{"id":262159,"date":"2022-02-08T08:41:50","date_gmt":"2022-02-08T14:41:50","guid":{"rendered":"https:\/\/www.liveaction.org\/news\/?p=262159"},"modified":"2022-03-14T18:37:37","modified_gmt":"2022-03-14T23:37:37","slug":"abortion-pill-care-mere-minutes-follow-up","status":"publish","type":"post","link":"https:\/\/archive.liveaction.org\/news\/abortion-pill-care-mere-minutes-follow-up\/","title":{"rendered":"Industry standard: Abortion pill ‘care’ amounts to mere minutes with little to no follow-up"},"content":{"rendered":"
<\/div>

Online abortion pill dispensaries are spending mere minutes with abortion clients with little to no follow-up, despite potential complications associated with the abortion pill, some even leading<\/a> to death \u2014 according to virtual abortion pill organizations interviewed in Ms. Magazine’s “online provider series<\/a>.”<\/p>\n

Under the Food and Drug Administration’s (FDA) REMS safety system, providers of the abortion pill must sign a\u00a0prescriber agreement<\/a>\u00a0with manufacturer Danco Laboratories and generic manufacturer GenBioPro, which requires them to\u00a0accurately “assess the duration of pregnancy” and “diagnose ectopic pregnancies” \u2014 something the industry claims can be done<\/a> under a no-touch, no-test protocol.<\/p>\n

\"Image:

Ms. Magazine online abortion pill provider series (Images: Twitter)<\/p><\/div>\n

Minutes spent with clients who rarely follow up<\/strong><\/p>\n

Carafem’s Melissa Grant told<\/a> Ms. Magazine that their online process\u00a0“takes maybe 15-20 minutes, if that.” She also claimed that the “majority” of Carafem clients “follow up because we contact them proactively.”\u00a0Dr. Jamie Phifer, founder and medical director of Abortion On Demand (AOD),\u00a0claimed<\/a>\u00a0to Ms. Magazine that AOD does “really close follow-ups” by sending clients an “automated follow-up by text” with “a secure survey link that\u2019s tied directly to their cell phone number.” She later told Ms., “Patients, a lot of them, don\u2019t need a lot of counseling.”<\/p>\n

Christie Pitney of Forward Midwifery<\/a>, a\u00a0MYA Network<\/a>\u00a0member,\u00a0told<\/a> Ms. Magazine that they spend an average of “five minutes or less” with most abortion pill clients. She also admitted, “We don\u2019t schedule any sort of follow up. We tell the patients that they can call us at any time, though.” Pitney then added that Forward Midwifery abortion clients “[r]arely[,] [l]ess than 10 times ever” follow-up after taking the pills.<\/p>\n

Abortionist Michele Gomez, MD<\/a>, a MYA Network<\/a>\u00a0co-founder and a self-proclaimed \u201cactivist physician,\u201d told<\/a> Ms. Magazine that her online process takes around “ten minutes<\/a>.” On providing follow-up care, Gomez told the magazine that she has “gone back and forth,” before acknowledging, “I now just recommend that patients follow up with me if something doesn\u2019t go as planned.”<\/p>\n

Dr. Deborah Oyer, medical director of\u00a0Cedar River Clinics<\/a>,\u00a0told<\/a> Ms. Magazine that she spends\u00a0“up to 30 minutes” with her abortion pill clients unless they are on their “third medication abortion,” and then claimed, “it can be done in a few minutes.”<\/p>\n

Dr. Julie\u00a0Amaon,\u00a0medical director<\/a>\u00a0at Just the Pill,\u00a0told<\/a> Ms. Magazine, “About 80 to 85 percent of people find us on Google, just by searching. That\u2019s how we advertise.” She also claimed her online appointment process takes around 15 minutes while just 50% of her abortion clients do the follow up care. Based on Amaon’s claims, Google appears to be allowing unregulated abortion pill dispensaries to advertise on their platform while censoring<\/a> ads promoting Abortion Pill Reversal (APR).<\/p>\n

Robin Tucker<\/a>,\u00a0a nurse practitioner also associated with MYA Network<\/a>, offers abortion pills by telehealth at Metro Area Advanced Practice Healthcare<\/a>.\u00a0Tucker\u00a0told<\/a> Ms. Magazine she spends “10 or 15 minutes” with abortion pill clients and acknowledged that “most people don\u2019t schedule” a follow-up.\u00a0Tucker, who started providing abortion pills with\u00a0Aid Access<\/a>\u00a0and the group\u00a0Access Delivered<\/a>,\u00a0also told Ms. Magazine, “I think it\u2019s great to be able to do births and then get back online and do an abortion case. I love that.”<\/p>\n

Concern brick and mortar facilities will close<\/strong><\/p>\n

Phifer acknowledged<\/a> to\u00a0Ms. Magazine that her “per patient cost is relatively low” at Abortion on Demand \u2014\u00a0so low that rather than cut the cost to abortion clients, AOD donates “60 percent of our profits to\u00a0Keep Our Clinics<\/a>\u00a0of the\u00a0Abortion Care Network<\/a>.”<\/p>\n

