Life Issues: RU-486 Report (NOVEMBER 2000)

AN UPDATE FROM LIFE ISSUES INSTITUTE

NOVEMBER 2000

RU 486 Not As Easy as Promised,
Say Women and Abortionists

"Abortion pill doesn’t live up to its hype," said the headline of the May 22, 1994, Albany, New York Times Union. The article described how euphoria has turned to caution as women and abortionists learn more about what an RU 486 abortion really means. Since that time a few news stories have begun to provide a glimpse of the severe physical and psychological pain that some women experience from a RU 486 abortion.

These important revelations stand in sharp contrast to the overwhelmingly laudatory print and electronic media coverage of RU 486 during the past decade. Another point of interest is the number of women quoted who have had both surgical and chemical abortions. While the reporter obviously selected them in order to make a comparison between the two techniques, including them also reinforces the pro-life position that abortion is being used as birth control because these women are having their second – or in some cases third – abortion. The reporters usually utilize pseudonyms to protect the women’s identities.

What Aborted Women Say

Patient #001, a 30-year-old blue-collar worker, Des Moines Planned Parenthood RU 486 trial.

"I was very nauseous in a couple of hours [after taking RU 486]. I threw up constantly for three days. I went to work. Luckily, there’s a restroom in my department. I moved a little slower. Usually, I’m very upbeat, but I wasn’t for those three days. It was like food poisoning. I couldn’t keep anything down.

"I went in on Friday and took the second dose of medication [the prostaglandin Cytotec]. After 15 minutes there was a tiny bit of cramping, but less than menstrual cramps. After two hours the cramps got stronger, and I started using a heating pad on my belly. I went to the restroom. When I started to stand, it was like a faucet turned on. There was a steady stream of blood. I passed a golfball-sized blood clot that scared me. I thought maybe it was the fetus.

"The cramps stayed steady. In the last 15 minutes of my appointment, I was doubled over. The bleeding was very heavy, heavier than a period. My mom drove me home. By this time, I was bleeding severely, and I had diarrhea. It reminded me of the way you bleed after you give birth. Maybe a woman that hasn’t given birth might be a little more distressed.

"I aborted at 6:30 on Friday night. I heard it fall into the toilet. It looked like a blood clot. I cried when I knew it had passed - partly from relief, partly from sadness. I knew it was over."

Source: Andrea Sachs, Abortion Pills on Trial," TIME (Dec. 5, 1994), p. 45.


"Angie," unmarried 20-year-old with two children, Des Moines Planned Parenthood RU 486 trial.

"I started to bleed like menstruation. But nothing really happened until the next day. I was having deep cramping when I went to the bathroom, and it was like turning a water jug upside down. I looked at the fetus and was disgusted. I flushed before I got sick to my stomach."

Source: Andrea Sachs, "Abortion Pills on Trial," TIME (Dec. 5, 1994). P. 46.


"Aimee," 17-year-old American who had a RU 486 abortion in Britain.

"She grimaced. She had never known pain this bad, she said….Taking the RU 486 pill for an abortion was worse than she had expected. ‘I felt like I was dying,’ she said minutes after expelling the tiny sac that contained the one-eighth-inch-long fetus. ‘It hurt so much. I had contractions coming so fast, and I was sick to my stomach and dry heaving. I couldn’t stop trembling and I felt so hot.’"

Source: Nina Darnton, "Surprising Journal for Abortion Drug," New York Times (March 23, 1994), p. B7.


"Katherine Foucault," a 30-year-old television producer, who had a RU 486 abortion in France.

"‘I was awake during the surgical abortion,’ she said. ‘Only local anesthesia was used. I felt some pain – but the next day I was fine. It was over. I forgot about it. "This latest experience with RU 486 was quite different. It didn’t hurt, but I had strong contractions. Waiting to use the bathroom in the clinic, I knew I was bleeding heavily, it wasn’t easy to wait…. "Alone in the bathroom, I pushed hard, very hard, until I felt something pass. I spent a minute looking at it. I wanted to reach out and touch it. It was so small, I thought. In eight months this could have been a baby.

"My boyfriend was with me in the clinic. He said he didn’t want to see it, didn’t want to have the vision in his head. He said to me ‘This will not free you, showing it to me, or make it easier for you.’ So I didn’t. I didn’t cry then, but later, that afternoon, I did. Maybe I hadn’t been careful with contraception because subconsciously I wanted to have a child. More than a child, I wanted to make a family. But seeing this made me realize – you don’t play with life. "Now, I’m on the Pill, and I ended that relationship."

Source: Louise Levathes, Hippocrates (February 1995), pp. 43-44.


"Julie Beale," 21-year-old American, who had a RU 486 abortion in France.

"That was the case with Julie Beale, a 21-year-old American studying in Paris. ‘I was at the clinic about six hours when finally I expelled it. When I looked at it, it had two dark spot like eyes and a little skeleton not quite formed.’

