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Telemedicine: The sad story of abortion

ArticlesTelemedicine: The sad story of abortion

From the very beginning of human beings, humanity has found a way to transform life-promoting technologies into tools of death. In modern times, we see this: combining ultrasound technology with loose abortion methods can more easily identify the sex of a child so that children without a Y chromosome can die before birth. Similarly, during the pandemic, we saw another medical technology, telemedicine, become a weapon against the fetus.

Telemedicine involves the use of electronic communications and software to provide clinical services to patients without the need for an in-person consultation. The combination of advances in video technology and high-speed Internet access has made it increasingly possible to provide high-quality medical services to remote areas.

 Although this technology has been around for many years, it has not been widely adopted by patients or medical providers. But the epidemic has changed all this. As a recent study noted, “The COVID19 pandemic has forced the rapid implementation of telemedicine in daily practice. As various levels of telemedicine are transformed into practice on a global scale, once seemingly noble and futuristic goals became a reality in the blink of an eye. ” An eye. ”

This transition from face-to-face to online also affected abortion providers. Due to the closure of abortion clinics due to COVID, abortion providers have begun providing abortion services that are only telemedicine.

 From surgery to medical abortion

 To understand the rise of telemedicine abortion, it is necessary to understand current abortion methods.

 The two main methods of legal abortion in the United States are drugs and surgery. Surgical abortion is a method in which a child is dismembered in the womb and a small tube is suctioned (suctioned) from the body part and inserted into the womb. It is still the most common form of miscarriage and about 60% of miscarriages are surgical abortions.

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 Another method is a medical abortion, sometimes called chemical abortion. This method uses an abortion pill (a chemical or drug that causes the death of an embryo) to stimulate uterine contractions similar to abortion.

 The most common chemical abortion method approved by the US Food and Drug Administration (FDA) involves the drugs mifepristone and misoprostol. Mifepristone (trade name Mifeprex) terminates pregnancy by blocking the hormone progesterone necessary to maintain pregnancy. Because this hormone is blocked, the endometrium begins to fall off, pulling the attached child (in an embryonic state).

 The second step occurs 24 to 48 hours later and requires misoprostol, which causes the woman to expel the child and the endometrium. In 2018, 38.6% of all miscarriages were medical miscarriages within eight weeks of pregnancy.

 When mifepristone was approved in 2000, the agency imposed major restrictions, including requiring providers to obtain special certification to store medicines and distribute them only in clinics, doctors’ offices, or hospitals.

 However, although women should only take mifepristone in these clinical settings, the FDA allows them to swallow the pills later at home without clinical supervision. This prompted the American College of Obstetricians and Gynecologists and other groups to file a lawsuit, forcing the FDA to allow abortion pills to be prescribed through telemedicine and mailed directly to pregnant women. In response to this, the FDA stated that as long as the COVID19 public health emergency announced by the president is supported, it will “exercise compliance discretion on the requirement to dispense mifepristone in person.” This means that the agency will not enforce prescription requirements face-to-face during the pandemic. It is also becoming clear that pre-pandemic standards may not be restored.

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 Research conducted during the pandemic indicated that medical abortion through telemedicine is no more dangerous for mothers than obtaining abortion pills directly from the clinic. This will be used by abortion activists as evidence that telemedicine-only abortions should be allowed even after the pandemic is over.

 Currently, 19 states prohibit telemedicine-only abortions by requiring physicians who perform medical abortions to be present at the time of drug delivery. However, the number of states with such bans is more likely to decrease rather than increase.

 Be prepared, but don’t despair.

 Telemedicine abortion is likely to be the future of abortion in the United States.

 First, the fight against abortion will increasingly shift from the national level to the state level. In many parts of the country, the states have become the main focus for implementing abortion restrictions. However, this will be even more necessary when abortion pills can be prescribed and mailed to all states.

 Second, the main focus of the proliferation movement should shift from the clinic to the family, from broad politics to close people. For nearly 50 years, abortion clinics have been the focus of reproductive energy: physical (as a place of protest), rhetoric (as a curbside consultation place), and politically (as an entity imposing restrictions on them). Telemedicine means that abortion clinics no longer need to be the only place for abortion. You can engage in this from the comfort of your homes through a video call with a doctor. This will undoubtedly increase the rate of abortion and will increase the number of doctors willing to perform abortions.

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