Between 1999 and 2011, 17 Salvadorian women were sentenced to up to 40 years in jail following reported miscarriages, or as they would call it, spontaneous abortions.
Speaker AThese women were charged with aggravated homicides.
Speaker AYeah, you heard that right.
Speaker AAggravated homicide.
Speaker AIf you haven't heard this case, this may be shocking to you because one, how could you prevent a miscarriage from happening in the first place?
Speaker ATwo, how and why would this be seen as a homicide?
Speaker AAnd three, why did the Salvadorian government prosecute and not protect these women through what seemingly was a healthcare matter?
Speaker AWelcome to another episode of the Global Health Pursuit podcast.
Speaker AThe podcast where we explore the world's most pressing health challenges through a beginner's lens.
Speaker AMy name is Hebdal Bahman.
Speaker AI'm a biomedical engineer turned social impact podcaster and I'm your host.
Speaker AToday we're talking about abortion.
Speaker AIt's a conversation about abortion through the stories of women in countries where laws have oppressed their rights and even criminalized them.
Speaker AIt's a conversation about data and how we could use data to destigmatize the narrative around abortion by improving access to reliable global information and presenting it as a public health and social justice issue.
Speaker ANotice how I didn't mention the word political because I really don't think it's a political issue, do you?
Speaker AThe criminalization of abortion has been put into law in countries around the world where even spontaneous miscarriages are seen as abortions.
Speaker AThe case of the 17 Salvadoran women is just an example.
Speaker AOur guest today is someone who spent so much of her life in Colombia, a country that was once one of the very few countries where abortion was totally banned.
Speaker AAnd through her experiences as an abortion doula, yep, that job exists.
Speaker AShe realized just how stigmatized abortion is around the world.
Speaker AI want to start this conversation by talking about the definition of abortion stigma.
Speaker AWhen I was taking a look through your report of Colombia's abortions laws and the stigma around it, there was one thing that really stood out to me and it was through a paper by Kumar, Hasini and Mitchell.
Speaker AThis is what they say.
Speaker AThey have proposed one of the most iconic definitions of abortion stigma and they define it as the negative attribute ascribed to women who seeked to terminate a pregnancy that marks them internally or externally as inferior to ideals of womanhood.
Speaker ASo I thought that was so interesting.
Speaker AWhat are your thoughts around this definition and how would you define it?
Speaker BI think that this definition is great because help us to understand better the discussions that we have nowadays regarding legal restrictions of abortion or not.
Speaker AYou're listening to Lena Lopez, a sociologist with a postdoctorate degree in Social Innovation and a joint Erasmus Mundus Masters in Women's and Gender Studies.
Speaker AShe's an abortion activist and director and founder of abortiondata.org and Viva Futura, a feminist and transnational organization dedicated to revolutionizing the delivery and accessibility of information regarding sexual health and non reproductive rights.
Speaker ABy connecting scholarly knowledge with feminism and activism, they empower individuals to become agents of change.
Speaker ALena has served as a multilingual abortion counselor and a partnerships coordinator for Latin America at Women First Digital.
Speaker BUsually all those discussions are with with the debate between if we are defending life or not.
Speaker BBut then when you start checking really close and detailed all the arguments, they are not really defending life.
Speaker BThe restrictions of abortions increase maternal death, but also a new study in the US says that is also include newborn death but also decrease the quality of life.
Speaker BSo when you go like at those step backs and you check this definition of a stigma, you see that the real problem behind is women having autonomy over their bodies.
Speaker BThere is just something that I will just add to this definition that they retake this definition but they also add a layer of healthcare fears like all this part of people having in mind that abortion could be something super scary, but also that abortion procedures happen in pretty ugly dirty places.
Speaker BAnd that's also a layer of stigma that I would add.
Speaker BBut I think mainly all the discussions that we have with abortion goes around this idea of women accepting with an abortion that have sex for fun, that they don't want always to be mom and also that they don't want always to take care of others over their own well being.
Speaker BAnd these three things are completely challenging of what we learned traditionally that a woman is or how a woman behaves.
Speaker AGrowing up in Colombia.
Speaker AWhat was your very first experience with the term abortion?
Speaker BFor those who don't know, Colombia is a country pretty Catholic traditional in that terms on that values.
