservation of the pregnancy early. A relation adapted between progesterone is required and estradiol in the luteínica phase, to transform the site of endometrial implantation with necessary the secretory pattern for the nidación, when the progesterone production is insufficient can have infertility but the insufficiency of the corpus luteum, with low progesterone also causes recurrent abortion. It is important to recognize the importance of the normality of the endometrium and the site of implantation. Therefore if a treatment with progesterone is going to be used, one began before it lacks the menstrual period. When it begins later is too much behind schedule so that he is effective; also it is adapted to institute any type of treatment to eliminate an abortion threat. When a causal factor for the luteous insufficiency is determined, this it must be treated, but single after putting under the patient to a valuation it diagnoses suitable. 5.1. - UTERINE AND CERVICAL CAUSES. - The cervical or traumatic or congenital incompetencia, can accompany repeated abortions and clinical history constitutes for I diagnose. It is characterized by the sudden expulsion of all products of the conception between week 18 and 32 of the pregnancy, without cólicos nor previous hemorrhages. If the patient experienced some traumatic surgical procedure before the first abortion or to feel an injury in the physical exploration, in special at the time of the abortion, I diagnose is assured. The recurrent abortions can be due to uterine abnormalitys, in special tabicado uterus. Nevertheless single 25% of the patients with double uterus have problems of lost fetal. The pregnancy can finish in any trimester, but the normal fetus birth of or one premature one characterizes themselves by during the second trimester. The primary infertility does not have to be a manifestation of the uterine abnormalitys. He is characteristic that each pregnancy but is prolonged that the previous one, until obtaining an alive birth. 5.2. - INFECTIOUS CAUSES. - One thinks that several types of infection, as much uterine as scattered, can cause abortions, but most of these have been related to one single one and not to recurrent. Between these are the virales infections, by herpes, rubéola and by infection citomegálicas. In 58% of the patients encontro elevation of the antibodies against Listeria and although in theory is indicated to toxoplasmosis and brúcela as causes of recurrent abortion, these data are not definitive. Also they think that the endometrial infections focal by microplasma and abortion. On the other hand they detected endometrial infections in 29 of 195 and found that the most frequent microorganisms were U.urealiticum and toxoplasma gondii. These patients were dealt with antibiotics and in the end 16 of them were pregnant. The culture of these microorganism from the endometrium without cervical contamination is difficult, but when it becomes in meticulous form the results suggest is no correlation between the cervical culture and the endometrial one. On the other hand the serologica determination is important in some circumstances. In certain cases of recurrent abortions he is better to apply or to administer Doxiciclina in 200mg during the first day of the menstruation, followed of 100mg during two weeks.

In you complete surveys reduced the index to them of abortions from 96 to 47% in women dealt with Doxiciclina before the conception and until the 20% with that they were with single esterearato of eritromicina during the pregnancy, all of them had positive cultures for hominis. ALL THIS INFORMATION COAT OF FOLLOWING BOOKS: 1. - Jansen RPS- Sponthan abortion incidence in the treatem of infertiliti- Obstet Gynecol-143-151 2. - Poland BJ. Miller Jr Jones DC. - Reproductive counseling in patients who have had spontaneous aborting- 147 - 165 3. - Warburtong D. Franser-On the probability that to woman who there are had to spontaneous abortiun subsequent to will abort in a pregnancians - 68 - 84 4. - Fitz Simmong J. Jackson D, Warpner R. Jackson L. - Subsequent reproductive outcome in couples with repeated prefnancy loss- a.m. J. Med Gennet 16-58 5. - Simpson JL. Genes - Chromosomes and reproductive fairele - fertile Steril 33 - 107 6. - Tho PT Byrd JR Mc. Donoung. - Etiologic and subsequent reproductive performance of 100 couples