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Category Archives: Abortion

Abortion on demand and without apology

Pro-choicers: does the above sound familiar? If it doesn’t, you need to learn your fucking history. This was a slogan of the women’s liberation movement of the 1960s and 1970s, a movement that succeeded in greatly broadening access to abortion for women in the US and UK.

Sadly, it seems that the legacy of these older feminists’ activism has indeed been forgotten in Ireland. These days, when you hear a pro-choice activist speak the words “abortion on demand”, most of the time it’s for the purpose of denying that this is our objective at all. Even worse, the slogan has been actively disparaged by the Irish pro-choice movement as if it was a slur dreamed up by the Iona press office, with people who really ought to know better describing it as an “awful” phrase, as “stupid”, as “nonsense”.

To which I have to ask: if we aren’t fighting for abortion on demand, what is our fight all about?

The meaning of “on demand” isn’t particularly complicated or controversial, at least in any other context. The Oxford definition is “as soon as or whenever required“. Cambridge Dictionary has it as “at any time that someone wants or needs something“. Collins states “as soon as requested“.  Other dictionaries may use slightly different wording, but they’re all expressing one or both of two simple concepts: unconditional access, and access without delay.

This is, of course, precisely what abortion rights campaigners are seeking – and contrary to what some have suggested, it’s also precisely what is meant by those who say they don’t support “abortion on demand”. They mean they want to preserve a system in which women must get permission before being allowed an abortion, if indeed we’re allowed at all. They don’t object to abortion on demand because they think it will mean abortion hen parties; they object because they think access should be controlled and limited to what they consider “deserving” cases.

Some pro-choice objections to the slogan seem to think it conjures images of women doing a Veruca Salt outside the abortion clinic. This is simply confusing different meanings of the word “demand”. Demand for abortion no more implies demanding abortions than “the demand for” anything else necessarily implies people pounding their fists until they get it. It’s a little icky to conceptualise abortion as an economic service, but technically it is – prior to the 14th Amendment, this was a key element of the fight for the right to distribute abortion information – and in that respect it’s subject to “demand” in the same way as any other good or service. NBD, again.

The other argument I hear against the phrase is that it would have negative connotations (the hen party abortions) with that fence-sitting public we’re trying to win over. Well, sorry, but who was it that allowed those connotations to develop, if not a pro-choice movement constantly responding to the phrase by insisting that oh heavens no we’re not calling for something called abortion on demand?

To be clear (let’s see how many people miss this point), I’m not suggesting that the Repeal campaign should adopt “abortion on demand” as a slogan. A slogan is a tactic, not a principle, and as long as we’re campaigning for what abortion on demand actually is I don’t really care what we call it. But there’s a difference between not adopting a slogan, and the kind of defensive disassociation from it that the Repeal movement has engaged in. Not alone is the latter grossly ahistorical, and disrespectful to the women who went before us; it also puts us on the back foot while diverting from a real discussion about abortion accessibility in a post-repeal Ireland.

Let’s try this. Instead of going all defensive every time we hear the slogan, what if we use it as an opportunity to make our argument for unconditional access? To challenge those who wield it as a weapon to declare which women they would exclude from the right to abortion, what measures they would put in place to filter out the “undeserving” cases, how they would enforce those measures and any violation of them? This would be a far more constructive response, and would also have the advantage of not handing them a microvictory by shifting into denial mode every time they say it.

But if you must continue to object to the phrase, for god’s sake do it in a way that doesn’t insult the legacy of past generations of activists. Their struggle for abortion on demand was not awful or stupid or nonsense. It paved the way for where we are today – on the cusp of liberalising one of the Global North’s last black spots for reproductive rights – and though we need not follow their exact footsteps, we owe them at least the courtesy of acknowledging the path they took.

 

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#coponcomrades Revisited: The IT Women’s Podcast

Feminist Ire’s Stephanie Lord and Sinéad Redmond, along with Niamh McDonald and her son Tom, join Kathy Sheridan to discuss the origins of Cop On Comrades, how men can support the feminist struggle, and activism in the social media age.

Pregnant Child Detained in Mental Institution For Asking For An Abortion

To access a life saving abortion in Ireland requires 3 medical professionals (two psychiatrists and one obstetrician) to agree that the woman is at risk of taking her own life. As the recent case of a young girl  shows it only takes one psychiatrist however to get sectioned for wanting an abortion in Ireland.

The girl was legally classed as a child and her identity has understandably been withheld so we know nothing more about her other than that she had an unwanted pregnancy and that when she sought an abortion from her healthcare professionals she was of the understanding that she was being taken to Dublin for the procedure. However unbeknownst to her the consultant psychiatrist had given evidence at a hearing to detain her under the Mental Health Act.

