Self-managed abortion may be the future — but it's complicated. MollLongman reports:
be a self-managed abortion, or it can be medically supported through telehealth or provided by a healthcare provider in a clinic.
There are big benefits, financially and logistically, to having your abortion at home, either through telehealth or by self-managing. Like Volkova says, it’s nice to be able to cuddle a pet or have your favorite essential oils nearby. And there are other important and personal reasons that make this method optimal. Like Volkova, Oliver Hall wanted an abortion in their home in Kentucky when they were 19.
A lot of politicians and members of the media have predicted that the more abortion is legislated and restricted, the more folks will go underground to access it, which will add to the medical risks. This is where the stark visual of a coat-hanger often comes in — an image that most advocates would say is problematic, undermining the fact that SMA can be done safely.
provider assistance, says Danika Severino Wynn, CNM, VP of Abortion Access at Planned Parenthood Federation of America. “Our organization is very much against the rhetoric about so-called ’back-alley’ abortions and that self-managed abortion isn’t safe,” says, co-founder of Indigenous Women Rising. “Our ancestors have been self-managing abortion within our own communities for centuries before colonization.
There are certainly some exceptions to who can use the pills to self-manage — medication abortion isn’t recommended for people with bleeding disorders, who have IUDs, and those who need abortions late in pregnancy. Medication abortion also has to be carried out correctly. The New Yorker spoke to a clinic worker who’d heard of women taking too many pills at once, or inserting a large number of abortion pills vaginally, which can result in a fatal bacterial infection.
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