with recurrent abortions- Fertile Steril- 32-89 7. - Laurenting JC. - Aetiology of spontaneous abortion - Act obstet Ginecold Scand Suppl-52-76 8. - Hook EB Cross PK Regals RR. The frequency of 47+21,47+18 and 47+13 AT the uppermont you carry far of maternal ages: resultang on 56000 fetuses studied prenatally and comparison with dates on libertbits - 68-211 9. - Mc Donoung PG. - Repeated first - trimenters pregnancy loss - evaluations and manangement - a.m. J. Obstet ginecol 153 - 191 10. - Harris MJ. Dill - Tripoidy in 40 abortuses human spontaneous: assessment of phenotype in embryos - Obstet Ginecol 57-600 5.3. - TOXIC AND ENVIRONMENTAL CAUSES. - Some toxic products produce lost gestacionales and fetal abnormalitys and even inhalaci ón, the smoke produce abortions. In the most recent data they suggest the alcohol is a embriotoxina and that are relations between the spontaneous abortion and the ingestion of spirits during the pregnancy. They informed that when drinking but into 300ml. of absolute alcohol until twice per week it is sufficient to put in danger the fetus. 5.4. - METABOLIC CAUSES AND ENDOCRINAS. - Any chronic disease can be accompanied by abortions, although the hepáticas and renales diseases tie with anovulación. Caquexia or the excessive obesity also cause anovulacion. Other endocrinos problems that also can accompany with frequent abortions are the alterations thyroid and the diabetes saccharin. The hipotiroidismo is a rare cause and subtle of recurrent, single abortion when it is in his phases but outposts, since the variety sustains produces macrosomía and in cases deaths. A very common disease that it produces abortions very recurrent is scattered or generalized erythematous lupus. The importance of finding antibodies this in that glucocorticoids in the case of the anticuagulante of lupus can be suppressed when administering. Nevertheless all the pregnancies into which one inquires that they had complications and it is clear that it must study on the matter but. 5.5. - IMMUNOLOGICAL CAUSES. - For several years one has been studying the different immunological causes for the recurrent abortion, but it is considered rare. The mutual incompatibility of the RH does not cause repeated abortions, but certain compatibility of ABO I could be accompanied by this clinical syndrome. In the system the group P, the phenotype indicates to individuals of detectable character of antigen P in the eritrocitos. The fetus is homoinjerto, which means that in the immunological sense it is a different individual that contains strange proteins and anti - hygienic for the maternal guest. Some authors say that the fetal rejection can be as a result of a spontaneous abortion. It is said that the circulating antibody blocking can protect to the fetus against the attack of the maternal lymphocytes and that the patients with recurrent abortions can lack the amount adapted of the blocking ones, this factor can be the progesterone or the HCG. The placenta has a very important biological function for the immunological barrier between mother and fetus. The immunological system of the mother is a constant danger for the fetus that contains cellular antigens to pater to us strange for her. In summary because the parents contain different antigens these can or it is not going away to be able maternal immunization against the placentarios polymorphic determinants, which I take to them to try the production of the antigens. Control and to initiate but studies of perspective is due to make studies additional, to define but the groups to clarify these subjects so controverted. The possibility exists of transmitting the syndrome of acquired immunodeficiency (SIDA), by donors of leukocytes. The endometriosis is a disease in reproductive age and seems to accompany itself with the greater one I number of spontaneous abortions, although in most of the cases he I diagnose is made before the patient undergoes one or more abortions. Arabic to English BETA Chinese (Simplified) to English BETA English to Arabic BETA English to Chinese (Simplified) BETA English to French English to German English to Italian English to Japanese BETA English to Korean BETA English to Portuguese English to Russian BETA English to Spanish French to English French to German German to English German to French Italian to English Japanese to English BETA Korean to English BETA Portuguese to English Russian to English BETA Spanish to English

 

