I CAN FEEL THE DELEMNA THE GOVERNMENT ISIN YOU CANNOT WIN.BY RIGHT ABORTIOPN IS WRONG WE SHOULD CUT OFF THE RAPIST PENIS JUSTA THOUGHT. MY THING IS AFRICA!!! AFRICA THE WOMAN OF AFRICA NEEDS TO BE AGAIN REVEREDAS WHO SHW IS THE EUROPEANS HAVE TAKEN THE MOTHER OF THE EARTH THE BLACK MADONA AND MADE HER THE MOTHER OF GOD". THIS BY NO MEANS IS ANY STRETCH OF THE IMAGINATION WHO IS THE BLACK WOMAN? SHE WITHOUT DOUBT IS MOTHER EVE THE FIRST WOMAN THE WOMAN THAT HAS CREATED A LIFE TIME OF HUMANITY. THE YOUNG DAUGHTERS AND FUTUREMOTHERS MUST AGAIN RESTORE THAT TRADITION OF MARRIAGE WHEN WE START TO SEX TOO EARLY THEN THINGS HAPPEN. SINCVE ADOPTING THE WESTERN CULTURE AFRICAN CULTURE AND CIVILIZATION HAS DECLINED DRAMATICALLY. I WILL SAY TO AFRICANS IN M,Y SEARCH AND QUEST FRO THE TRUTH I HAVE FOUND THAT WOMEN FROM ANTIQUITY DI NOT JUST CIRCUMCISE WOMEN JUST FOR FOLKLORE IT WAS FOR ANY REASOMS GERM FREE CLEANLINESS AND STOP THE YOUNG WOMEN FROM BEING PROMISCUOUS. PROMISCUOUS IS SOMETHING THAT IS RAMPANT TODAY . WE FIND LITTLE GIRLSM HAVING SEX AND WQE KNOW OF YOUNG GIRLS BEING ABDUCTED AND USED AS SEX SLAVES. HENCE THE NEED FOR RESTORATION OF MOST OF AFRICAN CULTURE WITH MORE INTELLECT AS WE ARE GEGINNING TO FIND OURSELVES DAILY WE REALISE THAT WE DO NOT HAVE MUCH IN COMMON WITH THOSE WHO CHOSE TO SUBJUGATE US AND FORCE THEIR WILL UPON US. THEYHAVE DONE NOTHING MORE OR LESS THAN WHAT WE SEE THOSE IN THE BUSH DOING AS IT TIME AND HISTORY SHOWS US THAT THEY ARE ACTING LIKE THEIR CONQUORORS. CHILDREN NEED TO BE TAUGHT THE IMPORTANTS OF MORALITY RESPONSIBILITY AND LOVE. CHILDREN BOTH SEXES SHOULD LEARN THAT SEX IS NOT SOEM THINGW E DO BECAUSE WE HAVE FUN OR ITS NICE IT IS AREPONSIBLE THING TO DO WHEN WE WANT TO HAVE CHILDRENAND WHEN TWO PEPLE ARE IN LOVE OR WHEN THERE IS AMARRIAGE BETWEEN MAN AND WOMAN. TODAY WE START ENJOYING THESE UNGODLY BEHAVIOURS BECAUSE WE ARE TAUGHT THAT IT IS OK TO DO THESE THINGS. ABORTION I MUST REASON UNDER THE GUISE OF HUMANITY TO SPARE LIFE IS A REPONSIBILITY OF THAT DOCTORTH ISSUE OF LEGALISISNG IT NOW IS ANOTHER MATTER AGAIN YOU CANT WIN WHERN WE FIND THE VILLAGE DOCTOR NOT REALY TRAINED INCERTAIN PROCEDURES HAS A COMPLICATION BOTH CHILD AND MOTHER DIES OR THE UTENSILS ARE SO ROTTEN THAT THEY CREATE INFECTIOUS DISEASES. VERY DIFFICULT TASK AT HANDSHOULD ALL VILLAGE DOCTORS BE GIVEN COURSES IN HYGINE STERILISATION TOOLS SHARPENED FOR THEM REGULARLY AND THEY TRULY LEARNING FROM WHAT IS PRESENT IN UNIFORMED HYGENIC CONDITIONS. I WOULD AY TRO LEGALISE ABORTION SAS SUCH WOULD BE GOING TOO FAR AS WE DONT DEAL IN DEATH WE DO NOT HAVE THE RIGHT T ABORT FETUSES. ; HWOEVER THE VILLAGE PRACTICIONER SHOULD BESATISFACTORILY TRAINED HE SHOULD BE TAUGHT THE ART OF AGAIN STERILISATIONAND TOOLS SHOULD BE SHARPENED TO . MY THEORY IS THAT EDUCATION FRROM EARLY OUT TO ALLOW OUR CHILDREN TO BE CHILDREN AND TO STAY FAR FROM SEX AT AN UNRESPONSIBLE AGE AND ALLOW FOR YOUNG MANS TO MAKE CORRECT CHOICES AND NOT JUST DEFLOWERING YOUNG GIRLS JSUTBECAUSE HE CAN DO. THE REPUTATION IS DEFINING OF A YOUNG WOMANS CHARACTER. OUR YOUNG BLACK PRINCESES SHOULD BE UNDER NO ILLUSIONS THAT THEY ARE OUR FUTURE QUEENS AND THEY SHOULD STUDY HARD AND HAVE NOTHING TO SULLY THEIR REPUTATION AS AN ADULT THEY WILL FIND THAT HAING A NICE RESPECTABLE REPUTATION WILL GIVE THEM PALACES ANDF BUNDLES OF JOY IN THE FORM OF YOUNGER PRINCES AND PRINCESSES.. I SAY MORE DEVOTED TO OUR CHILDRENS FUTURE BY GIVING EVERYONE THE KNOWLEDGE THAT THEY ARE PRINCE AND PRINCESSES AND THEY SHOULDBE RESPPONSIBLE WHEN THEY ARE OLD ENOOUGH TO HAVE CHILDREN THENTHE TIME IS RIGHT FOR ADULT BEHAVIOUR OTHER IWSE BEING PROMISCUOUS IS NOT THE WAY OF A QUEEN AND THE BROTHERS SHOULD