Phifer also expressed concern that virtual abortion pill dispensaries may be impacting the survival of brick-and-mortar facilities.\u00a0 “I\u2019m concerned about the impacts telemedicine abortion may have on brick-and-mortar clinics. Our costs of providing care are lower. We\u2019re not paying insurance on a building. We don\u2019t have a facility per se. We don\u2019t have many staff,” Phifer stated. “I just got off the phone with a brick-and-mortar practice that was forced to triple their marketing budget to stay afloat due to aggressive marketing by a telehealth start up in their state.”<\/p>\n

Limited follow-up care<\/strong><\/p>\n

PillsbyPost.com founder Razel Remen was initially “tempted” to offer the abortion pill up to “12 weeks” but told<\/a> Ms. Magazine she only\u00a0plans to offer chemical abortion pills through\u00a011 weeks<\/a>\u00a0of pregnancy, a week longer than what was approved by the Food and Drug Administration’s (FDA) safety regulation (REMS).\u00a0At 11 weeks of pregnancy, even Planned Parenthood admits<\/a> that the abortion pill\u00a0fails 13 percent of the time<\/strong>\u00a0\u2014 nearly\u00a0double<\/em>\u00a0the failure rate for the abortion pill given just two weeks earlier.<\/p>\n

“I send eight misoprostol pills if someone is below nine weeks and 12 if they\u2019re above nine weeks, so if they have an issue, they have it if they need it,” Remen told Ms. Magazine.<\/p>\n

Under the REMS, prescribers are supposed to ensure women can obtain emergency care should there be a failure or complication. But Remen told<\/a> Ms. Magazine that while her initial call selling the pill lasts 15 to 20 minutes per client, she is too busy during the day to take any follow-up calls<\/a> from her abortion clients, some mof who may be teens.<\/p>\n

“If they need assistance, I recommend that they call the\u00a0Miscarriage and Abortion Hotline<\/a>\u00a0during the day because I\u2019m in clinic and I might not be able to answer the phone,” Remen stated. “But if it\u2019s after business hours, then they can just call me directly with any questions they might have.”<\/p>\n

Remen admits that some of her abortion pill clients are calling from as far away as Texas, where she clearly cannot assist if an emergency arises. “I\u2019ve noticed patient with IDs from outside of the states I serve are asking for medication. I don\u2019t inquire as to where they are as long as their shipping address is in a state where I\u2019m licensed,” she told Ms. Magazine.<\/p>\n

Remen claims that she does call clients “two days” after they take the pills but acknowledged she has had issues. “I had one person who was very anxious and they weren\u2019t sure as to whether or not the medication worked. So we worked through that to try to figure out where they could get an ultrasound if they needed it. I think it\u2019s really essential for the entire movement to compile a database of pro-choice, friendly, inexpensive places where people can go to get ultrasounds.”<\/p>\n

Abortion pill safety<\/strong><\/p>\n

The skytocketing growth<\/a> of unregulated virtual abortion pill dispensaries is due in part to the FDA’s recent move to weaken<\/a> important safety requirements on the abortion pill and permanently allow the pills to be shipped through the mail.<\/p>\n

Despite the perceived ease of ordering abortion pills online, abortion by mail can pose\u00a0potential serious complications<\/a> for women and teens who purchase them without close medical oversight. Failure rates for the abortion pill can vary<\/a> by gestation, but if the pill does fail, a woman could experience severe infection from an incomplete abortion. In addition, eliminating important exams, testing and labs can result in misdiagnosing a dangerous ectopic pregnancy<\/a>. In addition, failure to test for\u00a0Rh negative<\/a> blood without treatment could put a woman’s future pregnancies at risk.<\/p>\n

Women who do at-home abortions often report to an emergency room when a complication arises. This was confirmed recently in an analysis<\/a>\u00a0of adverse events\u00a0reports<\/a>\u00a0(AERs) submitted to the FDA by\u00a0abortion pill<\/a>\u00a0manufacturer Danco. The analysis revealed that abortion pill clients experiencing complications are more likely to receive care from an emergency center than from the abortion facility where they obtained the pills. It is likely that, due to the impersonal nature of online abortion pill purchases, this trend will continue.<\/p>\n

Editor’s Note, 3\/14\/22: Added section regarding Pills by Post.<\/em><\/p>\n

\u201cLike\u201d Live Action News on Facebook<\/a> for more pro-life news and commentary!<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Online abortion pill dispensaries are spending mere minutes with abortion clients with little to no follow-up, despite potential complications associated with the abortion pill, some even leading to death \u2014 according to virtual abortion pill organizations interviewed in Ms. Magazine’s “online provider series.” Under the Food and Drug Administration’s (FDA) REMS safety system, providers of […]<\/p>\n","protected":false},"author":303,"featured_media":243734,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false},"categories":[9953],"tags":[2397,1890,1908,3595,15655,15652,15654,15653,15557,15650,15656,15472,11430,15584,15649,15651,15648],"yoast_head":"\nIndustry standard: Abortion pill 'care' amounts to mere minutes with little to no follow-up<\/title>\n<meta name=\"description\" content=\"Online abortion pill dispensaries are spending mere minutes with abortion clients with little to no follow-up 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