Speaker BIn Latin America.
Speaker BThe first time that I hear about abortion it was in 2006, 2005.
Speaker BI was around 15, 14 years old I think.
Speaker BSo it was because Colombia at that point was one of the 4% of the countries that abortion was totally banned, totally prohibited in all cases.
Speaker BAnd there was a case of a woman who needed a therapeutic abortion.
Speaker BThat means an abortion with your life is at risk or it's because of health reasons.
Speaker BShe had cancer and she could not get access to her treatment because when you get chemotherapy that can cause an abortion and when abortion is criminalized, you need this kind of treatment.
Speaker BYou cannot get access to it.
Speaker BThere was three organizations.
Speaker BIt was Women's Link, so La Mesa por Lavida de las Salute.
Speaker BThey were asking the court to change the law.
Speaker BIt was a lawyer called Monica Roa who represent the case to decriminalize abortion in three cases.
Speaker BIn case of sexual violence, risk of life of the pregnant person and enviability of the fetus up to the end of the pregnancy.
Speaker BDay one.
Speaker BWe got the ruling C355 that it allows abortion on these three cases.
Speaker BBut when that happened, it was already too late for her now.
Speaker ANow, according to the center for Reproductive Rights, even though this ruling was a big step forward for women's reproductive rights in Colombia, the inclusion of abortion as a crime in the penal code creates a stigma for both those who are seeking abortions and the healthcare providers who perform them.
Speaker ADoctors were still scared to go to jail and therefore many Colombian women were unable to access safe abortion services even when they fell within the exceptions of the law.
Speaker ASo what do they do?
Speaker AWell, they relied on clandestine abortions that would ultimately threaten their health, their lives and of course their dignity.
Speaker BAnd it's not the first case that a state ruled something that is already too late in terms of abortion here.
Speaker BCancer was already in a stage four and she could not get access any longer to chemotherapy or anything.
Speaker BShe died.
Speaker BShe was also a mom of another daughter at that point.
Speaker BFor me, it's those cases that always is a concern regarding what is the pro life movement talking about.
Speaker BBecause when you say that you are pro life, it means that you are defending life.
Speaker BAnd that means also that you should defend this case like this kind of treatment, like an abortion to save the life of people, to save the well being of people.
Speaker BSo it was super shocking for me because it was the first time that I just faced the reality that not always the state gonna protect your life.
Speaker AYou know, when you think about being pro life in this type of movement, you always think about pro life for the baby and not for the mom.
Speaker AAnd that is so impactful what you said because it's like if you're pro life, you should be pro life.
Speaker AEveryone, mom, baby, every, everyone involved.
Speaker AI just know that if there are people listening, and I have a lot of people who listen to this podcast in the US and right now there is a huge divide of people who are pro life and then pro choice.
Speaker AAnd it feels like you're walking on eggshells when you're talking to people about this, especially if you don't know where they stand.
Speaker AWhat was your family's take on all of this that was happening in Colombia around this movement.
Speaker BThis is a really complex question because I feel like some things struck to you more than the other people around you.
Speaker BBecause for my mom at that point, of course she's super Catholic and still she is super Catholic.
Speaker BSo this topic is always like something that appealed to her a lot.
Speaker BBut also we have like a really rich discussion regarding that.
Speaker BAnd at that point for her it was not making sense what was going on on the cart.
Speaker BBecause usually when people talk about abortion, they imagine this idea of like a teenager who wants to get an abortion.
Speaker BAnd this is super stigmatized idea, first of all, because a teenager is if the person wants to interrupt the pregnancy, they should have the right to do it.
Speaker BBut then also they just have this really narrow image of what abortion means.
Speaker BSo for her was like why this woman cannot have access to a treatment that she needs, but in her mind would not be possible that an like an abortion restriction can have some relationship with these things.
Speaker BAnd still when we talk about these kind of restrictions in country like El Salvador, Honduras for hair is always the same question.
Speaker BBut what happened if I need an abortion because I just get an accident?
Speaker BWell, it's restricted.
Speaker BThe doctor can go to jail, so you're not going to get access to the abortion.
Speaker BAnd it's still something that makes tons of noise in her mind that for her it's like just the pieces are just falling apart.
