This company and others who are caring for patients who are 11 or 12 weeks pregnant can legally do so at their doctor’s discretion, as studies suggest that abortion pills are safe and effective at this stage. The World Health Organization supports medical terminations of pregnancy up to the 12th week of pregnancy.

dr Daniel Grossman, professor of obstetrics, gynecology, and reproductive sciences at the University of California, San Francisco, said medical abortion is safe and effective late in the first trimester, but “there is a slightly higher risk of some complications, including heavy bleeding.” , and an additional dose of misoprostol is often required to fully expel the tissue.

Some services, including abortion telemedicine, automatically send a second round of the four misoprostol tablets to patients undergoing a late first trimester abortion.

Reproductive health experts said patients should be cautioned that expelled tissue earlier in pregnancy resembles a heavy period, but may appear more like a fetus at 10 weeks. dr Abigail RA Aiken, an associate professor at the University of Texas, Austin who leads a medical abortion research group, said preparing patients for what the tissue might look like could also help them protect themselves from legal risks in states that allow abortions forbid – for example , in a situation where a patient is surprised by what he sees and “then you expose that to someone who’s like, ‘Well, I’ll report you.'”

Joann, 23, a single mom, was 10 weeks pregnant when she decided to have an abortion, so she contacted Abortion Telemedicine. She said she initially intended to carry her pregnancy to term, but then her 3-year-old son was diagnosed with autism and her employer, the US military, decided to transfer her to another state. Joann, who asked to be identified by her first name only to protect her privacy, was in Colorado at the time, where abortion is legal but her community was conservative.

The service nurse told her that since she would be taking the pills after the 10th week of pregnancy, she would have to expect more pain and bleeding, advising that the tissue that was expelled might resemble a fetus “so I would be prepared.” . said John.