USA – The future of DIY abortions is the internet, not a back-alley doctor

The future of DIY abortions is the internet, not a back-alley doctor
No need for a clinic at all

by Lux Alptraum
Sep 22, 2018

For many people, the phrase “illegal abortion” calls to mind images of back alley clinics, medical providers with questionable credentials, and, of course, the dreaded coat hanger — an object so evocative it’s often been used as a protest symbol. But those images are outdated, belonging to a pre-Roe era. These days, the real action in abortion is now online, as a group of reproductive rights activists use the internet to spread the word about how to use abortion pills. They hope to give pregnant people living in places where abortion is nearly inaccessible, or outright illegal, access to safe and effective ways to take charge of their own fertility.

Thanks to the introduction of abortion pills mifepristone and misoprostol — which, in combination, effectively induce abortion 95 percent to 98 percent of the time — it’s become possible to terminate an unwanted pregnancy without an invasive medical procedure. More to the point, it’s possible for women to take these pills to induce an abortion on their own, without the assistance of a doctor. Those pills can be bought online — so for many people, it’s possible to avoid the clinic entirely.

Continued: https://www.theverge.com/2018/9/22/17807550/diy-abortion-sass-pills-plan-c-repro-action-safe2choose-mifeprostone-misoprostol-online

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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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A roadmap for research on self-managed abortion in the United States

A roadmap for research on self-managed abortion in the United States
(Posted August 29 2018)

Advancing New Standards in Reproductive Health (ANSIRH), Gynuity Health Projects, and Ibis Reproductive Health. A roadmap for research on self-managed abortion in the United States. August 2018.

Media coverage and research data show a growing awareness of the option to self-manage (or self-induce or self-source) abortion outside of the formal health care system; we are learning more about people’s experiences with self-managed abortion, and how often people choose this option in the United States. Recent evidence indicates between one and seven percent of abortion patients (see below) have taken or done something to try to end their current pregnancy. In addition, in 2015, there were more than 700,000 Google searches using terms related to self-induced abortion in the United States. The reasons women attempt to self-manage an abortion are varied, but they are often related to barriers accessing clinic-based care, as well as a preference for self-care.

Continued: https://ibisreproductivehealth.org/publications/roadmap-research-self-managed-abortion-united-states

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USA – Self-Managed Abortion Care Becomes Urgent as Threats to Roe v. Wade Mount

Self-Managed Abortion Care Becomes Urgent as Threats to Roe v. Wade Mount

by Katie Klabusich, Truthout
Published August 19, 2018

When President Trump took office just over a year and a half ago, activists could only make educated guesses about whether his promised onslaught against reproductive health care would truly come to pass. The current picture is worse than expected due to attacks from rogue agency heads throughout the Trump-Pence administration who are collaborating to deny access to care to people across the country.

These agency heads include Betsy Devos at the Department of Education, who is working in tandem with the new division of the Department of Health and Human Services (HHS) Office of Civil Rights to reduce access to contraception; Scott Lloyd, who has directed the Office of Refugee Resettlement to deny abortion care to immigrant minors; and Attorney General Jeff Sessions, who has announced a “religious liberty task force” to shore up already existing “conscience clauses” allowing employees to refuse care.

Continued: https://truthout.org/articles/self-managed-abortion-care-becomes-urgent-as-threats-to-roe-v-wade-mount/

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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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USA – How technology could preserve abortion rights

How technology could preserve abortion rights
Telemedicine prescriptions could undercut state abortion restrictions.

By MOHANA RAVINDRANATH and RENUKA RAYASAM
07/29/2018

Abortion rights advocates are exploring how technology might preserve or even expand women’s access to abortion if the Supreme Court scales back Roe v. Wade.

A nonprofit group is testing whether it's safe to let women take abortion pills in their own homes after taking screening tests and consulting with a doctor on their phones or computers. Because the study is part of an FDA clinical trial, the group isn’t bound by current rules requiring the drugs be administered in a doctor’s office or clinic.

Continued: https://www.politico.com/story/2018/07/29/abortion-rights-technology-telemedicine-prescriptions-693328

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USA – In Some States, You Can Still Be Criminally Prosecuted for Ending Your Own Pregnancy

In Some States, You Can Still Be Criminally Prosecuted for Ending Your Own Pregnancy
And Jill Adams is determined to change that.

By Kathi Valeii
Jul 24, 2018

Justice Anthony Kennedy’s announcement of his impending retirement in June immediately changed the conversation surrounding reproductive justice. The question of "if Roe is reversed" has turned to "when Roe is reversed." People are scared — and rightfully so — about what options they will have once the protections of Roe are gone.

But even before Trump was elected and began appointing ultra-conservative Supreme Court justices, the Self Induced Abortion (SIA) Legal Team was doing work to increase protections for self-managed abortion. The lawyer-led organization was formed in response to the criminalization of people who end their own pregnancies.

Continued: https://www.shondaland.com/act/a22517332/jill-adams-abortion-rights-pregnancy-sia-legal-team-interview/

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USA – Illegal Abortion Will Mean Abortion By Mail

Illegal Abortion Will Mean Abortion By Mail
What to expect when you’re expecting your abortifacient pill delivery

Olga Khazan
July 18, 2018

With the prospect of a more conservative Supreme Court on the horizon, some progressive women have begun to fear what will happen if Roe v. Wade, the case that legalized abortion, is overturned. Some of these prophecies have centered on a popular meme in the pro-choice community: The coat hanger.

During a recent rally, New York gubernatorial candidate Cynthia Nixon held up a wire coat hanger as a warning that we should not return to the previous generation’s means of obtaining illicit abortions. And Representative Lois Frankel, a Democrat from Florida, banged a coat hanger on the table at a briefing while discussing the latest Supreme Court nominee, Brett Kavanaugh.

Continued: https://www.theatlantic.com/health/archive/2018/07/after-abortion-is-illegal/565430/

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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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