Abortion pills are more common: What they are and where women get them

Taking drugs to end pregnancy for a combination of abortions in the United States, both legal and illegal. If the Supreme Court Roe v. Wade as needed, abortion pills will play a bigger role, especially for women who do not go to an abortion clinic.

It is one of the methods of medicine that women can take at home, a way to increase the worldwide use.

Procedures approved for use in the United States include two drugs. The first, mifepristone, blocks the hormone progesterone, which is necessary for further pregnancy. The second, misoprostol, causes uterine contractions.

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

Is in both counts.

In a U.S. study, a combination of these drugs resulted in total abortion in more than 99 percent of patients, and was as safe as conventional abortion procedures. done by a hospital doctor. Numerous studies have shown that abortion pills have a lower rate of adverse events, and a recent Lancet study found that most patients enjoy it. Developmental evidence from abroad shows that abortion pills are safe even in women who do not have a doctor to prescribe them.

“Some people still think we are talking about something dangerous or a complete set of surprises, but increasing this information has become important,” said Abigail RA Aiken, an expert on University of Texas at Austin where he leads the research team. of abortion pills.

About half of all abortions are legal in the United States (and quarterly in Europe). In the wake of the epidemic, drug abortion has become more common because patients want to avoid having to go to private hospitals, and changes in federal law have made it easier for them. to receive telemedicine.

It mostly comes from patients’ personal preferences, says Dr. Maria Isabel Rodriguez, a specialist in obstetrics and gynecology at Oregon Health and Sciences University, who has worked on abortion research and policy development. “Some people like surgery, because it passes faster, they can get anesthesia, and it is done on time,” he said. “Medical can feel very personal, some want it in their home, some say it feels better for them, and some say it feels capable of lost. “

Abortion pills are also used by people who live in places where legal abortion is prohibited or by people who cannot get to the hospital. U.S. abortion rates are higher than doctors have reported, evidence suggests, because people are ordering drugs online. Abortion does not appear to be on the rise as more states move to ban abortion.

Specialists are required by the FDA

But recently it has removed the rules that require personal appointments. That means many doctors prescribe telemedicine abortion. The doctor and patient meet online, then the doctor sends the medication to the patient’s home by mail. (Some brick-and-mortar pharmacies have become certified to prescribe drugs, but this is not yet available.)

New starters that specialize in abortion over telemedicine, like Hey Jane and Just the Pill, have begun offering services in the states that allow it. But 19 states prohibit the drug by telemedicine or by mail. In those areas, patients also need to see their own doctor to pick up the medication. Other states prohibit abortion after a few weeks.

If Roe is reversed, about half of the states will ban total abortion, and abortion drugs will become a legal battle.

Overseas online pharmacies sell drugs. An organization called Aid Access provides women in all 50 states with advice and prescriptions from European doctors before sending medicines from India. These illegal advertisements have become more popular because abortion is more difficult in some states. After Texas passed a law in September banning abortions after six weeks, there were three requests for Aid Access for abortion pills.

The FDA has asked these groups to ban the sale of these drugs into the United States, saying they violate US drug safety standards. But scientists who have examined drugs in clinical trials have found that prescription drugs using these services are often accurate.

The second of the two drugs in the political regimen, misoprostol, can also terminate a pregnancy when used alone. It is around 80 percent on its own, although sometimes it needs to be eaten more than once. These tablets are also used to treat infections, and are available over the counter in many countries, including Mexico. But the only way the FDA approves in the United States is to use two drugs.

No, it’s not. It is illegal to sell drugs to Americans without a prescription from a licensed physician in the United States. But the administration of foreign doctors was rare, as it was with other American drugs ordered from abroad. And sales can be difficult to cancel because most drugs come in unlisted packages in the mail.

“I’m not there, so I have no legal risk,” said Dr. Rebecca Gomperts, the Dutch doctor who runs Aid Access, and says she has a lawyer to guide her, both at home and in the United States. “I know from where I live, I follow the law.”

In general, recent state laws do not penalize women for abortion, but rather focus on governing an abortion provider. The exemption is the same as in South Carolina, Oklahoma and Nevada. That could change if Roe changes and if abortion illegal drugs become more common.

Farah Diaz-Tello, senior lawyer and chief legal officer for If / When / How, says “It is not a crime against abortion” in any but our state This, says Farah Diaz-Tello, senior lawyer and chief legal officer for If / When / How, the law on reproductive rights and advocacy groups. “But it is illegal for a person to seek medication without medication.”

The first pill, mifepristone, usually had no effect on the patient. The second, misoprostol, taken 24 to 48 hours later, causes joint pain and severe bleeding. Rodriguez said.

The procedure can last from six to eight hours, and is intense for more than an hour. He told the patients to stay home, with no other responsibilities. Ibuprofen and heat therapy are also recommended, because the pain can be intense and the bleeding worse over time. After the pregnancy is over, the cramping and clotting stops, but women usually bleed, similar to the time, about a week.

In rare cases, less than 1 percent of the time, a patient bleeds more than needed and needs medical attention. As is rare, the abortion is incomplete and requires another dose or abortion. Women with these problems can be treated by a doctor who has experience in treating miscarriages; symptoms and treatment are similar. Once medication starts abortion, it cannot be reversed.

Leave a Comment