Drug abortions are on the rise: what are they and where do women get them?

Drug abortions are on the rise: what are they and where do women get them?

Taking abortion pills leads to an increasing number of abortions in the United States, both legal and non-legal. If the Supreme Court Roe v. If Wade is reversed as expected, then drug abortion will play a big role, especially in women who do not have access to abortion clinics.

This is a pill that women can take at home, this method is increasingly used all over the world.

The protocol approved for use in the United States includes two drugs. First, mifepristone inhibits a hormone called progesterone, which is essential for continued pregnancy. Second, mesoprostol causes uterine contractions.

The Food and Drug Administration has approved abortion for up to 10 weeks of pregnancy. According to World Health Organization guidelines, it can be used at home for 12 weeks and in the medical office after 12 weeks.

Yes, both.

In US studies, the combination of these pills causes a complete abortion in more than 99% of patients, and it is as safe as the traditional abortion procedure administered by the doctor in the clinic. Various studies have shown that drug abortions reduce the incidence of adverse events, and a recent Lancet study found that patients are generally satisfied with this. Growing evidence from abroad suggests that abortion pills are safe even for women who do not have a doctor to advise them.

“Some people still think we’re talking about something dangerous or out of frustration, but this information is becoming increasingly mainstream,” said Austin of the University of Texas at Austin. Abigail RA Aiken, an associate professor who leads a research group there, said. Abortion medicine.

About half of all legal abortions are performed in the United States (and three-quarters in Europe). During epidemics, medical abortions became more common because patients wanted to avoid going to the clinic in person, and changes in federal law made it easier for them to obtain prescriptions via telemedicine.

Dr. Maria Isabel Rodriguez, an associate professor of obstetrics and gynecology at the University of Oregon Health and Sciences, said it usually depends on the personal preferences of patients who have worked on abortion research and policy design. “Some people like surgery, because it’s gone fast, they’re able to anesthetize, and it’s gone in a certain amount of time,” he said. “Medicine can feel more private, some want it in their home, some say it feels more natural to them, and some say it’s more possible to deal with the damage.”

Medication abortion is also used illegally by people who live in a place that prohibits legal abortion or those who cannot reach the clinic. The US abortion rate is higher than the official rate reported by doctors, the evidence suggests, as people are ordering pills online. This hidden abortion rate could increase if more states ban abortions – the ban would apply to both surgical and medical abortions.

Doctors with special registration required by the FDA

But it recently scrapped rules that required a personal meeting. This means that more suppliers are offering abortion drugs through telemedicine. The doctor and the patient meet online, then the doctor sends the pills to the patient’s house by post. (Some brick and mortar pharmacies have approved prescription pills, but this is not yet common.)

New startups that specialize in telemedicine abortion, such as Hey Jane and Just the Pill, have begun offering the service in states that allow it. But 19 states prohibit the delivery of pills as prescribed by telemedicine or by mail. In these places, patients still need to see a doctor in person to take the pills. Other states ban drug abortions after a few weeks.

If the rhetoric is reversed, about half the states are expected to impose a complete ban on abortion. These rules will affect all methods of abortion, including the method of abortion and pills.

Overseas online pharmacies sell tablets. Aid Access offers advice and prescriptions from European doctors before sending pills from India to women in all 50 states. These illegal channels are becoming more popular as abortion becomes difficult to access in some states. When Texas enacted a law in September banning abortion after nearly six weeks, requests for access to abortion pills tripled.

The FDA has asked the groups to stop selling the drugs in the United States, saying they violate US drug safety protocols. But researchers who have analyzed tablets in laboratories have found that tablets ordered using these services are generally authentic.

Mesoprostol, the second of the two drugs in government procedures, can also terminate pregnancy if used alone. It is about 80% effective on its own, although sometimes it has to be taken more than once. The pill is also used to treat ulcers, and is available over the counter in many countries, including Mexico. But the only FDA-approved method in the United States is to use both pills.

no. In the United States, it is illegal to sell prescription medicine to Americans without a prescription from a licensed doctor. But the implementation of overseas suppliers has been unusual, as is the case with other medicines that Americans order from abroad. And sales will be difficult to stop because medicines usually come in unmarked packages in the mail.

“I’m not there, so I have no legal risk,” said Dr. Rebecca Gomperts, a Dutch doctor who runs AIDS Access, and says she has lawyers who advise her at home and in the United States. “I know where I am, I am obeying the law.”

In general, current state laws do not penalize women for having an abortion, but focus on enforcing abortion providers. Exceptions are old laws in South Carolina, Oklahoma and Nevada. This could change if Roe is reversed and if illegal abortions become more common with drugs. In recent months, some states have increased criminal penalties for prescribing, supplying or delivering pills.

Self-management of abortion is not a legal offense in all but three states, said Farah Diaz Tello, senior lawyer and legal director of the Reproductive Rights Policy and Advocacy Group, if / when / how. “But it is not permissible for a person to take prescription medicine without a prescription.”

The first pill, mifepristone, usually has no obvious effect on patients. Second, mesoprostol, taken 24 to 48 hours later, causes pain and bleeding that increase in severity, Dr. Rodriguez said.

This process lasts about six to eight hours, and can last up to an hour. She recommends that patients stay home without any other responsibilities. Ibuprofen and a heating pad are also recommended, as the pain can be severe and the bleeding is much longer than a period. After pregnancy, the pain and clotting stop, although women usually bleed, like during menstruation, for about a week.

In rare cases, in less than 1% of cases, a patient is bleeding more than expected and needs medical attention. Similarly, abortion is rarely complete and needs to be followed up with another dose or surgical abortion. Women who have these complications can be treated by a doctor with experience in abortion. The symptoms and treatment are the same. Once a miscarriage begins with medication, it cannot be reversed.

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