“The consultant psychiatrist was of the opinion that while the child was at risk of self harm and suicide as a result of the pregnancy, this could be managed by treatment and that termination of the pregnancy was not the solution for all of the child’s problems at that stage.”

How frightening it must have been for her to find herself in a mental hospital after travelling to Dublin expecting an abortion. We are told it was “days” later that another hearing was held that resulted in her discharge from the mental hospital. During this time her court-appointed guardian ad litem (GAL) had employed another consultant psychiatrist to access her and on the basis of their evidence the girl was released from the institution. She spent unnecessary “days” in a mental institution for the “crime” of nothing more than wanting an abortion.

I’ve heard numerous reports of suicidal people trying to access mental health units in Irish hospitals who have been sent away. In future I’ll suggest to those of them who are capable of getting pregnant to say they’re pregnant and want an abortion, as that seems to be a sure way to get sectioned.

This case raises a number of questions. How is it that it only took one psychiatrist to have the girl sectioned? Why was the PLDP act not enacted for this pregnant, suicidal child? How can the public be assured that the personal beliefs of medical professionals won’t interfere with them being able to access the healthcare they need? Did Government Ministers know of the case at the time?

Abortion Rights Campaign (ARC) spokesperson Linda Kavanagh said:

“Looking at the report, it’s hard not to think that the psychiatrist in this case essentially used the Mental Health Act as a tool to force a child into continuing an unwanted pregnancy because of their own personal beliefs. It is clear we need some process which ensures medical professionals with such conscientious objections cannot block timely health care in critical cases.”

This is the latest case in a long line of women and girls who have been failed by the state. Ms X was another suicidal child prevented from accessing an abortion in 1992 and Ms Y a teenage rape victim likewise led to believe she would be given an abortion and instead detained against her will. Ireland has a disgraceful history stretching back to the Magdalene Laundries of locking up pregnant women.

The Protection of Life During Pregnancy Act is supposed to “protect” women who are at risk of taking their own lives, not used as a tool to lock women who want abortions up.

The Irish Government are allowing this human rights abuse to happen on their watch, leaving a trail of abused and sometimes dead women, girls and children behind them.

Rally to Repeal is on Saturday 17th in Dublin. If you can’t go please contact your local T.Ds and ask them to urgently implement the findings of the Citizens Assembly.

You can sign an UPLIFT petition here:https://action.uplift.ie/campaigns/187

*I’d like to acknowledge the work of the Child Law Project. We would know nothing of this case if it wasn’t for their work. Since 2012 they have been able to report to the public on child care proceedings in the courts, they aim to report on 10% of cases.

Laying the groundwork with young children to talk to them about choice

I’m sharing this for any other parents of younger children who might find it useful. My 4 year old is OBSESSED with pregnancy at the moment, has been for a good while. Discussions on how to talk to your children about abortion come up a lot in Parents for Choice.  I haven’t done that in detail yet with her though I have mentioned once or twice that sometimes people don’t want to stay pregnant.

Photo 2 pages of a children's book called What Makes a Baby, one page is the cover and the other is an inside spread illustration of embryo and foetal development at different stages.

What Makes a Baby children’s book

BUT what I am doing is being very careful in the language I use about pregnancy. I don’t tell her people have “a baby in their tummy”, we talk about people having baby seeds that are growing into babies. When they’ve finished growing into a baby they’re ready to be born. This book is great for a basic explanation of conception that suits all kinds of families (definitely not the case for the vast majority of pregnancy books which are obsessed with married straight white couples) but where it falls down for me is talking about a 5 week embryo as a baby, so I do some editorial reading with Ailbhe and talk about these as baby seeds until the 38 week one which is a baby. It works really well and makes sense to her, we’re growing a sunflower from a seed in our windowsill at the moment. She demanded her daddy read it to her the other day while I was at work and informed him they were all baby seeds up until the 38 week one!

I’m doing this because I don’t want to be trying to explain to a seven year old who’s asking me questions about abortion that actually a 7 week embryo or whatever it is isn’t actually a baby in someone’s tummy as I’ve been telling her all along and so that it won’t strike her as something as immediately shocking as I think it otherwise might. I’m posting in case it might help others in the same situation.

Sinn Féin and abortion: time to choose a side

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Note: most of this was written on an iPad Mini on an airplane, so please excuse lack of hyperlinks and fadas.

 

It is more than a decade ago, and Dublin Sinn Féin are holding a full members’ meeting to discuss party development. Gerry Adams has travelled from Belfast to address the meeting. After he speaks, the members are invited to share their views on what could be done to increase party membership in the capital. A young North Inner City activist puts up her hand, nervously, and somehow finds the courage to say that the party has got to get its head around the abortion issue, or at some point it will find itself alienating the very demographic it wants to attract: passionate young people seeking fundamental change in society.