"‘You saw that?’ I asked.

"‘Yes.’

"‘Are you sure? At 49 days, there is only the amnion sac.’

"‘Yes, I think about this often. I haven’t talked about it to anyone. I fell quite empty. If I had expelled this at home, I’m sure I would have kept it. I couldn’t have just flushed it down the toilet. Here, at the clinic, they put a border on your actions. Maybe that’s good."’

Source: Louise Levathes, Hippocrates (February 1995), p. 44


"Fiona," 30-year-old divorced women with two children, had a RU 486 abortion in Great Britain. "When I found out that I was six weeks pregnant, I went to a private clinic to ask about a termination. I had already had one surgical abortion and I was worried about the physical burden of another. I had read all about the abortion pill, and thought this would be a far less traumatic method. It cost about the same - £200. I must say that I hadn’t realized that the pill method would take about four days in all, and that you weren’t given painkillers. The counselor also warned me that not very much was known about side-effects, but it was certainly a safe method.

"I took the first three tablets and then went back to work. I felt very strange. I still felt pregnant, but knew that I was going to lose the baby. The process had started and it was inevitable. I knew I couldn’t change my mind, and not go through the second stage, because the fetus would still be irreparably damaged. But you have so long to reflect on it, and I became quite upset.

"The second stage was pretty awful. About an hour after taking the prostaglandin pessary [the prostaglandin Gemeprost as a vaginal suppository] I began bleeding. Then, during the day, the pain became very strong. It was just like early labor. I remember finally dispelling the fetus, which looked like a sort of white kidney. The nurse told me it was ‘beautifully formed.’ Another pregnant woman expelled her fetus at home and had to bring it in a jam jar.

"You have to be very confident to choose this method. It may be physically more natural, but psychologically it hits you much harder. You preside over the killing of a baby, completely unblinkingly. For women who are confused or vulnerable, and of course, so many are in this position, it is really terrible."

Source: "One Woman’s Experience," London Evening Standard (Dec. 4, 1993).


"Woman A," in her early twenties who obtained a RU 486 abortion in Britain in 1992.

"I used the [RU 486] method twice, once in February and then in May. The first time didn’t seem to affect me at all….

"The second time was awful. I would not want my worst enemy to go through what I had to go through. There was an extreme amount of bleeding from the time I took the tablets to when I had the pessary [prostaglandin vaginal suppository]. The thought that I could have been in a bedsit, for instance, and not had toilets available was too horrible to contemplate. I was wiped out for three or four weeks. I am a very fit person, and for a week I could just about walk to the end of the garden and back….

"The amount of bleeding the second time around was a drawback, but possibly to be expected maybe, I don’t know. I think my body was quite battered after the first time so my resistance was slightly lower the second time."

Source: "The woman’s point of view," Running An Early Medical Abortion Service, Mifepristone [RU 486] in Practice (London: Birth Control Trust, 1994), p. 44


"Woman C," in her early twenties who obtained a RU 486 abortion in Britain in 1992.

"I felt some grumblings of pain and tried to ignore it. It got worse and worse and I took some tablets, but for some reason I had a very severe reaction and felt like I was going into labor. I don’t know what labor is, because I haven’t had any children, but that’s what I would imagine it would be like.

"I had a very difficult time. In the end, because I was writhing around so much they took me down to surgery and I had a surgical abortion. At that point they did tell me that my cervix was dilating and it probably would have gone through. But by that time I was so tense and upset, and not really in control at all, and I think it was quite frightening for most people so they took me down to surgery."

Source: "The woman’s point of view," Running An Early Medical Abortion Service, Mifepristone [RU 486] in Practice (London: Birth Control Trust, 1994), p. 46


"Lillian," age 27, a store clerk, has previous surgical abortion, Brookline, MA Planned Parenthood RU 486 trial.

"‘I felt two or three sharp cramps and then I expelled the pregnancy,’ said Lillian. I felt deeply sand and relieved at the same time. I wanted to take it and bury it. I was grateful that I was able to see it and mourn it.’

"She said she found herself talking aloud to what had been aborted, saying ‘Your timing’s really bad. But I don’t hate you. I’m making this decision with you in mind. I hope you’ll come back to me when I’m ready to love you.’"

Source: Judith Gaines, "Women describe pros, cons of RU 486," Boston Globe (May 8, 1995), P. 8


"Marilyn," unmarried 20 year old, had surgical abortion in October and RU 486 abortion in December in the Des Moines, IA Planned Parenthood trial.

"Marilyn is most bothered by the explicit nature of a medical [chemical] abortion.

"The second time, I saw a lot more – I didn’t like that,’ she says. "I passed (the fetus) during the second visit and I knew when it happened. When I went

through the surgical process, it was over and done in one visit and you don’t see anything. The second time [with RU 486], the process takes three days and you’re always thinking about it. Emotionally, it was a lot harder.

