What Does an At-Home Abortion Look Like in 2021?

The practice is often assumed to be dangerous, but Abigail Aiken’s data suggest that ordering abortion pills online, and inducing a miscarriage at home, is as safe as going to a clinic.

By Lizzie Widdicombe
November 11, 2021

It was the year 2000 in Derry, the second-largest city in Northern Ireland. The Good Friday Agreement had gone into effect two years earlier, bringing the Troubles to an end. The city seemed to be full of hope. But Abigail Aiken was full of dread. An academic star, she should have been focussed on the G.C.S.E.s, a set of exams that determine whether a sixteen-year-old in the U.K. will advance on a university track or end her education in high school. But as the exam date approached, Aiken’s mind kept wandering to something else: her period, which was more than a week late. Recently, her long-distance boyfriend had come to town for a weeklong visit, which had resulted in an unplanned romantic incident. Could she have gotten pregnant after her first time? That would be just her luck. She wanted to know, one way or the other, but this was Derry, a place where everyone knew everyone else’s business. What was she supposed to do, walk into the pharmacy and ask for a pregnancy test?

Continued: https://www.newyorker.com/news/news-desk/what-does-an-at-home-abortion-look-like-in-2021


The Future of the Abortion Pill

FDA’s regulation of medication abortion must be guided by science, not politics.

Jan 26, 2021
Jasmine Wang

Erectile dysfunction drugs have a mortality rate nearly four times greater than Mifeprex, otherwise known as the abortion pill. But despite being less safe, erectile dysfunction drugs are available over the counter at pharmacies. Mifeprex, by contrast, remains one of the U.S. Food and Drug Administration’s (FDA) most heavily regulated drugs—and is even more restricted than fentanyl, an opioid.

This divergence in the regulation of Mifeprex compared to other drugs stems from highly politicized debates over abortion and reproductive rights. FDA’s regulation of Mifeprex, however, should be informed by science, not politics. Despite a demonstrated safety record, Mifeprex remains subject to restrictions that significantly limit its availability to consumers—restrictions that should be reserved for the most dangerous of drugs.

Continued: https://www.theregreview.org/2021/01/26/wang-future-abortion-pill/


Scotland – Abortion rules revolutionised by Covid-19 must stay

Jillian Merchant
Monday December 21 2020

At the start of the pandemic the Scottish government, at the urging of medical practitioners and activists, issued guidance allowing early medical abortion at home to prevent unnecessary risk to women and clinicians.

This enabled women in the first 12 weeks of pregnancy to attend medical appointments by telephone or video call before, where clinically appropriate, being sent the two abortion pills to take at home. This is now subject to a public consultation on making the change permanent.

Continued: https://www.thetimes.co.uk/article/abortion-rules-revolutionised-by-covid-19-must-stay-t0x6fgnkc


What underground abortions could look like if Roe v. Wade is overturned

JULIA NAFTULIN
DEC 11, 2020

Judge Amy Coney Barrett's recent confirmation into the Supreme Court could be a potential threat to abortion access and lead to even more "underground" abortions if the procedure becomes illegal in certain states, experts say.

Though underground abortions have continued in the wake of Roe v. Wade due to certain states' time-limiting abortion laws, those numbers could see a steep increase if states don't take individual responsibility to protect abortion rights, Carole Joffe, a sociologist and co-author of "Obstacle Course: The Everyday Struggle to Get an Abortion in America," told Insider.

Continued: https://www.businessinsider.in/science/health/news/what-underground-abortions-could-look-like-if-roe-v-wade-is-overturned/articleshow/79683236.cms


Use of ‘at-home abortion pills’ rises amid pandemic – and faces new threats

Medication abortions have are a safe and accessible method of terminating pregnancy, but they have been targeted by onerous FDA restrictions

Cecilia Nowell
Sun 1 Nov 2020

With six conservative justices now sitting on the supreme court, the future of abortion access in US looks increasingly uncertain. But in addition to concerns about whether abortion clinics can stay open, activists are warning that lesser-known abortion medications are also under threat.

Medication abortions have been proven to be a safe and effective method of terminating pregnancy, and because they can be completed without doctor supervision, they serve as a crucial alternative for those who have had other abortion services shuttered in their state, or who do not feel safe accessing traditional health services.

Continued: https://www.theguardian.com/us-news/2020/nov/01/at-home-abortion-pills-increasingly-in-demand-amid-pandemic-under-new-threats


U.S.-Based Online Pharmacy First to Ship Abortion Pills to Patients Inside the U.S.

