Monday, December 21, 2015

Abortion in Tennessee Factsheet

Abortion stigma is a shared belief that abortion is morally wrong and/or socially unacceptable. Abortion stigma has disastrous consequences. People seeking abortions are bullied, shamed, marginalized, and sometimes even prevented by law or intimidation from seeking safe health care services. Abortion providers are harassed, dehumanized and targeted by regulation and anti-abortion advocates. Stigma leads to the social, medical, and legal marginalization of abortion care around the world and is a barrier to access to high quality, safe abortion care. http://seachangeprogram.org/whats-new

In 2011, 16,720 women obtained abortions in Tennessee, producing a rate of 13.1 abortions per 1,000 women of reproductive age. The rate decreased 15% since 2008, when it was 15.3 abortions per 1,000 women 15-44. Abortions in Tennessee represent 1.6% of all abortions in the United States. (Source: Guttmacher Institute)

In 2011, 113,900 TN women became pregnant; 70% of these pregnancies resulted in live births, 15% in induced abortion. This is below the national average which was 67% live births and 18% in abortions. (Source: Guttmacher Institute)

In Tennessee, the following restrictions on abortion were in effect prior to Amendment 1 as of November 1, 2014:

    Health plans offered in the state’s Affordable Care Act health exchange may not provide coverage for abortion.
    Public/government funding is available for abortion only in cases of life endangerment, rape or incest.
    The use of telemedicine or the remote prescription of abortion medication is prohibited, i.e. abortion must be performed in the physical presence of the woman.
    At least one parent of a minor must consent before an abortion is provided.
    Abortion facilities must clearly post signs in 40 point Ariel font indicating that a woman cannot be “pressured, forced or coerced” to have an abortion against her will (TN Freedom from Coercion Act, passed 2010) http://www.capitol.tn.gov/Bills/106/Bill/SB3812.pdf
    Only a physician licensed or certified by the state, not a nurse or physician’s assistant, may perform an abortion.
    The Life Defense Act of 2012 requires clinics to report detailed demographic data on doctors and patients to the TN state government. http://data.rhrealitycheck.org/law/tennessee-life-defense-act-of-2012-hb-3808/
    Life Defense Act of 2012 requires doctors performing abortions at clinics to have hospital admitting privileges no further than an adjacent county away.

As of Dec 1, 2015 there were 7 abortion clinics in Tenneessee:

    Planned Parenthood – Nashville
    The Women’s Center – Nashville
    Bristol Regional Women’s Center – Bristol, TN
    Knoxville Center for Reproductive Health – Knoxville, TN
    Planned Parenthood – Knoxville, TN*
    CHOICES Memphis Center for Reproductive Health – Memphis, TN
    Planned Parenthood – Memphis, TN

*The Knoxville Planned Parenthood doesn’t do surgical abortions, but they do offer induced/medical abortions i.e. abortion induced with medication, which is most effective for first trimester abortions (9 weeks or earlier).

3 of the 7 clinics are run by Planned Parenthood. The Bristol Regional Women’s Center and The Women’s Center in Nashville are run by the same provider and are not clinics, just doctors offices, which makes them more vulnerable to regulation. CHOICES is an independently run nonprofit.

The total number of abortion providers in TN is down from 14 in 2011. http://www.guttmacher.org/pubs/sfaa/pdf/tennessee.pdf

In 2011, 96% of Tennessee counties had no abortion clinic. 63% of Tennessee women lived in these counties. http://www.guttmacher.org/pubs/sfaa/pdf/tennessee.pdf

How to self induce an abortion with the abortion pill and what to expect, see: Women on Waves. This is not legal in Tennessee. If you self induce and you need to seek medical assistance due to complications from the procedure, do not tell anyone that you tried to induce an abortion or you could be subject to criminal charges of attempted murder or murder.

pregnancies are calculated from the date of your last period, meaning on average 2 weeks of pre-conception time (in which there was factually no pregnancy) are included in the count. Everyone needs to be advised to never give a health provider their LMP (last menstrual period) but rather an estimated conception date and vague references to periods being irregular. This buys vital time for those deciding whether to keep a pregnancy, and protects those who do want to carry to term from unnecessary induced labor.

Tennessee provides funding to pregnancy resource centers (also called “abortion alternatives” or “crisis pregnancy centers”) through a Choose Life specialty license plate program. A license plate supporting women’s right to choose is not available. http://www.tn.gov/revenue/vehicle/licenseplates/miscellaneous/miscellaneous.shtml and http://www.nytimes.com/2009/04/28/us/28bar.html and has been opposed by the TN legislature in the past.

If you are considering an abortion, do not visit a crisis pregnancy resource center. They will not give you accurate information about abortion services and will try to talk you into choosing another option. They may also lie to you about the risks of abortion in order to dissuade you from obtaining one. (Source: NARAL) Moreover, they will try and delay you.  Their delay tactics cost precious weeks of decision making. If you wait too long, you will not be able to access an abortion legally in TN because abortion is illegal after viability (20-24 weeks).

Pregnancies are calculated from the date of your last period, meaning on average 2 weeks of pre-conception time (in which there was factually no pregnancy) are included in the count. Everyone needs to be advised to never give a health provider their LMP (last menstrual period) but rather an estimated conception date and vague references to periods being irregular. This buys vital time for those deciding whether to keep a pregnancy, and protects those who do want to carry to term from unnecessary induced labor.

The risk of death associated with childbirth is approximately 14 times higher than that with abortion in the U.S. The pregnancy-associated mortality rate among women who delivered live babies was 8.8 deaths per 100,000 live births. The mortality rate related to induced abortion was 0.6 deaths per 100,000 abortions. (Source: US National Institutes of Health)

An abortion-related death is defined as a death resulting from a direct complication of an abortion (legal or illegal), an indirect complication caused by a chain of events initiated by an abortion, or an aggravation of a preexisting condition by the physiologic or psychological effects of abortion.

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(Source: CDC; 2009 is most recent data available)

Collect by: http://tinyurl.com/hzrxouh

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