Speaker BAnd sometimes I just hear her talking with her friends, they are against abortion and she's trying to explain these small things that they are super important when we talk about these restrictions.
Speaker BAnd that's also the reason why it's so important understand that abortion is a healthcare matter.
Speaker BBecause when we just see it as a political discussion between.
Speaker BI agree, I disagree.
Speaker BWe just really lost the possibility to see all the real aspects of all the fact that involved abortion in terms of health care, in terms of health.
Speaker BAnd all the many times that abortion is just a healthcare procedure that we needed.
Speaker BCould be physical reason, mental reason, economical reason, or social reason.
Speaker BBut sometimes all this stigma really don't let people to see the big picture of what abortion is.
Speaker BAnd sometimes even this news people really cannot make the real match.
Speaker BIt just make noise.
Speaker ASometimes it seems like social media, the news and the media in general will portray issues like abortion in a way that is divisive and political.
Speaker AWhen in reality, I think that what she's trying to say is we really need to distill the information of what an abortion is and how it affects A woman in her body.
Speaker AHow can we remove the noise and see it for what it truly is without putting a political affiliation or a label on it?
Speaker AAnd because we're mentioning politics here, I was curious and wanted to know when abortion even became a political issue, at least in the United States.
Speaker AAccording to an NPR article by Deepa Shivaram, abortion wasn't always as politically charged as it is today.
Speaker AEven after the Supreme Court ruled on Roe v.
Speaker AWade In 1973, there were Democratic and Republican candidates against abortion.
Speaker AFor a long time this was something that appealed to candidates, Catholic voters.
Speaker AAnd then in 1976, Republicans adopted an anti abortion stance in their party platform and the GOP became this political vehicle for the movement as a more vocal Christian right started to rise.
Speaker AOf course now, since the Supreme Court overturned Roe V.
Speaker AWade on June 24, 2022, ending federal protection of abortion rights, now 1 in 3 women live in the US where abortion is not accessible.
Speaker AYou lead an organization called abortiondata.org and I think the work that you're doing is so is so important because it's not just a US problem, but it's a problem all over the world.
Speaker AWhen I was scrolling on your website, there was a chart that showed country classifications by income level and abortion rates.
Speaker AAnd it showed that the most unintended pregnancies occurred in low income countries and the most unintended pregnancies that ended in abortion was in middle income countries.
Speaker AAnd it's so interesting because the difference was like 66% in middle income countries versus 40% in low income countries.
Speaker AWhat would you say when you look at that data?
Speaker AHow would you interpret that?
Speaker BThis study is super interesting and has some limitations because it's just based on unintended pregnancies and not all abortions happen on unintended prognosis.
Speaker BBut it's super interesting because the study has like this relationship that present like most of the unintended pregnancy happens in low income countries and that's for the first analysis that you can do can be the result of the lack of access to sexual and reproductive care services.
Speaker BBut that also includes things like lack of infrastructure in the country.
Speaker BSo for example those countries like Colombia, that even we are not in the low income country, we have this kind of characteristics sometimes.
Speaker BLike there are some areas that you need to travel hours to get to the closest healthcare service.
Speaker AI live in Pennsylvania and according to the center for Reproductive Rights, the state of abortion law's constitution and court decisions on abortion has been noted as hostile here.
Speaker AYeah, that doesn't sound too Friendly.
Speaker AI guess at least it's one step up from being illegal.
Speaker ANow that the Supreme Court has overturned Roe, abortion will likely remain accessible in Pennsylvania, but without legal protection.
Speaker AOur current governor, Josh Shapiro, is supportive of abortion rights, but numerous medically unnecessary restrictions make it really difficult to access abortion care in my state.
Speaker ABut here's the thing.
Speaker AFrom where I live, which is outside of Philadelphia, if I drive about an hour east, I cross into New Jersey where abortion will remain legal.
Speaker AIn 2022, New Jersey enacted a statutory protection for abortion as a fundamental right.
Speaker AAnd the state's highest court recognized the, quote, fundamental right of a woman to control her body and destiny under the New Jersey constit.
Speaker ABut here's the deal.
Speaker AImagine living in San Antonio, Texas, where the nearest state where abortion rights are protected is Kansas.
