The future of medical abortion is teetering in lawsuits over the availability and legality of mifepristone, the first of two drugs used in the procedure.
Last week, attorneys general from a dozen Democratic-led states sued the U.S. Food and Drug Administration over regulations they say are medically unnecessary and intended to make it harder to obtain mifepristone. But the drug’s ability to stay on the market could depend on a Texas judge’s decision, which could come any day. Judge rules on lawsuit that claims, in part, the FDA never had the right to approve mifepristone in the first place and questions the drug’s safety despite medical organizations continuing to back it Like on. If the judge agrees, the case has the potential to ban mifepristone even in States where abortion is legalalthough a cascade of other legal proceedings and appeals should follow immediately.
Medical abortions are generally limited to the first trimester of pregnancy and represent a growing number of total abortions in the United States – currently more than half. Medical organizations, including the American Medical Association and the American College of Obstetricians of Gynecologists say its use for abortion is safe. Patients may choose medical abortion because it is done in the privacy of their home and may be more accessible or less expensive than the clinic procedure. After the United States Supreme Court overturned Roe. v. Wade last spring, restricting abortion pills became a priority for lawmakers trying to ban or limit abortion.
Whatever the Texas judge decides, a series of appeals and other court rulings are expected to follow, making it difficult to say for sure what will happen to mifepristone. Health care providers and legal experts say it fits the course post-Roe v. Wade, when the future and legality of drugs used during pregnancy and abortion depend on state actors and the courts.
But in the case of Texas, in particular, the FDA approval process is in question. If the judge revokes the agency’s 20-plus-year seal of approval for a drug, it would overrule The FDA’s own calculations of a drug’s benefits and risks – A “unprecedented“a development in US drug regulations, according to an article in the New England Journal of Medicine. Even if mifepristone remains on the market, the case has opened the door to the potential withdrawal of other drugs and drugs from the market, whichever whatever the medical treatment the consensus is.
What is mifepristone and what is the Texas case about?
Mifepristone is a drug used in medicines first trimester abortions as well as early treatment for miscarriages. It temporarily blocks progesterone, a hormone needed to maintain and develop pregnancy. Patients who use it for abortion take it before misoprostol, a drug that induces uterine contractions, to initiate termination of pregnancy. Patients who have had a miscarriage could also take it to help their body stop behaving like pregnant when the pregnancy is no longer viable and the embryo or fetus has stopped developing.
On its own, mifepristone alone is not particularly effective in terminating a pregnancy, which is why the FDA approved it specifically for use with misoprostol, a drug originally intended for stomach ulcers and other health conditions. Misoprostol is technically used off-label for induced abortion (usually just “abortion”) or spontaneous abortion (miscarriage).
Mifepristone has been in the limelight in abortion debates because its sole purpose and endorsement is the termination of pregnancy.
Plaintiffs in the Texas case include the Hippocratic Alliance for Medicine, a health care group against abortion and similar socially but medically based issues, such as physician-assisted suicide. The lawsuit claims that the FDA never had the authority to approve mifepristone and that it has harmful side effects. The suit also disputes pregnancy as a disease, and the FDA regulates mifepristone as if it were. The actual threat to the future of mifepristone in the market depends on a few factors.
Impact on FDA drug regulations
“If the court decides against the FDA, part of the magnitude of the threat depends on how the opinion is written,” I. Glenn Cohen, Harvard law professor and faculty director of the Petrie-Flom Center for Health Law Policy from the school, said in an email. Cohen is also a signatory to an amicus brief from an FDA legal expert for the Texas case and author of an article on the case published in the New England Journal of Medicine. An opinion could be narrower and focused on pregnancy, or it could be written broadly, Cohen said. If broad, it has the potential to influence decisions about other medications for other health conditions. But that would trigger a lengthy process involving the Justice Department and other factors, Cohen said.
Cohen added that nationwide injunctions that “essentially allow a single district court judge anywhere in the country to make a decision for the whole country” have drawn a lot of skepticism, including from two conservative Supreme Court justices.
If the judge rules in favor of the Hippocratic Medicine Alliance and revokes the FDA’s 20-plus-year seal of approval, that would void the Advantages of FDA over risk calculations. For a judge to circumvent this “congression-created process” in drug regulation would be unprecedented, Cohen and the other authors write in the paper. The scope of the injunction – whether mifepristone is banned nationally – would have to be determined by other courts, and such a decision has the potential to go all the way to the Supreme Court.
Not only could the way the FDA assesses the benefits and risks of drugs be changed, but the door to the courtroom would be opened to removing other drugs from the market besides those used during pregnancy or abortion. , including vaccines and gender-affirming drugs that have been politicized by lawmakers. And like reported in Slatethe fate of medical abortion also depends on the power the FDA has and how it uses its discretion.