"‘During the entire time, all these thoughts go through your head and it’s much more difficult to deal with.’

"Taking the pills, says Marilyn, was more intrusive and graphic than a surgical abortion. If she were to get pregnant again, she would choose the surgical process."

Source: "The Morning After Pill," Cityview (Des Moines, IA) (March 22, 1995), p. 7Comments by Abortionists and

Abortion Advocates

Edouard Sakiz, then-chairman and CEO of Roussel Uclaf:

"As abortifacient procedures go, RU 486 is not at all easy to use. In fact, it is much more complex to use than the technique of vacuum extraction. True, no anesthetic is required. But a woman who wants to end her pregnancy has to ‘live’ with her abortion for at least a week using this technique. It’s an appalling psychological ordeal."

Source: Interview, "Drug firm defends marketing strategy on abortion pill," Guardian Weekly (United Kingdom) (August 19, 1989), originally published in the French newspaper LeMonde.


Christian Frenpzel, nurse at Broussais abortion facility in France:

"Nurse Frenpzel remembers a day during the 63-day trials when she went to the back of the clinic and saw six surgical dishes with six embryos in them by the sink. ‘It was upsetting,’ she said. ‘It was like looking at a little row of people. The women too were shocked when they looked at what they had expelled.’

"‘Last year we performed more than 200 abortions using RU 486 up to 63 days,’ she said, ‘but I hope I never, never have to do it again.’"

Source: Louise Levathe, Hippocrates (Feb. 1995), p.45.


Dr. Judith Tyson, abortionist, medical director of Planned Parenthood of Northern New England, who is conducting a RU 486 trial:

"We’ve had a few patients who’ve been somewhat shocked at the tissue they passed, at seeing the little bubble there, the sac and placenta," said Dr. Judy Tyson, the medical director of Planned Parenthood of Northern New England, who supervises the Vermont mifepristone [RU 486] trial. "Some women just don’t want to know about it. And while some women have very little pain, most do have a lot of cramping, similar to a miscarriage. And some have heavy bleeding, which can go on for days."

Source: Tamar Lewin, "Clinical Trials Giving Glimpses of Abortion Pill, New York Times (January 30, 1995) p. A1.


Abortionist, RU 486 clinical trial in St. Louis:

"Using this drug requires that the woman take responsibility for what happens," says the doctor who will conduct the local clinical trials. "She is the one who is going to have to swallow the pill. She’s going to be very aware of what it does to her body.

"The woman who uses it is going to bleed and pass tissue," the doctor said. "Not every woman is going to want to experience that. Some will continue to prefer the surgical procedure which shields them from what is happening."

Source: Martha Shirk, "Abortion Pill To Be Tested Here," St. Louis Post-Dispatch (April 7, 1995), p. 10A.

Alexander C. Sanger, president of Planned Parenthood of New York City:

"Not every woman wants it," says Alexander C. Sanger, president of Planned Parenthood of New York City and grandson of Margaret Sanger, the birth control pioneer. "Most young women don’t want the pain and don’t want to be awake."

Source: Katherine Q. Seelye, "Abortion Pill Doesn’t Live Up To Its Hype," Times Union (Albany, NY) (May 22, 1994).


Sandra Waldman, spokesperson for Population Council, sponsor of the U.S. RU 486 trials:

"It’s not simple, and that’s why women are given painkillers," says Sandra Waldman of the Population Council, the New York City-based contraceptive research organization that will conduct clinical trials in a dozen cities with RU 486 this fall.

Source: Katherine Q. Seelye, "Abortion Pill Doesn’t Live Up To Its Hype," Times Union (Albany, NY) (May 22, 1994).


Jill June, president of Planned Parenthood of Greater Iowa, sponsor of a RU 486 trial:

"This [RU 486 abortion technique] requires more of a time commitment than surgery. It’s a lengthy process," says Jill June, the president of Planned Parenthood of Greater Iowa. "And women will be dealing with blood that, in a surgical abortion, only medical professionals would see."

Source: Andrea Sachs, "Abortion Pills on Trial", Time (Dec. 5, 1994), p. 46.


Sally Burgess-Griffin, director of Hope Clinic for Women, Granite City, Illinois, sponsor of RU 486 trial:

"Glasow argues that there is no guarantee a woman will return for the follow-up and could have a deformed baby if the pregnancy continues." Griffin says, "Any drug taken during pregnancy has risks. I have not heard of any cases of (deformed babies born after administration of RU 486)", she said, "but that wouldn’t be surprising to me, frankly."

Source: Teri Maddox, "RU 486, Debate Over Safety, Morality Continues During Hope Clinic Testing", News-Democrat, (Belleville, IL) (August 15, 1995).