USA – Everything You Need To Know About Self-Managed Abortion

Everything You Need To Know About Self-Managed Abortion

Meera Shah
Nov 28, 2018

The coat hanger is a symbol of an era before Roe vs. Wade, when abortion was illegal and people tried managing it with the only means they knew: a straightened coat hanger used to dangerously induce a termination that would often result in hemorrhage, and sometimes death. While outdated, the symbol of the coat hanger is a persistent reminder that when abortion is illegal or out of reach, people will find other means to terminate their pregnancies. Today people have safer means of self-managing abortion.

Roe vs. Wade legalized abortion in all 50 states in the United States in 1973, but it didn’t give everyone an unfettered right to access it, either without burden or significant obstacles

Continued: https://jezebel.com/everything-you-need-to-know-about-self-managed-abortion-1830471836

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USA – With abortion clinic restrictions tightening, women want more access at home

With abortion clinic restrictions tightening, women want more access at home
Medication abortion likely meets the FDA criteria for OTC use, but women are still required to get it at a clinic

by Antonia Biggs • Daniel Grossman
November 28, 2018

The website Aid Access recently began offering women in the U.S. the option to obtain an abortion in the privacy of their own homes. U.S. women who are unable to overcome the significant barriers to accessing abortion in a health care setting or prefer the convenience and privacy of home-based care can use the site to purchase a medication abortion product online. While this may seem like a radical approach by U.S. standards, it is likely safe for most women, and especially helpful for women living far from an abortion facility.

The launch of Aid Access comes at a time when women increasingly are faced with restrictions to accessing abortion care. Now more than ever, there is a need to expand the ways that women can obtain the abortion care that they need. Medication abortion, which represents about a third of all abortions provided in health care settings, has the capacity to offer women more choices and to reduce many existing barriers to abortion care.

Continued: https://www.salon.com/2018/11/28/with-abortion-clinic-restrictions-tightening-women-want-more-access-at-home/

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USA – Abortion Pills Are No Post-Roe Panacea

Abortion Pills Are No Post-Roe Panacea
Yes, they are revolutionary. But price and legal barriers to access mean that coat hangers aren’t safely back in the closet for good just yet.

By Françoise Girard
Nov. 25, 2018

As abortion rights have come under increasing attack in the United States, commentators have held up self-administered abortion pills as a backup plan for a post-Roe world. They point to the millions of pregnant women worldwide who are using pills to self-manage abortion, citing them as an example of what reproductive health care might look like should in-clinic abortions be made illegal.

There’s no question that abortion pills are revolutionary. In the hands of women, the pills have transformed self-induced abortion from a once-dangerous endeavor into a safe procedure. Abortion help lines have walked women through the process of self-management, sometimes remotely or even over the internet. Where abortion is illegal, black market access to the drugs has resulted in significant decreases in complications and deaths.

Continued: https://www.nytimes.com/2018/11/25/opinion/medication-abortion-roe.html

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Extensive New Body of Evidence on Abortion in Six Indian States Released

Extensive New Body of Evidence on Abortion in Six Indian States Released
Data Available on Abortion Incidence, Access to and Quality of Safe Abortion Services

Nov 12, 2018

Abortion has been legal under broad criteria in India since 1971, yet representative information on abortion incidence and access to abortion services in the country has been scarce. The results of a large-scale study titled Unintended Pregnancy and Abortion in India have now been released, filling a critical evidence gap. The results of the study—which was conducted jointly by researchers at the International Institute for Population Sciences (IIPS), Mumbai, the Population Council, New Delhi, and the New York–based Guttmacher Institute—include a wide range of data on abortion in six Indian states: Assam, Bihar, Gujarat, Madhya Pradesh, Uttar Pradesh and Tamil Nadu. These states are geographically and culturally diverse, and are home to nearly half of reproductive-age women in India.

Continued: https://www.guttmacher.org/news-release/2018/extensive-new-body-evidence-abortion-six-indian-states-released

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Health-Care Providers Must Consider What Role We’ll Play in Harm Reduction if Abortion Is Outlawed

Health-Care Providers Must Consider What Role We’ll Play in Harm Reduction if Abortion Is Outlawed

Sep 17, 2018
Dr. Daniel Grossman

Texas has seen some of the nation’s most regressive abortion restrictions in recent years. This series chronicles the fall-out of those laws, and the litigation that has followed.

As the prospect of losing the constitutional protection to abortion becomes more real, I am struck by how disconnected the political rhetoric is from medical reality. The facts are clear: Making abortion illegal does not make it go away. Yes, some patients will be prevented from getting a wanted abortion, but others will still end their pregnancies, either by traveling for safe and legal care or by taking matters into their own hands.

