• UNITED STATES Kansas, the first US state to ratify in a referendum keeping the right to abortion intact

  • REPRODUCTIVE RIGHTS Abortion, about to be illegal in the US: what will happen in the country and how will it affect women?

  • USA The US Supreme Court strikes down the right to abortion

"Right now

a woman 's

accessibility to safe

abortion

depends on her zip code and the upcoming election. The repeal of

Roe vs. Wade

is ridiculous, barbaric, and a national catastrophe for women and their families." American gynecologist and obstetrician specializing in voluntary interruptions of pregnancies (IVE),

Warren Hern

.

He points out that the constant changes in state abortion laws in the United States (USA) have forced many patients to

leave their jurisdiction

.

Meanwhile, other pregnant women are

unable to abort

because they cannot afford the trip, she points out.

However, he affirms that

the impact that this national conflict has had

on the number of IVEs carried out is unknown.

He maintains that, due to political oppression in some of the red states, many doctors have stopped registering the terminations they practice.

These adjustments are the product of the

repeal of the ruling in the Roe vs. Wade case

by the

Supreme Court (TS)

, on June 24, a decision that annulled the federal right to abortion and gave the states the power to legislate on this faculty.

Since then, according to the Guttmacher Institute, there are

26 states whose representatives have declared that they want to eliminate abortion as a right or are considering its prohibition

.

Among these 26 jurisdictions there are

13 that have activation laws,

known as "trigger laws".

These are legislative measures that, once Rhode vs. Wade is dismissed, would ban first- and second-trimester abortions.

Depending on the state, these trigger laws are implemented automatically, after 30 days, or following a series of procedures approved by the state attorney general, governor, or other specified official.

Meanwhile,

9 of these 26 have anti-abortion legislation that was in practice prior to the Roe vs.

Wade

in 1973 that will now be applied again.

However, not all states have accepted the Supreme Court's decision.

In fact, in states like

Kentucky, Utah, Louisiana, and Wyoming,

the legal bodies have obstructed or paused the implementation of their activation laws.

Furthermore, in the case of

Kansas

, on August 3, it became the first state to establish the legality of abortion through a referendum in favor of maintaining this reproductive right where

60% of the voters denied

changing the Constitution to restrict it.

For his part, the president of the United States,

Joseph (Joe) Biden

,

on August 3, announced that he will sign an executive order in an effort to help guarantee access to abortion despite what happened.

This measure was signed at the inaugural meeting of his administration's

Reproductive Health Access Task Force

, a coalition made up of representatives from multiple federal government departments.



This order seeks to require the

Secretary of Health and Social Services, Xavier Becerra

, to consider

"all appropriate actions to ensure that health care providers comply with federal nondiscrimination laws so that women receive necessary medical care without delay".

Also, it requests the inclusion of measures to guide doctors on the techniques of the procedure and the legal issues related to the subject.

In this context, Hern criticizes the

lack of uniformity in the academic preparation

received by people who work in IVEs.

Although there are programs that teach doctors how to do the procedure, they are not teaching the safest techniques, he justifies her.

For this reason, he expresses that

there is no homogeneity

in the quality of instruction or in the degree to which doctors are learning.

Similarly, the president of the

Association of Accredited Clinics for the Interruption of Pregnancies in Spain (ACAI), Francisca García

, agrees with Hern in explaining that in many countries of the

European Union (EU)

the IVE is not integrated into university studies or the specialty of gynecology and obstetrics, nor in health careers.

She adds that in specialized IVE centers

, doctors train each other.

Because of this, she comments that there is a

generation gap

both in her case and in other clinics in the EU.

PERMISSIBILITY AND ACCESS: US versus EU

Currently, in the EU there are only

two countries that prohibit abortion

in all its forms:

Malta and Poland

.

However, in countries such as

Belgium, Luxembourg and the Netherlands

, abortion is only allowed if there is a

risk to the health of the pregnant woman

that is classified as an emergency such as a fetal malformation.

Meanwhile, in the US there are

26 states that allow abortion, 7 where it is illegal and 15 where the legality of this reproductive right is under threat.

García suggests that the legislative changes in the US could cause

consequences

in the permissibility of abortion

in the EU countries.

"The US is a great power, in which a lot of money is handled, so there could be a retrograde influence in the EU. We have to be alert," he warns.

Even so, in the US for abortion there is an average gestational limit of

21.6 weeks

, and counseling and a waiting period are required in

27 of the 51 jurisdictions

.

In contrast, in the EU, there is a mean gestational limit of

12.7 weeks

, mandatory counseling in

7 of 27

countries, and a waiting period in

10 of 27

.

García notes that, in many cases, the European gestational limits, added to the waiting periods imposed,

obstruct the person from having an abortion in their country.

She shares that, according to statistics, most women abort a week after deciding, which is usually from the

seventh week

after conception.

However, in countries like

Portugal

, where the gestational limit is 10 weeks with a waiting period requirement, women are left with a very small window to abort, she notes.

For this reason, in many cases, Portuguese pregnant women travel to be able to exercise the desired IVE.

He maintains that the prohibition of abortion does not mean that there is less abortion.

In fact, there are statistics that prove that IVEs are even

more prevalent after their

illegalization

, he points out.

It also highlights that in the EU the IVE service is provided through two methods:

medication or instrumental techniques.

She explains that,

due to the lack of trained technicians

, many European countries use drugs to perform pregnancy terminations instead of instrumental techniques, which leaves many women unable to choose how to carry out their IVE.

Both health professionals interviewed stated that the instrumental technique is safer, less painful and lasts less time.

Hern even considers that the use of the drug poses a

risk to the health of the pregnant woman

if it is done

after the first trimester

.

For this reason, García adds that many pregnant women travel to other countries to be able to have their IVEs.

"Abortion is a health practice different from the others because it is

ideologized and stigmatized

, both in the EU and in the US," she says.










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