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38 Issues L. & Med. 3 (2023)

handle is hein.journals/ilmed38 and id is 1 raw text is: The Safety of Self-managed Abortion: A Dearth of Good-quality Evidence and a Wealth of Misrepresentation Calum Miller, M.D.* ABSTRACT: Self-managed abortion has been particularly prominent in recent discussions of abortion, with the rise of telemedicine abortion during the COVID-19 pandemic and the reality of self-managed illegal abortion in pro-life states f ollowing the overturning of Roe v. Wade. There has likewise been much political concern about misinformation and fake news circulated in the media. This article highlights how mis- inf ormation and poor quality studies have been used to make implausible claims regarding the safety of telemedicine and the number of deaths from unsaf e abortion where abortion is illegal. This puts women's health and lives at risk by autho- rizing unsafe medical practice and poorly evidenced policy decisions regarding abortion and emergency obstetric care. Introduction The argument that legalising abortion makes it safer and prevents women dying from dangerous illegal abortions has been perhaps the most prominent argument historically for legalising abortion, continuing to this day in many pro-life countries. The argument is forceful because it does not depend on any particular view about the moral value of the fetus, or on the balance between a woman's bodily autonomy and the child's right * Dr Calum Miller is a Research Fellow at the University of oxford and a practicing medical doctor in the UK. 3

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