Clinical & public health researcher on abortion & contraception. MD.
@ANSIRH
Director.
@UCSFBixby
faculty.
@IbisRH
Sr Advisor. Tweets not affiliated with UCSF.
To be clear: Abortion is NOT an elective medical procedure. It's essential healthcare and must be available during the pandemic. It can't be delayed. Patients can't wait until an undetermined later date to get an abortion. We need to make access available throughout the pandemic.
Today marks 60 years since the FDA approved the birth control pill. As we celebrate that anniversary, we must honor the Puerto Rican women who were misled, enrolled in clinical trials, and experimented on to test higher doses of the pill without informed consent.
Hi
@MeghanMcCain
. I am an OB/GYN, abortion provider & researcher. I'd like to clarify some facts: 65 countries allow abortion at this stage in cases of fetal malformations or anomalies. () The US doesn't have access to early abortion like many countries do.
We are one of only seven nations in the world, along with North Korea and China, to allow abortion on demand after 20 weeks. Our existing law is extreme, and as a pro-life American, I cannot support anyone who supports it. 1/2
In my medical opinion, it’s normal—important even—for women to have a WAP. Vaginal lubrication is common & orgasm experience depends on the individual. We should not shame women who have WAP.
If you have questions about your WAP please call a gynecologist, not a radio show host.
As I also discussed on the show, my only real concern is that the women involved -- who apparently require a "bucket and a mop" -- get the medical care they require. My doctor wife's differential diagnosis: bacterial vaginosis, yeast infection, or trichomonis.
When we have this debate, we must center the patients in the conversation, and use evidence-based research and facts to inform policy.
I'd be more than happy to come on
@TheView
and talk to you about this and share more of the research and facts about abortion. Let's talk!
There are many reasons why patients have abortions after 20 weeks; complications happen as the pregnancy progresses, my patient's health is impacted, and we perform tests to make sure the fetus is healthy. This is why this decision is made based on medical advice, not politics.
1) Abortion has not been a 50-50 issue. It’s been 70-30 since Roe.
2) “Late term abortion” isn’t a medical term. It’s made up by anti-abortion extremists.
3) Standing up for healthcare access and protections the Constitution affords isn’t foolish.
4) My patients deserve respect.
Abortion has historically been a 50-50 issue in America. But late term abortion, and now when “the infant would be delivered” abortions, are foolish, misguided stands to take. I hope pro-life and pro-choice can agree on that. I’ll be on
@seanhannity
tonight to talk about it.
From your tweet, you suggest that you don't want the US to be a global outlier on abortion policy. Did you know that 78% of high-income countries provide public funding for abortion, making the US an outlier?
Whether or not we ourselves would have a later abortion is not the question. The question is whether or not we're able to show empathy for the patient making that decision. It's my job as a doctor to support my patients in making the decisions that are best for their situation.
Additionally, I see patients who need abortions after 20 weeks because the restrictions to abortion made it difficult for them to get care earlier. Everything from medically unnecessary waiting periods and ultrasound laws to shuttering of clinics and insurance bans create delays.
In fact, we found that there was an increase in second and third trimester abortions because of the laws in Texas (which were later found unconstitutional) that made access to first trimester abortions difficult.
Hi
@BeckerGOP
, I’m a practicing ob-gyn and researcher on abortion and contraception, and thought you might want some help understanding ectopic pregnancy since your bill (HB182) gets some things wrong. I’ll clear up a few things in this thread.
Hi
@SenateMajLdr
!
I'm a board certified Ob/Gyn, clinical and public health researcher, and abortion provider. May I share some medical information about later abortion with you? Perhaps you can read it over the weekend ahead of the vote to ban abortion after 20 weeks.
There are only 7 countries left that still permit elective abortion after 20 weeks—including the US, China, and North Korea. That’s why the
#Senate
will soon vote to take up commonsense legislation to protect unborn children who can feel pain.
Unfortunately, an ectopic pregnancy cannot be “reimplanted” into the uterus. We just don’t have the technology. So I would suggest removing this from your bill, since it’s pure science fiction.
If you’re in Georgia, try not to panic. Abortion is still legal and much of this bill won’t go into effect for a while, if at all, thanks to lawyers. Call your clinic or
@ARC_Southeast
. They’ll talk you through the process and help you get the abortion you want.
