Winnipeg Free Press (Newspaper) - July 31, 2015, Winnipeg, Manitoba
C M Y K PAGE A5
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H EALTH Canada's approval
of the abortion
drugs RU- 486
is good news for
women in Manitoba - especially
those in remote communities
- the provincial government
and Women's Health
Clinic say.
" We will be looking for the best way
to provide this option to women and ensure
access to safe abortion services
across the province including rural and
northern areas," said provincial government
spokesman Andrew Tod.
The Women's Health Clinic in Winnipeg
says it's ready to work with the
province on ways of doing that.
" It is good news for women," said
Leigh Anne Caron, health services
manager at the feminist clinic, an accredited
member of the National Abortion
Federation.
" It's better for some women who need
to travel far distances," said Caron. A
medical abortion doesn't have to be performed
in a surgical setting, she said.
" For women in isolated communities
it is much better if someone in the community
or close by is able to prescribe
medication and follow up with them,"
said Caron. " For them, it's definitely
better than the surgical procedure."
Having access to the abortion medication
known as mifegymiso could also
provide more confidentiality for women
in remote towns and First Nations so
they don't have to make travel arrangements
through their local health clinic
or band office, Caron said.
" There are issues in a community
that's small or close- knit," she said.
" The likelihood they'll have an aunty
or cousin working in those areas are
high... Word spreads like in any small
community."
She's heard the drug will be available
in 2016 and clinic representatives and
the National Abortion Federation will
be working with the health- care community
to get ready for it by educating
practitioners about its use. They're
waiting for more information about
who will be able to prescribe it and how,
she said.
" It's not clear if, for nurse practitioners
and midwives, it will be available to
them to prescribe," said Caron. " There's
not enough information yet about how
this drug is going to be regulated."
In B. C., a clinic in Vancouver is using
Skype to provide medical abortions to
women in remote locales, she said.
" It worked really well for them," said
Caron, who believes it could work in
Manitoba, too - if doctors working in
northern communities are willing and
able to offer the medication once it's
available.
" We already have the infrastructure
here for that with Telehealth," she
said.
" Having access and more options is a
good thing," said Caron.
But not when it comes to terminating
a pregnancy, says abortion opponent
Natalie Gauthier.
" It's concerning," said the spokeswoman
for the group Life's Vision in
Winnipeg. " It takes the life of an unborn
baby and it's dangerous for women...
physically and psychologically," said
Gauthier, whose group's mission is " to
contribute to the protection of life from
the moment of conception to natural
death."
She said women shouldn't be lulled
into believing abortion medication is
safe and easier than a surgical abortion.
" In fact, it's not. It can take up to a
week to work and sometimes it doesn't
work and they have to get an abortion
anyway. It causes severe cramping,
nausea and severe bleeding. It's definitely
not easier."
Gauthier said she hopes the province
won't include it in its pharmacare drug
benefit program, but said the organization
can't wade in on political issues.
The provincial government says it's
waiting for more information.
Once Health Canada has approved a
drug for use in Canada, the country's
public drug plans must decide if the
drug will be eligible for public reimbursement.
The Canadian Agency for
Drugs and Technologies in Health conducts
a Common Drug Review, which
plays an important role in their decision.
" In terms of pharmacare coverage,
we don't know the price yet. and the
timing is not entirely up to us because
we don't know yet if ( the) Common
Drug Review process will take place,"
said Tod.
" But we don't want to see that process
dragged out," said Tod. " It has been a
long time coming."
carol. sanders@ freepress. mb. ca
Abortion drug boon to rural areas
Women's Health Clinic
applauds move by province
By Carol Sanders
CALLED mifegymiso, it contains two
drugs, mifepristone and misoprostol.
It's used to end an early pregnancy
( up to seven weeks since the last menstrual
period began).
Mifepristone blocks production of the
hormone progesterone, needed to sustain
a pregnancy. Misoprostol prompts
the uterus to contract and expel the
placenta and the fetus.
Mifegymiso is included in the World
Health Organization's list of " essential
medicines" - the minimum medicines
needed for basic health- care systems,
based on criteria such as safety and
cost- effectiveness.
Adverse events in the U. S.
1.52 million women took the medication
from the time it was approved in
the U. S. ( September 2011) until April
2011
* Number of adverse events: 2,207,
including 14 deaths.
Expected side effects
Cramping and bleeding - usually it
means the treatment is working but
sometimes cramping and bleeding
occur when the pills haven't worked.
As many as eight out of 100 women
who take it need a surgical procedure to
end the pregnancy or to stop too much
bleeding.
Sources: U. S. Food and Drug
Administration, Women's Health Clinic
* These events cannot with certainty
be causally attributed to mifepristone
because of information gaps about
patient health, clinical management
of the patient, concurrent drug use
and other possible medical or surgical
treatments.
An ' essential medicine'
REMY DE LA MAUVINIERE / THE ASSOCIATED PRESS FILES
RU- 486 inventor, Prof. Emile- Etienne
Beaulieu, is seen in a 1995 file photo.
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