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- HEALTH, Page 66Abortions Without DoctorsWith Roe v. Wade under fire, feminists propose a radical step
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- The Supreme Court decision to throw the abortion issue back to
- the states has thrown pro-choice supporters into turmoil. If, as
- many fear, abortion becomes tightly restricted or banned, what are
- women to do about unwanted pregnancies? Some feminists are
- proposing a radical remedy: women should master abortion techniques
- and perform the procedure for one another.
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- That idea is being widely discussed by women's groups and has
- already drawn sharp criticism not only from right-tolifers but from
- medical authorities and some pro-choice supporters. Promoters of
- self-help abortions are looking at several methods, including RU
- 486, the controversial French pill not yet available in the U.S.
- But most of the attention is focusing on menstrual extraction, a
- technique that can be used to end a pregnancy through the eighth
- week. At a recent meeting in Dallas, sponsored by the local unit
- of the National Organization for Women, more than 100 women saw a
- 30-minute videotape that showed how the procedure is performed with
- a $90 kit containing a glass jar, plastic tubing and a special
- syringe. "We're being realistic,'' says Charlotte Taft, an
- abortion-clinic director who spoke at the meeting. "When abortion
- becomes illegal, not many physicians will risk losing their
- licenses. If I have a choice between going to a group of caring
- women I trust or a stranger, then I'll take the women."
-
- Advocates think the lessons will keep women from seeking
- back-alley butchers or resorting to the horrifying home measures,
- such as inserting coat hangers and douching with Lysol or
- Coca-Cola, that were common before Roe v. Wade made abortion legal
- nationwide in 1973. NOW's national headquarters in Washington takes
- no position on self-help abortions but has not discouraged its
- local affiliates.
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- First championed by women's groups in the early 1970s, when
- abortion was illegal in most states, menstrual extraction is a
- variation of the vacuum aspirations used in medical clinics. A thin
- plastic tube is first inserted through the cervix into the uterus.
- Then the uterine lining, along with an embedded fertilized egg, is
- suctioned out by pumping a syringe attached to the tubing.
- Proponents of the procedure insist that it is safe.
-
- But medical experts are skeptical. Warns Dr. E. Hakim Elahi,
- medical director of Planned Parenthood: "It's a wrong notion that
- abortion is very easy." He and others fear that cursory instruction
- will lead to medical complications. "There's no way that watching
- a video and seeing someone demonstrate this is going to make
- self-help procedures safe," declares gynecologist Michael Burnhill
- of the Robert Wood Johnson Medical School in New Brunswick, N.J.
- Possible dangers: missing the tiny fertilized egg, lacerating the
- cervix, perforating the uterus, and spreading bacterial infection.
-
- Many feminists call the effort politically misguided. They
- argue that it gives the wrong impression that abortion is already
- illegal and unobtainable. They are also concerned that it diverts
- attention from their battle to keep abortion legal. Whether that
- battle is won or lost, the pursuit of self-help abortions makes one
- thing clear, warns Patricia Ireland of NOW: "The demand for
- abortion will continue and will be met one way or another."