±«Óătv the author:Ěý is a PhD candidate in Nursing at ±«Óătv University.
This federal election season, abortion is undeniably a campaign issue, with media coverage routinely suggesting abortion rights are tenuous or up for debate.
Conservative Leader while insisting that .” This does, however, leave the door open for individual MPs to put forward .
At an NDP town hall on health care in Halifax, NDP Leader ” and vowed to enforce the Canada Health Act to improve it.
Green Party Leader Elizabeth May continues to argue that a while candidates in the party . Justin Trudeau, leader of the Liberal Party, is
As a registered nurse who provides abortion care, and as a researcher of abortion access, I worry these news stories create confusion about the reality and legality of access in Canada. Furthermore, seeps north and clouds understanding of our needs and concerns.
The medical abortion pill
In Canada, abortion is and protected by to security of the person and protection from sex and gender discrimination.
It is a health service governed by the . Abortion is common. There are around annually in Canada and will in their lifetime.
Abortion is safe for patients, and providing it. The vast majority of procedures take place in the first trimester. Abortion is publicly insured and in the majority of cases is free for the patient.
In 2015, , the medical abortion pill. It has been available since 2017 and is effective for use up to nine weeks gestation. Mifegymiso is also publicly insured by all the provinces and territories.
Mifegymiso actually comprises two medications: mifepristone and misoprostol, taken over the course of 24 hours. A week after taking Mifegymiso, patients repeat their blood work. A large decrease in the pregnancy hormone beta HCG confirms a successful pregnancy termination.
Just as some spontaneous miscarriages may need further care, in a small portion of cases, a a medical abortion. Although providers are not required to take specialized training to prescribe Mifegymiso, .
Lack of ultrasound availability should also not be a barrier, although ultrasound remains valuable for dating a pregnancy and to rule out .
Persistent inequities across Canada
The greatest practical barrier to abortion in Canada is geographic: there are too few providers living in too few places. here have found most live in large urban centres.
The introduction of Mifegymiso could change this. All physicians and nurse practitioners could prescribe Mifegymiso (there are ). In theory, every primary care office in the country could be providing this care. This means abortion is potentially more accessible in Canada than in any other country in the world.
But for now, there is stigma and misinformation to contend with. A few persistent inequities complicate matters, making the access landscape seem unintelligible or mystical. For example, in a clinic outside of hospital. Ontario will not pay for Mifegymiso if you are living outside the province or if you are a non-Ontario resident. Québec will not allow nurse practitioners to prescribe Mifegymiso.
Unlike , in Canada, nurse practitioners can carry out medical abortion, but not surgical.
Public education is critical
We need to and focus on achieving clarity, and universality. The .
Aligning irregular policies across Canada is the first obvious step. The next is simplifying the path to access by enhancing self-referral processes and reducing wait times for primary care and ultrasound. Expanding the scope of practice of nurse practitioners and midwives to provide both surgical and medical abortion could boost the number of providers.
Most important, however, is increasing factual education about abortion. The public need to know what abortion is and how to get one. Health-care students and professionals need to learn how to include abortion in their practice and how to swiftly and easily refer a patient to the care they need.
Finally, abortion needs to be understood as critical but inadequate for reproductive health. Menstrual health, consent, contraception, trans health services and reproductive mental health all need to make it onto the news, the party platforms and the agenda for our next government.
which features includes relevant and informed articles written by researchers and academics in their areas of expertise and edited by experienced journalists.
±«Óătv University is a founding partner of The Conversation Canada, an online media outlet providing independent, high-quality explanatory journalism. Originally established in Australia in 2011, it has had more than 85 commissioning editors and 30,000-plus academics register as contributors. A full list of articles written by ±«Óătv academics can be found onĚý