Abortionists are desperate to normalize their brutal acts against innocent children as “medicine.”
They will try to conflate miscarriages, early delivery of a high-risk pregnancy, & even treating ectopic pregnancy with the intentional & direct killing of babies.
@DrDGrossman
They were preyed on by researchers who didn't value their lives. The researchers saw poor Puerto Rican women as a vehicle for population control and believed if they could follow the regimen given their limited formal education anyone could. It was racist.
I am one of the 1600 men who signed my name to the New York Times ad. I still believe Anita Hill. I believe Dr. Christine Blasey Ford. I believe Deborah Ramirez. I believe Julie Swetnick. I believe my patients. I
#BelieveSurvivors
.
A general reminder: there are no medical or evidence-based reasons for banning abortion at 6 weeks,
...or 10 weeks
...or 12 weeks
...or 15 weeks
...or 18 weeks
...or 20 weeks
...or...well, you get the point.
They’re also unconstitutional.
"Medical advancement" has often come at the expense of communities of color; everything from predatory research methods and lack of informed consent to physical and emotional harm, and death. As we celebrate the Pill anniversary, we must honor these women.
I am so proud of all of my colleagues in Texas tonight. They have the biggest hearts and provide the best care.
They make me so proud to provide alongside them.
I am proud to be an abortion provider.
After I tweeted this thread, Rep. Becker reached out to me to discuss his bill. It turns out he’s using a study from 1917 to back up his unscientific belief that you can reimplant an ectopic pregnancy.
@doctorjenn
& I talked with
@Rewire_News
about it:
Hi
@BeckerGOP
, I’m a practicing ob-gyn and researcher on abortion and contraception, and thought you might want some help understanding ectopic pregnancy since your bill (HB182) gets some things wrong. I’ll clear up a few things in this thread.
While we’re in the middle of a maternal mortality crisis, it is unconscionable to consider placing obstacles in the way of treatment for ectopic pregnancy. Thanks for listening,
@BeckerGOP
, and feel free to reach out if you have more questions!
Why do lawmakers think patients need 24-72 hours to decide about an abortion, but senators need less than 20 hours to decide about Judge Kavanaugh's appointment to the Supreme Court?
Republicans just announced a committee vote on Kavanaugh at 9:30 AM on Friday - less than 20 hours after Thursday’s hearing ends. This means little to no chance for the American people to contact them and weigh in. This is a sham.
This is not only patently unconstitutional, it’s unsafe for patients needing abortion care, particularly in a state with some of the highest maternal mortality rates. Shame on the politicians of Mississippi.
Anti-abortion laws are dangerous to public health and women’s lives.
Not one thing POTUS just said about abortion in his
#SOTU
speech is medically accurate or based in any evidence-based research. Not his fabricated description of the law in New York. Not the bill in Virginia. Not how abortions are performed. Not one bit.
@RepTrentFranks
Some patients need an abortion post-20-weeks due to the fetus having a lethal anomaly. HR 36 means they’ll have to carry the fetus to term.
Your bill is dangerous on many levels,
@BeckerGOP
, since it creates even more obstacles for patients seeking safe abortion—especially for women of color and those with low incomes.
Hi
@PhilBryantMS
!
I’m a board certified Ob/Gyn, abortion provider, and concerned citizen. What medical science is this bill based in? Did you talk to anyone who treats pregnant women in your state?
This op-ed by Kevin Williamson not only shows how uninformed he is about abortion procedures, pregnancy, and the current state of abortion in the United States and globally, but also how callous he is towards women’s lives.
Nothing the president just said about abortion is remotely accurate. He’s using violent rhetoric about patients seeking abortions, and those of us who provide care, to deflect from the state of our nation, the news cycle, and the numerous sexual assault allegations against him.
Luckily, there is treatment for ectopic pregnancy, including medication & surgery. This treatment is very effective & allows women to retain fertility so they can get pregnant in the future if they want. I was concerned to see HB182 removes insurance coverage for this treatment.
I am proud to provide abortions just as I am proud to provide contraception, Pap smears, and cervical exams because they are all an essential part of health care and health care is a human right.
Unfortunately, ectopic pregnancies cannot continue to a live birth. If untreated, as a pregnancy grows, the Fallopian tube (where 96% of ectopics develop) gets stretched to the point of rupture & can cause massive bleeding. 4% of maternal deaths are related to ectopic pregnancy.
