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Leading UK healthcare providers have welcomed the government’s decision to allow women to take abortion pills at home without travelling to a clinic.
A spokesperson for the Department of Health and Social Care confirmed the government was updating its guidance to help women who need an abortion, but cannot access a clinic because of measures put in place to stem the spread of coronavirus.
The move will be made on a temporary basis, limited for two years or until the coronavirus crisis is over, and applies for medical abortions up to the tenth week of pregnancy. Women will be sent the two pills required for an early termination in the post following a telephone or e-consultation with a doctor.
Quick Guide
What to do if you have coronavirus symptoms in the UK
Symptoms are defined by the NHS as either:
- a high temperature – you feel hot to touch on your chest or back
- a new continuous cough – this means you’ve started coughing repeatedly
NHS advice is that anyone with symptoms should stay at home for at least 7 days.
If you live with other people, they should stay at home for at least 14 days, to avoid spreading the infection outside the home.
After 14 days, anyone you live with who does not have symptoms can return to their normal routine. But, if anyone in your home gets symptoms, they should stay at home for 7 days from the day their symptoms start. Even if it means they’re at home for longer than 14 days.
If you live with someone who is 70 or over, has a long-term condition, is pregnant or has a weakened immune system, try to find somewhere else for them to stay for 14 days.
If you have to stay at home together, try to keep away from each other as much as possible.
After 7 days, if you no longer have a high temperature you can return to your normal routine.
If you still have a high temperature, stay at home until your temperature returns to normal.
If you still have a cough after 7 days, but your temperature is normal, you do not need to continue staying at home. A cough can last for several weeks after the infection has gone.
Staying at home means you should:
- not go to work, school or public areas
- not use public transport or taxis
- not have visitors, such as friends and family, in your home
- not go out to buy food or collect medicine – order them by phone or online, or ask someone else to drop them off at your home
You can use your garden, if you have one. You can also leave the house to exercise – but stay at least 2 metres away from other people.
If you have symptoms of coronavirus, use the NHS 111 coronavirus service to find out what to do.
Source: NHS England on 23 March 2020
The announcement that the laws would be relaxed was first made in error last week, when new guidance was published on the government’s website for four hours. The post was then deleted, with the accompanying explanation stating: “There will be no changes to abortion regulations”.
Claire Murphy, the director of external affairs at British Pregnancy Advisory Service (BPAS), said: “This is a very safe and simple measure that will dramatically improve women’s access to care at this time of national crisis. We’re really pleased that the government has acted on this. It will make a huge difference to women’s health and wellbeing in the current climate.”
Murphy added that women in self-isolation and those with health conditions who experience an unwanted pregnancy were being forced to make “completely unnecessary” trips to access early abortion care.
“Women in coerced relationships simply can’t live the house secretly in the current climate, in the way that they used to be able to. These women are effectively trapped at home,” she said.
BPAS has had to close more than a quarter of its services following a government lockdown that banned gatherings of more than two people as Boris Johnson, the prime minister, told the British public: “You must stay at home.”
“Women are travelling all across the country to find clinics that are open, they are waiting in crowded NHS waiting rooms, putting their own health at risk and of course those around them and those who care for them,” Murphy said.
Jonathan Lord, the medical director for Marie Stopes UK said: “The government’s decision to allow women in England to take both sets of early medical abortion pills at home during the Covid-19 crisis, shows that they value both women’s health and that of hardworking abortion care staff, who have continued to deliver essential healthcare, despite a global health pandemic.”
Lord added that Marie Stopes stood in “full solidarity” with women and girls in Northern Ireland seeking the same protection. “This would not have happened without such a mobilised and quick campaign from health experts, campaigners and journalists alike, that made it impossible for the government to deny the medical and moral force of the case for early abortion care at home.”
A Department of Health and Social Care spokesperson said: “Public safety and continued access to key services is our priority during this difficult period. We are updating our guidance so women who need an abortion up to 10 weeks and can’t access a clinic can use abortion pills at home.
“This measure will be on a temporary basis and must follow a telephone or e-consultation with a doctor.”
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