Former abortionist describes abortions done by the abortion pill

Former abortionist Dr. Anthony Levatino on abortions by pill:

“24 – 48 hours after taking RU-486, the woman takes misoprostol, also called cytotec, that is administered either orally or vaginally. RU-486 and misoprostol together cause severe cramping, contractions, and often heavy bleeding, to force the dead baby out of the woman’s uterus.

The process can be very intense and painful, and the bleeding and contractions could last from a few hours to several days. While she could lose her baby at any time and anywhere during this process, the woman will often sit on a toilet as she prepares to expel the child, which she will then flush.

She may even see her dead baby within the pregnancy sac. At nine weeks for example, the baby will be almost an inch long, and if she looks carefully, she might be able to count the fingers and toes. After she has disposed of her baby, the woman may have bleeding and spotting for several weeks.

Bleeding lasts on average, nine to 16 days. 8% of women bleed more than 30 days, and 1% require hospitalization because of heavy bleeding.…

the failure rate increases as the pregnancy progresses. At seven weeks, it is a 5% failure rate, at eight weeks an 8% failure rate, and at nine weeks a 10% failure rate. If failure occurs, she will usually be offered a surgical abortion.

For the mother, medical abortion often causes abdominal pain, nausea, vomiting, diarrhea, headache, and heavy bleeding. Maternal deaths have occurred, most frequently due to infection and undiagnosed ectopic pregnancy.”

Live Action “1st Trimester Medical Abortion: Abortion Pills” YouTube Accessed August 18, 2021


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Women report pain is worst part of taking abortion pill

A report from The National Academy of Sciences, Engineering and Medicine said the following about the abortion pill:

“Bleeding generally starts as the tissue begins to separate from the endometrium and continues for several days after the abortion is complete.

The heaviest bleeding occurs during and immediately following the passage of the gestational sac and lasts one to two days. Some bleeding and spotting may occur up to 9 – 16 days.

Like bleeding, uterine pain and cramping are an expected and normal consequence of medication abortion. Cramping can last from a half-day to three days.

Nonsteroidal anti-inflammatory drugs (NSAIDs) are typically recommended to manage the pain…However, some women still report high levels of pain, and pain is commonly reported as the worst feature of the method.

Prophylactic regimens for pain management are an area of active research.

Other side effects reported by women who undergo medication abortion include nausea, vomiting, weakness, diarrhea, headache, dizziness, fever, and chills. About 85% of patients report at least one of these side effects, and many patients are expected to report more than one.”

The National Academy of Sciences, Engineering, and Medicine Committee on Reproductive Health Services: The Safety and Quality of Abortion Care in the United States (Washington, DC: The National Academies Press, 2018) 54

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Owner of second pill in the abortion pill regimen opposed its use in abortion

Cytotec is another name for the drug misoprostol, which was originally developed to treat ulcers but is now used with the abortion pill, mifepristone, to cause abortions. Misoprostol causes the uterus to contract, causing a woman to expel her baby. Mifepristone kills the baby by separating the placenta and cutting off the child’s oxygen and nutrition supply.

The company that has the patent to misoprostol/Cytotec opposed its use in abortions. According to author Melissa Haussman:

“The owner of the Cytotec patent, the Searle Company, consistently lobbied against having its drug included in an official medical abortion procedure.… In August 2000, one month after the drug had gone off-patent, Searle sent a letter to medical practitioners to warn them that Cytotec was not FDA approved for labor or abortion induction, although practitioners already knew that. It has strongly been suggested that the timing of that action was linked to avoiding future liability. Until misoprostol went off patent in July 2000, Searle acted to push any potential US manufacturer away from making mifepristone, since misoprostol would be required as an accompaniment.”

Melissa Haussman Reproductive Rights and the State: Getting the Birth Control, RU-486, and Morning-After Pills and the Gardasil Vaccine to the US Market (Santa Barbara, California: Praeger, 2013) 99

So Searle felt that it was unsafe to use misoprostol to induce abortions or labor, and was afraid of lawsuits due to this.

However, Searle lost the battle to control the use of their drug.

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Abortions by pill more painful than surgical abortions

Studies found:

“More pain was reported with medical abortion both during the abortion and during the follow up period. (Jensen found 77.1% of medical abortion patients reported pain vs. 10.5% of surgical abortion patients.)”

Winikoff B, Sivin I, Coyaji KJ, et al. Safety, efficacy, and acceptability of medical abortion in China, Cuba, and India: a comparative trial of mifepristone and misoprostol versus surgical abortion. Am J Obstet Gynecol 1997;176:431-7.

Cabezas E. Medical versus surgical abortion. Internat J Gynaecol & Obstet. 1998;63 Supp. 1, S141-6.

Elul B, Ellertson C, Winikoff B, Coyaji K. Side effects of mifepristone-misoprostol abortion versus surgical abortion. Data from a trial in China, Cuba, and India. Contraception 1999;59(2):107-14.

The FDA and RU-486: lowering the standard for women’s health. Staff report prepared for the Hon. Mark Souder, Chariman, Subcommitte on Criminal Justice, Drug Policy and Human Resouces, October 2006.

