Approved drug before FDA More than two decades ago for use in medical abortion operations miscarriage He is exposed to the risk of withdrawing him from the market after a decision by a federal judge by Trump in Texas on Friday.
However, a second federal judge issued in Washington State a Ruling This would prevent the Food and Drug Administration from withdrawing the drug, Miviperton, outside the market, in the 12th state covered, which includes Washington, Oregon, Arizona, Colorado, New Mexico and Vermont.
The conflicting rulings may determine the stage of the Battle of the Supreme Court over the medicine, which is used in combination with Mysoprostol For medical abortion and abortion treatment.
In Texas to ruleThe American boycott judge, Matthew Kacmarric, said that the FDA (FDA) has not considered “the psychological effects of the drug or the evaluation of long -term medical consequences of the drug.” His decision is suspended for seven days, which gives the Biden administration time to appeal – which it has already done. Friday night, Ministry of Justice Call In the Texas case, it issued a statement saying “does not agree strongly” the ruling. The Ministry of Justice will also review Washington rule.
As of April 8, MivePristone is still available in US. Depending on the final decision, this may mean that MivePristone, which is considered widely safe by medical experts, may not be able to dispense with abortion.
Medical community consensus that MivePristone, which was first Certified in 2000Safe according to its current regulations. The American College of Gynecologists, Gynecologists, the American Medical Association, the Association of Mother’s Medicine, and other brief medical organizations to the American District Court of the Northern Region in Texas, the Amarello department, said that there is “overwhelming evidence that Mivipriston-which has been tested strictly and safely reviewed in the United States.
It comes in the wake of last year. Ro against a valleyTexas decision, which major medical groups said is It does not depend on scienceIt would put more burdens on the equality of access to reproductive health care, including the treatment of miscarriage. A Christian legal group filed the lawsuit that claims, among other things, that MivePristone is a dangerous drug and that the Food and Drug Administration “failed women and girls in America.”
This lawsuit is the latest step in a long -term effort to restrict miscarriage or even banning it throughout the United States. After the Supreme Court turned RowMany countries rushed to prohibit or restrict miscarriage.
As of April 2023, 13 The countries have banned abortion From the pregnancy point, according to the subject of thought in the field of reproductive rights, the Guttmacher Institute, and many countries that have restrictions also aspire to tighten: the state lawmakers in Florida, for example, recently Bills To change the deadline to reach abortion from 15 weeks to 6 weeks, before many people know they are pregnant. It is worth noting that many new laws that restrict abortion Excluding a pregnant person It is a judicial prosecution to abort them-which makes miscarriages self-oriented through the medicine. Medical abortion is currently represented 53 % From abortion in the United States.
Even if the courts eventually control in favor of prohibiting access to the drug, the doctors will continue to provide abortion options based on evidence for their patients in the states in which it is legalHealth care providers said.
“When and patient and I have reached a treatment plan together, my priority is the use of science to provide recommendations that honor the priorities of my patients, and for the third party to interfere in this process because of their own interests, it is ridiculous.” “Yes, we will continue to get alternatives because our goal is to take care of our patients, but this also means that patients will have a more narrow set of options available to them, without justified reason.”
What are the options of miscarriage if MivePristone is no longer available?
First, here is a brief explanation of how MivePristone works: It is used during the tenth week of pregnancy, and the drug stops the production of progesterone, which is necessary for pregnancy; After that, the mezoprostol is given to expel the load tissue from the uterus, which involves cramping and bleeding.
The drug system is recognized The level of care For abortion medications, with less than 1 % of patients, any serious side effects, as ACOG mentioned in Summary of the court. There is a greater risk of complications and death from colonoscopy, removing wisdom teeth, or using Viagra.
Both drugs are also used together Absolute treatmentEspecially for “lost miscarriages”, which are miscarriage where the pregnancy stops progress but the tissues have not been expelled by the body. Failure to remove fetus tissues in these cases can lead to infections and a lifestyle that may threaten life.
“MivePristone is a very safe and effective drug that millions of patients have used to abort medications and abortion management,” said Dr. Christine Brandi, the American college of obstetricians and gynecologists.
If access to MivePristone is restricted at the country level, there are alternatives.
One option is to use Mysoprostol alone. “Before the MivePristone approval, a system used only mesoprostol has been used and it has been proven safe and effective,” said Miu. “Mizoprostol systems are used only around the world in places that do not contain MIFEPRISTONE.” Through the individual drug method, “multiple doses of mesoprostol are taken to urge contractions so that the uterus can pass the load,” she said.
However, “adding Mevibeston reduces the amount of mezoprostol and the time needed to pass the pregnancy completely.” “While the mesoprostol systems are only safe and effective, the mivorstone prohibition when we have good evidence tells us that it is safe is another way to dictate quality medical care.”
Brande said that although the use of Mysoprostol alone is an option, it may not be the best. “There are other options for abortion, but the data shows that MivePristone Plus Misoprostol is the safest and most effective treatment system,” she said. The evidence that supports the use of MivePristone or clinical recommendations of ACOG – only did not change the law.
Mizoprostol can also use on its own to manage the miscarriage, but, as with optional abortion, research has shown that adding this Mivorston to treat miscarriage More effective.