Gerry Adams replies that he disagrees, and that he doesn’t think this is a problem Sinn Féin needs to concern itself with. After all, he says, we have the most progressive abortion policy of any party in Ireland. And the young activist doesn’t argue, because the fact is, he’s right – at this point in time, Sinn Féin’s “exceptional circumstances only” policy actually is as good as it gets in Irish politics. Labour’s, believe it or not, is even worse. Oh, sure, there are genuinely pro-choice parties amongst the far left, but the far left aren’t really a factor right now; only the Socialist Party have a seat in the Dáil and their lone TD, Joe Higgins, hasn’t even mentioned abortion as far as anyone can remember. (In the 2007 election, Higgins will lose his seat and Ireland will be left without a single pro-choice party in its parliament.) The Workers’ Party have no TDs anymore and anyway, with a North Inner City representative linked to Youth Defence, they have problems of their own on the issue. And the subject itself is still so taboo in Irish society, there isn’t even really much debate about it; realistically, no one hopes to see more than legislation for the X case any time soon. So while Sinn Féin may be rather transparently trying to play both sides, the truth is, their fence-sitting policy is probably costing them more votes from the “never, never, never” crowd.

It’s now 2017, and how things have changed! That young activist – me, if you hadn’t guessed – is now politically unaligned (and needless to say, not so young anymore). Labour are now officially pro-choice, as are the Workers Party (who still have no TDs, but are far more active in Dublin these days). The Socialist Party are now Solidarity, and hold two Dail seats; People Before Profit and the Independents for Change are also giving pro-choice voters a strong parliamentary voice. You can’t throw a rock in Dublin city centre without hitting someone in a Repeal jumper; and though no one thinks the Dail will accept the Citizens Assembly recommendation for no restrictions on abortion in the first 12 weeks of pregnancy, even the fact that 100 randomly selected Irish people could come up with that recommendation is a sign of how far Ireland has moved.

Sinn Fein, however, are still rooted to the same position they were over a decade ago, and in fact two or three decades ago: calling for abortion to remain generally illegal with exceptions. So anachronistic does this now sound that when their spokesperson Louise O’Reilly responded to the Citizens Assembly vote by reiterating party policy, her statement was met by disbelief and anger among pro-choice supporters all over social media – many of whom had misinterpreted Sinn Fein’s call for repeal as a call for meaningful change. (And no, any change won’t be meaningful if it still leaves more than 90% of abortions illegal, and forces those women entitled to a legal abortion to either prove it, or just keep going to England like they always have.)

Now in fairness the party can’t just change policies on a whim; the exceptional circumstances policy must remain until an Ard Fheis votes to overturn it. Critics and cynics are right that the party leadership can usually get such a vote when they want one but that formality is, nonetheless, constitutionally required. And party spokespersons are constitutionally bound to adhere to that policy whether or not they personally agree with it (and I’m inclined to suspect Louise O’Reilly doesn’t, though I’ve never met her). [ETA: Judging by her Twitter response to this article, it seems I was far too generous to her. Well, at least now we know.]

But it does mean the party has a serious decision to make. And it can’t just keep doing what it did all the years I was involved, and respond to every attempt to change party policy at an Ard Fheis by trotting out a female Ard Chomhairle member with impeccable feminist credentials to persuade delegates that party unity would be best preserved by retaining its middle-of-the-road position. Because frankly, it no longer is a middle-of-the-road position. The hardline, no-repeal, no-exceptions stance that formerly represented the conservative side of the debate has now been relegated to the outer fringes where it belongs (just like in the US where, you might recall, Republican candidates supporting Irish style abortion laws were condemned as extremists even by other anti-choice Republicans). It’s no longer a question of will there be a referendum but when, and the real issue that remains is how restrictive – or how liberal – the replacement regime will be. If Sinn Féin sticks to their current policy they will find themselves on the right of this debate along with Fianna Fáil and Fine Gael and you can bet that they will struggle to convince today’s young activists to join them.

Of course, there are many people in Ireland – and not just among the far left – who think that that’s exactly where Sinn Fein belong, exactly where they always intended to be. Fianna Fáil light, just waiting to go into coalition and shed all their remaining leftist pretences. I can’t speak for the leadership, but I can certainly say that is not where the activists who I called comrades wanted to see them. I have no doubt that those who remain in the party are saying the same things internally that I’m saying here – and hopefully this time, the leadership will listen. Because the excuse I was given all those years ago just doesn’t cut it anymore, and I don’t think there’s an excuse that will. Ireland has changed, abortion politics have changed and it’s simply no longer credible for a party to present itself as a radical or even merely progressive alternative to the establishment parties, while siding with the most conservative of those parties on an issue of such fundamental importance to young people today. My prediction at that meeting may have been a bit premature, but tiocfaidh an lá. Sinn Féin cannot sit on the fence anymore because there is no fence anymore. The fence is gone, and they will have to choose one side or the other.