Still its exact cause is not known, but it assumes that the women with spontaneous endometriosis have an altered cellular immunological answer against autólogos antigens, that allow inplantacion of endometrial fragments transported by routes you pull back, single in women with a single type of cellular immunodeficiency. Some studies in certain women show that there is alteration in the cellular immunity, that varies according to the clinical gravity of the disease and that the answer of the linfocítica variation against autólogo endometrial antigen is inferior with the patient of serious type of the disease. These studies suggest an immunological base for the endometriosis and perhaps certain relation with the abortions. 5.6. - CAUSES IATROGENAS. - Between the iatrogenas causes of the abortion it includes the cytotoxic drug use like ciclofosfamina (CITOXAN). In the treatment of the drop and talasemia Colchicina is administered that stops the formation of the bobbin during the mitosis and therefore can cause lost gestacional. In the man the Colchicina produces lost in the espermatogénesis in several ocaciones. The luteolíticos drugs, that cause halting of the function of the corpus luteum, can produce recurrent abortions; the progestacionales drug administration can diminish the progesterone production and cause luteolosis. Although contraceptive the used estrogens as post - sex also is luteolíticos, they never must be used in the presence of a possible pregnancy and therefore they lack a clinical importance. Also the masculine factors, the previous valuation to the conception of the pair with habitual abortion take part here. Monitoring subsequent to the conception and treatment of the first part of the pregnancy. 5.6. - SPONTANEOUS ABORTION. - It is an early abortion before completing the 22 weeks of gestation. One of the main causes constitutes the chromosomic abnormalitys. During the second trimester they influence other causes like cervical insufficiency and abnormalitys in the uterine architecture. 10% of the clinical pregnancies almost finish in spontaneous abortions and the early abortions are but frequent. Up to 40% of the pregnancies of six weeks they have at least a period of uterine hemorrhage, that can be accompanied by slight cólicos and abortion threat is denominated. Threat of abortion is when the patient suffers and usually has a gestacional age of six to 20 weeks and undergo discreet vaginal hemorrhage with slight uterine cólicos. In the physical revision the cervical orifice does not appear expanded, the hemorrhage comes from the cervical conduit and is autolimitada. Other parts must be excluded from the hemorrhage like being coldable neck or inclusively rectal or uretral hemorrhage. The soft uterus this and painful one. This situation has spontaneous resolution in half of the cases and the continuous pregnancy. 5.7. - INEVITABLE ABORTION. - When it makes worse the pain or the hemorrhage, he I foretell of the pregnancy is sober. If the patient woven remainder but the cervical expansion is not more of 1.5cm or in absence of cervical competition, it says that it presents/displays inevitable abortion. These patients are the same form who who suffer incomplete abortion and often is difficult to be sure that not remainder woven in mixed inadvertent form with sanguineous clots. 5.8. - INCOMPLETE ABORTION. - The patients who reject in spontaneous form deciduas or products of the conception undergo incompletos abortions and can present/display abundant hemorrhage, intense clots and cólicos. When they are not noticed of the weave remainder, a microscopic and microscopic inspection of the clots or expelled material must become. If it is not possible to identify it with certainty from the microscopic point of view and the histólogos data constande decides just by trofoblasticos elements, ectópico pregnancy must be suspected. These patients need legrado uterine to assure the complete evacuation the conception, in special when the pregnancy has like minimum eight weeks and to prevent a hemorrhage maintained with cólicos, as well as infection. Arabic to English BETA Chinese (Simplified) to English BETA English to Arabic BETA English to Chinese (Simplified) BETA English to French English to German English to Italian English to Japanese BETA English to Korean BETA English to Portuguese English to Russian BETA English to Spanish French to English French to German German to English German to French Italian to English Japanese to English BETA Korean to English BETA Portuguese to English Russian to English BETA Spanish to English

 