This is not based on any medical practice, evidence-based research, or science. It’s fear-based, misogynistic ideology masquerading as policy. And is patently unconstitutional.
"If death is determined when a heart stops beating, then doesn't a beating heart indicate life? For me, it is immoral to stop an innocent beating heart. For me, it is sickening to sell fetal body parts. For me, my faith leads me to protect every Iowan."
It's obvious to everyone, but banning abortion at any point, but particularly at the arbitrary 6 week mark, is not based in any science, medical practice, or evidence.
The entire point is to criminalize patients and providers.
Shame on everyone who got us here.
I am a doctor and abortion provider. I do what’s best for my patients, their health, and their families. I listen to them and offer evidence-based medical advice. I am also a citizen, and I believe our laws should be based on scientific evidence.
Menstrual cycles are often varied and irregular, so sometimes a patient comes in after six weeks because they didn't know they were pregnant. This bill would remove abortion as an option altogether. But, that’s the point, of course.
Whatever happens tonight, tomorrow, or in the coming weeks, please know that all of us abortion providers will be there for all of you who need abortion care.
We’re here for you. No matter what.
Always.
For the past two years, the Trump administration has gone to court several times to deny unaccompanied minors the abortions they wanted.
Now we can see how they treat pregnant immigrant patients who do choose to continue their pregnancies. A total disgregard for healthcare.
This is an atrocity. Immigrants are miscarrying because they’re not receiving any prenatal care while inhumanely caged in detention centers. They’re being shackled, abused, and left to bleed out.
Our nation should be deeply ashamed at what’s happening.
An ectopic pregnancy occurs when the pregnancy implants outside of the uterus, most commonly in the Fallopian tube (that’s the little tube that carries the egg from the ovary to the uterus). Rarely the ectopic pregnancy can develop somewhere else like the cervix or the abdomen.
I am board-certified OB/GYN and I hope you’ll read the Care Post-Roe Study, documentation from 86 of our colleagues who describe poor-quality care due to the need to comply with new laws since the Dobbs decision. These laws are hindering and delaying care.
I'm an OBGYN
She's just a lying piece of sh!t.
There are no states where a woman must be on death's door.
In all 50 states an OBGYN can terminate a pregnancy whenever THEY deem a woman's health is in danger.
This is just a lie.
If patients are forced to continue a nonviable pregnancy, they will be forced to withstand the physical impact of of childbirth and the mental trauma of carrying a child that is dead or will die. It's very difficult for patients and their families go through that.
This is incredible news! Medication abortion pills are safe. I am glad the FDA has made this historic change, and it’s time to end the non-evidence-based REMS, which makes it difficult for many providers to prescribe abortion pills.
@PhilBryantMS
In Mississippi 39.7 pregnant women died for every 100,000 births. The national average, which is abysmal globally, is 26.4. The rate for Black women in Mississippi is 54.7.
When are you going to focus on making pregnancy safe in Mississippi
@PhilBryantMS
?
As a doctor, I talk with my patients to determine the best course of action for their health and situation. Forcing my patients to carry a fetus with a lethal anomaly until they go into labor or deliver at term is unsafe for their health.
There are many reasons why patients need abortions after 20 weeks. Some due to the fetus having a lethal anomaly, some for the patient's own health, and others because financial and logistical barriers make accessing an abortion earlier very difficult.
BREAKING: The Supreme Court agrees to hear Dobbs v. Jackson Women's Health, a challenge to Mississippi's 15-week abortion ban. This may well mark the beginning of the end of Roe v. Wade.
I work at a university. I get paid the same whether I see patients in the abortion clinic or gynecology clinic. My goal is to ensure patients receive the healthcare services they want.
One more thing –– are you aware that many of the restrictions on abortion that you support are creating barriers to access, thus forcing patients to seek abortions in the second and third trimesters?
.
@SenateMajLdr
, you noted that “fetal pain” is your main reason for banning abortion at 20 weeks, and I’d like to take the opportunity to share some evidence-based medical information on this with you, as well.
Ohio’s governor has signed the 6 week abortion ban, which prohibits the procedure before most people know they’re pregnant. This bill tries to undermine Roe and lacks the basic understanding of medical science, menstrual cycles, and barriers to healthcare.