Over to you, comrades.

How to have an abortion when you’re in Ireland

(A Rough Guide to Ireland – Part 1)

So you’re pregnant and you don’t want to be. What next? First things first – commiserations on finding yourself in this situation. It’s shit and it might get a bit worse before it gets better, but there are people out there who are rooting for you and hopefully you find the information in here a little bit useful. This is basically a step by step guide to getting through this situation.

positive test

Are you definitely definitely definitely pregnant?

Take a test. You can buy them in every pharmacy and they cost between €10/€20. Sometimes they sell them really cheap in Dealz and sometimes other pound shops for around €1.50/€2. If you’re embarrassed about buying it or worried someone might see you, consider asking a trusted friend to go and buy it for you. If you’re worried about what the shop assistant might think, just try and look excited. The chances are the sales assistant is selling these every day and will not pay any heed to you anyway. If you’re not sure about the home test you took, the IFPA carry out testing for €20 but it’s free if you have a medical card. Cura and Sexual Health Centre in Cork offer free pregnancy testing. Having an early scan so you can figure out how far along you are might be useful if you aren’t sure. You can get a free scan at FemPlus in Dublin and there are places around the country offering scans at a variety of locations with an average cost of around €100. The Abortion Support Network can tell you where the best place to go for a scan is.  A scan will also confirm that the pregnancy isn’t ectopic. If you can’t get to a scan or afford a scan the most important thing when determining how far along you are is that you need to be counting from the first day of your last menstrual period, not from when you had sex.

Marie Stopes Reproductive Choices will provide you with a consultation and a scan but where they will charge €110 (or €90 for a phone consultation). It’s important to note that Marie Stopes’ clinics in Britain absolutely will not perform a procedure if you do not have the correct payment for it.

Decide if counselling is for you

Perhaps you’ve made a decision not to continue your pregnancy, or maybe you feel you want to chat confidentially about that decision with someone else. Here are a list of clinics that are legit crisis pregnancy clinics. The IFPA section about their counselling service has some useful links and shows the locations where they provide services around Ireland. When you go to these counselling services in those links, the counsellor is legally obliged to tell you about your options including parenting and adoption. Remember, whether or not you continue your pregnancy is your choice, and you need to do what’s right for you.  

Be aware that there are other unethical “crisis pregnancy” services out there that are designed not to assist women but to push their anti-choice agenda.

You might not want to go to counselling, but bear in mind that it’s free and if you go to counselling with either Irish/ Northern Irish FPA, Well Woman, Femplus Clinics, One Family, Cork Sexual Health or here2help, and subsequently attend BPAS for a termination, you won’t have to pay the €80/€90 counselling fee that BPAS charge. A letter from the IFPA to say you attended counselling will waive the counselling fee charged at *any* English clinic.

There are lots of women who make their decision the second they find out they’re pregnant. There are lots who take some time to decide on their own. There are others who go to counselling. Do what works for you – but as soon as you make your decision to have an abortion, start the ball rolling on making the appointment.

So you’ve made a decision to have an abortion, what now?

How you proceed in accessing an abortion from here on, really depends on how much access to money you have. If you have money you can travel overseas to access termination services, and I’ll go into the logistics of this later. If you don’t have money to travel, there are still options.

The Abortion Support Network are an organisation that offer practical, non-judgemental information and advice, financial help and, when needed, accommodation in volunteer homes. They provide guidance on what is the cheapest way for you to have your abortion, and which clinics will be the best choice for you. Ring them before you make any appointment and travel plans. If it is a particularly busy time of year for UK clinics it may be cheaper and quicker for you to travel to the Netherlands or Brussels for your treatment (although you will definitely need a passport to travel there from Ireland). ASN has a network of volunteers in UK cities that will provide accommodation and meals for those who need or want to stay overnight – most women are able to travel in and out in one day.

The Abortion Pill

Abortion is illegal in almost all cases here so many women who don’t have the money to travel (or it simply is not an option for them because of their immigration status or relationship status or age or childcare arrangements) will illegally order the abortion pill from Women Help Women. The abortion pill is a safe medicine.

Some women in the 26 Counties have found that when they ordered this online that it was confiscated by Customs but to our knowledge, nobody has been prosecuted for attempting to receive pills online. In the 6 Counties however, there have been prosecutions for attempting to procure a miscarriage (there are criminal penalties for this in both jurisdictions). There are difficulties in ordering online, but it isn’t impossible. The medication is usually supplied in exchange for an €80 donation. Need Abortion Ireland help women access medications from Women Help Women.

