As barriers to clinic-based abortion care have increased in recent years, an increasing number of women are self-managing their abortions: finding and using abortion pills independently of the formal medical system. They are obtaining abortion pills through online abortion pill services, community networks sharing pills for free and websites selling pills.
To support self-managed abortion, feminists are creating a global network of online abortion doulas—trained companions who offer one-on-one support by phone, email and text to people using abortion pills. A leader in this effort is the organization Rouge Doulas, which runs the Rouge Abortion Doula School.