Speaker AGuess how long of a road trip that is?
Speaker AYeah, almost 12 hours.
Speaker AThat does not sound like fun, especially if you're in need of urgent care.
Speaker AIf you're in the United States, you can learn more about abortion laws in your state by going to reproductiverights.org maps.
Speaker AIt'll be linked in the show notes as well.
Speaker ABut when we zoom out and look at the world, let's try to understand why unintended pregnancies seem to be higher in low income countries as opposed to higher income countries.
Speaker BYou can understand that the unintended pregnancy are higher in those low income countries because access to all of these like ad, education, the health care set, contraception, so on is difficult.
Speaker BBut then when you go again to the same point in the low income countries, the lack also of these healthcare services also decrease the possibility of people accessing safe abortion.
Speaker BSo we are having more people continue pregnancies that they don't want because of the lack of healthcare services.
Speaker BThink that then in middle income countries will be better, they will have more access to it.
Speaker BBut they also have like this background of not having enough resources for contraception, education and all those conditions that could decrease in unintended pregnancy.
Speaker BAnd when you have comprehensive sex and reproductive education also to reduce unintended pregnancy, but at the same time to reduce the number of abortions that are result of lack of economic sources or social environment.
Speaker BAlso because you reduce as well sexual violence, that is another factor for abortion.
Speaker AWhen we had spoken last, you shared with me A story of 17 women in El Salvador who were imprisoned because of abortions.
Speaker ACan you talk about the laws there as well as some of the laws in other countries?
Speaker BI think when we talk about Latin America it's a really like the laws are super Diverse as we have countries where abortion is totally banned as Nicaragua, El Salvador, Honduras and then we have other countries when we have like one of the most liberal laws right now in abortion as Colombia, that abortion is discriminalized up to 24 weeks by request and then under the three grounds that I mentioned before like in case of sexual violence, risk of life of the pregnant person and enviability of the fetus up to the end of the pregnancy.
Speaker BThen you also do have countries like Argentina that also decriminalized abortion up to 24 weeks.
Speaker BUruguay, Cuba and Mexico that they have decriminalized abortion by national way, but they are as the US so they have like a lost by state that regulate in which state you can have access to abortion and under which conditions.
Speaker BBut then of course you have countries when the restrictions are make difficult the life of the people who live there.
Speaker AIn the world map of countries where abortiondata.org has gathered information from, you can see countries that are labeled with different colors.
Speaker AThe red labeled countries is where abortion is very restricted and green labeled countries are the most liberal when it comes to abortion.
Speaker AAnd if you're listening and not watching this episode on Spotify or YouTube, you can head to the link in Show Notes to explore that as well.
Speaker AIf we click on Bolivia, we learn that abortion is allowed under certain circumstances, such as the risk to the life or health of the pregnant person, rape, incest and severe fetal malformations.
Speaker AHowever, there are barriers that hinder access to legal abortions, including social stigma, lack of information and the availability of healthcare services.
Speaker AAs Leena has mentioned.
Speaker AWhen we click on a green country like Nepal, we see that they take a liberal legal stance while addressing abortion.
Speaker AIn 2002, Nepal legalized safe abortion and the 2015 constitution guarantees safe parenthood and reproductive health as a fundamental right for all individuals.
Speaker AThe 2018 Safe Parenthood and Reproductive Health act ensures the right to safe abortion for all.
Speaker AThere are countries that float in the middle, like Brazil, where there are only three legal instances of abortion.
Speaker AThese include rape, imminent danger to the pregnant person and a severe birth defect.
Speaker AOne out of five Brazilian women have undergone at least one abortion by the age of 40 and their induced abortion is still regulated as a crime, with penalties of one to three years of imprisonment for the pregnant woman and even one to four years of imprisonment for the doctor or any other person who was involved in the abortion procedure.
Speaker AImagine being the doctor in this situation.
Speaker AI wouldn't want to practice there.
Speaker ABut this keeps bringing me back to the case of the 17 women in El Salvador.
Speaker BSo we have the case of El Salvador, as you mentioned before, in El Salvador there is this movement that it was called the 17 women were in prison because they had miscarriages, as they are called in English, in Spanish, we don't have a difference for miscarriage and abortion.