Women on Web are another organisation that can sometimes deliver to Ireland. The organisation ROSA have twice partnered with Women on Web to drive a bus around Ireland to do consultations for pills and then the pills will be posted to you a few days later. This is worth noting if you’re using resources to travel to a place where the bus is going to be because they will take around 3 days to get them to you. It may be quicker to just order them online in many cases as Women Help Women take around 5 days delivery. Both Women Help Women and Women on Web are reputable providers of early medical abortion pill. However we understand that Women Help Women is faster to respond to client emails. There is another reputable provider of pills, called Safe2Choose, but they are not currently sending pills to the Republic of Ireland.

Both Women Help Women and Women on Web will ask you for a Northern Irish address in addition to your home address, or the address of the place you will be receiving the pills. If you do not have a friend in Northern Ireland, fill out the medical consultation and WHW or WOW will follow up with you.

Please do not attempt an abortion with any other remedy, herbal or otherwise, as you could inflict serious injury on yourself. While Women on Web and Women Help Women are trusted providers of the abortion pill, there is always a risk when buying medicine online when it comes from a source that isn’t trusted. 

A safe place to have your abortion

Once you’ve got your pills, you’ll need a safe space to take them. Most people will do that at home but for some that won’t be an option so they might go to a trusted friend’s house. Need Abortion Ireland’s site provides useful advice and self-care tips for when you’re having your abortion. They also provide care packages and a text message support service 089 490 2517 available 6pm – 9pm, 7 days a week. You can email them at info@needabortionireland.org The British Pregnancy Advisory Service (BPAS) also provide a hotline for those living in Ireland with medical questions/concerns about medical abortion pills. BPAS can be reached at 1800 910 049 (ROI) and 0800 077 6049 (NI). Here are some tips on what to do if you think you’re in an emergency medical situation.

Increasingly, there appears to be a clampdown in the North on women taking the abortion pill, and a tendency towards prosecutions. Two prosecutions have been brought because someone touted on their housemate, and another two were reported by doctors. You are legally allowed to travel (if your immigration status is regularised) so telling your doctor you’re pregnant, or having them perform a pregnancy test should not be an issue. You do not have to tell them that you intend to have an abortion.

The Money

Figuring out how to pay for it, whether it’s the €80 donation for Women Help Women or €450 to a clinic and another €300 for flights, can be the most traumatic aspect of this experience for many women. If you are purchasing pills from Women Help Women or Women on Web and do not have the full requested donation, they may be willing to accept a smaller donation amount. If you’re later on in the pregnancy, or decide to travel to England, your procedure will cost more. The Abortion Support Network can help you with this but you may not wish to ask for that assistance. If you’re low on phone credit, you can request a call-back from the abortion clinics. Here is a list of clinics.

Many women take loans from their local Credit Union to fund their abortion. Generally speaking, they will let you borrow twice what you have in savings if a guarantor will sign for it. If you don’t have someone who can act as guarantor, you may need to get a student loan in a bank, or check if you can activate an overdraft facility on your account. Each credit union has different rules so it’s best to ask the branch you’re a member of. If you are in receipt of a social welfare payment you might be eligible to join and borrow from your local credit union through the Personal Microfinance Scheme. This was a government scheme introduced to try and stop people going to illegal money lenders. Try to avoid going to the illegal moneylenders at all costs. You could also go to the Community Welfare Officer to ask for an emergency payment. Keep in mind though that you will need to provide a reason why you need this payment, and if you say it is for a washing machine there is a chance you will need to either provide proof you purchased a washing machine or an inspector may call to check your purchase. You could take a chance and tell the CWO why you need the payment as they have a wide range of discretion but you do run the risk of going to a CWO who is antichoice and won’t give you the payment.

Other women have sold items on ebay to fund their terminations, or borrowed smaller amounts from various siblings or friends. You might have some coins in an old jar that you can put towards it. Maybe you have a fiver in an old coat. Or a €20 left in an old Post Office account. Withdraw it. Depending on your circumstances and ability to travel, you could be looking at paying anything between €450 and €2,500 to travel overseas to have a termination. Remember that the Abortion Support Network can give advice on the least expensive way to arrange your abortion and travel in addition to providing financial assistance to those who can’t afford to travel.

The medical abortion (abortion pill) costs less if you’re ordering it online, around €80, but you can only do this up to 10 weeks gestation. Surgical abortions will cost more but it will be cheaper if you do it without anaesthetic. Abortion is available in Britain on a broad range of grounds up until 24 weeks gestation. After 24 weeks, abortion is only permitted in Britain to save a woman’s life or prevent serious permanent harm to her physical and mental health; or where a child is likely to be born with a serious physical or mental disability. The later the gestation, the more expensive the procedure. Irish women usually have later abortions because it takes them longer to get the money together to travel.

