Contrary to what a lot of people think, this historically low abortion rate isn't primarily due to legal restrictions that have popped up across the country. So, if not restrictions, what are the main drivers in this trend?
, but when they do, it’s usually because of something like improper insertion rather than something you, the patient, can control. Science has shown time and time again how much this can affect pregnancy prevention.noted a significant reduction in unplanned pregnancy and abortion after providing people at risk of unintended pregnancy with no-cost contraception, especially LARCs.
points out, the number of people who seek medical care after attempting to end a pregnancy on their own can offer up some clues. In 2014, 12 percent of non-hospital facilities surveyed nationwide said they’d seen at least one patient who’d tried to self-manage an abortion. In 2017, that number jumped to 18 percent. If self-managed abortion rates are rising but aren’t included in the overall abortion rate because they’re hard to track, it can cause the official abortion rate to go down.
It’s worth noting that the Guttmacher study didn’t account for self-managed abortion with the aid of telemedicine. In the context of the Guttmacher study, a self-managed abortion means you don’t have the help of a medical provider guiding you through a medication abortion at home, like if you buy abortion pills online. There’s currently such little regulation here that therecommends people don’t try to self-manage their abortions for safety reasons.
Self-managing with the aid of telemedicine abortion, on the other hand, means receiving professional oversight for a medical abortion at home, meaning you have a direct line of communication with a medical professional throughout the process so you can ask questions and get support. For this reason, the Guttmacher Institute“[Telemedicine abortion] has been a complete game-changer,” says Dr. Aiken. “People will often take the option that’s more convenient in life.
Given everything we explored above, it turns out it’s a little bit of both. “If it’s going down because fewer people are getting pregnant when they don’t want to, then that’s a good thing,” Jones says. “If it’s going down because [of] increased stigma, because they can’t afford it, because they don’t have a clinic to go to, then that’s a bad thing.”
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