It already shows cervical expansion, so generally legrado simple with paracervical block can become and to register to the patient immediately. When the pregnancy is in the second trimester makes sure to do legrado in the operating room, to remove the fetal and placentarios rest, since the hemorrhage can be abundant. The use of an aspiration apparatus makes the work a little but fast and effective thus we evacuated the uterus as rapidly as possible. 5.9ABORTO COMPLETE. - In rare times a patient rejects in spontaneous form all the product of the intact conception, generally accompanied by cólicos, hemorrhage and clots. If the patient takes his weaves and she observes to him from the microscopic point of view that these consist of placenta and fetus and if the hemorrhage yielded, is not necessary legrado. When the products of the conception are expelled from inadvertent form, the ultrasonidográfico study showed an empty uterus. In case of becoming legrado data histólogos they can consist of decidua without vellosidad, some times with change of Estella Aryans in the endometrium, this can be confused with a ectópico pregnancy. The seriadas determinations of B_HCG help to distinguish between these clinical organizations. If the continuous hemorrhage, this indicated to make legrado to assure the complete evacuation the uterine cavity. When there is certainty of the no evacuation or when there is no trofoblástico weave, the number of B_HCG must be repeated until it becomes negative. If this takes but of eight weeks or the numbers become stabilized in plateau or they rise, they take place legrado expansion and. 5.10. - RETAINED DEAD EGG. - Some intrauterine pregnancies undergo spontaneous fetal death, but without abnormal hemorrhage, nor pain. When it happens a death of the eight or more weeks of evolution and the product of the conception I do not expel myself in spontaneous form, the patient has a dead and retained egg. There are other upheavals known like anembriotico pregnancy, in which it happens placentario development early but never they appear parts of the fetus. These pregnancies can remain asintomáticos during several weeks, with lack of uterine growth like only abnormal data; the ultrasound to the six weeks showed an empty coat and the number of B_HCB will be low and with sense to be reduced. When observing a desorrollado fetus without motilidad already cardiac diagnoses fetal death. If the patient does not suffer pain or hemorrhage, to thinking about a dead and retained egg; when it is verified fetal death is due to do legrado. These patients treat like whom they have undergone an incomplete abortion. The patient with uterine flood evident or products of the conception in the neck or the vagina, nevertheless without a doubt presents/displays an intrauterine pregnancy, on the other hand she can be very difficult the distinction between a viable intrauterine pregnancy early and the hemorrhage by nonviable ectópico or intrauterine pregnancy. The viable intrauterine pregnancy can be accompanied by a hemorragico luteous cyst that appears like tumoracion painful in the annexes with positive culdocentesis. BIBLIOGRAPHY. - 1. - Simpson JL. Elias S. Martin AO; Crromosomal Parental rearagements associated with repetitive spontaneous abortions. Fertile Steril 36:584,1981 2. - Tharapel AT Therapel SA: Parental Recurrent pregnanciy losses and chromosome abnormalities; 92: 899, 1985 3. - Neri g, Serra To, Bell M: For Reproductive risks translocation carriers: cytogenetic study and analysis of pregnancy outcome in 58 families. A.m. J Med Genet 16:535, 1983. The culdocentesis, transvaginal aspiration of I eliminate with needle through bottom of later peritoneal coat, is a very useful technique to study the patients with suspicion of ectopico pregnancy in addition that it removes to us from our doubts. The definition of a positive culdocentesis, is the aspiration of but of 0,5 mililiter of blood it eliminates, that is observed in the 70-95% of the ectopicos pregnancies.