If you’re reading this and not pregnant, start putting money away in a rainy day fund now. Open a credit union account if you can.

bpas

BPAS price list for those travelling from Ireland – April 2017

plane

Travelling for your abortion

Skyscanner is useful for checking for the cheapest flights. Make sure you liaise with your clinic first so that they have an appointment time available to suit you and with ASN beforehand if you’re getting financial assistance. If you have any serious medical conditions or are later along or have a particularly high BMI, that clinic may not be able to perform the exact procedure and may need you to go to a different clinic, so make sure you’re giving them accurate information so that you can have your procedure the day you travel. Also, book your appointment before your flights because it will be easier for them to adjust your appointment time if necessary than it will be for you to change your flights if needed.

If you fly over, you will need a passport for Ryanair so budget for that. Aer Lingus will take a number of different photo id’s including a work id with your photo on, a student id or a social welfare id if you’re travelling to Britain. If you can’t get an appointment in the UK and are travelling with Aer Lingus or another airline to somewhere else in Europe, you will need a passport. You can apply for a passport here and it costs €80.

Once you get there, if you’re travelling to a BPAS clinic, they have an excellent series of PDFs that show you the transport links to clinics from the airport nearest you. NUPAS also have a free courtesy taxi service. If you’re travelling to a Marie Stopes clinic, they have a free taxi pick up service for their clients coming from Ireland. When you make your appointment, the clinic will give you directions on how to get there via public transport anyway.  

 Outside the clinic

When you get to the clinic, there may be protesters outside. Protesters tend to stay at larger clinics but they aren’t allowed on premises so if there’s a car park outside and you arrive by taxi, you won’t have to deal with that. This can be distressing for women but this link provides useful information. Just remember, you aren’t doing anything wrong. Don’t engage with them. Just keep walking. If you’re very concerned about it, call the clinic and explain this to them and someone will escort you in.

Inside the abortion clinic

When you get inside, don’t be alarmed by the fact there are other Irish women there. They are all there for the same reason as you. You will never see them again.

Information on the abortion treatment and procedures is available here.

The length of time you’ll be at the clinic depends on the type of procedure you’re having but it will be anything from 3 hours to an overnight stay. For example, if you’re having a surgical abortion up to 14 weeks it takes around 15 minutes with an hour of recovery time. If you’re having the abortion pill and you’re under 9 weeks you can take both tablets in one go, but over 9 weeks and you’ll have to take one tablet and then come back in 1-3 days (this is why having an accurate knowledge of gestation is so important), and of course staying longer will increase the cost of your stay in Britain. 10-14 women travel to Britain every day from Ireland for abortions and most of these go over and back on the same day.

Consider when you’re paying if you want to do it by cash or debit card. Most clinics won’t have the name of the clinic show up on the card but you can check with them in advance in case you’re concerned. Depending on the exchange rate that day, it could be cheaper for you to pay in cash with sterling.

If you need accommodation, the clinic you attend can probably send a list of reasonably priced B&Bs if you ask them. If you can’t afford accommodation, contact Abortion Support Network. Abortion Support Network do not provide accommodation for women having Early Medical Abortions.

If you need to account for being away for a day or two, you can say you were just going on holiday or that you had a job interview. Try to keep things simple. Remember that there is no shame in your abortion, you have done nothing wrong – regardless of whether you choose to tell people or not. If you would usually bring your Aunty Pat a fridge magnet from your holiday, and you’ve told her you’ve gone on holiday, try and do the same this time.

Travelling for abortion after 24 weeks 

If you need an abortion after 24 weeks because of a serious foetal condition, you may have to go to a specialist clinic for this. There are a few hospitals England that will provide the necessary treatment but you may have to wait a few weeks for an appointment. Depending on the stage of pregnancy and your medical requirements, the procedure may differ so it is best to speak directly to the hospital about the costs. In some late term abortions, the procedure is that the foetal heart is stopped and then the foetus is subsequently delivered. What some women have found in Ireland is that it costs around €1,500 for the first part and another €1,500 for the delivery so they opt to travel the first part done in Britain, and then return home to deliver the foetus in an Irish hospital where they have the support of their family. This also removes the cost of transporting foetal remains home to Ireland for burial. Some women simply prefer this option. Please do not be alarmed by these figures. Liverpool Women’s charges around £1634 for the whole procedure including the stay at hospital with your partner and it really depends on your particular needs.

