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“We won’t be going back!” The cry echoed in protesters across the country after the Supreme Court was overturned Roe vs. Wade last month, ending the 50-year constitutional right to abortion.

Many have lamented the half-century turn back, remembering the bloody, often deadly reality of clandestine and dangerous self-administered abortions. In 1965, eight years before deer was pronounced, 17% of all deaths related to pregnancy and childbirth resulted from illegal abortions (a few states allowed some legal abortions). Many abortions went unreported, so the true number is likely higher.

But the Supreme Court didn’t just let the red states flip the calendar pages back to pre-1973 America. In many ways, it’s worse than that.

Abortion has become a fundamental pillar of all kinds of health care procedures. Tearing it drops them.

America now faces a reality that will feel like a throwback to the early 70s, but with half a century of medical and technological advances that health care providers in some states can no longer use. Since deer, abortion care has become dramatically safer and more efficient, and the medical procedures involved in abortion have become indelibly integrated into the broader healthcare landscape. They have become a key aspect of all sorts of other health care, from managing miscarriages to treating cancer.

Now, in states from Texas to Ohio, we are already seeing how abortion – or procedures that can be construed as abortion – are deeply connected to health care more broadly, and what it means for them to be deleted.

It’s easier, and more convenient for the anti-abortion movement, to imagine abortion as a siled procedure, under the auspices of Planned Parenthood and only relevant to young women seeking to end their unwanted pregnancies. But for decades, that has not been the case.

After Deer, Abortion becomes safe

After the Supreme Court legalized abortion across the country, researchers and doctors could finally learn how to improve.

Illustration Getty Images/TPM

“If the procedure is illegal, you can’t do clinical studies and you can’t develop new procedures because you’re doing it in secret,” Johanna Schoen, a history professor at Rutgers University who wrote extensively on abortion in the 20th century, confided the TPM. “Most of the people who perform abortions were not clinicians and were unable to do so in a medical setting.”

“After deer, clinicians have made it not only the safest outpatient procedure in the country, but also much safer than pregnancy and childbirth,” she added. “It all has to do with improving abortion procedures and developing new ones.”

In addition to procedural improvements, after deer, doctors began to receive more training on how to perform abortions and manage potential complications. Mortality rates associated with abortion began to fall. And the number of women hospitalized for abortion-related complications fell between 1970 and 1977, with a sharp drop after 1973. In 1995, less than 0.3% of abortion patients were hospitalized for abortion complications. procedure.

Abortion is now woven into today’s medical landscape

As abortion care developed rapidly, other related medical technologies also improved. By the late 1970s, ultrasound was widely used in American hospitals, helping to advance the detection of fetal abnormalities.

As technology improved over the following decades, doctors became more adept at identifying markers of abnormalities. Below deerin states that had not encroached on abortion rights with pregnancy bans (many diagnoses occur in the second trimester, though advances are pushing some earlier), women could opt for an abortion once abnormalities are detected rather than carrying the pregnancy to term.

Now after Dobbsexperts are certain that women in states where abortion is draconianly banned will have to give birth and give birth to babies who cannot survive.

The development of ultrasound technology has also allowed doctors to more accurately diagnose unruptured ectopic pregnancies in a way that was not possible before.Deer. In these pregnancies, the fertilized egg implants outside the uterus where it cannot survive but can pose a life-threatening threat to the woman if allowed to develop.

Improvements in mortality rates associated with ectopic pregnancies followed: a decrease of more than 70% in the number of deaths per case from 1970 to 1978.

Illustration Getty Images/TPM

Already, stories are circulating about the disappearance of deer throwing ectopic pregnancy care into chaos. Doctors say they don’t know whether abortion bans – which are often written using broad political rather than medical language – include ending ectopic pregnancies, which are not viable. Various anti-abortion lawmakers and activists have proven to be particularly ignorant on the subject, with some suggesting that termination of ectopic pregnancies is not medically necessary, while others have offered a supposed solution – simply moving the pregnancy extra. -uterine inside the uterus – technology for which currently does not exist.

Another medical achievement already under threat is in vitro fertilization, or IVF. The first IVF baby was born in 1978; since then, initial single-digit success rates have risen to nearly 50% for cases where the woman is under 35. One to two percent of births in the United States result from IVF each year.

Fertility clinics have already been inundated with calls from people panicking about what the abortion ban means for their procedures. During IVF, clinicians typically implant one or two embryos into the uterus and store the rest for potential future use. It’s unclear whether the bans would prevent people from throwing away unnecessary embryos, possibly forcing them to pay to keep them frozen forever. Genetic testing of embryos could become illegal. And if some embryos don’t survive the implantation process — or are nonviable and discarded — the clinics could be responsible.

Some states are already considering granting personality to embryos, which could bankrupt IVF clinics and leave people who depend on them with no options.

Deep consequences

Even cancer treatment, seemingly far removed from reproductive care, depends on abortion to give its patients the right to treat their illnesses regardless of the often toxic effect these treatments have on fetuses.

Cancer occurs in approximately one in 1,000 pregnancies each year, leaving women with few options even though deerProtections were the law of the land. Many treatments can cause miscarriages or birth defects in developing fetuses, especially early in pregnancy. The CEO of the American Cancer Society has said that radiation therapy is never given to pregnant patients.

Terminating a pregnancy, for these patients, can become a matter of literal life or death – the only way for women to receive the full range of treatments to cure their cancer. Now, in some states, women may have to choose: life-saving treatment that will harm the developing fetus, or leave their cancer untreated.

Illustration Getty Images/TPM

Some pharmacists are already restricting patients’ access to methotrexate, a therapy for certain types of cancer that can cause abortions. Methotrexate has also been used in the treatment of ectopic pregnancies and, since the 1980s, to soothe chronic inflammation and pain, making it a mainstay in the treatment of diseases such as lupus, rheumatoid arthritis and psoriasis. . The Arthritis Foundation has set up a hotline amid reports of patients struggling to get the drug.

Two other pills – mifepristone and misoprostol, the collective “abortion pill” approved by the Food and Drug Administration for combined use for 49 days of gestation in 2000, and longer now – are already hotly targeted by anti-abortion lawmakers . There’s a long history of animosity toward mifepristone in particular, with the FDA baselessly categorizing it as unsafe for years.

These drugs are essential in the treatment of miscarriage, which at least one in four American women will have by the age of 45. Even before the Dobbs decision, women had to rely on abortion clinics for treatment of miscarriages, often due to arbitrary limitations on who can dispense mifepristone. This problem has been compounded since the ruling by causing confusion among some hospitals about whether other aspects of miscarriage care will be misinterpreted by authorities as elective abortion.

“Managing miscarriages and ectopic pregnancies are things that weren’t really possible when abortion was illegal,” Schoen said. “Women in the midst of miscarriages and ectopic pregnancies were in deep shit – and people died because of it.”

Abortion is a medical success. Bringing the procedure out of the shadows has allowed clinicians to make it safe and humane, and to integrate it with other medical treatments. Procedures that are abortion-related, or that can be interpreted as such, have become an integral part of a surprisingly wide range of medical care. All of this is threatened.

The Supreme Court does not refer large swathes of the country to the relative ignorance of the pre-deer America. It sends us back in time, armed with prodigious knowledge and then unsuspected technology that alleviates women’s suffering, and simplifies and alleviates diseases where pregnancy is not an option – but prohibited for healthcare workers to use this knowledge.

Women will suffer and they will die, even though doctors have 50 years of medical progress behind them. We’re not just going back there. It’s worse.