The "Abortion Pill" Misoprostol in Brazil: Women's Empowerment in a Conservative and Repressive Political Environment
- PMID: 32191521
- PMCID: PMC7144453
- DOI: 10.2105/AJPH.2019.305562
The "Abortion Pill" Misoprostol in Brazil: Women's Empowerment in a Conservative and Repressive Political Environment
Abstract
In the aftermath of the introduction of severe restrictions on abortion in several US states, some activists have argued that providing widespread access to an abortive drug, misoprostol, will transform an induced abortion into a fully private act and therefore will empower women. In Brazil, where abortion is criminalized, the majority of women who wish to terminate an unwanted pregnancy already use the illegal, but easily accessible, misoprostol. We examine the history of misoprostol as an abortifacient in Brazil from the late 1980s until today and the professional debates on the teratogenicity of this drug. The effects of a given pharmaceutical compound, we argue, are always articulated, elicited, and informed within dense networks of sociocultural, economic, legal, and political settings. In a conservative and repressive environment, the use of misoprostol for self-induced abortions, even when supported by formal or informal solidarity networks, is far from being a satisfactory solution to the curbing of women's reproductive rights.
References
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- Cari Sietstra, “Georgia’s Terrible Law Doesn’t Have to Be the Future of Abortion. A Self-Induced Abortion With Misoprostol Can Be a Safe, Reliable Way to End an Unwanted Pregnancy,” New York Times, May 11, 2019, https://www.nytimes.com/2019/05/11/opinion/abortion-pregnancy-misoprosto... (accessed February 9, 2020). In November 2019, seven of the Democratic Party presidential candidates declared that they support the over-the-counter sale of abortion-inducing drugs. As far as we know, they did not discuss the importance of providing, at the same time, reliable information and quality support to women who wish to terminate a pregnancy with these drugs. Maggie Astor, “On Abortion Rights, 2020 Democrats Move Past ‘Safe, Legal and Rare,’” New York Times, November 25, 2019.
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- Scavone Lucila. “Politicas feministas do aborto,”. Estudos Feministas, Florianópolis 16. 2008;(2):675–680.
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- Debora Diniz and Marcelo Medeiros, “Aborto no Brasil: uma pesquisa domiciliar com técnica de urna,” Ciência e saúde coletiva 15, suppl. 1 (2010): 959–966; Debora Diniz, Marcelo Medeiros, and Alberto Madeiro, “Pesquisa nacional de aborto, 2016,” Ciência e saúde coletiva 22, no. 2 (2017): 653–660. These surveys positively correlate frequency of abortion with education level; they do not include data on race. - PubMed
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- Rosamaria Carneiro and Soraya Resende Fleischer, “‘I Never Expected This, It Was a Big Shock’: Conception, Pregnancy and Birth in Times of Zika Through the Eyes of Women in Recife, PE, Brazil,” Interface, comunicacao, saude é educaçao 22, no. 66 (2018): 709–719, quotation p. 717.
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- Affluent Brazilian women can safely terminate an unwanted pregnancy. Ricardo Senra, “Aborto já é livre no Brasil. Proibir é punir quem não tem dinheiro,” interview with Drauzio Varella, BBC Brasil, February 2, 2016.
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