6.0. - ATTITUDE OF THE PARENTS WHEN A DAUGHTER BECOMES PREGNANT. b) Before a daughter of 16 years embarrassed, What would do you? To face the reality. Today the children escape more and more to the control of the parents. Also the great external influence of the groups exists. In this way the young people are completely defenseless. The only attitude that the parents must assume, is the compression, acceptance and the love. To give to the daughter the opportunity to solve its life, without marriage imposition but was its desire. Soon to help it to assume its responsibility raising to the own son. (1) DEVIATIONS OF THE YOUNG PEOPLE WHO DID NOT RECEIVE SUITABLE SEXUAL EDUCATION. - The behavior of a young person who received a correct sexual education will be marked by deviations and sexual abuses and in other areas of the human behavior. The egoísmo is the predominant characteristic in these young people, investment of values, ostentation, insecurity, irresponsibility, infidelity and lack of reasons to live and for the effort, so that its life does not have another ideal. It is the case of Play Boy and the libertine, the Casanovas and Don Juan. (2) BEHAVIOR FROM THOSE WHO RECEIVED A CORRECT SEXUAL EDUCATION. - The education is a continuous progress. Its goal is the spiritual liberation. It must form to the human being like a whole of the life wisdom. To form the will in the effort and the virtue. Progressively this dynamism took to the human being to the superior or more and more greater dominion of the nature and to the deep personality and cohesion fraterna. A young person who lives this experience, does not need to lock in itself in his narrow world to also prevail and with the others. He lives in eternal answer because he develops his spirit I criticize, does not take refuge in the world of drugs, neither in the sexual relations, trying to forget or to destroy themselves, nor in the world of the delinquency, looking for to destroy to the others. It finds the harmony inner and he feels able to begin to construct the world of his generation. (3) This clear good and I specify what we do not have to do when one denuestras daughters this pregnant woman giving the necessary aid and giving to him he him everything of our part, without closing the doors to him, nor hurling to him of the house, either forcing to him to marry with which it perhaps does not want like the man of her life. (1) Alzira Lopes- To my children I educate Pag.196 (2) Alzira Lopes- To my children I educate Pag.197 (3) Alzira Lopes - To my children I educate Pag.198 Also we have the clearest difference between a boy who is well mannered about the sexual education. Also it can notice the differences of attitude between these two types of boys, its problems, the form of how they are related to the society. 7.0. - TEN ADVICE IN SEXUAL ASUSTOS FOR THE TODAY YOUNG PEOPLE. - 1. - He avoids bad companies. - If you walk with bad elements it will be dominated by them. The Bible says “You leave in the middle of them and apartaos the gentleman says, and you do not touch the impure thing…”. 2. - The second cautious one Avoids. - You cannot control first, can more avoid second. 3. - He disciplines his to char them. - He avoids dirty stories and histories with doubtful sense. “Bad the conversations corrupt moral convention” (1Co. 15:33). 4. - Care with the way Has to get dressed. - A young person just turned said From now on “I am going to get dressed as if JESUS was my companion”. 5. - He carefully chooses the television programs that watch. - 6. - Care Has of which read. - Much of contemporary Literature appeals to the sexual instinct. 7. - He is kind with respect to his free time. - David had the time in his hands, saw Betsabé and fell in complications. 8. - Tènga a rule never to become involved in a dishonest enamoramiento. - The young person who has JESUS CHRIST in his heart has a supernatural power to say not to the hints of any young person. And the young person who knows Christ must be able to discipline his life. 9. - Dediquè long time to the writings. - The salmista says: “In my heart and kept your sayings, not to sin against you” (119:11 Psalm). 10. - Tènga to JESUS CHRIST in its heart and life. - It has kept to many man and women to commit immortality. Billy Graham. (1) These are the ten advice in sexual subjects for the today young people and it gives a clear one us and ordered of things that we must do so that all it comes out to us well and we do not fall in the different things like being the sexual abuse, beginning from the own one watched of strangers, the bad companies and not to let itself accompany with no class of person unknown by one same one, to discipline our to char them since in corrupted places we do not have to be nor a minute but, our way to dress to us by mainly it is very important so that many of the times the women get dressed very in fit and attractive articles, that attract bad thoughts and you accustom we do not know to control our sexual instincts and there if that we put in problems, also we must choose the different programs from television, because at the present time We found pure SWEEPINGS MENTAL that one can see without no class of restriction. We have to have well-taken care of with which we read, because we can find different types of facility or readings that can demonstrate the different classes from sexual harassments of which they can remain reflected and stored in our mind, we must know how to administer our time since we can dedicate to us to make bad things like seeing pornográficas films, seeing pornográficas magazines, to leave to places and to enter prohibited places, etc. We never must become involved in dishonest enamoramientos as by you stink out, nor to save its dignity of great male since most of people she wants to be with some person so that she feels something by this person, whereas the other single person fixes itself with this person so that but to his friends they are going to seem to him like the less hombrecitos that before. We are and we must write our advice and thoughts, so