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non-surgical early term abortion an increasing percentage

Posted by on Sep. 28, 2010 at 12:53 PM
  • 8 Replies

Thanks to Medication Abortion, An Increasing Share of Abortions Take Place By or Before Nine Weeks

By Jodi Jacobson, Editor-in-Chief, RH Reality Check

September 27, 2010 - 2:36pm

Jodi Jacobson's picture

September 28th, 2010 marks the ten-year anniversary of the date on which the U.S. Food and Drug Administration (FDA) approved the use of the abortion drug mifepristone (in combination with a second drug, misoprostol) as an alternative to surgical abortion for terminating early pregnancies.  This method is not related to emergency contraception, which like all contraceptive methods prevents a pregnancy from occuring in the first place.

The Guttmacher Institute notes that in the decade since, use of early medication abortion has expanded substantially, with growing numbers of providers offering the service, and a growing number of women choosing medication abortion over surgical abortion for early termination of pregnancy.

Nearly half of pregnancies among American women are unintended, and 40 percent of all unintended pregnancies are terminated by abortion. Twenty-two percent of all (intended and unintended) pregnancies (excluding miscarriages) end in abortion.

The earlier in an unintended pregnancy an abortion occurs, the safer and less costly it is. Medication abortion is only appropriate for unintended and untenable pregnancies up to nine weeks.  Availability of medication abortion has meant that an increasing share of abortions are early, and an increasing share of early abortions are done before six weeks or before nine weeks.

According to Guttmacher, the number of providers offering them increased dramatically between 2000 and 2007, and the number of medication abortions specifically increased even as the total number of abortions performed in the United States declined. In 2007, 158,000 medication abortions were performed using mifepristone, accounting for an estimated 21 percent of all eligible abortions (those performed prior to nine weeks' gestation) that year. A Guttmacher Update states:

Although the introduction of mifepristone did not increase the overall incidence of abortion, it does appear to have contributed to a change in the timing of women's abortions. A larger proportion of abortions take place at earlier gestations than they did before the drug was introduced. The Centers for Disease Control and Prevention report that although the proportion of women obtaining abortions in the first trimester has remained stable, the proportion of abortions obtained at nine weeks' gestation or earlier has increased, as has the proportion obtained within six weeks' gestation.

Use of mifepristone appears to have continued growing between 10 and 15 percent annually since 2007. 

Yet the full potential of mifepristone to ensure access to all women in need of abortion has yet to be reached.  "While many in the reproductive health field believed approval of mifepristone would expand access to abortion services, particularly in rural areas, that has not happened to any significant extent," said Dr. Lawrence B. Finer of Guttmacher.

"Instead, almost a decade later, we find that women in areas that already had access to abortion now have the choice between a medication or a surgical abortion. But for most women who were not easily able to access an abortion provider before mifepristone became available, services remain difficult to obtain."

Still researchers note that mifepristone has become an integral part of abortion service provision in the United States, and suggest that this percentage may continue to increase, pointing data indicating continued growth in the United States and to the widespread use of the method in France and England, where 80 percent and 43 percent of eligible abortions, respectively, are performed using mifepristone.

by on Sep. 28, 2010 at 12:53 PM
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Replies (1-8):
ecagle
by Kegel on Sep. 28, 2010 at 1:18 PM

 While some may disagree, I think this is a good thing.  I think abortions SHOULD take place in the earlier parts of pregnancy if possible and honestly, I'm glad there is the choice btw a medical or surgical abortion.

Goodwoman614
by Satan on Sep. 28, 2010 at 1:31 PM


Quoting ecagle:

 While some may disagree, I think this is a good thing.  I think abortions SHOULD take place in the earlier parts of pregnancy if possible and honestly, I'm glad there is the choice btw a medical or surgical abortion.

I also think this is great news b/c of the fact that in many parts of the country there are no abortion providers; a woman has to travel out of state in many cases and of course this is financially prohibitive to many women.  A woman's right to choose is better preserved with the option of medical abortion. 

samthecat001
by Bronze Member on Sep. 28, 2010 at 1:33 PM


Quoting Goodwoman614:

 

Quoting ecagle:

 While some may disagree, I think this is a good thing.  I think abortions SHOULD take place in the earlier parts of pregnancy if possible and honestly, I'm glad there is the choice btw a medical or surgical abortion.