If your pregnancy has been diagnosed with a fatal foetal anomaly, you are not alone. You can contact AnteNatal Results and Choices (ARC), a UK charity helping people understand their diagnosis and providing information. You can also contact Termination For Medical Reasons, a group in the Republic of Ireland made of women and couples who have made the trip to England to terminate pregnancies for medical reasons. They have a support group called Leanbh Mo Chroi – 086 3745474 or leanbhmochroi@gmail.com.

If you are in care….

If you are in residential or foster care, you have the right to travel to access abortion services. Contact your social worker to make these arrangements for you. Be aware, that in many cases where young people in care have attempted to seek abortions overseas, they have had to go through psychiatric assessments with the HSE and there have been court hearings.

If you need a visa to travel…..

If you are an asylum seeker, there is provision for you to get travel documents to access abortion overseas but it is an arduous process. You solicitor can also seek funds from the HSE via court order to assist you with the cost of travelling.  You can contact the IFPA for more information on getting the assistance to travel from the HSE. As outlined here, you will need two visas, one to leave Ireland and one to make sure you get back in. If English is not your first language, let them know when you are booking your appointment, in many cases, a translator can be provided.

If you are a migrant or a refugee the best places to go if you need a visa to travel are:

MRCI Migrants Rights Centre Ireland http://www.mrci.ie (01) 889 7570

IRC Irish Refugee Council www.irishrefugeecouncil.ie  (01) 764 5854

The MRCI and IRC share a Dublin office.

Depending on what country you are from, it may be easier for you to get a visa for The Netherlands or Belgium.

A legal abortion in Ireland?

If there is a real and substantial risk to your life, including a risk of suicide, you may be entitled to an abortion in Ireland. This is not guaranteed. In the Ms. Y case, the young woman was suicidal but was ultimately coerced under threat of legal action to undergo a c-section at 24 weeks despite being deemed suicidal. We are aware of another case where a suicidal woman was granted an abortion though, but there are too few cases at the moment to predict how applications will be treated. If there is a risk to your life because you are suicidal as a result of your pregnancy and want to seek treatment in Ireland, speak to your GP. It may be best to make alternative plans to travel simultaneously in case your request for a termination is denied. If you are suicidal, there is a list of contacts that may be of assistance to you here.

After your abortion

When you return, you should attend for a post-abortion check up with your GP or with the IFPA or a Well Woman Clinic. Post-abortion check-ups are free as they are state funded. Post-abortion counselling is also free. A list of clinics where you can access non-judgmental counselling is here. From a doctor’s point of view, a medical abortion (an abortion using the pill) is indistinguishable from a miscarriage. You don’t have to tell your doctor about it, but there’s some useful information here and here that may help you make that decision. Be aware that if you tell your doctor you took the abortion pill illegally in Ireland, there is a chance they may report you to the authorities. Your doctor is not legally obliged to report you in the South, but doctors are legally obliged to report you in the north. It may be worthwhile travelling to access post-abortion care from a provider you know will not report you.

Take it easy. Consider your future contraceptive needs. Talk to a friend or a professional if you feel you need to but don’t feel you have to. It can be a big emotional deal even when you’re 100% confident you made the right decision. So most of all, be kind to yourself.

takecare

Budgeting for your abortion overseas – A Feminist Ire Cut Out & Keep Guide

Cost
Pregnancy tests
GP Visit
Phone credit for making calls to clinic / booking flights
Passport or ID Cost
Cost of travel documents or solicitor consultations to get them
Dating scan (optional)
Getting to ferry or airport (bus or taxi fare) or alternatively, airport parking plus petrol costs
Plane or ferry ticket cost
Plane or ferry cost for partner or friend accompanying
Phone credit for journey
Cost of printing documents (boarding pass, utility bill etc).
Accommodation
Fee for Abortion Treatment
Cost of Contraception
Food
Painkillers
Sanitary towels
Travel from clinic to airport
Travel from airport to home
Childcare fees
Miscellaneous
TOTAL

@stephie08

I am not a nun, I am a midwife: maternity care in a “modern” Ireland

The author of this guest post wishes to remain anonymous.

I attended a protest at the Department of Health yesterday to highlight people’s outrage at the handing over of the new National Maternity Hospital site to the religious order of the Sisters of Charity. I went as a member of Midwives for Choice, and I expected to help hold the banner and maybe video our spokesperson speaking. As it happened she could not, fearful as she was of her job by speaking out against St Vincent’s Hospital Group. So it ended up that I had a microphone and a megaphone pointed in my direction. My reaction? I froze. My voice is an inside my head voice, for the most part; I can’t even speak up in small group conversations mostly. So for anyone who wanted to know why there were midwives behind a banner, here are my thoughts.

