Why Are We Restricting the Abortion Pill to First-Trimester Pregnancies?

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Why Are We Restricting the Abortion Pill to First-Trimester Pregnancies?
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A pregnancy can be successfully terminated with pills — either the mifepristone-misoprostol combo, or just misoprostol alone — well into the second trimester of pregnancy. LuxAlptraum writes

Photo-Illustration: by The Cut; Photo: Shutterstock For the past few years, medication abortions have been on the rise in the United States, accounting for 54 percent of abortions performed in 2020 . With last month’s gutting overturn of Roe v. Wade, that number is now expected to spike even higher despite the legal risks in states where abortion is now criminalized. The reasons are obvious: Medication abortion — a.k.a.

It’s not unusual for advocacy organizations to push the boundaries of what more slow-moving regulatory bodies suggest. But this isn’t just that: Women on Waves, which facilitates self-managed abortion for people living under abortion criminalization, strongly advises against using pills to terminate a pregnancy past 15 weeks; Aid Access, its U.S.-facing project, will not dispense pills to people who are more than ten weeks pregnant.

But whether the pills will work is only part of the equation when it comes to self-managed abortion. The further along a pregnancy is, the more intense the experience can be — not just physically, but emotionally as well. While a first-trimester medication abortion might feel similar to a heavy period, by the time a pregnancy has hit the 24-week mark, a termination can be closer to a “mini-delivery,” according to Dr. Suchitra Dalvie, M.D.

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