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Saturday, November 14, 2026Nov 14

More women turn to abortion pills by mail, with legality uncertain

A Nurse Practitioner works in an office at a Planned Parenthood clinic where she confers via teleconference with patients seeking self-managed abortions as containers of the medication used to end an early pregnancy sits on a table nearby Friday, Oct. 29, 2021, in Fairview Heights, Ill. (AP Photo/Jeff Roberson)
A Nurse Practitioner works in an office at a Planned Parenthood clinic where she confers via teleconference with patients seeking self-managed abortions as containers of the medication used to end an early pregnancy sits on a table nearby Friday, Oct. 29, 2021, in Fairview Heights, Ill. (AP Photo/Jeff Roberson)

TOPEKA, Kan. (AP) – Before her daughter’s birth, she spent weeks in bed. Another difficult pregnancy would be worse as she tried to care for her toddler.

Faced with that possibility, the 28-year-old Texas woman did what a growing number of people have considered: She had a friend in another state mail her the pills she needed to end her pregnancy. She took the pills, went to bed early and describes the experience as “calm” and “peaceful.”

“If people can have births at birthing centers or in their own homes, why shouldn’t people be able to have abortions in their own homes?” said the woman, who spoke on the condition of anonymity because she worries about legal reprisals as Texas moves to join several other states in disallowing mail delivery of abortion medications. “It’s a comfort thing.”

The COVID-19 pandemic and Texas’ near-ban on abortion fueled increased interest in obtaining abortion medications by mail. But with the legality in doubt in several states, some people looking to get around restrictions may not see it as worth the risk. The matter is taking on new urgency with the Supreme Court set to hear arguments next month in Mississippi’s bid to erode the Roe v. Wade decision guaranteeing the right to an abortion.

Some abortion-rights advocates worry that whatever state officials and anti-abortion groups promise, people ending their pregnancies at home will face criminal prosecutions.