Over half of U.S. abortions done with pills, survey finds

Greater than half of U.S. abortions at the moment are accomplished with drugs somewhat than surgical procedure, an upward pattern that spiked in the course of the pandemic with the rise in telemedicine, a report launched Thursday reveals.

In 2020, drugs accounted for 54 p.c of all U.S. abortions, up from roughly 44 p.c in 2019.

The preliminary numbers come from the Guttmacher Institute, a analysis group that helps abortion rights. The group, by contacting suppliers, collects extra complete abortion knowledge than the U.S. authorities.

Use of abortion drugs has been rising since 2000 when the Meals and Drug Administration permitted mifepristone — the primary drug utilized in treatment abortions.

The brand new enhance “isn’t a surprise, particularly throughout Covid,’’ mentioned Dr. Marji Gold, a household medication doctor and abortion supplier in New York Metropolis. She mentioned sufferers searching for abortions at her clinic have lengthy chosen the drugs over the medical process.

The pandemic prompted an increase in telemedicine and FDA motion that allowed abortion drugs to be mailed so sufferers may skip in-person visits to get them. These modifications may have contributed to the rise in use, mentioned Guttmacher researcher Rachel Jones.

Feb. 23, 202203:28

The FDA made the change permanent final December, that means thousands and thousands of girls can get a prescription by way of a web-based session and obtain the pills through the mail. That transfer led to stepped-up efforts by abortion opponents to hunt extra restrictions on treatment abortions via state legislatures.

The process contains mifepristone, which blocks a hormone wanted for being pregnant to proceed, adopted one or two days later by misoprostol, a drug that causes cramping that empties the womb. The mix is permitted to be used throughout the first 10 weeks of being pregnant, though some well being care suppliers supply it within the second trimester, a observe known as off-label use.

Thus far this yr, 16 state legislatures have proposed bans or restrictions on medication abortion, in response to the Guttmacher report.

It notes that in 32 states, treatment abortions have to be prescribed by physicians despite the fact that different well being care suppliers together with doctor assistants can prescribe different medicines. And mailing abortion pills to sufferers is banned in three states — Arizona, Arkansas and Texas, the report says.

Based on the World Well being Group, about 73 million abortions are carried out annually. About 630,000 abortions have been reported to the U.S. Facilities for Illness Management and Prevention in 2019 though data from some states is lacking. Guttmacher’s final complete abortion report dates to 2017; the information supplied Thursday comes from an replace due out later this yr.

International numbers on charges of treatment versus surgical abortions are restricted. Knowledge from England and Wales present that treatment abortions have outpaced surgical abortions for about 10 years. 

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