USA: Exploring the Feasibility of Obtaining Mifepristone and Misoprostol from the Internet

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ABSTRACT

Objectives.
We aimed to document the experience of buying abortion pills from online vendors that do not require a prescription and to evaluate the active ingredient content of the pills received. Study Design. We searched the internet to identify a convenience sample of websites that sold mifepristone and misoprostol to purchasers in the United States and attempted to order these products. We documented price, shipping time and other aspects of ordering. We sent the samples received to a testing laboratory that measured the amount of active ingredient in individual tablets.

Results. We identified 20 websites and ordered 22 products: 20 mifepristone-misoprostol combination products and two that contained only misoprostol. We received 18 combination products and the two misoprostol products from 16 different sites. No site required a prescription or any relevant medical information. The time between order and receipt of the 20 products ranged from 3-21 business days (median 9.5 days). The price for the 18 combination products ranged from $110 to $360, including shipping and fees; the products without mifepristone cost less. Chemical assays found that the 18 tablets labeled 200 mg mifepristone contained between 184.3 mg and 204.1 mg mifepristone, while the 20 tablets labeled 200 mcg misoprostol contained between 34.1 mcg and 201.4 mcg of the active ingredient.

Conclusions. Obtaining abortion medications from online pharmaceutical websites is feasible in the US. The mifepristone tablets received contained within 8% of the labeled amount of active agent. The misoprostol tablets all contained that compound but usually less than labeled.

IMPLICATIONS STATEMENT
Given our findings, we expect that some people for whom clinic-based abortion is not easily available or acceptable may consider self-sourcing pills from the internet to be a rational option.

Continued at source: http://www.contraceptionjournal.org/pb/assets/raw/Health%20Advance/journals/contra/CON_8985.pdf

See also this Commentary: http://www.contraceptionjournal.org/pb/assets/raw/Health%20Advance/journals/contra/CON_8984.pdf

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USA: Special Delivery: Abortion Pills By Mail

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Special Delivery: Abortion Pills By Mail

BY Elisa Wells
Oct 10, 2017

When my mail carrier handed me the small brown envelope, I’m sure she had no idea she was handing me the means to have a safe, private abortion at home. I had ordered the pills a week and a half earlier off a somewhat sketchy website and, frankly, was wondering if they would ever appear. I say “sketchy” in that the offer seemed too good to be true — abortion pills for less than $200, no prescription needed. The “Whoa, trouble ahead!” warning from my McAfee security system certainly gave me pause, but by the time I received the fraud alert call from by credit card company (at the same time that Western Union was calling my other line to warn me) it was too late to turn back; I had already placed the order.

Continued at source: http://www.marieclaire.com/politics/a12785967/over-the-counter-abortion-pill/

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Africa/Nigeria: Abortions that kill and the laws that enable them

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Abortions that kill and the laws that enable them

Home » Latest » The Sexuality Blog »
By The Sexuality Blog October 6, 2017

A new study published in the scientific journal, “The Lancet” has just revealed that about 50% of all abortions performed across the world are either illegal or performed in unsafe environments.

Dr. Bela Ganatra, the lead author of this study which was performed over the course of four years (2010 – 2014) discovered that an estimated 55.7 million abortions were performed across the world and about 30 million of those abortions happened in third world countries.

Continued: The Sexuality Blog: https://ynaija.com/90-abortions-will-happen-year-nigeria-will-illegal-unsafe/

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Almost half of all abortions performed worldwide are unsafe, reveals WHO

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Almost half of all abortions performed worldwide are unsafe, reveals WHO

World Health Organisation figures show 25.1 million procedures every year are not safe, with abortion-related deaths highest in west and central Africa

Sarah Boseley Health editor
Wednesday 27 September 2017

There are nearly 56 million abortions every year in the world and almost half of them are unsafe, according to a major piece of research from the World Health Organisation.

The study found that there were 55.7 million abortions every year between 2010 and 2014 worldwide, and of them 17.1 million were unsafe because the woman was taking pills alone or was with a trained helper but using a method of abortion that is no longer considered best practice.

Continued: The Guardian: https://www.theguardian.com/world/2017/sep/27/almost-half-of-all-abortions-performed-worldwide-are-unsafe-reveals-who?CMP=share_btn_tw

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Women seeking abortions in UK outside formal healthcare system due to ‘insurmountable’ barriers, finds research

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Women seeking abortions in UK outside formal healthcare system due to 'insurmountable' barriers, finds research

Nearly one in five women cite controlling circumstances, including partner violence and partner or family control, as reason for not accessing formal abortion services

May Bulman
Sep 20, 2017

Women in the UK are seeking abortion services outside the formal healthcare system due to access barriers, privacy concerns and controlling circumstances, research has found.

