The Guardian

Inside the secret network providing home abortions across the US

Women are working outside the law and the medical establishment to meet the demand for safe, cheap terminations
A Del-Em, a suction device invented by female activists in 1971 that’s still used. Photograph: Lisette Poole for the California Sunday Magazine

On a winter morning, Anna* walked the aisles of an herbal medicine store, picked up a bottle each of blue cohosh and black cohosh, along with a plastic bag of pennyroyal tea, and drove to the topless bar on the edge of town where she worked. There, she met Jules, another dancer. They performed on a small stage with crystal curtains, the green light of an ATM flashing on their left, until 9pm. The women, both in their 20s, then drove to the Motel 6 where Jules lived and entered her dim room on the second floor, which smelled of grape cigars. Anna pulled out the tinctures and tea and explained the plan. She was going to help Jules try to have an abortion.

Anna had found the herbal recipe online. She’d read other tips as well: frequent hot baths, vigorous exercise, lots of gin. Women have relied on herbal abortion for thousands of years, and though specific regimens were hard to come by, anecdotal accounts littered the internet. Anna didn’t know how long it would take, so she moved in with Jules at the motel, dancing at the club each night. She set an alarm every four hours, keeping Jules to a schedule of 20 tincture droplets under the tongue and a cup of brewed tea. She drew baths for Jules, listened as she ran the stairs, and watched as she gulped Tanqueray. Anna kept taking her temperature and handing her glasses of water, too.

Nine days in, Anna was lying across from the tiny TV when Jules screamed from the tub. She ran into the bathroom, where drying lingerie hung from the rods, and saw a pinkish swirl marbling the bath­water. Jules stepped out of the tub, and a gush of blood fell on to the floor. Holy shit, Anna thought to herself. This works.

Anna, who was a young mom, was often doling out health advice to other girls at the club, trying to get them to eat better or use natural cures when they didn’t have money for anti­biotics – garlic for yeast infections, cranberry juice, not cocktail, for urinary tract infections. She had grown interested in health work after she’d become pregnant. Doctors had drug tested her repeatedly even though she told them she was sober. They insisted on induced labor. For delivery, they gave her an episiotomy, which resulted in a fourth-degree tear from her vaginal opening to her anal sphincter.

The experience left her angry, and it got her thinking about birth and how to do it better. Within a few months, she’d enrolled in a midwifery school and trained as a doula, a support person and patient advocate during pregnancy. When she wasn’t dancing at the strip club or taking classes, she attended births in homes and hospitals. She gravitated to clients like herself, often low-income women in tougher circumstances, who didn’t seem to get the same treatment in hospitals as wealthy women. In homes, Anna found the care could be slower and gentler, the patients more in control.

About four years after her child was born, Anna became pregnant again, and she couldn’t afford another kid. She’d quit college and midwifery school because of the cost, and she was supporting her unemployed boyfriend along with her preschooler. She’d read that vitamin C could bring on a miscarriage, but after she took 10,000mg, she started vomiting and ran a fever. Anna didn’t know what else to do, so she took herself to a clinic, where she paid in cash. The doctor entered the room in acid-washed jeans, performed the procedure in 30 minutes, and left, hardly saying a word. She was ushered into a dark observational area, where women sat in a circle of pleather lounge chairs, some crying, others staring blankly as they came to from the sedation. Anna felt conflicted. It was clear she’d needed to do this, but she also asked herself why it was she could carry one baby to term but not another. And then came the guilt that she’d

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