Author: Carrie N. Baker

Carrie N. Baker, J.D., Ph.D., is the Sylvia Dlugasch Bauman professor of American Studies and the chair of the Program for the Study of Women and Gender at Smith College. She is a contributing editor at Ms. magazine. Read her latest book at Abortion Pills: U.S. History and Politics (Amherst College Press, December 2024). You can contact Dr. Baker at cbaker@msmagazine.com or follow her on Bluesky @carrienbaker.bsky.social.

Abortion Continues to Increase in 2025 as Telehealth Expands, Especially in States with Bans and Restrictions

Despite many states imposing sweeping abortion bans after Dobbs, more Americans are having abortions, not fewer, according to the Society of Family Planning’s latest #WeCount report.

“Abortion bans don’t stop people from needing and pursuing essential abortion care,” said Alison Norris, M.D., Ph.D., professor at The Ohio State University’s College of Public Health and #WeCount co-chair.

Despite these increases, Ushma Upadhyay, professor and fellow #WeCount co-chair, warned that unwarranted attacks on telehealth abortion may restrict access in the future. “This care is under assault by abortion opponents’ relentless attacks on mifepristone and telehealth—even though medication abortion is backed by a 25-year track record of safety and gold-standard science, and research shows that telehealth abortion is just as safe and effective as in-person care.”  

A Global Telehealth First: Women Help Women Begins Producing Abortion Pill Combipack

The feminist telehealth provider Women Help Women is redesigning how abortion pills are packaged to reflect what users actually need: a combination pack that includes one mifepristone tablet and eight misoprostol tablets for use up to 12 weeks of pregnancy.

“It’s a huge revolution of who actually gets to decide when, how and with the support of whom they can have an abortion and until when,” said Women Help Women coexecutive director Kinga Jelinska. “It centers the needs of users rather than institutions or markets. The underlying notion is that abortion can be friendly, and abortion can be easy.” 

Self-managed abortion is disruptive. We were told that abortion is a difficult decision; that it has to be difficult to access, and that only doctors control it. Self-managed abortion subverts that,” said Lucía Berro Pizzarossa, fellow coexecutive founder.

International Telehealth Provider ‘Abortion Pills in Private’ Ready to Ramp Up if FDA Restricts Mifepristone

As Trump’s FDA threatens to block U.S.-based medical providers from offering telehealth abortion, one international telehealth provider—Abortion Pills in Private—has vowed to continue providing mifepristone and misoprostol to U.S.-based patients, no matter what.

Their commitment is clear: “We will continue to send mifepristone, even if the FDA takes it off the market inside the U.S.. … We want to make this service easy, the best experience that it can be, with dignity. You can just go online, and it’s easy, and there’s no judgment. If you need this, we are here for you. Here are your pills. Here’s the support service that you need. You can do this from home. Whatever the reason is, we want to have that service there for you to be able to do that, no matter where you live.”

Their service and determination grew directly out of the post-Roe crisis. People find Abortion Pills in Private through the Plan C website. Since March 2024, they have served almost 3,500 patients in the U.S., most of them living in the hardest-hit states—those with abortion bans and severe restrictions. “They are from all over, but they are very much from banned states. Texas is always number one. Then Florida, Georgia. Even Ohio and Pennsylvania. There are some blue states too.”

Shout Your Abortion Short Films Seek to Normalize Keeping Abortion Pills at Home: ‘You Always Have Options’

The grassroots abortion-stigma-busting juggernaut Shout Your Abortion has released two new powerful public service announcements urging people across the U.S. to order abortion pills in advance to have on hand, in case they have an unwanted pregnancy.

Made by Detroit-based filmmaker Na Forest Lim, the short films follow two women—a teenager named Dani and a single mother in her 30s named Poppy—who find out they are pregnant and use abortion pills at home, supported by friends and family.

Both of the main characters have easy access to abortion pills: Dani’s friend arrives with pills in her backpack, and Poppy keeps a pack tucked away in her top dresser drawer.

Building on that vision of easy access, the Dani PSA shows what it looks like when abortion pills are already part of teenagers’ lives and a pregnancy never has the chance to become a crisis.

Inside the Global Network of Abortion Doulas Supporting Self-Managed Care

As barriers to clinic-based abortion care have increased in recent years, an increasing number of women are self-managing their abortions: finding and using abortion pills independently of the formal medical system. They are obtaining abortion pills through online abortion pill services, community networks sharing pills for free and websites selling pills.

To support self-managed abortion, feminists are creating a global network of online abortion doulas—trained companions who offer one-on-one support by phone, email and text to people using abortion pills. A leader in this effort is the organization Rouge Doulas, which runs the Rouge Abortion Doula School.

International Telehealth Provider ‘Women on Web’ Vows to Keep Abortion Pills Flowing to the U.S., No Matter What

As Republicans push the FDA to restrict mifepristone, the international online abortion service Women on Web is reassuring Americans that they will continue to support access to abortion pills in all 50 states, no matter what. Women on Web has served over 130,000 people worldwide since 2005 and began serving the U.S. in July 2024.

