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Conversation

Dr. Daniel Grossman

Hi @SenateMajLdr! I'm a board certified Ob/Gyn, clinical and public health researcher, and abortion provider. May I share some medical information about later abortion with you? Perhaps you can read it over the weekend ahead of the vote to ban abortion after 20 weeks.

Quote Tweet

Leader McConnell

@LeaderMcConnell

There are only 7 countries left that still permit elective abortion after 20 weeks—including the US, China, and North Korea. That’s why the #Senate will soon vote to take up commonsense legislation to protect unborn children who can feel pain.

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Dr. Daniel Grossman

There are many reasons why patients need abortions after 20 weeks. Some due to the fetus having a lethal anomaly, some for the patient's own health, and others because financial and logistical barriers make accessing an abortion earlier very difficult. laterabortion.org/general-inform

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Dr. Daniel Grossman

As a doctor, I talk with my patients to determine the best course of action for their health and situation. Forcing my patients to carry a fetus with a lethal anomaly until they go into labor or deliver at term is unsafe for their health. laterabortion.org/legislative-ne

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Dr. Daniel Grossman

If patients are forced to continue a nonviable pregnancy, they will be forced to withstand the physical impact of of childbirth and the mental trauma of carrying a child that is dead or will die. It's very difficult for patients and their families go through that.

3:40 PM · Jan 26, 2018

Dr. Daniel Grossman

Replying to

I listen to my patients as I support them in making medical decisions. You can listen to Valerie Peterson share what making that decision is like: billmoyers.com/story/no-choic You can read

@defending_grace

's story here:

washingtonpost.com

Opinion | I had an abortion to save my baby from pain. In my state, that didn’t matter.

The process to terminate a pregnancy in Missouri is insulting.

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Dr. Daniel Grossman

.@SenateMajLdr, you noted that “fetal pain” is your main reason for banning abortion at 20 weeks, and I’d like to take the opportunity to share some evidence-based medical information on this with you, as well. jamanetwork.com/journals/jama/

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Dr. Daniel Grossman

Our best evidence-based research indicates a fetus cannot perceive pain until the third trimester, 26 weeks, not 20 weeks as you have claimed. jamanetwork.com/journals/jama/

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Dr. Daniel Grossman

Unfortunately, attempts to ban abortion at 20 weeks aren't based on medical facts. laterabortion.org/media-and-comm

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Dr. Daniel Grossman

I know that some of your Senate colleagues are confused about why providers use anesthesia if the fetus can't feel pain. The anesthesia relaxes a patient’s uterus, preventing premature contractions, immobilizing the fetus to ensure the surgery goes easier.

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Dr. Daniel Grossman

During surgery, doctors must be precise and cautious. Uterine contractions at the wrong time can be dangerous. This helps providers give their patients the best and safest care.

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Dr. Daniel Grossman

In fact, experts from

have concluded that “use of analgesia provided no clear benefit to the fetus.” rcog.org.uk/en/guidelines-

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Dr. Daniel Grossman

“Studies suggest that the first pathways associated with pain perception are not present until well into the third trimester.”

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Dr. Daniel Grossman

Research has shown a fetus does not yet have the capacity to experience pain until at least the third trimester, and unlikely until birth. laterabortion.org/sites/default/

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Dr. Daniel Grossman

A fetus may have a reflex reaction to a painful stimulus by 18 weeks, however the neural connections to the cerebral cortex do not exist to allow the fetus to perceive this as pain. You can learn more at laterabortion.org

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Dr. Daniel Grossman

I am a doctor and abortion provider. I do what’s best for my patients, their health, and their families. I listen to them and offer evidence-based medical advice. I am also a citizen, and I believe our laws should be based on scientific evidence.

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Dr. Daniel Grossman

I rely on evidence-based science to offer my patients options to have safe, and healthy pregnancies. I hope you will too, @SenateMajLdr.

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Dr. Daniel Grossman

One more thing –– are you aware that many of the restrictions on abortion that you support are creating barriers to access, thus forcing patients to seek abortions in the second and third trimesters? expressnews.com/news/local/art

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Dr. Daniel Grossman

These restrictions make access difficult, forcing patients to travel to a clinic, experience delays while saving money to afford an abortion especially if insurance won't cover it, take unpaid time off of work, and make multiple appointments. Healthcare should be accessible.

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Dr. Daniel Grossman

Healthcare is a human right, and abortion is a part of of healthcare. We shouldn't be restricting access to healthcare, @SenateMajLdr.

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