New findings indicate that despite it being legally available in Britain, some women find it challenging or at times “impossible” to access abortion care through current service models.

Continued at source: https://www.independent.co.uk/news/uk/home-news/women-abortions-uk-nhs-outside-formal-healthcare-barriers-immigration-right-free-treatment-a7957141.html

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Despite legal abortion in Great Britain, women cite access barriers, new research finds

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Despite legal abortion in Great Britain, women cite access barriers, new research finds

University of Texas at Austin

Sept. 20, 2017, AUSTIN, Texas

Some women are seeking abortion services outside the formal health care system in Great Britain, where abortion is legally available, citing reasons such as access barriers, privacy concerns and controlling circumstances, according to new research from Abigail Aiken, an assistant professor at the LBJ School of Public Affairs at The University of Texas at Austin. The peer-reviewed study was published Wednesday in Contraception, an international reproductive health journal.

Continued at source: https://www.eurekalert.org/pub_releases/2017-09/uota-dla091917.php

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When abortion wasn’t legal in Britain

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TBT: When abortion wasn’t legal in Britain

Kate Lister
Thursday September 14th 2017

Last week, Conservative MP Jacob Rees-Mogg told ITV’s Good Morning Britain that abortion was “morally indefensible” in all cases, including rape and incest; and some people were surprised at this.

Now, I would have been surprised to hear these views uttered by Basil Brush, for example, or by Caitlin Moran, but by Jacob Rees-Mogg? Not a jot. The British love an eccentric and the sight of Rees-Mogg wandering about like an extra from Downton Abbey, blithely unaware the last hundred years has happened, tickled us. But Rees-Mogg’s ‘old fashioned’ values extend to far more than tailored suits, a posh accent and having a nanny on staff; they extend to contraception too.

Continued at source: iNews: https://inews.co.uk/explainers/iq/tbt-abortion-wasnt-legal-britain/

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USA: As Catholic systems grow by acquiring other hospitals, abortions plummet

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As Catholic systems grow by acquiring other hospitals, abortions plummet

By Steven Ross Johnson | September 14, 2017

Inpatient abortions and other reproductive health services prohibited by Catholic hospitals' religious directives are being performed significantly less often as more hospitals become Catholic-affiliated, according to a new study.

The National Bureau of Economic Research examined Catholic hospitals across six states and found per-bed annual rates of inpatient abortions dropped by 30%. Rates of sterilization via tubal ligation also decreased by 31%.

Continued at source: Modern Healthcare: http://www.modernhealthcare.com/article/20170914/NEWS/170919931

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U.S.: Abortion Via Telemedicine Is Totally Safe, Study Says

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Abortion Via Telemedicine Is Totally Safe, Study Says
States are cracking down on telemedicine abortions, but research argues it's as safe as going to a doctor.

Sept 8, 2017
Catherine Pearson, Women & Parents Senior Reporter, HuffPost

A new study is challenging the premise of laws across the country prohibiting abortions administered through telemedicine.

Nineteen states require a clinician to be present when a woman takes medicine to end her pregnancy in order to keep her safe.

But the new, multi-year study has found that medication abortions are just as safe when they are done with a clinician overseeing them remotely as they are in the physical presence of a doctor.

Continued at source: Huffington Post: http://www.huffingtonpost.ca/entry/abortion-via-telemedicine-is-totally-safe_us_59b2af99e4b0dfaafcf79bee

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Refusal to Treat Patients Does Not Work in Any Country—Even If Misleadingly Labelled “Conscientious Objection”

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Letter to the Editor: Refusal to Treat Patients Does Not Work in Any Country—Even If Misleadingly Labelled “Conscientious Objection”

On September 6, 2017 · In Perspectives
Christian Fiala and Joyce H. Arthur

We would like to point out some serious problems and contradictions in the study “Regulation of Conscientious Objection to Abortion: An International Comparative Multiple-Case Study,” by Wendy Chavkin, Laurel Swerdlow, and Jocelyn Fifield (Health and Human Rights Journal, vol. 19, no. 1, 2017).

The study purports to show that it is possible to accommodate health care providers’ “conscientious objection” (CO) to legal abortion while assuring that women with an unwanted pregnancy have access to health care services. The researchers examined four countries—England, Italy, Portugal, and Norway—all Western democracies with laws that allow CO for abortion. They conclude that England, Norway, and Portugal are able to permit CO by law and still provide and fund abortion care. Italy is the major exception, where access to legal abortion is seriously compromised due to a very high number of objectors.

Continued at source: Health & Human Rights Journal: https://www.hhrjournal.org/2017/09/letter-to-the-editor-refusal-to-treat-patients-does-not-work-in-any-country-even-if-misleadingly-labelled-conscientious-objection/

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