NEVER LOOK AT A WOMAN THE MOTHER WHO FROM WHICH HE CAME AND RAPE AN N BULLY A WOMAN A BLACK WOMAN IN ANY OF THESE CIRCUMSTANCES. OUR BLACK WOMAN ARE QUEENS OF THE PLANET ELEVATE THEM .ABORTION NO!!!! EDUCATE FIRST. THE LAW IN PLACE IS GOOD BUT WHERE ARE THE ELEVATED QUEENS TO LET THE OUNG ONES KNOW THAT AS A PEOPLE AND WITH A LONG AND HISTORIC CULTURE WE NEVER HAD TODEAL WITH THESE INIQUITIES UNTILOUR SUBJUGATION. THIS IS TRUTH THERE IS NOTHING WRONG WITH TEACHINH THE TRUTH IT HELPS US TO LEARN AND GROW. BLACK EDUCATION IS IMPORTANT UNIVERSAL EDUCATION ISMATHEMATICS SCIENCE ASTRONMY AND ALL THE REST HISTORY AND SOCIAL STUDIES MUST BE ABOUT BLACK HISTORY . THE BIBLE IS BLACK HISTORY AND THAT YOU MUST KNOW. WHEN WE START GENISIS EVERYWHERE THEY TALK ABOUT IS EGYPT ETHIOPIA AND SO ON THESE ARE ALL ABOUT BLACK PEOPLE. DO NOT BE AFARID TO EMBRACE YOUR CULTURE AND YOUR HISTORY WHATEVER EUROPE HAS GIVENUS TODAY WE FIN DT BE A SHAMBLES NOTHING OF TRTUH HAVE THY GIVEN US. THEY GVE US CORRUPTION AND THEN PRETENDED IT WAS US WHO WAS CORRUPT. THEY BROUGHT IS SEXXUAL DIEASES AND THEN PRETEND WERE PROMISCUOUS. THEY STOOPED ALL OUR CULTURAL PRACTISSES THAT WOULD HAVE STOPPED INFIIDELITY IMMORALITY TO GIVE US NOTHING BUT IMMORALITY AND INFIDELITY. SO WE HAVE TO SIGN UP THEIR CONSTITUTIONS OF NONSENSE THEY HAVE BROUGHT ALL THESE STRANGE PRACTISES TO AFRICA AND WANT US TO BE PARTY TO THEIR FOLLY. WE MUST STRENGTHEN OUR AFRICAN INSTITUTINS WE MUST ALLOW FOR THE WORLD NOT TO SEE US THRU AMERICAN EYES BUT FROM THE TRUTH OF WHO WE ARE,A NOBLE AND RIGHETOUSS PEOPLE"

First of all, let us understand the meaning of ABORTION; which is defined as the expulsion of the conceptus – the product of conception at any point between fertilization and birth – before the 24th week or the loss of a foetus weighing 500gm or less. I think Rwanda should make abortion or termination of pregnancy illegal, even do abortion has some circumstances in which it is permissible. According to some experts/obstetrician and gynecologist, a pregnancy may be terminated if two registered medical practitioners are of the opinion, formed in good faith, that continuation of pregnancy will endanger the mother’s life. “For instance, if she has breast cancer, cancer of the womb or renal failure; the mother’s safety and well-being is always priority because we have to take into consideration her family and existing children whom she has to care for. If the pregnancy were to continue, it would deprive them of a mother.” Also according to some experts; Termination of pregnancy is also advised to prevent grave permanent injury to the physical and mental health of the mother. Like victims of rape or incest who become impregnated as a result are permitted to abort their child as long as there is a mental assessment from a psychiatrist that shows if the girl were to continue with her pregnancy, it would affect her psychologically, maybe causing her to lose her mind. But we need to understand here that, if the foetus is diagnosed with gross physical or mental abnormalities, like severe anencephaly where the baby is without a brain or skull, or part of it is missing, surely, the experts would suggested that an abortion can be advised. Because when the baby is born, it may only live for a few hours,” Although, many people think that abortion appears to be a minor operation – if done correctly, it takes only 10 to 15 minutes, but the complications can and do occur anytime, anywhere. These are some techniques in abortion procedure Various techniques are employed in an abortion procedure, all of which depends on the stage of gestation. They can be grouped as either medical or surgical termination.