Abortion is still legal. You can have your appointment tomorrow.
Today, tomorrow, and every day after that my colleagues will be there to provide you with care.
Always.
Rather than reducing women’s lives to a misogynistic thought experiment for op-ed pages, let’s actually listen to what it is that they say they need to live fulfilling lives, raise their families, have healthy pregnancies, and build thriving communities.
I know that some of your Senate colleagues are confused about why providers use anesthesia if the fetus can't feel pain. The anesthesia relaxes a patient’s uterus, preventing premature contractions, immobilizing the fetus to ensure the surgery goes easier.
There’s no such thing as a “nonabortive contraception” because there’s no such thing as “abortive contraception.”
Contraception is to prevent pregnancy.
Abortion is to end an established pregnancy.
@PostOpinions
, I’d be happy to fact-check Williamson’s piece for you.
These restrictions make access difficult, forcing patients to travel to a clinic, experience delays while saving money to afford an abortion especially if insurance won't cover it, take unpaid time off of work, and make multiple appointments. Healthcare should be accessible.
I was asked to weigh in on a medical question about abortion by Facebook fact checkers. The fact that I provide abortions doesn’t make me biased — it makes me a well-informed expert.
I listen to my patients as I support them in making medical decisions.
You can listen to Valerie Peterson share what making that decision is like:
You can read
@defending_grace
's story here:
Hi
@MikeKellyPA
, I’m a professor of Ob/Gyn at
@UCSF
, an abortion provider, and researcher at
@ANSIRH
.
Unsurprisingly, you got a few things wrong in this tweet that I’d like to clarify. Do you mind if I outline them for you? Facts are critical when discussing medical treatments.
President Biden is trying to push every pharmacy in America to sell this drug over the counter without a doctor’s oversight or meaningful education for women to understand its deadly side effects. The FDA itself admits at least 28 American women have died from it.
Williamson and anti-abortion extremists cannot have it both ways: You cannot call for the murder of people seeking & providing abortions, then act surprised when we’re attacked. You cannot shutdown clinics and access to contraception, then be upset patients need later abortions.
My Jewish upbringing inspires my work as an abortion provider. The values of tikkun olam, 'repair of the world' lead me to provide abortion care—and support Palestinian efforts to end the Israeli occupation and this genocide.
Thank you to all of the abortion funds speaking out.
Reproductive justice is an international human rights framework, so why are groups getting pushback for supporting Palestine?
@NicoleFroio
spoke to eight abortion support orgs who say the siege on Gaza is undeniably a reproductive justice issue.
Hey Senator Cruz!
It's me again, Dr. Grossman the ob/gyn and abortion provider. We've gone over this a few times before, but I'm happy to explain pregnancy and abortion to you. It's complicated, I know.
Here's my last fact check on your article:
Pregnancy is not a life-threatening illness, and the abortion pill does not cure or prevent any disease. Make no mistake, Mifeprex is a dangerous pill. That’s why 20 of my Republican colleagues and I are urging
@US_FDA
to classify it as such.
@PhilBryantMS
This isn’t just a hypothetical
@PhilBryantMS
. Your state has one of the highest maternal mortality rates in the nation. What are you doing about that? Why are you denying the women of Mississippi a viable medical option to save their lives?
Hey
@MeghanMcCain
! 🙋🏻♂️ It’s me again, Dr. Grossman, the board certified OB/GYN, researcher, and abortion provider. I’m still here if you want to chat about the evidence-based facts of later abortion.
A fetus may have a reflex reaction to a painful stimulus by 18 weeks, however the neural connections to the cerebral cortex do not exist to allow the fetus to perceive this as pain. You can learn more at
During surgery, doctors must be precise and cautious. Uterine contractions at the wrong time can be dangerous. This helps providers give their patients the best and safest care.
As a gay man and an abortion provider, I cannot support the University of California’s plan to affiliate with Catholic hospitals that openly discriminate against LGBT and abortion-seeking patients. This is not healthcare. Discrimination is not what I went to medical school for.
FACT CHECK: The only "abortion inducing drugs" are medication abortion pills, mifepristone and misoprostol. They expel a pregnancy from the uterus.
Emergency contraceptive pills like Plan B do not cause an abortion. They primarily act by preventing or delaying ovulation.