Medication Abortion: FDA Guidelines and Personal Experience

Genevieve Plaster, M.A.  

Last week, the Food and Drug Administration (FDA) changed the regulations for RU-486, the “abortion pill,” allowing its use up to 70 days into pregnancy, three weeks past the previous guidelines. On the same day, Abby Johnson’s The Walls Are Talking: Former Abortion Clinic Workers Tell Their Stories, was officially released. One chapter in particular stood out as especially timely in regards to the news: “Medication Abortion.”


Aside from the drugs’ extended use to 10 weeks, the new FDA regimen for mifepristone, the first pill, has a lower dosage than the original guidelines; however, the dosage of the second drug, misoprostol, is four times higher than what was originally recommended. In medication abortion (also known as “chemical abortion”), mifepristone works to block the naturally-occurring progesterone in the woman so that her uterine lining begins to deteriorate, depriving the embryo of oxygen and nutrients and resulting in the unborn child’s death. The follow-up drug, misoprostol, causes the mother to expel the dead child.


Abortion providers, including Planned Parenthood, had already been using the abortion pill up to 10 weeks against prior FDA-approved guidelines in what is known as “off label use.”


In her new book, Abby Johnson, former Planned Parenthood director and founder of And Then There Were None (ATTWN), shares the harrowing personal experience of a former abortion center worker who underwent medication abortion.


The Charlotte Lozier Institute thanks Abby Johnson for the permission to re-post here in full “Medication Abortion,” the second chapter of The Walls Are Talking: Former Abortion Clinic Workers Tell Their Stories.



(Click to read full chapter. Re-posted with permission from author Abby Johnson)




“With confidence, I traded my four hundred dollars in cash for a mifepristone (Mifeprex) pill and a brown bag of medication to take home. As promised, I suffered no ill side effects from the first pill; in fact, I felt great.


The next day I was an obedient patient who meticulously followed orders. After eating a light lunch, I took the medication from my brown bag, four pills called misoprostol. I had been warned that these pills would start my bleeding and cramping probably within an hour, but that it wouldn’t be intolerable and that an ibuprofen or two would easily manage the discomfort…”


Continue reading here.


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