Advocates struggle with how much they can help with self-managed abortions

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Advocates struggle with how much they can help with self-managed abortions
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Reproductive rights proponents worry about the risk of counseling those who seek medication abortions, though they've published online support techniques and guides for safe use of the drugs.

With misoprostol alone, multiple rounds are needed. Nausea is common. And the medicine induces cramping and bleeding that can be alarming for those who aren't prepared."I'm more worried about people who can't get to one of these sources and are just so desperate that they take matters into their own hands," said Dr. Nikki Zite, an OB-GYN at the University of Tennessee Medical Center in Knoxville.

Tennessee's laws specifically exempts the pregnant person from prosecution. But a motivated prosecutor could find ways to press charges related to a self-managed abortion, said criminal defense attorney David Raybin in Nashville. He said it's best to get a legal abortion in another state. But abortion rights activists in Tennessee say they know travel will be difficult for many. And even for those who can, a self-managed abortion may be more convenient. To a degree, reproductive rights groups are willing to help navigate the legal gray area., an organization working to promote sexual health and reproductive freedom, has organized several training sessions through Women Help Women in recent weeks.

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