No Test, Minimal Contact: How One Abortion Clinic Is Adapting to Coronavirus Concerns

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No Test, Minimal Contact: How One Abortion Clinic Is Adapting to Coronavirus Concerns
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In late March, Leah Coplon, the program director at Maine Family Planning, watched as a young mother parked her car in front of the building....

“We feel that this both will reduce spread [of the virus] between patients and staff, allow us to have fewer people in the clinic so we are able to maintain social distancing as possible for patients, and to preserve our personal protective equipment which we need for aspiration abortions and which while right now is adequate, depending on how long this lasts may become increasingly scarce,” says Coplon.

The spread of coronavirus has not only fueled the anti-abortion movement to limit clinic access, but it has also amplified existing issues that already made getting an abortion difficult. Poverty, which will likely skyrocket with the current unemployment numbers; access to transportation, much of which is shut down; and childcare difficulties, especially relevant considering about 60% of Americans receiving abortions are already mothers, are all exacerbated during the pandemic.

With even less consistent access to birth control now, some have predicted that the number of unplanned pregnancies might be on the rise, making access to abortion even more crucial. Since the program’s implementation, two-thirds of the center’s abortions have been no-test abortions, and the clinic has seen an increase in the total number of abortions requested compared to normal.

The first telehealth medication abortion program in the U.S. began in 2008 in Iowa, but typically this type of program involved an initial in-person consultation and ultrasound to determine the gestational age of the embryo or fetus, along with any other necessary lab work. A physician would then review the results and medical history remotely and connect with the patient via telehealth.

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