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Topical Reporting: Gender and Identity, Topical Reporting: Gender and Identity, Small Newsroom finalist

The Network

 

About the Project

When the U.S. Supreme Court overturned Roe v. Wade in 2022, many abortion rights supporters feared that American women would resort to dangerous methods to end their pregnancies, just as women did before Roe. But a subset of abortion rights supporters remained calm, even energized. These people had already been getting women access to safe and effective abortions without a doctor’s oversight. They used a method developed decades ago, thousands of miles away.

In “The Network,” a three-part podcast series produced by NPR’s Embedded and Latino USA, hosts Victoria Estrada and Marta Martinez chart the global, loosely connected network of activists, supporters, and everyday women across the Americas who’ve transformed and expanded abortion access — thanks to a pill that was never intended to be used for abortions.

  • Episode 1 takes listeners on the ground in Brazil, a country that had — and still has — severe abortion restrictions and where women made a critical discovery in the 1980s: that the over-the-counter stomach ulcer medication, misoprostol, could be repurposed for safe at-home abortions.
  • Episode 2 follows the spread of this method across Latin America and how activists there built systems to help women self-manage their abortions at home with misoprostol, despite living in countries where abortion was illegal and stigmatized.
  • Episode 3 traces how the network arrived in the U.S. discreetly in the mid-1990s and has ballooned since Roe fell, contributing to a surprising statistic — abortion numbers have increased, not decreased, since the Supreme Court ruling.

The series shows how activists in both Latin America and the U.S. challenged the medical establishment by developing support systems that many prefer to clinical care and which research shows to be just as safe. Through intimate storytelling, “The Network” raises provocative questions about whether legality and medical safety are always tied together.

Our team’s investigation was extensive, taking more than two years and expanding across five countries to piece together a nearly 50-year-long underground history that can’t be found in one source: we interviewed nearly 100 activists, doctors, midwives, academics, and women who self-managed their abortions. As far as we can tell, we’re the first journalists who have documented a case of a woman who had an abortion in Brazil before and after misoprostol became available, and how the drug made a big difference. We also unveiled data that had never been shared before on how widespread the use of misoprostol already was in the mid-1990s across Latin America and the U.S. and DIY manuals underground women’s groups created to show others how to use misoprostol.