Speaker AReally?
Speaker BYeah.
Speaker ASo if you lose the baby, then it's still called an abortion.
Speaker BIt's interesting because at the end when you talk about medical terms is the same procedure.
Speaker BSo in a country that abortion is restricted.
Speaker BIf you go to the doctor because you are having a miscarriage, the doctor cannot determine physically talking if you have a miscarriage of an abortion.
Speaker BAnd if the person is afraid to go to prison or is afraid of the person, have some stigmas that let this doctor think that you induce the abortion, they can police and you can end up criminalized medically talking a spontaneous abortion, like a miscarriage, an aversion works the same.
Speaker ACan we just take a moment to reflect on this?
Speaker AIn Spanish, there is no word for the term miscarriage.
Speaker AHonestly, I'm kind of mind blown by this.
Speaker BSo those women, they were put in prison under the crime of homicides.
Speaker AThey were charged with homicide, yeah.
Speaker BOh my gosh.
Speaker BBecause actually one of the stories that for me is super hard, it was a woman who was expecting to finish like her week of work so she could go to the maternal leave.
Speaker BAnd when she finished, she started feeling bad.
Speaker BAnd she mentioned that she was feeling bad and no one at her workplace help her.
Speaker BShe was living there at one school, she was like a cleaning service person or something.
Speaker BAnd she was living at the school.
Speaker BAnd then no one offered to take her to the hospital or anything.
Speaker BAnd when she tried to go to the hospital, already was too late.
Speaker BShe lost the pregnancy.
Speaker BAnd it was an intended pregnancy.
Speaker BShe wanted to have this pregnancy and she ended up in prison.
Speaker BSo all those cases also make us to reflect on what are the consequences of these restrictions.
Speaker BAlso there is another case super similar to that one in Colombia that happened in Salvador to a woman called Beatrice.
Speaker BBeatrice was a woman who had like some healthcare complications during her pregnancy.
Speaker BAnd she asked the state of El Salvador to let her do the abortion.
Speaker BAnd they denied to the possibility to do this procedure at the beginning.
Speaker BSo then she was like in this continued fight at the end, she was able to access to the abortion, but it was already too late.
Speaker BAnd like her whole health was already impacted.
Speaker BAnd she died some time after for a respiratory disease that it was not really meant to die for it.
Speaker BSo all these restrictions really take you to these things that we were discussing before, when we talk about abortion, we talk about healthcare topic that many things can happen and these restrictions that they are just debating a political space, they really don't match with what is the health care reality.
Speaker BAnd also these restrictions affect the people who can have access to abortion, who need the abortion, like the abortion seekers, but also persons who want to get pregnant.
Speaker BBecause if you don't have access to an abortion and something goes wrong during the pregnancy, your life can be at risk and then also affect the life of the newborn.
Speaker BBecause as is happening now in the US As I mentioned before, there's a study that proved that now in the U.S.
Speaker Bsince the new restrictions, the number of deaths of newborns have increased.
Speaker BAnd one of the reasons that the doctors are giving is because many of those pregnancies were not mean to finish differences that some complications and then they are just continue pregnant.
Speaker BLike you just have to continue being pregnant knowing that the fetus is not viable.
Speaker BThat's torture.
Speaker BIt's affecting also health care providers.
Speaker BBecause the health care providers are in the first line seeing how the promise that they're going to take care the life of their patients and they are seeing how their practices because of legal reasons are just causing pain and they are not able to really protect their lives in the whole terms of life.
Speaker BLike talking about dignity.
Speaker BYeah, like a full well being as a full definition of health by the World Health Organization.
Speaker BThat is like the completely well being of the person, not just being alive.
Speaker BThose stories are complicated.
Speaker BAlso we have countries like Brazil in Latin America that have also high restrictions.
Speaker BIn Brazil there are stories of women who need to travel abroad the country like go to Colombia, Argentina to get access to an abortion.
Speaker BThe same as is happening now in US and we are talking about someone who had can take care of their kids at home.
Speaker BSo you really need to figure it out with who you're going to leave your kids.
Speaker BPeople who maybe it's the first time that they're going to be abroad of their country and they have to do it for an abortion because they cannot get access to the healthcare service that they need in their country and they need to go to another country to get access to it.
