EXPLAINER: Medication abortion becomes latest GOP target

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EXPLAINER: Medication abortion becomes latest GOP target
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Medication abortion accounts for about 40% of all abortions in the U.S. Here's a look at the increasingly common method as Republican states move to restrict access to the option.

FILE - Misoprostol drug, the most common abortion pill, sits on a gynecological table at Casa Fusa, a health center that advises women on reproductive issues and performs legal abortions in Buenos Aires, Argentina, Friday, Jan. 22, 2021. Misoprostol empties the uterus by causing cramping and bleeding. The drugs are approved for use by the FDA up to 10 weeks of gestation.

A medication abortion consists of taking mifepristone, waiting 24 to 48 hours, and then taking misoprostol. Mifepristone blocks the hormone progesterone, which is essential to sustain a pregnancy. Misoprostol empties the uterus by causing cramping and bleeding.The method is considered by health professionals to be highly effective and safe, with pregnancies terminated in more than 95% of cases and serious complications in 0.4% of cases.

Abortion providers say as access to clinics becomes more difficult, medication abortion can allow women to get abortions without facing the burden of traveling, which can be especially difficult and expensive for lower-income women.Abortion opponents, worried medication abortion is becoming increasingly prevalent, are pushing legislation in Republican-led states to limit access to the drugs.

Republican governors in Arkansas, Arizona, Montana, Oklahoma and Texas signed laws this year prohibiting abortion drugs from being delivered by mail. Such laws were largely seen as a response to the rise in popularity of telemedicine during the pandemic. Such laws are in effect in Arkansas, Idaho, Kentucky, Louisiana, Nebraska, South Dakota, Utah and West Virginia. Court cases in Indiana, North Dakota, Oklahoma and Tennessee have blocked enforcement of these counseling requirements. In Montana, the law is set to take effect Oct. 1 but is being challenged in court.In July 2020, the Food and Drug Administration -- under federal court order -- eased restrictions on abortion pills so they could be sent by mail.

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