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EXPLAINER: 'Morning following pill' not always option following rape

EXPLAINER: 'Morning following pill' not always option following rape

MINNEAPOLIS (AP) — Some leaders inside states accompanied by strict abortion bans speak exceptions for rape or incest victims aren't needed since crisis contraceptives tin exist used instead. But medical professionals accompanied by every one one other accompanied by advocates for rape survivors speak that while crisis contraception is a helpful tool, it's not always foolproof, accompanied by every one one other accompanied by getting access to these crisis measures inside the short hour dated framework inside which they would exist effective may not exist practical for someone who has fair been assaulted.

Here's a look at crisis contraceptives accompanied by every one one other accompanied by what some people are saying.

WHAT ARE EMERGENCY CONTRACEPTIVES?

Emergency contraceptives are used to place an extremity to gestation infrequent gravidity following unprotected reproductive intercourse or if a procedure of birth jurisdiction fails.

Two types of medications, occasionally referred to while "morning following pills," are available: levonorgestrel, known by the well liked build name Plan B; accompanied by every one one other accompanied by ulipristal acetate, known under the build ella. They should exist taken while inside a short hour dated while possible following unprotected sex.

The pills place an extremity to ovulation, which is when an ovum is released from an ovary, said Dr. Jonah Fleisher, director of the Center for Reproductive Health at the University of Illinois inside Chicago. If an ovum is not released, it cannot exist fertilized.

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ARE THEY THE SAME AS ABORTION PILLS?

No. Emergency contraceptives place an extremity to a pregnancy. The abortion pill, mifepristone, ends a gestation infrequent gravidity following a fertilized ovum has implanted inside the lining of a woman's uterus. It's commonly administered accompanied by the medicine misoprostol accompanied by every one one other accompanied by tin exist taken up to 11 weeks following the earliest day of a woman's last period.

DOES EMERGENCY CONTRACEPTION WORK?

Not 100% of the time. The pills' effectiveness improves the sooner they are taken following unprotected sex, doctors said. The drugs won't place an extremity to pregnancies if they are taken earlier to sex, Fleisher said.

The Food accompanied by every one one other accompanied by Drug Administration has approved Plan B for use up to 72 hours, or trio days, following unprotected sex. Ella is approved for up to 120 hours, or five days.

Timing is important since sperm tin exist inside a woman's body for up to five days, so a woman tin still obtain expecting a infant if ovulation occurs following intercourse, said Dr. Dana Stone, an OB-GYN inside Oklahoma City. If a woman has ovulated earlier to intercourse, the pills are unlikely to help.

"So that's where the lack of favourable consequence comes in. It's based on the timing," Stone said.

A woman's heaviness excessively may amuse oneself a role, though there is conflicting details on that. Guidance from the American College of Obstetrics accompanied by every one one other accompanied by Gynecology says levonorgestrel may exist less effective inside women accompanied by a body pile register that's over 25. The organization says some research suggests ulipristal acetate excessively has foot effectiveness among women accompanied by a BMI that's 30 or higher.

However, the FDA found conflicting facts accompanied by every one one other accompanied by reached no indeed indeed extremity inside a 2016 analysis of the effectiveness of levonorgestrel inside women who measure the heaviness of additional than 165 pounds or have a BMI above 25. The agency said additional research should exist a priority.

Another form of crisis contraception, a copper intrauterine device, is seen while the most effective method, if inserted into a woman's uterus within five days of unprotected sex. Its effectiveness is not dependent on weight, Fleisher said.

A physician or nurse must place a copper IUD, which tin convey on accompanied by to exist inside place for numerous years while a constant form of birth control.

Plan B tin exist purchased over the labour external outside by anyone 17 or older, nevertheless younger people need a prescription. Ella requires a prescription.

WHAT DID THEY SAY?

Officials inside some states, such while Texas Gov. Greg Abbott accompanied by every one one other accompanied by South Carolina condition Rep. Doug Gilliam, point to crisis contraceptives while a spring abortion bans don't need exceptions for rape or incest.

During an Aug. 31 House debate, Gilliam said, inside a hypothetical instance of a 12-year-old raped by her father, the child would have "choices" accompanied by every one one other accompanied by wouldn't exist "forced" to convey a pregnancy. Among them, he said, she could go to the medical organization accompanied by every one one other accompanied by obtain an crisis contraceptive, or go to the store accompanied by every one one other accompanied by obtain one lacking a prescription.

Pressed by a fellow lawmaker on who would lay clasp of the girl to the store to obtain the pill, he at earliest replied "The ambulance," at that hour dated corrected himself accompanied by every one one other accompanied by said, "The medical organization when she's there."

In a follow-up gathering accompanied by The Associated Press, the Republican lawmaker said he did not signify to propose that an ambulance would lay clasp of a girl to a store, nevertheless that if she were to go to the hospital, she would probable exist offered crisis contraception.

"I don't want anybody to exist convinced by that I told you a 12-year-old that fair been raped … is going to call an ambulance to go to a store," he said. "I fair permit them know the options were not here there, accompanied by every one one other accompanied by one of them was crisis medical contraceptives."

WHAT ABOUT RAPE VICTIMS?

Most rape victims don't report the crime to rules with every one other accompanied by regulations enforcement, according to Jude Foster, advocacy medical forensic accompanied by every one one other accompanied by prevention programs director for the Minnesota Coalition Against Sexual Assault. Many excessively may not go inside for immediate medical care. Not everyone knows that crisis contraceptives are an option accompanied by every one one other accompanied by small part of a procedure rape exam, or that such an exam is free.

"Why is reproductive assault used while a political football when you are talking concerning access to reproductive care?" Foster said. "Please don't. It fair really frustrates me."

Stone said the belief that a woman tin fair lay clasp of Plan B if she is raped is misguided.

"We need all kinds of options for women since nothing is a one dimensions fits all," Stone said. "People have transportation problems, they have monetary problems. There are always barriers to some percentage of women that will retain them from accessing this inside the short hour dated framework that they have."

STATE LAWS

Several states have explicitly allowed for crisis contraception inside their abortion laws.

Arkansas, Kentucky accompanied by every one one other accompanied by Oklahoma all have laws that ban abortion at all stages of pregnancy, accompanied by every one one other accompanied by build no indeed indeed exceptions for cases of rape or incest. Arkansas' accompanied by every one one other accompanied by Kentucky's laws explicitly speak they don't prohibit contraceptive measures if they are used earlier to a gestation infrequent gravidity tin exist determined. Oklahoma's abortion ban excessively does not apply to crisis contraception.

Abortion bans aside, the National Conference of State Legislatures says 21 states accompanied by every one one other accompanied by the District of Columbia have statutes related to accessing crisis contraception, accompanied by every one one other accompanied by 16 of them accompanied by every one one other accompanied by the District of Columbia need hospitals or health protected from danger keeping facilities to provide details concerning or administer crisis contraception to women who have been sexually assaulted.

Fleisher said crisis contraception does not replace the need for abortion care, accompanied by every one one other accompanied by these issues should exist inside the centre of a physician accompanied by every one one other accompanied by patient.

"The people writing the laws don't comprehend the choices that real people are making," he said.

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For additional of AP's coverage on abortion: https://apnews.com/hub/abortion

EXPLAINER: 'Morning following pill' not always option following rape

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