Speaker BAnd then also we need to talk about the economical weight of that.
Speaker BNot everyone has the money to go to another country to get access to a health care procedure.
Speaker BSo at the end these restrictions also are increasing the inequality of access to healthcare service, to access to the right of health.
Speaker BWhen you saw the chart of the income countries and abortion decrease, there is also another chart that shows how the legal restrictions do not reduce the number of abortions.
Speaker BWhat the legal restrictions really do, they reduce the number of safe abortions.
Speaker BSo then is the people who can pay for it, who can have access to safe abortions, and then those who cannot pay for it will have the abortion if they need it, but under unsafe conditions.
Speaker BAnd that also increase the amount of money that the government, they're gonna pay in post abortion complications.
Speaker AWhat keeps coming back to me is like, you know, it's not just about the baby, but you're also talking about maternal mortality, right?
Speaker ASo when you speak to people who are against abortion, like how do you have a constructive conversation with people who believe a different thing?
Speaker BIt's based on like three principles, I would say.
Speaker BFirst, I try to base all the conversations in data.
Speaker BNot for reducing the stories of the people, just with numbers, but to prove that we are not talking about like some weird story that just you saw in news, but something that's happening a lot in many women.
Speaker BSecond, under a base of human rights, this is a health right.
Speaker BBecause for me that makes sense, but not for everyone.
Speaker BThis makes sense.
Speaker BIf I ask you make a picture of what is a human right, it's difficult, but what is really the picture of that is, well, being life that is worth living.
Speaker BSo I tried to put this in terms of what is a life worth living and then in terms of empathy.
Speaker BBecause when people get super emotional against abortion, they have their reasons, they have the stories that not many times are based on evidence or many times are based on fears and myths.
Speaker BSo I think it's also embrace those fears, let them to put their fears there, and then also present your case.
Speaker BAnd my case, for example, is not convince everyone to become pro choice if they don't want.
Speaker BBut my case is that everyone can have a constructive conversation regarding abortion.
Speaker BFor me, the problem is not that a person is against abortion.
Speaker BFor me, the problem is these people are using arguments that can harm everyone who is listening to them.
Speaker BSo when they call a person who needs an abortion a killer, when they stigmatize women and people who make abortion seekers, when you stigmatize healthcare providers, they are really harming someone.
Speaker BSo for me, they hope you can be against an abortion using data and having a debate with real arguments.
Speaker BAnd that also take me to a point that is I don't expect that they change their opinion immediately.
Speaker BI just expect that they just come back to talk with me later.
Speaker AAnd I think that's a healthy way to go about it.
Speaker AIf you've thought this way for your whole life.
Speaker AThere's you're not going to change your opinion overnight.
Speaker AIt's a process.
Speaker AWhy focus so much on the data?
Speaker ABecause that is really like your organization.
Speaker AIt's all about data.
Speaker AWhen you first wanted to found this organization, where you're like, I want to do the research and post it online for everybody to see, was that the whole goal from the very beginning?
Speaker BThis question has like two parts of the answers.
Speaker BI wanted to focus more on the lack of data because the lack of data is super political, because it shows what people is not counting, is not existing.
Speaker BSo we don't count safe abortions.
Speaker BPeople think that safe abortions did not exist.
Speaker BAnd then we have tons of studies on safe abortions that are super important to provide advocacy.
Speaker BAnd I was feeling okay, but we also need studies or we need spaces that people can go and read about all the stories that go well.
Speaker BAnd that's.
Speaker BIt was a need, like a personal need.
Speaker BFor me, data becomes for me this place to tell them you are not alone.
Speaker BLike, I don't know, one out of three unintended pregnancy end up in abortion.
Speaker BSo it's show people that you are not alone.
Speaker BIt's normal to have more than one abortion.
Speaker BIt happens, but people don't talk about it.
Speaker BSo for me, this become a place that people could see that they could survive.
Speaker BBecause as we don't talk about safe abortion stories enough, people usually think that they don't know anyone who have an abortion.
Speaker BAnd they think that the reason because they don't know anyone is because people die for abortions.