I also think this is great news b/c of the fact that in many parts of the country there are no abortion providers; a woman has to travel out of state in many cases and of course this is financially prohibitive to many women.  A woman's right to choose is better preserved with the option of medical abortion. 

i agree with you both.


 


 




  

"Put the rake down. I don't wanna sit around watching you 'give it your best.' Either stop sucking or get the fuck out of the way."  Justins dad

ArmyWifeAshlie
by on Sep. 28, 2010 at 1:36 PM
I think this is wonderful. It could save many women lots of stress and grief that shouldn't accompany their choice.
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Natalie84
by Member on Sep. 28, 2010 at 1:39 PM

I agree with you both as well.

Quoting samthecat001:

 

Quoting Goodwoman614:

 

Quoting ecagle:

 While some may disagree, I think this is a good thing.  I think abortions SHOULD take place in the earlier parts of pregnancy if possible and honestly, I'm glad there is the choice btw a medical or surgical abortion.

I also think this is great news b/c of the fact that in many parts of the country there are no abortion providers; a woman has to travel out of state in many cases and of course this is financially prohibitive to many women.  A woman's right to choose is better preserved with the option of medical abortion. 

i agree with you both.


SAHM of TWO BEAUTIFUL CHILDREN. KARLEE 8 AND JACOB 6. ANOTHER LITTLE BOY DUE NOVEMBER 3 2010.



 




 




 




 




 

TTWWBB
by Bronze Member on Sep. 28, 2010 at 5:29 PM


Quoting ArmyWifeAshlie:

I think this is wonderful. It could save many women lots of stress and grief that shouldn't accompany their choice.

It is true, the earlier an abortion is done the less likely it will have a long term effect on a woman.  Not saying some won't deal with some issues...the chances of having them will be less with earlier, non-surgical abortions.

My only concern with these are some women are more likely to use them as a more frequent form of birth control.  The long term effects of these are not known yet.

ecagle
by Kegel on Sep. 28, 2010 at 5:37 PM

 

Quoting TTWWBB:

 

Quoting ArmyWifeAshlie:

I think this is wonderful. It could save many women lots of stress and grief that shouldn't accompany their choice.

It is true, the earlier an abortion is done the less likely it will have a long term effect on a woman.  Not saying some won't deal with some issues...the chances of having them will be less with earlier, non-surgical abortions.

My only concern with these are some women are more likely to use them as a more frequent form of birth control.  The long term effects of these are not known yet.

 My guess is this drug is like the drug they give you to force everything out when you have a miscarriage?  If so, it's VERY painful.  When me and a friend had a miscarriage at the same time, she opted for the meds and my doc recommended to the D&C...I still had pain, but it wasn't the contractions, massive amounts of blood at home etc. either.  My guess is that while this opens many options, it wouldn't be risk free either.

ArmyWifeAshlie
by on Sep. 28, 2010 at 5:40 PM
Agreed. The great thing is that there are options. That being said I also hope it doesn't become a birth control method.

Quoting ecagle:

 


Quoting TTWWBB:


 


Quoting ArmyWifeAshlie:

I think this is wonderful. It could save many women lots of stress and grief that shouldn't accompany their choice.

It is true, the earlier an abortion is done the less likely it will have a long term effect on a woman.  Not saying some won't deal with some issues...the chances of having them will be less with earlier, non-surgical abortions.


My only concern with these are some women are more likely to use them as a more frequent form of birth control.  The long term effects of these are not known yet.


 My guess is this drug is like the drug they give you to force everything out when you have a miscarriage?  If so, it's VERY painful.  When me and a friend had a miscarriage at the same time, she opted for the meds and my doc recommended to the D&C...I still had pain, but it wasn't the contractions, massive amounts of blood at home etc. either.  My guess is that while this opens many options, it wouldn't be risk free either.

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