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    Diana took the drugs, two pills over two days, with no medical guidance. Nothing happened for nearly two weeks. Then she began to bleed. The intense bleeding lasted four days, and she had severe cramps. On the fourth day she began to have painful contractions. A small sac dropped into her toilet. I didn't know what to do. I was scared that if I looked at it, I'd be traumatized for life. She didn't mention the pills. They urged her to go to the hospital. I didn't tell [them] about the pills. I don't know if it's the pill that actually caused the abortion.

    It's also possible that it wasn't. Diana is one of many women along the US-Mexico border who appear to be seeking out drugs like Misoprostol as an alternative to an abortion clinic. Whether this represents a broader trend is difficult to say, given the lack of data and the underground nature of self-induced abortions.

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    He says that some clients first find out excorts the facility when they are taken there by church groups to protest. I Texas, abortion care is not covered by Medicaid except in cases of rape, incest and life endangerment—and even in those cases the costs are reimbursed less than half the time. They come to me for an abortion. If I don't touch them, maybe it wasn't really an abortion. She papers the walls with inspirational quotes, displays stacks of pamphlets about courageous women in history and plays movies on a TV up front to help clients relax.

    But she knows that even with these measures, some women will still be undone by social pressure. I want women to walk out of here with their heads held high. They never discussed sex with her. These days, Planned Parenthood is no longer permitted to make such presentations in the district, and contraception is prohibited in the classroom. Christensen says she tried to fill in the gaps for her students but that many health teachers felt too uncomfortable. The familiar history of botched abortions has made Misoprostol increasingly popular among women seeking out a less dangerous private alternative to abortion, particularly in places where abortion is illegal.

    The Planned Parenthood in Brownsville reports visits by women who have used syringes, taken cocktails of prescription drugs, douched with battery acid and beaten themselves in the abdomen to attempt abortion. Rebecca Gomperts, founder of the organization Women on Waves, which provides reproductive health services around the world, agrees. Still, there are significant risks: Minto, of the Harlingen clinic, says. She now knows that taking the pills that far into her pregnancy was dangerous. She could have caused her child to have birth defects, had the drug not worked and had she carried to term.