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- From: odin@netlink.cts.com (Hank Roth)
- Newsgroups: misc.activism.progressive
- Subject: RU486: Facts from Planned Parenthood
- Message-ID: <1992Nov21.065257.21004@mont.cs.missouri.edu>
- Date: 21 Nov 92 06:52:57 GMT
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- QUESTIONS & ANSWERS ABOUT RU 486
- FACTS from Planned Parenthood of New York City
- 380 Second Avenue, New York, Ny 10010 212-777-2002
-
-
- WHAT IS RU 486?
-
- A synthetic drug developed by the French pharmaceutical company
- Groupe Roussel-Uclaf. It is called a "progesterone antagonist"
- because it blocks the activity of progesterone, one of the
- principal sex hormones in women. By doing so, it can, among other
- things, prevent a fertilized egg from implanting in the walls of
- the uterus. When a woman takes RU 486 early in pregnancy, the
- uterine lining breaks down, bringing on menstruation. The
- pregnancy is aborted without surgery.
-
- HAS IT BEEN TESTED?
-
- Since 1982, thousands of women in twenty countries -- 34,000 in
- France alone -- have participated in clinical trials using RU 486
- to end unwanted pregnancy. In the US, research on RU 486 as an
- abortifacient has been supported solely though private funds
- raised by the Population Council. But through the Center for
- Population Research at the National Institute of Child Health and
- Human Development, the US government has funded research on other
- uses of RU 486 -- as a contraceptive, as a treatment for such
- medical conditions as breast cancer and glaucoma, and as a tool
- to study causes of infertility. All these uses also look
- promising.
-
- HOW EFFECTIVE IS IT IN TERMINATING PREGNANCY?
-
- Used by itself, RU 486 is about 85% effective in the first two or
- three weeks after a missed menstrual period. Its effectiveness
- drops sharply after the seventh week of pregnancy, and the drug
- is virtually ineffective after the eighth week. When RU 486 is
- given along with a small dose of prostaglandin, the combination
- has been about 95% effective. Prostaglandin causes uterine
- contractions that can bring on abortion, but high doses are
- needed for it to work alone, and this results in unacceptable
- side effects. When prostaglandin is combined with RU 486, RU 486
- sensitizes the uterus so that only a small dose of prostaglandin
- is needed to produce contractions.
-
- HOW SAFE IS IT?
-
- The only side effects reported by some women participating in
- the clinical trials of RU 486 as an abortifacient were similar to
- those of a spontaneous miscarriage -- some bleeding, a little
- nausea, fatigue, uterine contractions. In an NIH study in which
- lower doses of RU 486 were given, the women reported no side
- effects at all. RU 486 may, in fact, be safer than surgical
- abortion, since it is a noninvasive procedure and does not
- require anesthesia. The implications are most dramatic for
- developing nations, where sanitary conditions for performing
- abortion are often not optimal. An estimated 150,000 deaths occur
- worldwide each year from botched abortions, according to The New
- York Times.
-
- WHAT'S HOLDING UP RESEARCH ON RU 486 IN THE UNISTED STATES?
-
- In the US today, most pharmaceutical firms have given up on
- research and development of new contraceptives. Daunted by the
- time and money required to bring a drug to market (an average of
- seven to ten years and an estimated $70 million per drug) and
- concerned about product liability litigation and liability
- insurance costs, they have held back. The anti-abortion movement
- has contributed to this climate by attempting to block sales of
- RU 486, calling for pickets, boycotts, and demonstrations against
- any company willing to bring it to market.
-
- On October 26, 1988 Roussel-Uclaf, the sole manufacturer of the
- drug and holder of the patent, took the unprecedented action of
- suspending distribution of RU 486, citing protests by anti-
- abortion groups in the US, France, and West Germany. Two days
- later, the French Minister of Health, Claude Evin, ordered the
- company to resume distribution of RU 486 in the interests of
- public health. Said Evin: "From the moment government approval
- for the drug was granted, RU486 became the moral property of
- women, not just the property of the drug company." The news of
- Evin's action was greeted by a burst of applause from hundreds of
- doctors from all over the world who were gathered at that moment
- for the World Congress of Gynecology and Obstetrics in Rio de
- Janeiro.
-
- In the US, the one remaining source for major funding of research
- and development of a drug like RU 486 is the federal government.
- Unfortunately, the federal government now spends less on
- contraceptive research in a single year than the Defense
- Department spends in 15 minutes. Although right-to-lifers claim
- otherwise, there are at present no restrictions on funding for
- research on drugs that prevent implantation of a fertilized egg
- or that induce abortion. Nevertheless Hyde and Hyde-like
- restrictions have had a chilling effect on such research at NIH.
-
- WHAT IF A BLACK MARKET DEVELOPS?
-
- RU 486 has the capacity to give women tremendous freedom and ease
- in controlling their reproductive lives. Now that the drug is
- available in other countries, there is concern that demand for
- the drug could create a black market. This would be tragic, since
- medically unsupervised use could be harmful.
-
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