Roe's Unfinished Promise: Decriminalizing Abortion Once and for All

Diaz-Tello, Farah; Mikesell, Melissa; Adams, Jill E.

doi:10.2139/ssrn.3082643

Cited by 15 publications

(17 citation statements)

References 16 publications

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“…Fifteen states have laws that are aimed at criminalizing those who provide self‐induced abortion, but that, because of vague language, have also been used to criminalize people who have abortions. In addition, prosecutors may take punitive action, even in the absence of a specific statute . Despite the potential for criminalization, one‐third of respondents in the study by Jerman et al who sought abortion medication online did not know if abortion was legal in their state of residence, suggesting that individuals who seek medication are not necessarily deterred by restrictive laws .…”

Section: Discussionmentioning

confidence: 97%

“…Despite the potential for criminalization, one‐third of respondents in the study by Jerman et al who sought abortion medication online did not know if abortion was legal in their state of residence, suggesting that individuals who seek medication are not necessarily deterred by restrictive laws . Groups like the SIA (Self‐Induced Abortion) Legal Team, a consortium of national and state organizations that uses law and policy tools to ensure that people throughout the country can end their own pregnancy with dignity, are working to ensure that everyone in the United States has the ability to end a pregnancy free from the threat of arrest …”

Section: Discussionmentioning

confidence: 99%

“…In addition, prosecutors may take punitive action, even in the absence of a specific statute. 30 Despite the potential for criminalization, one-third of •Less effective and unsafe methods. The lack of availability of trusted sources of abortion medications online led some to research and consider options without strong evidence of efficacy.…”

Section: •Barriers To Clinic Accessmentioning

confidence: 99%

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Motivations and Experiences of People Seeking Medication Abortion Online in the United States

Aiken

Broussard

Johnson

et al. 2018

Perspect Sexual Reproductive

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: •Barriers To Clinic Accessmentioning

confidence: 99%

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Motivations and Experiences of People Seeking Medication Abortion Online in the United States

Aiken

Broussard

Johnson

et al. 2018

Perspect Sexual Reproductive

View full text Add to dashboard Cite

show abstract

“…Indeed, the legal risks of choosing to selfmanage abortion may be greater than the medical risk. For example, some women have been prosecuted for allegedly ending their own pregnancies, often under laws that were misapplied because they were intended to protect pregnant women [15]. One key strength of this study is, in addition to describing women's experiences who eventually sought abortion services at a clinic, we also describe self-managed abortion experiences of women recruited in community settings, several of whom did not access clinic-based care.…”

Section: Discussionmentioning

confidence: 99%

Texas women’s decisions and experiences regarding self-managed abortion

et al. 2020

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Background: Prior research has shown that a small proportion of U.S. women attempt to self-manage their abortion. The objective of this study is to describe Texas women's motivations for and experiences with attempts to self-manage an abortion. The objective of this study is to describe Texas women's motivations for and experiences with attempts to self-manage an abortion. Methods: We report results from two data sources: two waves of surveys with women seeking abortion services at Texas facilities in 2012 and 2014 and qualitative interviews with women who reported attempting to self-manage their abortion while living in Texas at some time between 2009 and 2014. We report the prevalence of attempted selfmanaged abortion for the current pregnancy among survey respondents, and describe interview participants' decisionmaking and experiences with abortion self-management. Results: 6.9% (95% CI 5.2-9.0%) of abortion clients (n = 721) reported they had tried to end their current pregnancy on their own before coming to the clinic for an abortion. Interview participants (n = 18) described multiple reasons for their decision to attempt to self-manage abortion. No single reason was enough for any participant to consider selfmanaging their abortion; however, poverty intersected with and layered upon other obstacles to leave them feeling they had no other option. Ten interview participants reported having a complete abortion after taking medications, most of which was identified as misoprostol. None of the six women who used home remedies alone reported having a successful abortion; many described using these methods for several days or weeks which ultimately did not work, resulting in delays for some, greater distress, and higher costs. Conclusion: These findings point to a need to ensure that women who may consider self-managed abortion have accurate information about effective methods, what to expect in the process, and where to go for questions and follow-up care. There is increasing evidence that given accurate information and access to clinical consultation, selfmanaged abortion is as safe as clinic-based abortion care and that many women find it acceptable, while others may prefer to use clinic-based abortion care.

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“…In other countries, such as the United States, legal risk comes from the many regulatory laws that can be used with discretion to intimidate, harass, and criminalise socially marginalised people for their reproductive choices and actions. 25…”

Section: Self-managed Abortion As Harm Reductionmentioning

confidence: 99%

Understandings of self-managed abortion as health inequity, harm reduction and social change

Erdman

Jelinska²,

Yanow³

2018

Reproductive Health Matters

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This commentary explores how self-managed abortion (SMA) has transformed understandings of and discourses on safe abortion and associated health inequities through an intersection of harm reduction, human rights and collective activism. The article examines three primary understandings of the relationship between SMA and safe abortion: first SMA as health inequity, second SMA as harm reduction, and third SMA as social change, including health system innovation and reform. A more dynamic understanding of the relationship between SMA, safe abortion and health inequities can both improve the design of interventions in the field, and more radically reset reform goals for health systems and other state institutions towards the full realisation of sexual and reproductive health and human rights.

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Roe's Unfinished Promise: Decriminalizing Abortion Once and for All

Cited by 15 publications

References 16 publications

Motivations and Experiences of People Seeking Medication Abortion Online in the United States

Motivations and Experiences of People Seeking Medication Abortion Online in the United States

Texas women’s decisions and experiences regarding self-managed abortion

Understandings of self-managed abortion as health inequity, harm reduction and social change

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