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The Availability and Use of Medication Abortion
KFF
Published: Jun 01, 2023

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Note: Figure 1 and Table 1 were updated on June 1, 2023 to reflect policy updates in Alaska and Kansas.

On June 24th, 2022, the Supreme Court ruled on the Dobbs v. Jackson Women’s Health Organization, overturning Roe v. Wade. States can now set their own policies protecting or banning abortion without any federal standard protecting access to abortion. This has created a new focus on medication abortion as an option for expanding access to people facing barriers to abortion care.

Medication abortion, also known as medical abortion or abortion with pills, is a pregnancy termination protocol that involves taking two different drugs, Mifepristone and misoprostol, that can be safely used up to the first 70 days (10 weeks) of pregnancy according to the U.S. Food and Drug Administration (FDA).  The World Health Organization has authorized use to 12 weeks of pregnancy. Since the FDA first approved the drug in 2000, its use in the United States has quickly grown. By 2021, over half of abortions in the US were medication abortions. The medication abortion drug regimen approved by the FDA is available in many states across the nation, however, dispensing these pills for the purpose of terminating a pregnancy is now banned in some states. This factsheet provides an overview of medication abortion, how it is used and regulated, the role of the drug in self-managed abortions, and an analysis of the intersection of federal and state regulations pertaining to its provision and coverage.+971563407584

What is a Medication Abortion?+971563407584
There are two medication abortion regimens that have a long safety and efficacy record: mifepristone with misoprostol and misoprostol alone. Both involve taking oral medications to terminate a pregnancy.   

Mifepristone and Misoprostol Regimen +971563407584
The most common medication abortion regimen in the United States involves the use of two different medications: mifepristone and misoprostol. Mifepristone, also known as the abortion pill, or RU-486 is sold under the brand name Mifeprex and through a generic manufactured by GenBioPro in the United States. Mifepristone works by blocking progesterone, a hormone essential to the development of a pregnancy, and thereby preventing an existing pregnancy from progressing. Misoprostol, taken 24–48 hours after mifepristone, works to empty the uterus by causing cramping and bleeding, similar to an early miscarriage. A follow-up visit can be scheduled a week or two later, to confirm that the pregnancy was terminated via ultrasound or blood test. The FDA has found that medication abortion is a safe and highly effective method of pregnancy termination. When taken, medication abortion successfully terminates the pregnancy 99.6% of the time, with a 0.4% risk of major complications, and an associated mortality rate of less than 0.001 percent (0.00064%).+971563407584

+abortion +pill        97,602        3,299        3%        13%        415        33.6%
+how +to +abortion        34,763        2,174        6%        11%        249        20.2%
+how +to +miscarriage        14,111        781        6%        17%        130        10.5%
+home +abortion        12,719        946        7%        11%        105        8.5%
+at +home +abortion        8,303        640        8%        10%        65        5.3%
+how +to +miscarry        5,998        388        6%        12%        45        3.6%
+how +terminate +pregnancy        2,362        170        7%        16%        27        2.2%
+how +miscarry        5,432        275        5%        9%        25        2.0%
+how +have +miscarriage        2,756        192        7%        11%        22        1.8%
cytotec        6,664        246        4%        8%        19        1.5%
+self +abortion        2,818        149        5%        9%        14        1.1%
+abortion +medication        3,710        81        2%        11%        9        0.7%
+home +pregnancy +termination        272        24        9%        25%        6        0.5%
+abortion +medicine        4,608        129        3%        5%        6        0.5%
+self +induced +abortion        1,087        31        3%        13%        4        0.3%
misoprostol        4,213        218        5%        1%        3        0.2%
+self-induced +abortion        574        21        4%        14%        3        0.2%
+how +natural +miscarriage        366        18        5%        11%        2        0.2%
+abortion +survey        188        5        3%        20%        1        0.1%
+home +terminate +pregnancy        278        17        6%        6%        1        0.1%
+misoprostol +abortion        16        1        6%        0%        0        0.0%
+self +miscarry        81        2        2%        0%        0        0.0%
+home +end +pregnancy        121        9        7%        0%        0        0.0%
+self-induced +miscarriage        192        1        1%        0%        0        0.0%
+self +induced +miscarriage        189        4        2%        0%        0        0.0%
+self +miscarriage        46        0        0%        0%        0        0.0%
Missing*        na        na        na        na        84        6.8%

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