Formation | November 10, 2005 |
---|---|
Founder | Rebecca Gomperts |
Type | Non-profit organization |
Headquarters | Toronto, Canada |
Region | Worldwide |
Services | Access to safe abortion services |
Website | www |
Women on Web (WoW) is a Canadian non-profit organization that facilitates online access to medical abortion, known for its international online abortion [1] service accessible in multiple countries. [2] [3] The organization was founded by Dr. Rebecca Gomperts, a Dutch physician, in 2005. [4]
The Women on Web helpdesk provides information and support in 16 languages, including Arabic, English, French, German, Japanese, Korean, Hungarian, Indonesian, Italian, Persian, Polish, Portuguese, Russian, Spanish, Thai, and Turkish. Their medical team provides online medical consultations and facilitates the delivery of abortion pills by mail. [5]
Self-managed medical abortion is done with mifepristone and misoprostol at home during the first 12 weeks of pregnancy. [6] [7] Mifepristone and misoprostol terminate the pregnancy by inducing an abortion that resembles a miscarriage with a 97% efficacy rate during the first 60 days of pregnancy. [8] [5] A 2008 study published in the British Journal of Obstetrics and Gynaecology found that women are capable of self‐administering mifepristone and misoprostol at home without a doctor physically visiting them, provided proper information and instructions are given. [7]
Women on Web has supported over 100,000 people to access safe abortion with pills. [5] People can request the abortion pills via their website by filling out an online consultation. After the medical team has reviewed the consultation, their multi-lingual help desk will contact the person to inform about the next steps. Typically the abortion pills are shipped in 24-48 hours after the consultation has been submitted. The delivery of pills may take 1-3 weeks but in the US the delivery is 2-5 days.
Since February 2022 Women on Web has provided abortion pills in advance of unwanted pregnancies: "With the help of this new service, women can request abortion pills in advance and take them as soon as they discover they are pregnant. Women on Web's medical team will prescribe the abortion pills to people who are not yet pregnant but who anticipate that they may need them in the future". [9]
Several scientific studies on the outcome of abortions and the experiences of women who have used the Women on Web service have proven that abortion via telemedicine is safe, highly effective and acceptable to women. [10] [11] [12] [13] [14] This has been confirmed by the World Health Organization which has recognized that abortions done with the help of Women on Web are considered safe. [15]
Women on Web has also researched data from women in countries where abortion is not legally restricted to highlight the barriers in access to safe abortion services. Research from countries such as the UK, the Netherlands, Hungary and the USA has shown that women face obstacles to access abortion services when these services are only available in clinics or hospitals. [10]
Women on Web’s websites are censored in several countries, [16] but there are ways to access their online consultation for abortions even if the main website is unavailable. Women on Web maintains several local language websites to circumvent online censorship and expand access to their service.
Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of all pregnancies. When deliberate steps are taken to end a pregnancy, it is called an induced abortion, or less frequently "induced miscarriage". The unmodified word abortion generally refers to an induced abortion. The most common reasons women give for having an abortion are for birth-timing and limiting family size. Other reasons reported include maternal health, an inability to afford a child, domestic violence, lack of support, feeling they are too young, wishing to complete education or advance a career, and not being able or willing to raise a child conceived as a result of rape or incest.
Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy.
Mifepristone, also known by its developmental code name RU-486, is a medication typically used in combination with misoprostol to bring about a medical abortion during pregnancy and manage early miscarriage. This combination is 97% effective during the first 63 days of pregnancy. It is also effective in the second trimester of pregnancy. It is taken by mouth.
An abortifacient is a substance that induces abortion. This is a nonspecific term which may refer to any number of substances or medications, ranging from herbs to prescription medications.
Misoprostol is a synthetic prostaglandin medication used to prevent and treat stomach and duodenal ulcers, induce labor, cause an abortion, and treat postpartum bleeding due to poor contraction of the uterus. It is taken by mouth when used to prevent gastric ulcers in people taking nonsteroidal anti-inflammatory drugs (NSAID). For abortions it is used by itself or in conjunction with mifepristone or methotrexate. By itself, effectiveness for abortion is between 66% and 90%. For labor induction or abortion, it is taken by mouth, dissolved in the mouth, or placed in the vagina. For postpartum bleeding it may also be used rectally.