that at the suitable moment but where we must give a good advice to a friend at the suitable and precise moment but. Most important we do not leave of any way to the God all creator without place nor space of our time since it is most important in our life and must take it within us very deeply. It is by all these advice who we are going to be able to be but next to God, next to the person which we want more, next to our studies, next to our better friends without having to choose them and to have to move away to us of them, taking care of we also same our reproductive health and our mental or cerebral health, denying to see to us and badly interpret the things that are around us. We must impose we ourself our own rules and norms of health, study, habits, etc. 8.0. - RECOGNITION TO OUR PEOPLE. - We thank for to the Camera Junior special to Eladio Director Alvarez Balcazar who under its guide impulse in defense of defenseless. We will not let pass in stop to the catholic church that next to the centers of Pro-health of all the country which they have connected a network of telephones to which we can be communicated and to remove the sufficient information like that doing in a while I criticize, like when a girl needs the sufficient information how doing so that they help him in case of an abortion nonwished, nor planned, previously that was no this class of direction in the country, also we counted on telephones to consult in cases of having AIDS or of being related to people infected with this so present problem that she brings innumerable deaths anywhere in the world. The abortion is the most cowardly way and infame to commit a genocide crime is one of the wildest forms of form of present terrorism. All evils of the compared humanity is not nothing with these murders in house. All crime against the life is an attack against La Paz, the human life is sagrada from the first moment of its conception and to the last moment of its survival. A town that boasts, of being Christian must give the clear and determining divine sentence him. The abortion in himself is criminal and perverse the means and methods that use still make it more despicable. A town that decides on the death will end up dying, the town that decides on the life has hopes of a engrandecimiento and economic fortification. 9.0. - STATISTICAL OF THE ABORTION IN BOLIVIA. - In the last 8 years, Bolivia to increased to the amount of annual abortions clearly in 1991 the amount of abortions era of 7000anales, at the present time is of 91000 abortions per year in Bolivia and we could name the departments with but amount of annual abortions: Santa Cruz in 1991 counted on 3500 abortions, whereas in 1997 they had but of 54000 abortions in all the department, occupies the first place of these cases. La Paz in 1991 counted on 1500 annual abortions, whereas in 1997 they existed but of 13000 annual abortions and occupies the second place of the country. Cochabamba in 1991 counted on 500 annual abortions, whereas in 1997 it bordered the 6000 annual abortions and it occupies the third place of the country. Whereas in the rest country in 1991 they counted on 1500 abortions and in 1997 counted on 18000 annual abortions in the rest of the country. We must add that in 1995 thanks upon presentment of preservatives in mass media increase the amount of abortions in a percentage of annual 200%. This is because by greater influence in buying and using a preservative it increases the amount of abortions. In conclusion most of the preservatives they are not very reliable, in addition that most of youth that says better sensation feels like without preservative nor another class of prevention, about an abortion. In this number it is divided in young ladies who in 1991 aborted 5500, the majority was smaller of 18 years and the cause of its pregnancy was not to leave its fiancè finish with them and to present/display its test to him of love I cause east problem to him. In 1997 the amount was truely dissapointing since increase to 70000 young ladies who aborted in this year. Meanwhile in 1991 by different cases like from accidents, you would stop forced, chromosomic malformations, falls of stairs with forceful blows that force to abort so that but they are risking the life of the lady mother is why of one or another way is forced to abort. In 1997 the amount increase by the increase of the population in the country and so that inplementarón new samples of how to prevent and to administer tablets thus not to be left in a while of work from the mother and this pregnant cause that to consume or to take tablets they become pregnant and arrive the 6-8 months from gestation and comes the problems and is forced to abort. In 1997 increase the amount of abortions from the mothers in 21000 abortions in this year, is a great pain since they wait for a boy and it does not occur them, whereas the kids do not love any boy and are pregnant. These statistics left the ministry of health and the Camera Junior of Santa Cruz. CONCLUSION After the study made complete about the abortion I have reached the conclusion that while but commercial, about preservatives they are made, is greater I number of clandestine abortions that are made in all the country. The lack of information on the weeks of being able to be in tape for one young lady is one of the causes of because they are pregnant. The necessity to retain to the fiancè near her causes that they have sexual relations before the marriage. The simple reason that people do and we are ourselves forced to have sexual relations without measuring the unfortunate consequences. The lack of awareness or information from the parents who force to marry to the daughter who arrives with an advanced pregnancy, causes that our youth looks for its means of escape that can derive in an abortion. The use of preservatives and contraceptives to be able to prevent a pregnancy is something obsolete, since the only thing that becomes is to delay the menstruation and follow with the possibility of being left pregnant women, in the next sexual relation.