Medical Officer’s Review of Amendments 024 and 033“, Final Reports for the U.S. Clinical Trials Inducing Abortion up to 63 Days Gestational Age and Complete Responses Regarding Distribution System and Phase 4 Commitments, Finalized November 22, 1999

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Abortion worker; Women “punish themselves” for abortion by using abortion pill

Abortion counselor Andrea Butcher:

“Occasionally, a woman will say that she wants an RU-486 abortion to punish herself for having become pregnant, even if it was a failure of contraception. She feels guilty and wants to punish herself with what she believes will be hours of strong period pains and consciousness of the procedure. She believes that she will be aware of the miscarriage and body changes and that remembering the procedure will force her not to let it happen again. That is not a good reason for having an RU-486 abortion. I have also heard women say that they want to have a local anesthetic prior to a surgical abortion for the same reason – to remain conscious through the procedure so that it won’t happen again. Consciousness is seen as a form of punishment.”

Miriam Claire The Abortion Dilemma: Personal Views on a Public Issue (New York: Insight Books, 1995) 154

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Studies show abortion pill carries 50 X the risk of childbirth

“Mifepristone abortion has 10 times more risk of death from infection than surgical abortion and 50 times more risk of death from infection compared to childbirth.”

McGregor J, FDA: Emerging Clostridial Disease Workshop, Transcript, May 11, 2006, Atlanta, GA. Available from: (accessed March 24, 2007).

Greene MF. Fatal infections associated with mife-ristone-induced abortion. N Engl J Med 2005:353(22):2317-8

Fischer M. Fatal toxic shock syndrome associated with Clostridium sordellii after medical abortion. N Engl J Med 2005:353:2352-60

Gary MM, Harrison DJ. Analysis of severe adverse events related to the use of mifepristone as an abortifacient. Annals of Pharmacotherapy 2006;40(2):191-7 (published online Dec. 27, 2005) (

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Abortion pills cause “septic fatalities”

Dr. Vanessa Cullins, vice president for medical affairs at the Planned Parenthood Federation of America, comparing surgical abortion to abortion by pills:

“The two kinds of abortion “have comparable risks with the exception of what we have recently seen as it relates to septic fatalities.”

Gardiner Harris “Some doctors voice worry over abortion pills’ safety”. New York Times April 1, 2006

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Doctor on high number of complications at Planned Parenthood

Dr. E. Hakim-Elahi, Elmhurst, New York, on the high number of Planned Parenthood’s reported complications in 2003, in a letter to Ob.Gyn News:

“If I were to receive such a report from a surgical abortion clinic, I would recommend to health authorities that the clinic be immediately shut down…. Medical abortion with the present drug regimen is unsafe….The patient will bleed for the next 4 weeks or more, and may transmit HIV (if positive) to others; become anemic; require blood transfusions or surgical abortion; or get sepsis and die. This makes no sense. . . We are allowing women to get maimed and to die. . .”

E. Hakim-Elahi “Letter to the editor”. Ob Gyn News (Feb. 15, 2005):6.

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Abortionist explains how few doctors want to prescribe abortion pill

When the abortion pill first became available, the FDA required general practitioners or other non-abortionists who prescribed it to have an agreement with an abortion provider to do a backup surgical abortion if the pills failed. One abortionist who runs a clinic explained how no local doctors had contacted her to do these backup procedures – meaning that none of the doctors in the area wanted to start prescribing the abortion pill.

Dr. Deborah Oyer, medical director and owner of Aurora Medical Services in Seattle

”We have not been called by anybody about surgical backup and we are the only clinic in the Pacific Northwest that’s been using mifepristone since the first trials. ‘We have gotten lots of calls over the years about medical abortions. We have done seminars on medical abortions and we have had tons of phone calls from the lay public and potential patients. But I don’t know of any doctors calling about surgical backup or about how to get started. ”I’m a little surprised,” she said. ”But also at some level, I’m not. In studies that were done in the last several years, there were always a significant percent of doctors who say they would do medical abortions. But I was always a little suspicious. It’s a lot easier to say you’ll do it than to actually do it.”

Gina Kolata.” Wary doctors spurn new abortion pill; some doctors insist that a surgical abortion remains a better alternative than the new pill.” The New York Times Nov 14, 2000

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Abortion clinic owner won’t offer abortion pill

Roneal Martin, abortion clinic owner, decided that he would not prescribe the abortion pill because the chances were too high that the woman would need a surgical abortion or other medical intervention if the pill failed. In addition, if the abortion pill was prescribed by another doctor, women might have to go to his clinic to have their abortions completed by suction. He decided not to backup any other doctors or provide the pill himself.

He says:

”It comes down to taking over someone’s complications,” she said. ”Does that mean I’m putting my doctor on call in the middle of the night. We might say, ‘Go to the emergency room.’ ‘

Gina Kolata.” Wary doctors spurn new abortion pill; some doctors insist that a surgical abortion remains a better alternative than the new pill.” The New York Times Nov 14, 2000

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