But the FDA is not the last frontier in trying to stop medical abortions. Also in Texas, lawmakers last week introduced a bill to block websites with information about abortion drugs or sites where people can find the pills, which would include overseas pharmacies like AidAccess. Even in states where abortion is currently banned, people can order pills from these sites because they are not regulated by the FDA.
Sarah Silbiger/Getty Images
Medical abortions can continue with misoprostol only
Misoprostol alone is the other recommended method of medical abortionand may already be a go-to regimen for many people in non-affluent countries who do not have access to mifepristone.
It is expected that many healthcare providers will continue to prescribe misoprostol for medical abortions where abortion is legal, including online. Monica Cepak, marketing director of reproductive telemedicine site Wisp, said misoprostol would still be available to patients in case mifepristone is banned.
And despite the results of ongoing trials, medical abortion pills will still be available in foreign pharmacies like HelpAccessand surgical abortion will remain an option where state laws permit.
But while studies show misoprostol alone is effective on its own in terminating a pregnancy, it is not exactly as effective as the mifepristone-misoprostol combination and may cause more pain and side effects, including the need for follow-up emergency care if the body of someone’s not having a successful pregnancy, says Dr. Glenmarie Matthews, OB-GYN and assistant professor at Robert Wood Johnson Medical School at Rutgers. She says a call to ban mifepristone simply takes a safe procedure and makes it less safe.
Will providers still be comfortable offering misoprostol-only abortions?
“It’s not about feeling comfortable,” Matthews said. “We will always have to do medical abortion with misoprostol because women will always need medical abortion.”
Even if the Texas judge doesn’t rule in a way that blocks mifepristone nationwide, lawsuits like this still affect abortion because they add stigma, according to Dr. Jennifer Lincoln, OB-GYN at Portland, Oregon, and Medical Director of Mayday.Health.
“It just further restricts and adds unnecessary shame and stigma to drugs that have over 20 years of completely safe data,” Lincoln said, adding that medicated abortion pills “send fewer people to the hospital than the Tylenol and Viagra”.
Matthews says the ban on medical abortion increases existing gaps in access to health care in the United States.
“Of course, people of color and lower socioeconomic status will again be more affected because they are the ones who will not have the resources to get their medications,” Matthews said, referring to the existing burden of getting misoprostol from pharmacies that may already be reluctant to give misoprostol to pregnant women.
The United States has the highest maternal mortality rate of any rich country. black women are about three times more likely die during pregnancy, childbirth or the postpartum period.
The information in this article is for educational and informational purposes only and is not intended to constitute medical or health advice. Always consult a physician or other qualified health care provider with any questions you may have about a medical condition or health goals.
Create a Facebook account 2022
Anyone can Create a new Facebook account. if you want Create a Facebook account
or configure it, see this guide. Here you will find step-by-step
instructions on how to set up a Facebook account in different ways, how
to get a Facebook page for your business.
Advantages of creating a Facebook account
It’s
no secret that Facebook is one of the biggest social media platforms
today, it is dominating the social media market where you can find all
your friends, relatives and colleagues, follow the content you want and
reach the celebrities who know you. . , in short, Facebook offers the
following features:
Meet new people on social media.
Share photos, videos and moments.
Find local events.
Perfect game collection to spend your free time.
Watch live and important videos.
Buying and selling from within the Facebook app.
Good notification system for all updates.
Create a new Facebook account without a phone number
naturally, How to create a Facebook account
Very simple, almost all users know, simple and not at all
complicated, but one of the requirements to create your personal
Facebook account is that you have a phone number to confirm it. account
when you create it, but to the delight of some users, you can Create Facebook account without a phone number easily through your android phone.
How to Create a New Facebook Account Without a Phone Number
Facebook
It is a social and business website for some users, but when you have a
personal Facebook account and you have some business and you want
customers to connect with you on Facebook, you should not provide your
personal account to protect privacy and not . frequently throughout the
day, so you will have to Create a Facebook account another to
receive your orders. And some people want another Facebook account just
to hang out with friends. Let’s learn together How to Create a Facebook Account Without a Phone Number in the next paragraph.
How to Create a New Facebook Account Without a Phone Number
necessary process Create a Facebook account
Not tied to a phone number You have an Android phone and it just needs
to be an Android phone. Then follow these steps to create an account on
your phone without the help of a laptop:
Access the Google Play Store.
Find Facebook Lite Facebook.
Then download and install the app on your phone.
Open the app and choose the language that suits you best.
Click Create New Account.
Then fill in your first and last name.
When you reach the phone number step, you will find the registration via email at the bottom of the screen.
Click to register via email.
Type your e-mail.
Then click next and wait for the activation code to be sent to your email.
Then add the activation code.
Fill in the registration information.