Mantenèr relations from very early age like the 14-18 years can cause a pregnancy to very early age and that derives to an abortion. The statistics indicate to us that at the present time, of the made abortions 65% are to minors of 18 years. The different causes so that a pregnancy is complicated and had to abort to that so dear creature on the part of the mother, these abortions are made in hospitable hospitals, clinics and centers where the mother because of an accident, blows, congenital malformations, etc, this force to that she must decide between the mother and the son. Most of these mothers they were not left estèril for all his life and rather they will be able to give to light to another boy in the future. The great difference between a wished abortion and one not wished that by other causes they will have to make it. The lack of a law which she is ejemplarizadora, that goes against the abortion, and to person who him is making this type of works that is jailed by but of 20 years, since this being made a murder I publish. The lack of fear towards God, since this mother this killing her own son, and goes against one of the orders that say “YOU DID NOT KILL” (20:13 EXODUS) These are the causes but real reason why it is made or an abortion at the present time practices, in special in all Bolivia. BIBLIOGRAPHY 1. - Jnsen RPS: Spontaneous abortion incidence inthe treatment of infertilyti- a.m. J. Obstet Gynecol 1992. 2. - Poland BJ. Miller Jr Jones DC. Trimble BK. : Reproductive counseling in patients who have had to spontaneous aborting. A.m. J Obstet Gynecol 1987. 3. - Warburton D. Fraser FC: On the probability that to woman who there are had to spontaneous aborting will abort in subsequent pregnancies. J. Obstet Gynaecol Br. Commonw 1994. 4. - Fit Simmon J. Jackson D. Wapner R. JacksonL: Subsequent reproductive outcome in couples write repeated pregnancy loss. Ann J: Med Gennet 1993. 5. - Simpson JL.: Genes, choromosomes, and reproductive failure. Fertile Steril- 1980. 6. - Tho PT. Byrd Jr Mc Donough PG.: Etiologies and subsequent reproductive performance of 100 couples with recurrent obortions. Fertile Steril 1979. 7. - Lauritsen JG: Aeotiology of espontaneous abortions. Act Obstet Gynecol Scand Supply 1976. 8. - Hook EB. Cross PK. Regal RR: The frequency of 47+21+47+18 and 47+13 AT the uppermost you carry far of maternal ages: results on 56094 fetuses studied prenatally and comparisons with dates on livebith. Hum Genet 1994. 9. - Mc. DonoungPG: Repeatend to first-trimester pregnancy loss: evaluation and manangement. A.m. j. Obstet Gynecol 1995. 10. - Harris MJ. Poland BJ. Dill FJ: Triploidy in 40 abortunses human spontaneous: assessment of penatype in embryos. Obstet Gynecol 1991. 11. - Simpson JL Elias S. chromosomal Martin rearrangements associated with repetitive spontaneous abortions. Fertile Steril 1981. 12. - Tharapel AT. Therapel S. Martin AO: Parental Bannermans RM. Parental Recurrent pregnancy losses and chrosome abnormalitties to review. Br. J.Obstet Gynaecol 1995. 13. - Neri G. Serra A. Bell M. Tedeschi B: For Reproductive risks translocations carries: citogenetic study and analysis of pregnancy outcome in 58 families. A.m. J. Med Genet 1983. 14. - Fryns JP. Kelczkowska a. Kubien E. Petit P. Van den Berghe H: Cytogenetic fetal survey in couples with recurrent wastage. Hum Genetic 1984. 15. - P. Eladio Alvarez Balcazar - In defense of but the defenseless one 16. - Anne Colston Wentz- Peter S. Cartwright. - Recurrent and spontaneous Abortion.

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