Speaker BAnd that's no, it's because all of us, we know people who have abortions, but they don't feel safe telling us.
Speaker BSo data for me become like a this space that we could have this discussion.
Speaker BCounting abortions is super complicated because of the legal restrictions, because of the stigma.
Speaker BIn 1998 in Brazil, women discovered misoprostol to wait to have abortions at home.
Speaker BSafe.
Speaker BAnd actually the World Health Organization recognized that as a safe method, like mifepristone and misoprostol.
Speaker BBut also is safe in terms that you don't face a stigma.
Speaker BSo you don't need to go to a place that someone gonna say something.
Speaker BIf you live in a small town, no one gonna know that you did abortion at home.
Speaker BBut that also makes more difficult to count safe abortions.
Speaker ALena just referred to a drug called misoprostol.
Speaker AAnd if you don't know what that is, it's a synthetic prostaglandin.
Speaker AAnd if you don't know what that is.
Speaker AProstaglandins are a group of hormone like lipids that play an important role in regulating bodily functions like inflammation and pain.
Speaker AIn terms of abortion, using misoprostol causes cervical softening, dilation and uterine contractions.
Speaker AIt's an option for management of early pregnancy failure and incomplete abortion.
Speaker AAccording to planned parenthood.org, it causes cramping and bleeding that then empties your uterus.
Speaker AEssentially, it feels like having an early miscarriage or a really, really heavy period.
Speaker BSo when we started project, it was a complete challenge and we decided abortion data is a data project in terms of we count official data, we take sources from the official data, but we also contact organizations that support abortion seekers and we ask them, if they are public, to share with us the data that they have.
Speaker BSo on.
Speaker BThis is like accounting apples with peers, but at the same time it's no, because our goal is not having like the real number of abortions, because we already know that it's super complicated.
Speaker BBut we want to give up people, the landscape of what's happening for an abortion seekers, for different abortion seekers, and what are the options and to show that safe abortion exists.
Speaker BSo that for us was like a place of advocacy.
Speaker BAlso, we know that talk about data is not enough, because even if we try to have a feminist approach to data that recognize every number as a part of a story of someone, many times people feel like data is too dehumanized.
Speaker BSo we also try to rely on stories of people because the data itself sometimes just get to just numbers.
Speaker BAnd these numbers at the end, they are just another way to tell stories.
Speaker BFor us, those numbers are collective stories or many people who just have similar experiences.
Speaker BAnd we are just trying to show that there are many of them.
Speaker BLike I always say, one out of seven is like one person who maybe is me, who maybe is you, who maybe is a mom, a person who has a completely life story like she was a kid, she has dreams.
Speaker BAnd that's something that we also try to put also with the data, like give some context.
Speaker AI wanted to take a moment to tell you about our partner for today's episode.
Speaker APodcasthon Podcast THON is a global charity movement focused on raising awareness for the charities and the nonprofits that we love through the voices of podcasters all around the world.
Speaker AThis week and this week only, from March 15th to the 21st, over 1600 podcasters from around the world registered to dedicate one episode to a cause that they deeply care about.
Speaker AFor this year's podcast on I'm featuring Lena's story and nonprofit abortiondata.org and Viva Futura because I believe women's rights and abortion are a social justice issue.
Speaker AGo to podcaston.org to discover other podcasters featuring charities that they love.
Speaker AFind the link in the show Notes have you heard some stories like in the recent past of abortions that women have gotten that have changed their life.
Speaker BIn terms of that?
Speaker BI'm a former abortion doula and once I read a letter of someone who said, today is my graduation day, I can be here because I could take that decision.
Speaker BAnd now I'm just getting my degree.
Speaker BAnd for me it's so powerful because for me, abortion is also like decide to have an abortion.
Speaker BIt's not just because your life is at risk, because you are at risk, but also because you loved yourself and you can put yourself first and your need first.
Speaker BAnd then in the future maybe you can decide to have a kid, but under other conditions when you feel like it's consent and makes sense with your life.
Speaker BThat story really touched me.
Speaker BBut the story that touched me a lot was a woman, an old woman who approached me telling me about her abortion.
Speaker BAnd she was super mad at the beginning, like talking about abortions, why this?
Speaker BAnd then I was just like trying to explain her and let her to talk.