The second way to create a new Facebook account without a phone number
There are many ways To create a Facebook account
No need for a phone number to sign up for an account. One of the ways
is to use a number that is different from your personal number, like
using a fake number from the Internet, and you can find many
applications in the Google Play Store that provide this service, and it
is a service that creates Americans, for example, or numbers that Brits
must activate social media accounts like WhatsApp, Facebook, Instagram
and other social media sites. With these apps you can create an account
on any app and get a fake number with which you can easily create an
account on the Facebook social networking platform and associate the
fake phone number with that account.
imperfections Create a new Facebook account without a phone number
Activating a Facebook account with a fake number has disadvantages and
harms, mainly losing your account in an application that provides a
service to create fake numbers. You are from Facebook on your phone
number, in this case you cannot receive the code because you do not have
a dummy account. Or because Facebook has received many complaints
about your personal Facebook account and wants to verify the credibility
of the account holder by sending a code on your phone or on the number
you linked to the account, here in this case we are talking about fake
numbers.
Configure your Facebook profile
If you are new to this social networking platform then… Create a Facebook profile It can be stressful for you. So here are some tips to help you get started with Facebook:
Add
a Profile Photo – You should add your photo first so your friends and
acquaintances can easily identify you and send you friend requests.
ADD
SOME FRIENDS – Start looking for your friends and send them friend
requests, but make sure not to overdo it, as this can block your FB
account or get Facebook arrested.
Privacy settings – Create a new Facebook account
one thing and managing it is another; Understand your privacy settings
before posting too much personal information on Facebook. It’s
important to know how you share your personal information with others
and with the Facebook app so you don’t run into privacy issues.
Important
tip – If you are using a Facebook account on a public network, never
share your password with anyone. Also, do not enter the wrong password
multiple times as this will deactivate your Facebook account.
Are you having trouble logging into your Facebook account?
If you are unable to log in to your Facebook account, you can recover it by following these steps:
Try to recover your Facebook account
If you find that your password is invalid or missing, try resetting it.
If
you’re having problems with your email, username or phone number, try
logging into your account with an alternate email or phone number.
If
you signed up for a Facebook account via email, you’ll need to contact
your email service provider to access your Facebook account email to
sign in.
Reasons why Facebook account fails
You
will only see a message that your account is disabled when you try to
log in. If you don’t see this message, you have another problem logging
in. Your Facebook account can be disabled for many reasons. some
examples:
Posting content that doesn’t follow Facebook’s terms.
Using a fake name.
Personify someone.
Continue to engage in behavior that isn’t allowed on Facebook and that violates our Community Guidelines.
Contact others for promotional, advertising, abusive or harassing purposes.
How to create a new Facebook account
if you want it now Create a new Facebook account Using your phone number instead of your email address, you need to follow these steps:
Go to facebook.com and click Create New Account.
Enter your telephone number and other personal information requested in the “Registration” form; Click “Login” when finished.
Enter
the verification code you received on your mobile number and click
Continue. That’s all you need to do to set up a new Facebook account
with your phone number.
distance Create a Facebook account newYou
can manage your account settings and keep it private or open to the
public. For further use, just enter your email address/phone number and
password when creating your account to login your Facebook account.
How to Create a New Facebook Account on Your Computer
Here we will learn how to create a new Facebook gmail account on computer, and here are the necessary steps:
Click Create New Account.
After that, a window will appear where you need to enter:
Your first and middle name.
Your gmail (which we created earlier).
Account password.
After completing these steps, you have to click on Create a Facebook account.
After that, a window will appear asking you to confirm the email as follows:
All
you have to do is go to your email inbox and you will find a message
from Facebook, you have two options, click on the blue confirmation
option or copy the confirmation code and add it to the previous window.
Facebook account verification without number
After entering the code, click Confirm below.
so you did Create a new Facebook account on Gmail.
Create a Facebook account on your phone
When using your phone to create a new Facebook Gmail account, you must first Download the Facebook app from Google Play
If you are using a phone with limited specs, not enough storage space
or don’t want to consume your internet package quickly. Facebook Lite
is the right app. Now, let’s start explaining:
Open the Facebook app.
Click Create a new account and grant it to Facebook Permissions to complete account creation.
In the next window, click on the Next option to start creating a new email account on your phone.
Enter your name and tap Next, select your date of birth by month, day and year and tap Next again to go to the next step.
Select your gender and click Next.
In
the next step you will be asked to enter a phone number but we are
creating a new facebook gmail account without phone number or email so
you should choose email login option. Then enter your email and click
next.
After
that, you must enter your password, then a window will appear to
confirm the registration process, just click on the “Register” option.
In the Save Login Information window, you can save the information in an application Facebook So that you can access your account easily next time.
After that you will be ready Create a new Facebook account.