9/30/2020
by CARRIE N. BAKER

For years, pharmacies outside the U.S. have been shipping abortion pills to American women wanting to end their pregnancies. But now, for the first time, a U.S.-based pharmacy—Honeybee Health—is distributing abortion pills directly to patients within the country by mail, now legal because of a recent federal court ruling.

“This is a momentous achievement for Americans, particularly for women of color and others who historically faced barriers to reproductive healthcare that are made even worse by COVID-19,” said Dr. Jessica Nouhavandi, co-founder, co-CEO and lead pharmacist of Honeybee Health.

Continued: https://msmagazine.com/2020/09/30/honeybee-health-us-based-online-pharmacy-first-to-ship-abortion-pills-to-patients-inside-the-u-s/


New research calls for relaxation of abortion care laws in Britain and the USA

New research calls for relaxation of abortion
care laws in Britain and the USA

29 June, 2020

Experts from The University of Manchester and The University of Bristol are
calling for permanent laws allowing so-called ‘pills by post’ abortion services
to be enacted in Great Britain and the USA, in order to address barriers to
care highlighted by the coronavirus crisis.

Measures taken in response to the pandemic
have had an unprecedented impact on people’s daily lives, and their access to
healthcare – the lockdown has caused clinics to close due to a lack of staff,
childcare and public transport to be less available, and has made people more
reluctant to visit healthcare settings.

Continued: https://www.manchester.ac.uk/discover/news/new-research-calls-for-relaxation-of-abortion-care-laws/


The UK allows home use of the abortion pill — the US should do the same

The UK allows home use of the abortion pill — the US should do the same

By Susan F. Wood and Cynthia Pearson, opinion contributors
04/27/20

In late March, the United Kingdom issued new guidance authorizing physicians to provide medication abortion pills to those wishing to end their pregnancies during the COVID-19 pandemic. The change was immediately embraced by the public and by British abortion providers who know home use is a safe and effective way to experience an early abortion.

British patients who need an early abortion now consult with a provider by telephone or video link and the medication abortion pills are then delivered to the patient’s home. This is a safe, sensible way to protect pregnant women and their doctors during an epidemic. British leaders and medical experts are to be commended for recognizing that abortion is an essential health care service that can be provided safely within the constraints of physical distancing and stay-at-home orders.

Continued: https://thehill.com/opinion/healthcare/494914-the-uk-allows-home-use-of-the-abortion-pill-the-us-should-do-the-same


USA – Self-Managed Abortion May Be On The Rise, But Probably Not A Significant Driver Of The Overall Decline In Abortion

Self-Managed Abortion May Be On The Rise, But Probably Not A Significant Driver Of The Overall Decline In Abortion

Rachel K. Jones,Guttmacher Institute
Megan K. Donovan,Guttmacher Institute

First published on Health Affairs Blog: November 7, 2019

The U.S. abortion landscape is changing rapidly. Large swaths of the country are enacting ever more extreme abortion restrictions, while a number of states are racing to protect or even expand access. In 2020, the conservative-leaning U.S. Supreme Court will consider its first major abortion rights case since Justices Neil Gorsuch and Brett Kavanaugh were confirmed, and additional cases are at the Court’s doorstep. And all the while, the U.S. abortion rate continues to decline: According to a September report from the Guttmacher Institute, the abortion rate has reached a record low, with concurrent declines in birthrates suggesting that fewer people are becoming pregnant in the first place.

Continued: https://www.guttmacher.org/article/2019/11/self-managed-abortion-may-be-rise-probably-not-significant-driver-overall-decline


Abortion law change: Is Northern Ireland really next?

Abortion law change: Is Northern Ireland really next?
Pro-choice activists in the North hope a string of court cases will advance their cause

Sat, Jan 12, 2019
Susan McKay

On the 29th of this month, Sarah Ewart will appear before the High court in Belfast to present her case that women in Northern Ireland should have access to rights enjoyed by women in all other parts of the United Kingdom.

Ewart is bracing herself – this appearance, while demanding, will be infinitely less agonising than other ordeals she has been through. Five years ago, aged 23, the Belfast woman travelled to an abortion clinic in England to terminate a much wanted pregnancy that was otherwise going to end with the birth of a baby with a foetal abnormality.

Continued: https://www.irishtimes.com/news/social-affairs/abortion-law-change-is-northern-ireland-really-next-1.3753579