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Reproductive healthcare in England sees yet another setback

Marking a significant regression in the abortion rights of women across the country, the government has scrapped its ‘pills by post’ scheme, which has been celebrated as a game changing move that made terminating unwanted pregnancies safer and more accessible.

Throughout the duration of Covid-19, attitudes towards the ever-contentious pro-choice/pro-life debate have shifted significantly across the globe.

With the movement to secure women’s rights to abortion in flux (regardless of the monumental gains that have been made in recent years) the pandemic presented a pivotal moment to discuss prevailing stigma around the practice.

In Latin America, Argentina became the first major country in the region to legalise such procedures, followed swiftly by Mexico and Colombia.

And in Africa, the Beninese parliament approved a ground-breaking law helping to facilitate the termination of unwanted pregnancies – a rarity for the continent and a decision that went against substantial opposition from the Catholic Church.

However in England, a nation that continues to fail women with its polarising gender health gap yet one with far fewer members of its society who identify with the conservative values its non-Western counterparts are renowned for, things are unexpectedly moving backwards.

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The ‘pills by post’ scheme

With abortion considerably less accessible in isolation, two years of relative confinement was only ever going to widen existing disparities in the essential medical service’s availability.

In 2019, findings from ONS revealed that more than 25 per cent of conceptions in England had ended in termination, an increase of almost a third over the past decade.

This proved that regardless of diminishing views on whether the practice should be permitted, action would be necessary to ensure the wellbeing of some 210,000 women and counting.

Fortunately, the start of the pandemic did see this come to light, with the introduction of a service titled ‘pills by post’ whereby people in the early stages of pregnancy – up to 10 weeks – were allowed to have mifepristone and misoprostol delivered to straight their door.

Under the scheme, they could carry out their abortion safely and legally at home (after a telephone or e-consultation with a doctor), without needing to attend a clinic.

Hands holding a pregnancy test

Achieved through emergency Coronavirus legislation which was able to override the 1967 Abortion Act, it drastically decreased wait times to 48 hours and was met with close to 100 per cent satisfaction from clients as a result.

Not to mention its accessibility benefits, which made an enormous difference to those with debilitating mental health conditions or childcare responsibilities, key workers, and anyone on a zero-hour contract for whom it can be challenging to take time out to attend multiple appointments.

‘The relief I felt when I knew that I didn’t need to go into a clinic or sit in a doctor’s office was indescribable,’ one of the scheme’s 2000-a-week participants told Dazed. ‘I suffer with anxiety anyway, so to know I could go through something so intense and potentially traumatic in the comfort of my own home and space really made me feel at ease.’

The move, experts from the British Pregnancy Advisory Service (BPAS) and the Royal College of Obstetricians and Gynaecologists (RCOG) unanimously agreed, was a game-changer in that it demonstrated what modern abortion policy looks like and how successful it can be.

So, why on Earth is it being scrapped?

England to Allow Women to Take Early Abortion Pill at Home - The New York Times

Another step backwards for reproductive healthcare in England

Regrettably, pills by post was always meant to be temporary; and in February, public health minister Maggie Throup confirmed it would come to an end on August 29 after a six-month extension and rumours via a leak to the Telegraph that at-home-abortions were to be made permanent.

‘Temporary measure that allowed ‘DIY’ at-home abortions to take place during the Covid-19 pandemic will be wound down,’ said Throup in a press statement.

‘The health department no longer believes it is needed since it was put in place at the start of the biggest public health emergency in a generation, to address a specific and acute medical need.’

This, of course, has sparked a great deal of backlash among English women, who deem the government’s U-turn a regression in their fight to rightfully have autonomy over their own bodies.

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‘The scheme has significant benefits to women and young women, and scrapping it highlights the government’s inability to understand women’s needs,’ says domestic abuse survivor Elizabeth Hart.

‘For vulnerable women, this could have life-changing consequences.’

She adds that the restriction won’t force people into unwanted pregnancies because if someone wants an abortion, they will find a way to have one – safely and legally or not.

And perhaps more concerningly for the country’s healthcare system itself, the already-struggling NHS will be incapable of coping when all women are obliged to return to hospitals, escalating wait times and staffing pressures for a procedure that they can just as efficiently perform themselves.

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