Galvanized by Dobbs, more doctors are distributing abortion pills by mail

A new president could reverse an FDA rule change that made it possible.

By RUTH READER
09/21/2022

Doctors at online and brick and mortar primary care companies are slowly starting to prescribe medication abortion pills via telemedicine in states where it’s still legal following the Supreme Court’s Dobbs decision ending the constitutional right to the procedure.

The FDA has yet to update its rules to make way for large retail pharmacies to dispense medication abortion, limiting how patients can get pills. In the meantime, these companies are leaning on two mail-order pharmacies to fill their prescriptions.

Continued: https://www.politico.com/news/2022/09/21/dobbs-abortion-pills-roe-00057877


USA – The Other Abortion Pill

In the U.S., medication abortion usually consists of two drugs. One of them has always mattered more.|

By Patrick Adams
SEPTEMBER 19, 2022

In the months since the Supreme Court overturned Roe v. Wade, demand for medication abortion has soared. The method already accounted for more than half of all abortions in the United States before the Court’s decision; now reproductive-rights activists and sites such as Plan C, which shares information about medication abortion by mail, are fielding an explosion in interest in abortion pills. As authorized by the FDA, medication abortion consists of two drugs. The first one, mifepristone, blocks the hormone progesterone, which is necessary for a pregnancy to continue. The second, misoprostol, brings on contractions of the uterus that expel its contents. The combination is, according to studies conducted in the U.S., somewhere between 95 percent and 99 percent effective in ending a pregnancy and is extremely safe.

Continued: https://www.theatlantic.com/health/archive/2022/09/abortion-pill-misoprostol-effectiveness/671465/


Abortion Pill Providers Experiment With Ways to Broaden Access

These new efforts, which test the legal boundaries, have sprung up since the Supreme Court overturned Roe v. Wade and many states restricted abortion.

By Pam Belluck
Sept. 3, 2022

As bans and restrictions proliferate across the country, abortion pill providers are pushing the envelope of regulations and laws to meet the surging demand for medication abortion in post-Roe America.

Some are using physician discretion to prescribe pills to patients further along in pregnancy than the 10-week limit set by the Food and Drug Administration. Some are making pills available to women who are not pregnant but feel they could need them someday. Some are employing a don’t-ask-don’t-tell approach, providing telemedicine consultations and prescriptions without verifying that patients are in states that permit abortion.

Continued: https://www.nytimes.com/2022/09/03/health/abortion-pill-access-roe-v-wade.html


USA – What happens to people denied abortions?

Health impacts for pregnant people in post-Roe America

By Yemi Zewdu Yimer, Sara Zargham, Sharon Yuen, Gabriela Marmolejos & Tara Viviani
August 31, 2022

An estimated 138K women per year will be denied abortions in their home states following the overturning of Roe v. Wade. This population will have four options, and each carries the risk of adverse health outcomes and behaviors. To effectively adapt their maternal and reproductive health service offerings, stakeholders must understand the forecasted outcomes and volumes for each pathway below:

- Carry the pregnancy to term
- Travel out of state for legal abortion
- Order “extralegal” medication abortion by mail
- Attempt an unsafe abortion

Continued: https://www.advisory.com/topics/womens/2022/08/what-happens-to-people-denied-abortions


‘I would wish this on absolutely no one’: How three women dealt with pregnancy in the year since Texas’ six-week abortion ban

To mark the first anniversary of SB 8 going into effect, The 19th spoke with Texans who sought an abortion in this past year. Each has a different story. But all shared similar sentiments: anger, sorrow, frustration and fear.

Shefali Luthra, Health Reporter
August 29, 2022

Tiff found out she was pregnant on New Year’s Day. Her period was three days late, just enough to suspect that something was off. Still, when she saw the two pink lines, she was shocked.

She was 16. She didn’t know what to do or what would happen with her parents, whom she describes as conservative.

Continued: https://19thnews.org/2022/08/pregnancy-texas-six-week-abortion-ban/


Americans scramble for abortions in states that have banned it

New avenues are emerging, but logistical hassles are everywhere

By RUTH READER and BEN LEONARD
July 11, 2022

Demand for pills that end pregnancy has skyrocketed in states that have restricted abortion since the Supreme Court decision last month, and abortion clinics are reporting a rush for appointments in towns bordering those states.

Aid Access, a virtual abortion clinic based in the Netherlands, saw a 256 percent increase in people coming to its site in the 24 hours after the court’s June 24 decision.

Continued: https://www.politico.com/news/2022/07/11/teleabortions-high-demand-abortion-pill-00044005


Why Are We Restricting the Abortion Pill to First-Trimester Pregnancies?

By Lux Alptraum
JULY 8, 2022

For the past few years, medication abortions have been on the rise in the United States, accounting for 54 percent of abortions performed in 2020 (up from just 39 percent in 2017). With last month’s gutting overturn of Roe v. Wade, that number is now expected to spike even higher despite the legal risks in states where abortion is now criminalized. The reasons are obvious: Medication abortion — a.k.a. “the abortion pill” — offers a safe way to terminate a pregnancy from the comfort of your home, even in places where abortion is criminalized. Clinics may shut their doors and doctors may refuse to provide abortions, but pills remain readily available online.

https://www.thecut.com/2022/07/medication-abortion-pill-after-first-trimester.html


US conservatives vow harsh restrictions to curtail abortion pills

Discreet and available by mail, abortion-inducing pills could make conservative abortion bans challenging to enforce.

By Brian Osgood
1 Jul 2022

The US Supreme Court struck down Roe v Wade, the landmark 1973 decision that enshrined the legal right to abortion in the United States in federal law, reversing nearly 50 years of precedent and inflaming a sharp ideological divide.

The ruling last week was the result of decades of relentless organising by conservative anti-abortion rights groups in the US, which are now setting their sights on the fight to shape the post-Roe landscape.

https://www.aljazeera.com/news/2022/7/1/conservatives-seek-restrictive-measures-to-penalize-abortion-pills


USA – Should you keep abortion pills at home, just in case?

With Roe on the brink, more experts are talking about advance provision of mifepristone and misoprostol.

By Rachel M. Cohen
Jun 22, 2022

Medication abortion, or taking a combination of the drugs mifepristone and misoprostol, is an increasingly common method for ending pregnancies in the United States. Reasons vary and overlap: Some women lack access to in-person abortion clinics; others prefer to end pregnancies in the comfort of their own home. Others seek out the pills because they cost far less than surgical abortion.

With more in-person clinics shuttering and a Supreme Court that’s threatening to overturn Roe v. Wade, a small but growing number of reproductive experts have been encouraging discussion of an idea called “advance provision” — or, more colloquially, stocking up on abortion pills in case one needs them later.

https://www.vox.com/2022/6/22/23170229/abortion-roe-medication-pills-pregnancy-unplanned


USA – These researchers study abortion in states likely to ban it. That will make their jobs even harder

By Theresa Gaffney
June 21, 2022

Last year, Texas lawmakers passed the most restrictive abortion policy in the country.  The state’s leading researchers on reproductive health care weren’t consulted when it was being crafted. But they started studying it the moment it passed.

“We are getting a glimpse in Texas of folks who, because of the way that the laws are written, are not able to get evidence-based care and their health and well-being is being put at risk,” said Kari White, the director of the Texas Policy Evaluation Project at the University of Texas Austin, which published two studies on the consequences of the law just six months after it went into effect.

https://www.statnews.com/2022/06/21/abortion-access-research-texas-wisconsin/