I’m already scared that I’m a nun. All the older nurses and midwives in our hospitals were trained by nuns and they tell of the iron fist, regimented care and much else. Sometimes with respect and awe, sometimes fear, sometimes relief that they are all but gone.

The church’s legacy is strong within our healthcare system. Many if not most hospitals in the state have some church connection (religious members on boards, etc). Yet the history of church-run institutions in this country reads like a horror story, from the Magdalene Laundries to the institutional schools. Say it slowly with me: the institutions of the Catholic Church are inherently misogynistic. Women’s bodies will always suffer under them. They are beyond redemption.

Finally, this is the generation where the church’s abuses are being exposed. We are sickened as a nation to our very core about the Tuam babies, symphysiotomies, Magdalene Laundries, the abuse of our children by priests and nuns. Finally we should have hope that our society will stand up and say no more, that we can extricate our institutions from the grasp of the religious. It will be a slow but worthwhile process. When we can get the church out of our government, our laws, our schools, our healthcare systems, our bodies, maybe finally we can have a humane secular society.

That’s what most of us were thinking, surely, in the wake of the Tuam babies case? Please save us from the church? Then what the hell is this move? It’s as Irish a decision as getting your kid baptised to have a family get-together… and maybe to get into the local school. Cop on, Ireland. Stop being so short-sighted, so disingenuous. If we know something is wrong – and by God we know the Sisters of Charity have done wrong – then let’s stand up against it.

As a midwife, my role in supporting women to make informed decisions around their care in pregnancy and childbirth is already curtailed by the patriarchal, over-medicalised, over-litigious, under-staffed, no-continuity, factory-model, fire-fighting maternity system in place here. But at least women in Ireland are starting to take back power, to demand evidence-based care and proper time to birth. Even if this is something that our systems literally cannot provide at present, at least there is an awareness that what we have now is not good enough.

It feels like a change, this last 10 years: women are coming together; midwives are coming together; there is a politicisation, a will to change, even if it can’t quite find traction within our systems yet. There is a recognition that the 8th Amendment is a barrier to proper maternity care; where the fetus and the woman have equal rights within our constitution, any perceived risk to the well-being of a fetus overrides even real and substantial risks to a woman’s health and well-being. Our National Consent Policy directly points to the 8th Amendment as being a reason why pregnant people do not have a legal right to informed consent and refusal of treatment. Women leaving this system will attest to being railroaded and sidelined within their own care (see Aims Ireland testimonials).

I work within the system as it is now. While, individually, I strive to do my very best for each woman I care for, I know that the system is letting them down. I know that women are leaving our maternity system traumatised and broken down. Childbirth itself is not an inherently traumatic event. It is what we do to women in the name of “safety”: ass-covering and over-intervention without proper thought, consideration, conversation and shared decision-making with the people whose bodies we care for.

This brings me back to my first point: I already fear that I’m a nun. When the Tuam babies story broke, as well as the horror and the disgust that we all felt, I had a sneaking fear lurking… Those nuns were midwives. What if I’m a nun? What if I were a nun in Tuam, entering the institution to try to do my best for the forgotten and ostracised single mothers. What if I was kind as I caught their babies and helped them to their mother’s breast. What if I was gentle as I cared for infants while their mothers worked, coming back to feed them on schedule. What if my heart hurt as I dried the tears of a mother whose baby was adopted out to America. What if I felt sick with fear as I saw too many little babies dying. What if I knew that they weren’t being buried so that the money for them would keep coming in. What if I turned a blind eye because I was just a little nun cog-in-the-wheel. Sometimes I fear that I’m just a little midwife cog-in-the-wheel.

So I have to go and hold banners. I have to add my face to pictures and my feet to marches. I have to overcome my fear of putting my job in jeopardy by being seen to be overly-political, overly-public, overly-outspoken. I have to find my voice as a midwife and encourage others to find theirs… even if I’m not quite ready for the microphone and the megaphone. I have to nod to pro-choice badge-wearers and pro-choice colleagues. I have to have small conversations in work and outside of it. I have to join Facebook groups, scribble my thoughts, cuddle my loved ones, help my pregnant friends, and I have to breathe and tell myself I am not a nun. I am a midwife. I am with-woman not with-institution, however hard that is in my everyday work. I will stay within the institution because free maternity care is a public right and should be available to all, not just those who can afford health insurance and private midwifery care.

Some day I dream of the true mind and body safety that comes with continuity of midwifery care for all women, and the true informed relational decision-making that can only happen when our maternity institutions are built back up to humane levels, free of the stranglehold of patriarchal and religious control – both constitutionally and structurally. We have a chance in Ireland to reject our broken past and to go forward with conscious intent to do the right thing. So Repeal the 8th Amendment. And take back the National Maternity Hospital from the Sisters of Charity.