Reproductive Regression

"Most commonly, they ingest a whole bottle of quinine pills, with castor oil…we try to get them to the ER before their cardiac rhythm is interrupted…Sometimes they douche with very caustic products like bleach. We had a patient, a teen, who burned herself so badly with bleach that we couldn't even examine her, her vaginal tissue was so painful…."

"Our local hospital tells me they see 12-20 patients per year, who have already self-induced or had illegal abortions. Some make it, some don't. They are underage or poor women mostly, and a few daughters of pro-life families…"

If you assume the quotes above come from a veteran of the abortion rights movement, talking about the "bad old days" before Roe v. Wade, when desperate women suffered death and injuries because abortion was illegal, you'd be partly right. The speaker is a longtime worker in reproductive health, whose involvement with abortion started before Roe. But the situations she describes are occurring now. 

Jen (not her real name) is administrator of a women's health clinic in the South that provides abortions. She has noted with alarm the recent rise in illegal abortion in her community. For some of the women she sees -- after their initial attempts at abortion fail -- whether Roe v. Wade is technically still the law of the land is beside the point. The combination of the procedure's cost, the numerous regulations that her state imposes and the stigma surrounding abortion is leading a growing number of women to choose self-abortion or an untrained practitioner over legal abortion. Finding accurate data about the number of cases is almost impossible.

However, Jen's abortion-providing colleagues in other parts of the country, who communicate their experiences through a listserv, share her observation of a recent perceptible rise in illegal abortion in their clinics as well. Indeed, in another eerie echo from the pre-Roe era, the increase in illegal abortion in Jen's area is so significant that a doctor from the hospital mentioned above contacted her. He asked for her help in setting up a special ward for the treatment of illegal abortions when Roe is overturned, because he knows the caseload will mushroom then. "He didn't say 'if' -- he said 'when,'" Jen said. "Chills ran down my spine."

Why is all this happening when abortion is still legal?  Though the cost of abortion has remained remarkably flat since Roe -- the cost of a first-trimester abortion at Jen's clinic is $380, actually less than it was 20 years ago, adjusting for inflation -- it's still too much for a woman who, as she puts it, "is on assistance, has two or three kids already and has no money whatsoever."  Teenagers in the state where Jen works also need parental consent before they can have an abortion. And for many teens and adult women alike, the overwhelming culture of shame that hovers around abortion prevents many from going to a clinic.

The physical tragedies we are witnessing due to the return of illegal abortion are compounded by the social ones. Recently, two teenage couples, one in Michigan and the other in Texas, faced unwanted pregnancies. Both states have parental consent provisions; in both cases, the young couples received misleading information (in one instance from an anti-abortion "Crisis Pregnancy Center;" in the other, from a private physician's office) about how to obtain a legal abortion. In Michigan, the young man, with his girlfriend's approval, hit her abdomen repeatedly with a baseball bat until she miscarried; in Texas, again with the girlfriend's consent, the male stomped on his girlfriend's belly, producing a stillbirth of twins. Both young men were arrested, and the Texan, Geraldo Flores, is now serving a life sentence for fetal homicide.