A self-induced abortion (or self-induced miscarriage) is an abortion performed by the pregnant woman herself or with the help of other, non-medical assistance. Although the term includes abortions induced with legal over-the-counter medication, it also refers to efforts to terminate a pregnancy through alternative, sometimes more dangerous means. Such practices may present a threat to the health of women.[1] If the abortion does not result in termination of the pregnancy, damage to the fetus can occur.
Self-induced abortion is often attempted during the earliest stages of pregnancy (the first eight weeks from the last menstrual period).[2][3] In recent years, significant reductions in maternal death and injury resulting from self-induced abortions have been attributed to the growing use of misoprostol (known commercially at "Cytotec"), an inexpensive, widely available drug with multiple uses, including the treatment of post-partum hemorrhage, stomach ulcers, and induction of labor.[4] The World Health Organization has endorsed a standardized regimen of misoprostol to induce abortion up to 9 weeks of pregnancy. This regimen has been shown to be up to 83% effective in terminating a pregnancy.[5]
Methods attemptedEdit
Women in India are reported to use the following to induce abortion:
Lifting of heavy weights;
Consumption of mutton marrow;
Consumption of dried henna powder;
Consumption of carrot seed soup;[6]
There are a number of narratives that have described self-induced abortions. Many of the following methods present significant danger (see below) to the life or health of the woman:
physical exertion designed to bring about a miscarriage
bellyflopping onto a hard surface, or throwing herself down a flight of stairs
attempted removal of the fetus with a steel wire coat-hanger or similar device inserted into the uterus through the cervix (the historical use of this method has led to instances of its use as a symbol of the pro-choice movement, illustrating dangers of barring medically-administered legal abortion)[7][8][medical citation needed]
attempted piercing of the fetus with a knitting needle, crochet hook, hat pin, bobby pin or similar device inserted into the uterus through the cervix
insertion of a rubber tube or catheter into the uterus and attempting to suck the fetus out, or, alternatively, blowing air into the uterus to cause a miscarriage (if the tube or catheter pierced a blood vessel, this would sometimes lead to air embolism, which could be fatal[medical citation needed])
ingesting abortifacients, vitamin C megadosage, pennyroyal or other substances believed to induce miscarriage
douching with substances believed to induce miscarriage, such as turpentine, clorox bleach, or lye, all of which could cause intense chemical burns (beginning in the 1960s, many women used Coca-Cola for this purpose, although its utility is at best dubious)
vaginal pessaries
yoga
acupuncture at points linked to miscarriage
hypothermia (many women would lie for periods of time in snowbanks, which could be fatal to them) or hyperthermia (women would lie in tubs filled with hot or even scalding water for periods of time, often while simultaneously drinking gin)