Women on Waves (WoW) is a Dutch nongovernmental organization (NGO) created in 1999 by Dutch physician Rebecca Gomperts, in order to bring reproductive health services, particularly non-surgical abortion services and education, to women in countries with restrictive abortion laws. Other services offered by WoW include contraception, individual reproductive counseling, workshops, and education about unwanted pregnancy. Workshops are conducted for lawyers, doctors, artists, writers, public health care activists, as well as for women and men to learn about contraceptive practices and non-surgical, self-induced abortion using RU-486. Services are provided on a commissioned ship that contains a specially constructed mobile clinic, the A-Portable. When WoW visits a country, women make appointments, and are taken on board the ship. The ship then sails out approximately 20 km, to international waters, where Dutch laws are in effect on board ships registered in the Netherlands. Once in international waters, the ship's medical personnel provide a range of reproductive health services that includes medical abortion.
Dilation and evacuation (D&E) or dilatation and evacuation is the dilation of the cervix and surgical evacuation of the uterus after the first trimester of pregnancy. It is a method of abortion as well as a common procedure used after miscarriage to remove all pregnancy tissue.
A self-induced abortion is an abortion performed by the pregnant woman herself, or with the help of other, non-medical assistance. Although the term includes abortions induced outside of a clinical setting with legal, sometimes over-the-counter medication, it also refers to efforts to terminate a pregnancy through alternative, potentially more dangerous methods. Such practices may present a threat to the health of women.
Abortion has been legal in India under various circumstances with the introduction of the Medical Termination of Pregnancy (MTP) Act, 1971. The Medical Termination of Pregnancy Regulations, 2003 were issued under the Act to enable women to access safe and legal abortion services.
Abortion in Venezuela is currently illegal except in some specific cases outlined in the Venezuelan Constitution, and the country has one of Latin America's most restrictive laws.
Ipas is an international, non-governmental organization that seeks to increase access to safe abortions and contraception. To this end the organization informs women how to obtain safe and legal abortions and trains relevant partners in Africa, Asia, and Latin America on how to provide and advocate for these.
A medical abortion, also known as medication abortion or non-surgical abortion, occurs when drugs (medication) are used to bring about an abortion. Medical abortions are an alternative to surgical abortions such as vacuum aspiration or dilation and curettage. Medical abortions are more common than surgical abortions in most places around the world.
Abortion is illegal in Bangladesh under most situations, but menstrual regulation is often used as a substitute. Bangladesh is still governed by the penal code from 1860, where induced abortion is illegal unless the woman is in danger.
Carafem is an American nonprofit organization that provides women’s reproductive health services with centers in Maryland, Atlanta Georgia, Chicago Illinois, and Nashville TN metro areas as well as virtual care in select states. The organization seeks to normalize, "de-medicalize" and remove the social stigma from the provision of birth control and early abortions amidst an ongoing polarized and politicized debate on abortion in the United States. The organization intentionally uses certain language, such as "health center" instead of "clinic", and openly uses the word "abortion" in its advertising.
Aid Access is a nonprofit organization that provides access to medication abortion by mail to the United States and worldwide. It describes its work as a harm reduction strategy designed to provide safe access to mifepristone and misoprostol for those able to become pregnant in the United States who may not otherwise have access to abortion or miscarriage management services. People are able to manage their own abortion with remote access to a physician and a help-desk for any questions. The website is available in English, Spanish, and Dutch.
Rebecca Gomperts is a Dutch physician and activist for women's rights, in particular abortion rights. She is the founder of Women on Waves and Women on Web, which provide reproductive health services for women in countries where they are not available. In 2013 and 2014, Gomperts was included in the BBC's 100 Women. In 2018, she founded Aid Access, which operates in the United States. A trained abortion specialist and activist, she is generally considered the first abortion rights activist to cross international borders.
Meon Carolyn Shand is a New Zealand doctor, general practitioner and advocate for women's health, maternity care, contraception, abortion and the medical care of the victims of sexual abuse and child abuse.
Plan C is a non-profit organization and campaign that provides educational resources and information to increase access to medication abortion in the United States. It was founded in 2015 by Francine Coeytaux, Elisa Wells, and Amy Merrill as a project under the fiscal sponsorship of the National Women's Health Network.
In 2005, the Ethiopian Parliament liberalised the abortion law to grant safe abortions to women in specific circumstances.
In Zambia, abortion is legal if the pregnancy would threaten the mother's life or physical or mental health or those of existing children, or if it would cause a birth defect. Zambia has one of the most permissive abortion laws in Africa, though its restrictions limit access.
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