I had to travel a long distance to the UK for an abortion.

Women still face many barriers in accessing abortion as a form of healthcare.

August 30th 2024.

I had to travel a long distance to the UK for an abortion.
Claire had found herself in a difficult situation when she discovered she was pregnant. The 24-year-old, who wishes to remain anonymous, was barely making ends meet while also saving for a house. The last thing she could afford was to have a child. She had been taking the contraceptive pill to avoid any accidental pregnancies, but when the pregnancy test showed a positive result, her world turned upside down.

Claire vividly remembers the fear and panic that consumed her as she stared at the pregnancy test in shock. The thought of having a child at this point in her life was overwhelming. She knew right away that she couldn't afford to keep the baby. She felt like she was running against a ticking clock, and time was not on her side. She immediately contacted her GP and was referred for an ultrasound.

The results of the scan left Claire in a state of shock. She was already 17 weeks pregnant, and there was no turning back. She was scared and overwhelmed at the thought of having to go through a pregnancy that she was not prepared for. She couldn't understand how she had not noticed any signs or symptoms before this. With tears streaming down her face, she knew that her life was about to change drastically.

Claire's doctor informed her that she was eligible for a medical abortion, but unfortunately, the NHS board in her area did not have the capacity or training to carry out the procedure. This news only added to her distress. She felt alone and helpless, wondering where she could go for help. She eventually reached out to the British Pregnancy Advisory Service (BPAS) for assistance.

However, due to Claire's pregnancy being in the second trimester, she had exceeded the 20-week limit for abortion care in most of Scotland's NHS health boards. This meant that she would have to travel over 400 miles to a BPAS clinic in London to undergo the procedure. Despite the long journey, Claire and her partner made the trip, questioning themselves the entire time if they were making the right decision.

The termination itself was a straightforward procedure, but it was still a traumatic experience for Claire. She recalls crying and screaming during the process and feeling completely drained after it was over. Unfortunately, Claire's story is not unique. According to BPAS, hundreds of women from Scotland have had to travel to England to access abortion services due to a lack of availability in their own country.

The inadequate provision of abortion care in Scotland has also had a significant impact on women's rights. Lucy Grieve, co-founder of the campaign group Back Off Scotland, explains that the lack of central guidelines and varying policies between health boards make it challenging for women to access abortion up to the legal limit of 24 weeks. This results in women having to travel to England earlier than necessary, which is a denial of their rights.

Moreover, the inadequate provision of abortion services in Scotland also affects women in other parts of the UK. The Abortion Act 1967, which legalized abortion in the UK under certain conditions, was initially passed to protect women from dangerous and illegal abortions. However, Sarah Salkeld, associate clinical director at MSI Reproductive Choices, argues that abortion should not be under criminal law. This further highlights the need for better access to safe and legal abortion services across the UK.
Claire's world was turned upside down when she saw the results of her pregnancy test. The 24-year-old, who prefers to go by a pseudonym, had been carefully planning her future - saving for a house while just about managing to pay rent. She was taking contraceptive pills to prevent an accidental pregnancy. But when the test showed that she was pregnant, she felt a surge of panic and fear. It was as if her carefully crafted plans were now in jeopardy.

In a state of shock, Claire immediately reached out to her GP who then referred her for an ultrasound. The results were devastating - she was already 17 weeks pregnant. Claire describes this moment as a "ticking clock", as she knew her life would change drastically from that point on. She was overwhelmed with fear and uncertainty, not knowing how she could have gotten this far along without any signs. The thought of having a child at this stage in her life was overwhelming.

Her doctor informed her that she was eligible for a medical abortion, but unfortunately, the NHS board in her area did not have the capacity or training to carry out the procedure. This meant that Claire would have to travel more than 400 miles to undergo the termination at a BPAS clinic in London. Despite being in the second trimester of her pregnancy, Claire's options were limited and she felt alone and scared.

Accompanied by her partner, Claire took a train to London and arrived early in the morning for her appointment. She couldn't help but question whether she was making the right decision. The procedure itself was straightforward, but the emotional toll it took on Claire was immense. She recalls crying and screaming, feeling completely drained afterwards.

Unfortunately, Claire's experience is not unique. Due to a lack of provision for services after 15 weeks of pregnancy, thousands of women in Scotland have been forced to travel to England to access abortion care. This is a growing problem that has been exacerbated by high demand and limited appointments. In 2022 alone, 65 women had to cross the border for a termination, a significant increase from the previous year.

Lucy Grieve, co-founder of the campaign group Back Off Scotland, explains that the 14 NHS health boards in Scotland do not have a centralized service for providing mid-trimester abortions. This creates a barrier for women who need access to abortion care after 20 weeks, as they may have to travel long distances to find a provider. Lucy believes that this is a denial of women's rights and that there should be regional sites in Scotland where women can access second trimester abortions.

The inadequate provision of abortion care not only affects women in Scotland, but also raises concerns about the current abortion laws in the UK. The Abortion Act of 1967, which was amended in 1990, legalized abortion under certain conditions. However, Sarah Salkeld from MSI Reproductive Choices argues that abortion should not be treated as a criminal matter. As Claire's story shows, navigating the laws and accessing abortion care can be a daunting and emotional experience for women. It is important for there to be adequate and accessible resources for women who are facing this difficult decision.

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