Continued: https://rewire.news/article/2018/09/17/health-care-providers-must-consider-what-role-well-play-in-harm-reduction-if-abortion-is-outlawed/

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Telemedicine Could Help Fill the Gaps in America’s Abortion Care

Telemedicine Could Help Fill the Gaps in America's Abortion Care

Author: Garnet Henderson
Aug 7, 2018

Imagine a woman in Lubbock, Texas, who just found out that she's pregnant. She wants an abortion, but Lubbock is one of 27 abortion deserts in the US: The nearest clinic is 308 miles away in Fort Worth, forcing her to take time off from work, pay for travel, and likely arrange childcare to get there. She’s less than 10 weeks along, so she’s a candidate for medication abortion—which could, theoretically, be completed in the privacy of her home. But Texas requires that the FDA protocol for medication abortion be followed to the letter. She’ll have to return to the clinic within one to two weeks for a follow-up visit, despite evidence that an in-person follow-up is unnecessary.

What if, instead, she could video chat with a doctor, pick up a prescription from her regular pharmacy, and manage her own abortion with on-call medical support—a telemedicine abortion?

Continued: https://www.wired.com/story/telemedicine-could-help-fill-the-gaps-in-americas-abortion-care/

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USA – Why Women Are Sharing Their Abortion Stories

Why Women Are Sharing Their Abortion Stories
Even though abortion is technically legal, it can still come with shame, stigma, and fear.

By Katha Pollitt
Aug 3, 2018

Vats of ink have been spilled trying to figure out whether the coming right-wing majority on the Supreme Court will overturn Roe v. Wade. The truth is, we just don’t know; it will all come down to what’s in the hearts and minds of five anti-abortion, very conservative men. If I were one of them, I would definitely opt for keeping Roe and letting it dangle in the wind. Upending the precedent could awaken the majority of Americans who want to keep abortion legal. Right now a lot of pro-choicers still don’t pay attention to restrictions on abortion, no matter how stringent they are, as long as the procedure is technically lawful and available to them personally.

Continued: https://www.thenation.com/article/why-women-are-sharing-their-abortion-stories/

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USA – ‘I Didn’t Tell a Soul’: Illegal Abortion Then and Now

‘I Didn’t Tell a Soul’: Illegal Abortion Then and Now

Jul 31, 2018
Lauren Holter

Jo Baxter had an illegal abortion in 1965. Now she fears the country is reverting back to a time when women couldn’t legally end a pregnancy.

Terror: That was the only emotion Jo Baxter remembers feeling as she drove from Nebraska to Kansas. It was a Saturday morning in 1965—eight years before abortion was legalized in the United States—when the college junior got into a car with her boyfriend and another friend who agreed to drive the six hours so Baxter could get an illegal abortion from a man she’d never met.

Continued: https://rewire.news/article/2018/07/31/i-didnt-tell-a-soul-illegal-abortion-then-and-now/

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Indonesia – New research shows abortions with support of non-medically trained counselors could offer safe alternative for women in legally-restrictive contexts

New research shows abortions with support of non-medically trained counselors could offer safe alternative for women in legally-restrictive contexts
July 18, 2018

A new study published by Ibis in BMJ Sexual & Reproductive Health shows that a safe-abortion hotline staffed by trained abortion counselors can help women who are more than 12 weeks pregnant to safely self-manage medication abortion. Results suggest that this model has the potential to be as effective as providing medication abortion in a clinic and could provide a safe option for women who need an abortion after 12 weeks in restrictive legal settings.

“Even in places where abortion is legal, structural and institutional barriers can delay women from accessing abortion care. These barriers are even greater in contexts where abortion is legally restricted,” said Caitlin Gerdts, PhD, vice president for research at Ibis and lead author of the study.

Continued: https://ibisreproductivehealth.org/news/new-research-shows-abortions-support-non-medically-trained-counselors-could-offer-safe

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USA – With the appointment of Brett Kavanaugh, Roe v. Wade is likely dead

With the appointment of Brett Kavanaugh, Roe v. Wade is likely dead
How post-Roe America will look different from pre-Roe America

by Carole Joffe July 10, 2018

Much of the debate over the nomination of Brett Kavanaugh to succeed Anthony M. Kennedy on the Supreme Court will center on the fate of Roe v. Wade and the future of abortion rights in America. Nervous champions of the right to choose recall President Trump’s promise to only nominate “pro-life” judges to the court and marked Kavanaugh’s selection with a protest in front of the court.

If Roe is overturned, the legality of abortion will be decided by individual states. How soon this might happen, and how many states would ban abortion, is not clear.

Continued: https://www.washingtonpost.com/news/made-by-history/wp/2018/07/10/with-the-appointment-of-brett-kavanaugh-roe-v-wade-is-likely-dead/?utm_term=.54ca982e2d45

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