Quality control was not great, and the earliest abortion legislation, in the 1820s and ’30s, appears to have been an effort to curtail poisoning rather than abortion itself.

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Added by SarahLee:

“One doctor’s “awakening” is vividly described in The Worst of Times, a collection of interviews with women, cops, coroners, and practitioners from the illegal abortion era. In 1948, when this doctor was an intern in a Pittsburgh hospital, a woman was admitted with severe pelvic sepsis after a bad abortion. She was beautiful, married to someone important and wealthy, and already in renal failure. Over the next couple of days, despite heroic efforts to save her, a cascade of systemic catastrophes due to the overwhelming infection culminated with the small blood vessels bursting under her skin, bruises breaking out everywhere as if some invisible fist were punching her over and over, and she died. Being well-to-do didn’t always save you.

Her death was so horrible that it made him, he recalls, physically ill. He describes his anger, but says he didn’t quite know with whom to be angry. It took him another 20 years to understand that it was not the abortionist who killed her—it was the legal system, the lawmakers who had forced her away from the medical community, who “…killed her just as surely as if they had held the catheter or the coat hanger or whatever. I’m still angry. It was all so unnecessary.”

All so unnecessary.

In the same book, a man who assisted in autopsies in a big urban hospital, starting in the mid-1950s, describes the many deaths from botched abortions that he saw. “The deaths stopped overnight in 1973.” He never saw another in the 18 years before he retired. “That,” he says, “ought to tell people something about keeping abortion legal.”“