US states unsure of how to halt online sales of abortion pills amid clinic crackdown

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US states unsure of how to halt online sales of abortion pills amid clinic crackdown
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American women faced with new restrictions on abortions passed by a dozen U.S. states this year are turning to abortion pills from foreign online suppliers, and the states say there is little they can do to stop it.

In the year before many of these new restrictions passed Republican-controlled state legislatures, over 20,000 U.S. women sought the pills online from providers willing to defy U.S. federal rules over sale of the drugs that induce miscarriage.

"I wouldn't know what to do if I didn't have access to that," said Kayla, who asked to be identified only by her first name. "I would probably right now be six months pregnant and miserable. It was my lifesaver." Pharmacy board officials in Alabama, Ohio, Louisiana, Missouri, Georgia and North Dakota also said they were not aware of shipments of the drugs from unlicensed, foreign providers or how they would take action against them.

"We remain very concerned ... because this bypasses important safeguards designed to protect women's health," an FDA spokesman said in an email. Risks from the abortion pills include possible heavy bleeding and, in rare cases, the abortion may fail, requiring follow up with surgical abortion, according to the Mayo Clinic, a prominent U.S. hospital system.

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