Speaker BAnd then she said, I had an abortion when I was younger and it's the first time that I can talk about it.
Speaker BAnd for me it was so strong because immediately she finished the sentence, she started crying.
Speaker BAnd when we talk about restrictions, well, we talk about all those stories that have like a impact on physical health but also have impact on mental health.
Speaker BAnd here I'm talking about legal restrictions, but also stigma and social restrictions.
Speaker BWe talk about it because one of the things that really can be complicated regarding an abortion is the stigma that surrounds experience.
Speaker BSo people feel isolated, they feel alone.
Speaker BThe thing that I said before regarding the numbers is also to show that you are not alone.
Speaker BWell, many abortion seekers, many people who had an abortion, they feel alone after that experience, right?
Speaker BAnd for me, it's so hard to think that you need to go to a healthcare procedure in secret when usually we feel so vulnerable when we need to do any kind of healthcare procedure.
Speaker BI'm not just talking about abortion, I'm talking about any kind of healthcare procedure.
Speaker BAnd we want to go with someone that we can trust.
Speaker BSo for me, that story was really shocking.
Speaker BAnd just the fact that she keep in secret her abortion for like 40.
Speaker AYears in the US approximately one in four women will have an abortion by age 45.
Speaker ASomeone you know might have had one and they may not have had the courage to tell their story.
Speaker AMaybe that someone is you.
Speaker ALena and the team at abortiondata.org understands how complex and nuanced and emotionally charged this topic is.
Speaker A@abortiondata.org you can tell your abortion story anonymously.
Speaker AEverything will be processed by a form that is focused on privacy and security and it won't ask for your name or any other sensitive information, just the story.
Speaker AIf you feel inclined to share, click the link in the show notes that states share your story.
Speaker AAnd as we close out this conversation, I had to ask how we as listeners and learners can support her work.
Speaker AThis is what she said.
Speaker BThe first way to support me and support us is really always understand ourselves as abortion communicators.
Speaker BLike always when we talk about abortion, like get a commitment to always that you talk about abortion.
Speaker BTalk with empathy and the responsibility that someone who is listening to you maybe had that experience.
Speaker BAnd that's for me is huge because that creates a different environment for all of us.
Speaker BA more friendly society.
Speaker BWe also work on volunteer basis and donation basis so you can go to the website and donate to our work.
Speaker BYou can donate monthly, you can do one time donation and like all donations are really welcome.
Speaker BAs you mentioned before, we try to make like a really strong research on that and that requires time, resources.
Speaker BThat's another way to support.
Speaker BIf you follow us in our social media, Instagram is the main channel that we use is at abortion data.
Speaker BWe also have a shop online.
Speaker BSo if you want to buy some products, especially if you are in the US that is easy to chip in, that helps us a lot and you get like a beautiful product, a feminist product.
Speaker BIf you want to volunteer on.
Speaker BIf you have like any company that you know that can support at work, any other organization that can support at work, or if you do similar work and you want to do a collaboration that's also super welcome.
Speaker BSo there are thousands of ways that we can receive support.
Speaker AIf you're still here and listening, know that I truly appreciate you and I really hope that you take a moment to check out Lena's work, maybe buy some of her merch or maybe donate to fuel more of her advocacy.
Speaker AAll of the resources will be linked in the show notes and if you resonate with anything that was said in this conversation, please comment below.
Speaker AIf you're watching or listening on YouTube or Spotify, if you're listening anywhere else, feel free to email me@hetallobalhealthpursuit.com this episode was researched, hosted, produced, edited, and all of the above by me.
Speaker AAnd a huge shout out to my coach, Anna Xavier of the Podcast Space, who continues to push me to create a show that is meaningful, educational and entertaining all at the same time.
Speaker AWould you be willing to support the production of this podcast?
Speaker AAnd if so, there are a few ways to do it.
Speaker AAs an independent podcaster, I'd love to give you a shout out on the show, and all you have to do is become a patron by donating as little as $3 a month.
Speaker AYou can donate by clicking the support link in the description below.
Speaker APlease follow this podcast wherever you're listening.
Speaker AWrite me a review on Apple Podcasts or rate me on Spotify.
Speaker AI'll see you next week.