This is an incredibly sad story.
An 18-year-old Dominican immigrant was charged yesterday with illegally taking prescription anti-ulcer pills to induce an abortion, a risky technique common in her native land that resulted in the death of her premature baby.
Despite taking the pills, Amber Abreu gave birth on Jan. 6 to a 1 1/4-pound girl named Ashley, who clung to life for four days at Tufts-New England Medical Center before dying.
Prosecutors said that Abreu may be charged with homicide.
The drug she used was cytotec. This drug has been used for more than a decade to induce abortion, and is a popular choice in countries where the procedure is illegal. Cytotec is used in the United States as part of the combination of drugs used to medically induce abortion (“the abortion pill”). The drug is cheap and pretty safe if used early in pregnancy — but women who are using the drug illegally don’t have medical oversight, and often have no other option if their pregnancies are more advanced.
Making abortion unavailable — through outlawing it or severely limiting it — does not mean that abortion doesn’t happen. That should be obvious enough, given the illegal abortion rate around the world. Here in the United States, abortion is legal, but inaccessible for many women. The Hyde Amendment makes it nearly impossible for many low-income women to terminate their pregnancies. And many public servants who receive Title X funding are legally barred from referring women to abortion services, or otherwise “promoting’ the procedure.
Amber is an immigrant to the United States from the Dominican Republic, and there’s a possibility that she didn’t know abortion is legal here. Even if she was aware that she could legally have the procedure, cytotec is available in many Latin American countries for as little as $1 — and when taken early in pregnancy, it’s remarkably safe. For a low-income woman, that sure beats the hundreds of dollars spent on a legal abortion, none of which is covered by Medicaid (at least in most states).
This case is tragic, but not surprising. This is what happens when abortion is out of reach for many women, and women social service workers aren’t allowed to fully discuss it. Things like this happen all the time in places like Latin America, where the procedure is almost always illegal.
Want to prevent this from happening again? Cover abortion costs for low-income women. Spread the word that abortion is legal, and make it accessible. Somehow, I don’t see the “we love babies (and we promise, women too! really!)” crowd doing that any time soon.