The biggest risk of self-managed abortion isn’t medical.
, I spoke with Fleming, a doctor who helps facilitate abortion via the internet. The pandemic changed the way abortion care could be provided online. So what happens now? Our conversation has been condensed and edited for clarity.Lizzie O’Leary: Before the pandemic, if you wanted a medication abortion, where a pregnancy up to 10 weeks’ gestation is terminated using a two-pill regimen, you generally needed to get the first pill from a hospital or a clinic.
Right. I do want to quickly emphasize and stress that it is not only women who obtain abortion care. People of all genders who have a uterus and have the capability of becoming pregnant do seek and obtain abortion care, so I think it’s important to be inclusive in the language that we use.
Generally, I see a whole range of people coming from all different experiences and backgrounds. Some people are already parents, absolutely, and are making a decision that best fits what they need for their current families. Some folks are not parents and have never been parents. Some people have never had an abortion. Some people have had abortions before. There is not one abortion patient. There is not a typical abortion patient.
Yeah, so that also ranges. I’ve had patients from very remote areas where the nearest abortion provider might be three or more hours away, and patients who live in a big city where abortion might be accessible, but the wait times are weeks long. I wonder if you could talk a little bit from your perspective as a provider of what it’s been like to have the internet as another tool in your practice. You’ve been doing this work for a while, and I wonder if having the expanded reach of the internet has made you think about being able to reach people who you couldn’t reach before.
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