Venny Ala-Siurua, executive director of Women on Web, was recently named to the Top 100 Canada’s Most Powerful Women by the Women’s Executive Network Academe. Ms. spoke with Ala-Siurua about how their service connects people with pills, how they’re removing medical gatekeeping, and how they’re defending abortion access against digital censorship.

“We’ve always focused on countries where there are high restrictions on abortion. Unfortunately, the situation in some of the states in the U.S. qualifies now. … Many pharmacies and providers have stepped up internationally to support the U.S. and found ways of dispensing and shipping medicines really, really fast. …

“We are receiving around 30 requests per day from people in the U.S., though that number can rise during major political moments—for example, when Trump was elected or took office. Our U.S. care seekers live primarily in states with abortion bans. Globally, we currently handle approximately 4,000 requests each month.”

Repro Groups Sue Michigan Over Law Denying Pregnant Women Control of Their Bodies in End-of-Life Decisions

Bodily autonomy shouldn’t vanish with a positive pregnancy test—yet in Michigan, it can.

On Oct. 23, a coalition of Michigan women, physicians and patient advocates filed a lawsuit, Koskenojo v. Whitner, challenging the constitutionality of Michigan’s pregnancy-exclusion law that forces life support on pregnant women by denying incapacitated pregnant patients the right to refuse life-sustaining treatment. The case relies on a voter-approved 2022 constitutional amendment that explicitly protects “the right to make and effectuate decisions about all matters relating to pregnancy.”

One plaintiff—Nikki Sapiro Vinckier of Birmingham, Mich.—explained her objections to Michigan’s pregnancy exclusion law. “As a woman and a mother, it’s infuriating to know that my body can still be regulated more than it’s respected. As a trained OB-GYN physician assistant, I know this law protects no one—it only punishes those who can get pregnant. The pregnancy exclusion clause isn’t about safety or care. It’s about control. There is no place for a law that discriminates against pregnant people in a state that claims to trust women.”

Texas Attorney General Ken Paxton Foiled in Scheme to Extend Texas Abortion Ban to New York

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The battle over abortion rights crossed state lines last week when a Hudson Valley judge refused to enforce a Texas abortion ban in New York state. On Friday, Oct. 31, the judge dismissed a lawsuit filed by Texas Attorney General Ken Paxton against a New York clerk who refused to accept papers to enforce a Texas judgment against Dr. Margaret Carpenter, a New York doctor who provided telehealth abortion services to a Texas woman.

“The New York judge’s dismissal of Texas Attorney General Ken Paxton’s frivolous lawsuit is welcomed but expected,” said the Abortion Coalition for Telemedicine.

“Our shield law exists to protect New Yorkers from out-of-state extremists, and New York will always stand strong as a safe haven for healthcare and freedom of choice,” said Attorney General Letitia James.

Fighting MAGA Medical Disinformation: States Must Confront Trump’s War on Science and Reproductive Health

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Backed by Robert F. Kennedy Jr. and Mehmet Oz, Trump’s attacks on safe, widely used medications are part of a larger strategy: sowing fear, undermining trust in science, and exerting political control over people’s most intimate health decisions.

The administration’s disinformation campaign extends far beyond Tylenol. Officials are questioning the safety of mifepristone despite decades of evidence to the contrary and spreading the falsehood that birth control causes abortion—all while defunding Planned Parenthood and funneling taxpayer dollars to crisis pregnancy centers that mislead and manipulate patients. Together, these actions threaten to upend decades of progress in reproductive health and put millions of women at risk.

It’s time for a coordinated response. Just as states have joined forces to counter anti-vaccine propaganda, public health leaders must now unite to defend reproductive healthcare. State and local governments can share strategies, strengthen protections for evidence-based medicine, and push back—loudly and collectively—against the Trump administration’s dangerous campaign of medical disinformation.

Judge Rules FDA Abortion Pill Restrictions Unlawful, Citing Political Interference

Following eight years of litigation, a federal trial court in Hawaii ruled the FDA violated federal law by imposing medically unnecessary restrictions on mifepristone, which is used for early abortion. Ruling in Purcell v. Kennedy, the court held that the FDA has a legal obligation to fairly evaluate and weigh the decades of extensive research affirming mifepristone’s safety, noting the agency had failed to justify its restrictions on access to mifepristone.

The court’s ruling requires the agency to consider the peer-reviewed evidence proving mifepristone’s safety, including its use via telemedicine, and to assess how the agency’s restrictions burden patient access. The ruling does not immediately change access to the medication, but it puts pressure on the FDA to follow the science rather than be swayed by political pressure.

“The FDA’s needless restrictions on mifepristone make our jobs harder without any safety benefit,” said Dr. Lisa Folberg, chief executive officer of the California Academy of Family Physicians. “We appreciate that the court recognized how FDA failed to consider the toll its restrictions take on physicians trying to provide a safe and effective medication to their patients.”