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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England ‘Out of Step on Home Abortion Pills’

England 'Out of Step on Home Abortion Pills'

Nicky Broyd

July 10, 2018

An early medical abortion (EMA), involves taking two drugs (mifepristone and misoprostol) usually 24 to 48 hours apart.

In October 2017 the Scottish Government gave approval for the second drug, misoprostol, to be taken at home and Wales is following suit. Now England is being urged to do the same.

Continued: https://www.medscape.com/viewarticle/899098

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The murky truth about why women in England can’t have abortions at home

The murky truth about why women in England can’t have abortions at home
The law that requires women to take the necessary pills in a clinic is a moral hangup based on anti-abortion hysteria

Zoe Williams
Tue 10 Jul 2018

The medical abortion – “the abortion pill” – sounds easier than it is. It happens in two stages: first, mifepristone, then, 24 to 48 hours later, misoprostol, which within a few hours will terminate the pregnancy. In the 90s, you went home in between, but you had to stay in the clinic for the duration of the second process, which was all a bit Handmaid’s Tale; the quasi-medical environment was very alienating, with its enforced solemnity and curtain-cubicles. There was not enough privacy if you were distressed and not enough chat if you were bored.

So, what came afterwards – women could take the second pill in a clinic, then go home – seemed like an improvement, except for the fact that you could miscarry on the way home. It always seemed necessary to ram home the indignities of this by reminding the world that you might be on public transport, the tacit understanding being that women deserve some peril, some inconvenience, in recognition of their dastardly act – but not on a bus. This was the wrong argument, in my view: it ought to have been possible to say: “I don’t want to be in transit at all, you idiots, I want to take the pill at home and then remain at home.”

Continued: https://www.theguardian.com/world/shortcuts/2018/jul/10/the-murky-truth-about-why-women-in-england-cant-have-abortions-at-home

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Former Aberdeen student reveals her agony at having an abortion in the back of a taxi – and she’s not the only one faced with this horrific ordeal

ABORTION PILL HORROR Former Aberdeen student reveals her agony at having an abortion in the back of a taxi – and she’s not the only one faced with this horrific ordeal

Claudia, 23, had no choice but to go through an abortion in the back of a cab. -but she's not the only one

By Zoe Apostolides
10th July 2018

BENT double in the back of a cab with agonising cramps and feeling herself starting to bleed is not how Claudia expected her abortion to happen.

A student in her final year at Aberdeen University, Claudia, now 23, made the tough decision to terminate her pregnancy at seven weeks last year – but was forced to go through the trauma of starting to bleed on her way home from the hospital in the back of a stranger’s taxi.

Continued: https://www.thescottishsun.co.uk/fabulous/2911555/aberdeen-student-abortion-law-england-change/

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USA – Bulwark Against an Abortion Ban? Medical Advances

Bulwark Against an Abortion Ban? Medical Advances

By Pam Belluck and Jan Hoffman
July 1, 2018

As partisans on both sides of the abortion divide contemplate a Supreme Court with two Trump appointees, one thing is certain: America even without legal abortion would be very different from America before abortion was legal.

The moment Justice Anthony M. Kennedy announced his retirement, speculation swirled that Roe v. Wade, the landmark 1973 ruling that legalized abortion, would be overturned. Most legal experts say that day is years away, if it arrives at all. A more likely scenario, they predict, is that a rightward-shifting court would uphold efforts to restrict abortion, which would encourage some states to further limit access.

Continued: https://www.nytimes.com/2018/07/01/science/abortion-supreme-court-trump.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=first-column-region&region=top-news&WT.nav=top-news

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