She was one of Alabama’s last abortion doctors. Then they came for everything she had

Dr Leah Torres has endured the ire of the anti-abortion movement without backing down – but now she faces her most daunting challenge

by Poppy Noor
Wed 22 Mar 2023

Dr Leah Torres doesn’t tell people what she does when she meets them, which makes it hard to make friends. She removes her name from every piece of trash before she puts it out for recycling, in case people walking past see her name and find out where she lives. If a package addressed to her arrives on her porch, she calls everyone she knows to identify who sent it before she opens it – it could be a bomb.

Once, coming back from work in the piercing August Alabama sun, she noticed a gray sedan parked in her driveway. Instinctively, she fled to a neighbor’s house – she barely knew him – but asked if he could walk her home anyway. The car turned out to be a stranger’s; the driver had just pulled over to send a text message. “Still, you never know,” says Torres, her big, almond-shaped eyes conveying concern.

Continued: https://www.theguardian.com/world/2023/mar/22/alabama-last-abortion-doctor-leah-torres

“You Know What? I’m Not Doing This Anymore.”

There’s a quiet new crisis brewing in Texas following the abortion ban. It could get much worse.

BY SOPHIE NOVACK
MARCH 21, 2023

For three days last fall, Leah Wilson entered her pregnant patient’s hospital room and checked the fetus for a heartbeat. She was waiting for it to stop. The woman’s water had broken at just 19 weeks of pregnancy, well before viability, causing an infection in her uterus. The fetus would not survive, but until it died, or the woman’s condition worsened, there was little the hospital would do, said Wilson, who was her nurse at the time.

Typically in this kind of situation, doctors would terminate the pregnancy to prevent a life-threatening infection or other serious complication. But this patient was in Texas, where abortion is no longer legal.

Continued: https://slate.com/news-and-politics/2023/03/texas-abortion-law-doctors-nurses-care-supreme-court.html

The doctors suing Texas over abortion access

By SYDNEY GOLD, Politico
03/17/2023

Last year, Dr. Judy Levison, an OBGYN in Houston, was offering routine counseling to a pregnant patient about screenings, explaining how she could check for spinal cord or chromosomal abnormalities in the fetus. She told her patient that while not everyone wants to know about abnormalities in their pregnancy, others do in case they’ll need to prepare for any health issues or, depending on the prognosis, even end the pregnancy.

“As I got to the word ‘abortion,’ you know, ending a pregnancy, I suddenly stopped and said, ‘Oh my, I can’t offer abortion anymore, and my patients tend to be low income, and going out of state is really not an option,’” said Levison. “I suddenly felt like somebody had literally tied my hands behind my back.” Levison ultimately decided to stop seeing patients after nearly 40 years in practice, citing Dobbs as a contributing factor.

Continued: https://www.politico.com/newsletters/women-rule/2023/03/17/the-doctors-suing-texas-over-abortion-access-00087608

17.03.2023

Amanda Zurawski

Anna Zargarian

Center for Reproductive Rights

Zurawski v. The State of Texas

South Africa – TMH now offers reproductive health care, including safe and legal abortion services

The Choice on Termination of Pregnancy guidelines estimated at least 50% of all abortions were still done by informal, illegal and unsafe providers.

March 17, 2023
Fanie Mthupha

Finally, the Tambo Memorial Hospital boasts a Women’s Health Clinic after not having had the service for decades.

The newly opened clinic, to be officially launched today, is located within the institution, and offers, among other things, family planning, choice on termination of pregnancy (CTOP) services and post-termination of pregnancy care services, which include counselling by a psychologist or social worker to ensure clients cope with post-termination issues.

Continued: https://boksburgadvertiser.co.za/464580/tmh-now-offers-reproductive-health-care-including-safe-and-legal-abortion-services/

17.03.2023

News

Choice on Termination of Pregnancy Act

Choice on Termination of Pregnancy guidelines

National Health Act

Saving Mothers Report

Tambo Memorial Hospital

Doctors Warned Her Pregnancy Could Kill Her. Then Tennessee Outlawed Abortion.

A Tennessee mother wanted to end her high-risk pregnancy, but doctors feared prosecution.

by Kavitha Surana, photography by Stacy Kranitz, special to ProPublica
March 14, 2023

This story graphically describes serious complications in pregnancies and births, and it mentions suicide.

One day late last summer, Dr. Barry Grimm called a fellow obstetrician at Vanderbilt University Medical Center to consult about a patient who was 10 weeks pregnant. Her embryo had become implanted in scar tissue from a recent cesarean section, and she was in serious danger. At any moment, the pregnancy could rupture, blowing open her uterus.

Dr. Mack Goldberg, who was trained in abortion care for life-threatening pregnancy complications, pulled up the patient’s charts. He did not like the look of them. The muscle separating her pregnancy from her bladder was as thin as tissue paper; her placenta threatened to eventually invade her organs like a tumor. Even with the best medical care in the world, some patients bleed out in less than 10 minutes on the operating table. Goldberg had seen it happen.

