![]() Sarah Shaw, head of advocacy at MSI (formerly Marie Stopes), a non-governmental organisation that provides contraception and safe abortion services in 37 countries, says that there remain barriers to accessing the drugs, including national legislation-such US state legislation to restrict medical abortion access after the Supreme Court overturned Roe v Wade in June 4-illiteracy, and lack of awareness. It’s a market success story, in one sense.” “The turning point was 2004 when India started manufacturing generic mifepristone as it was no longer patented. “The global decline in maternal mortality since these drugs were introduced has been huge,” says Rebecca Gomperts, the Dutch physician and safe abortion activist behind telemedicine medical abortion non-profit organisations Women on Web and Aid Access. ![]() 1 Over 99% of deaths from abortion occur in developing countries, with 68 000 women dying of unsafe abortion each year. It is estimated to prevent millions of unsafe abortions a year globally, and tens of thousands of maternal deaths. Medical abortion -the means of terminating early pregnancy with one or two orally administered drugs-has been revolutionary. Pilli helped both women to get medical abortions before their first trimesters ended. “Both women were not ready for a child but completely clueless about the options they had, and the gestation period up to which abortion is legally allowed in India,” says Anusha Pilli, a doctor who practises privately in Hyderabad. Around the same time, another young couple living together in Bengaluru were in a similar predicament. ![]() A well educated, city girl, she was nevertheless afraid of the stigma attached to unmarried pregnancy and did not know if she could legally terminate the pregnancy. In 2021, a 20 year old woman in Hyderabad, India, discovered she was pregnant. ![]() Time, now, to close the access gaps, report Sally Howard and Geetanjali Krishna Medical abortions are a global success story, and not one that will be easily derailed by the legislative backsliding in the US. ![]()
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