Medical termination is for pregnancies less than nine weeks old. This can be done with a Mifepristone tablet (a hormone tablet that blocks production of progesterone produced by the mother’s body to maintain early pregnancy). It causes bleeding, pain and expulsion of the conceptus within 24 to 48 hours and I strongly believe that this tablet is not available in Rwanda or even it is hard to find. With oral medication, the abortion can be incomplete and has to be supplemented with a surgical technique like curettage. Again depending on the period of gestation, if it was between five to six weeks, it may come out with the menses. Between eight to nine weeks, the abortion may be incomplete and a surgical termination like D&C (dilatation and curettage) is needed.” Under surgical termination, pregnancies less than 12 weeks old can be aborted via a suction curettage or D&C. beyond 12 weeks, the procedure for termination of pregnancy is more complex, where it’s almost like an induction of labour. All surgical termination procedures are done under general anaesthesia because the patient is relaxed, making the cervix easier to dilate. Only doctors who have undergone obstetrics and gynaecology training/posting and have been taught or have performed these procedures, as part of their training supervised by the consultant OBGYN is capable of performing an abortion surgery safely. What happened in case it performs by untrained person? We have to know that a life is at stake, particularly if you are talking about teenagers. It might affect them and their future pregnancies. The worse case scenario is death because if it is a forceful rather than gradual dilatation of the cervix, the pregnant woman can go into shock. Bear in mind that the cervix for those who have not delivered before is the size of a pinhole and you are trying to dilate it to about six to seven millimetres in diameter. If it is forceful dilatation or performed by someone untrained, it can tear the cervix where the immediate effect of which is haemorrhage and that in the long term, the muscles of the cervix will become weak or damaged. Uncontrolled and if the clinic is not properly equipped with blood supply for instance, the woman can die.” To do so, the woman must be prepared for the reality that she might not be able to conceive when she wants to because when there is tear or perforation resulting in continuous bleeding or severe infection, sometimes the uterus has to be removed. Should she get pregnant, she’ll find that she is likely to have recurrent spontaneous miscarriages or go into pre-term labour.” In that time, an incomplete abortion without supplementation can lead to prolong bleeding, causing infection and damage to the ovaries, fallopian tubes, uterus and eventually resulting in infertility. Uterine perforation can also take place because the uterus is usually anteverted (tilted forward) and instruments like the curette are stiff. As it is inserted, it might perforate the cervix or the wall of the uterus, which can result in a haemorrhage; perforate the bladder, which can cause urine leakage; or puncture any of the intestines, as they are located behind the uterus. Between a D&C and suction curettage, the latter is safer because it uses a plastic tube, which is softer and thus able to follow the curve of the uterus. The degree of complication also depends on period of gestation with complications less likely to occur if the pregnancy is still in its early stages and if it conducted legally in a hospital will have a smaller percentage of complications. My recommendations to this ….. These are the risks girls have to know they are taking and whether it’s worth taking them. Many think it’s an easy way out, as contraception. But I don’t think they actually realize what they are in for. They are desperate people who try to solve the problem with desperate measures, Rwandan youth must be more responsible, in the sense if they feel they are sexually active, they should understand the consequences and be prepared to take the risk, although I don’t think that is the right attitude. Abortion is not the answer and this is where sex education is important for teenagers. It’s hard making these comments but as an academician, I feel that moral and religious guidance are very important to guide our teenagers because of exposure to the media and Westernisation. One who finds herself pregnant, should first go to her parents and discuss it with them. I know as teens, they’re at that rebellious stage where they think their parents are their worst enemy. But your parents are your best friends who always have your best interest at heart. If not, talk to counselors who can understand and help you.

Dr Ismael B.