Continued: https://www.propublica.org/article/tennessee-abortion-ban-doctors-ectopic-pregnancy

USA – How Abortion Providers Are Planning for a Ruling That Could Force Mifepristone Off the Market

2/21/2023
by PHOEBE KOLBERT, Ms. Magazine

The ruling in a lawsuit out of Texas seeking to reverse FDA approval of mifepristone is expected as soon as this week. If Trump-appointed District Court Judge Matthew Kacsmaryk rules in favor of the Alliance Defending Freedom (ADF), the far-right group bringing suit, mifepristone would be forced off the market and clinics’ capacities could significantly fall.

The Trust Women clinic in Wichita, Kansas—where abortion is currently legal up to 21 weeks—already gets more than 16,000 calls a day and is booking out weeks ahead. If the clinic is forced to stop providing medication abortions, its capacity will be greatly reduced. Aspiration abortions must be performed in person, with specialized equipment, and appointments can be more than three hours long—three times that of medication abortion appointments. Ashley Brink, the clinic director of Trust Women, said the clinic would only be able to serve a fraction of their current patient load if they could only provide aspiration abortions.

Continued: https://msmagazine.com/2023/02/21/texas-mifepristone-lawsuit-criminalize-abortion/

Canada – Doctors brace for a nationwide shortage of abortion pills

Mifegymiso manufacturer says supply chain to blame for second shortage in 3 months

Marina von Stackelberg · CBC News
Posted: Feb 16, 2023

A nationwide shortage of the abortion pill is expected next week⁠ — just months after previous shortage of the drug forced some patients to get surgical abortions instead.

"When our hands are tied, it's really frustrating to not be able to give the standard of care," said Dr. Emily Stuart, an abortion provider on Vancouver Island.

Continued: https://www.cbc.ca/news/politics/abortion-pill-shortage-1.6750183

USA – Abortion Clinics Prepare for More Chaos With End of FDA-Approved Pill

Medication abortion is the most popular way to end a pregnancy in the US

By Ella Ceron
February 15, 2023

The most popular abortion method in the US could vanish from the market, leaving providers scrambling to find alternatives after the end of Roe v. Wade.

A Texas judge is expected to rule soon on a case seeking to remove the Food and Drug Administration’s decades-old approval of mifepristone, one of two pills commonly used together to terminate a pregnancy. The anti-abortion group behind the suit is arguing the FDA fast-tracked the drug’s authorization and lacked sufficient evidence to make its final decision.

Continued: https://www.bloomberg.com/news/articles/2023-02-15/what-to-use-instead-of-the-abortion-pill-few-options-without-fda-approved-pill

As Conservatives Try to Ban the Abortion Pill Mifepristone, New Research Shows Accessible Ulcer Drug Safely Ends Pregnancy Up to 12 Weeks

Mifepristone’s future is shaky—but women and pregnant people can still access misoprostol, a highly effective and medically safe method to end an early pregnancy.

2/14/2023
by CARRIE N. BAKER, Ms. Magazine

Over half of clinician-supervised abortions in the U.S. in 2020 were done with a combination of two medications: mifepristone and misoprostol. A Trump-appointed judge in Texas will soon decide a lawsuit brought by anti-abortion extremists asking him to force mifepristone off the market in all 50 states. If he does, as anticipated, reproductive rights advocates are ready to offer a safe and effective alternative to end pregnancy through three months: a higher dosage of misoprostol taken alone.

Misoprostol is a widely available ulcer medication that can induce a miscarriage by causing contractions of the uterus to expel a pregnancy. In the 1980s, Brazilian women began using misoprostol to end their pregnancies because abortion was unavailable through the medical system. Self-managed abortion with misoprostol resulted in precipitous declines in infection, hemorrhaging and death from unsafe abortion.

Continued: https://msmagazine.com/2023/02/14/misoprostol-abortion/

How are Wisconsin women doing under the 1849 abortion ban?

Not so well, say doctors
Ruth Conniff
JANUARY 24, 2023

…. In the 13 states including Wisconsin with abortion bans on the books, women are three times more likely to die during pregnancy, childbirth, or shortly after giving birth, according to a report by the Gender Equity Institute. “These are preventable deaths,” says Dr. Kristen Lyerly, an obstetrician/gynecologist from Green Bay and a plaintiff in Attorney General Josh Kaul’s lawsuit against the 1849 ban. Babies born in states that have banned abortion are also 30% more likely to die in their first month of life. So much for the “pro-life” utopia.

Continued: https://wisconsinexaminer.com/2023/01/24/how-are-wisconsin-women-doing-under-the-1849-abortion-ban/

24.01.2023