California's Attorney General has sued Heartbeat to prevent us from advertising Abortion Pill Reversal. If you feel so called, you can stand with us as we continue to push back against pro-abortion lies against the good work of pregnancy help. We know this will be a long battle, and we also have faith in the victory!

The majority of all abortions in the U.S. occur through chemical abortion, the abortion pill, with some reports showing an upwards of 80%.

The abortion pill comes in two parts and is approved by the FDA for use up to 10 weeks of pregnancy. The first chemical, mifepristone (or RU-486), is the first pill used in a chemical abortion and blocks the effects of progesterone, a hormone necessary for a pregnancy to thrive. The second part, misoprostol, expels the baby. 

Many women regret their abortions—and some choose to reverse the effects of chemical abortion drugs before taking the second drug, often saving their baby’s life. If a woman has regrets after taking the first pill, the pregnancy may be saved by the Abortion Pill Rescue Network.

• There is a window between the first and second chemical abortion drug where the effects can be reversed, and the baby can be saved.
• Chemical abortion is typically done up to 10 weeks gestation, when an unborn baby has a heartbeat, fingers and toes, and his unique fingerprints begin to form.
• Abortion Pill Reversal uses the natural hormone progesterone to counteract the life-ending effects of chemical abortion drugs.
• Data suggests that Abortion Pill Reversal has saved over 4,500 unborn lives and has a 64-68% success rate.
• Women should have the choice to reconsider going through with an abortion.
• Women deserve real healthcare.

How does Abortion Pill Reversal work?

Progesterone is a natural hormone needed to sustain pregnancy and has been used for decades to safely and effectively prevent miscarriage and forestall preterm labor. Abortion pill reversal displaces mifepristone (the first drug in a chemical abortion) from progesterone receptors using the natural progesterone hormone, counteracting the effects of mifepristone and allowing the baby to continue growing. For women who have begun abortion pill reversal, progesterone treatment is continued through the end of the first trimester at a minimum, and beyond that if needed.

What are the side effects of Abortion Pill Reversal?

Progesterone is a natural hormone necessary for sustaining a pregnancy. For some women, progesterone may cause minor side effects including sleepiness, dizziness, and headaches.

Chemical abortion side effects include bleeding, life-threatening infections, and the inability to have future successful pregnancies and may require emergency medical treatment, surgeries, blood transfusions, and hysterectomies. The FDA’s currently approved label for mifepristone also states that between 2.9-4.6% of women will end up in an emergency room. Additionally, women who take the drugs at home face the mental anguish of performing their own abortion. Many women report being surprised by the sheer volume of bleeding and are haunted by the image of the dead child. In fact, some abortionists advise women not to look at all at the aborted baby. Additionally, the FDA and abortion activists are pushing for chemical abortion by mail, only increasing the danger to women, as there is no in-person doctor’s visit and no ultrasound confirming how developed the baby is or if the pregnancy is ectopic.

Why should doctors be able to use abortion pill reversal when it’s not approved by the FDA?

Progesterone is a natural hormone needed to sustain pregnancy and has been used for decades to safely and effectively prevent miscarriage and forestall preterm labor. Doctors may prescribe abortion pill reversal as part of an off-label use of the treatment. Pregnant women shouldn’t be denied treatment to save their unborn child just because they took the first abortion drug but changed their mind.

Healthy Outcomes

The protocol used in the Abortion Pill Reversal process is nothing new. In fact, progesterone has been used routinely and safely with pregnancy since the 1950s.^{1, 2, 3, 4, 5, 6}

A 2018 peer-reviewed study showed positive results

• 64%-68% of the pregnancies were saved through Abortion Pill Reversal
• There was no increase in birth defects
• Lower preterm delivery rate than the general population

<sup>1. [Vaux NW and Rakoff AE: Estrogen-progesterone therapy: A new approach in the treatment of habitual abortion. Am J Obst Gynec 50:353, 1945.
2. Jones, GES: Some newer aspects of the management of infertility. JAMA 141:1123, 1949.]↩
3. [Progesterone support in pregnancy has been in use for nearly 60 years, having received its start with publications dating back to the 1940s.] (https://www.naprotechnology.com/progesterone.htm)
4. [Progestin Therapy to Prevent Preterm Birth: History and Effectiveness of Current Strategies and Development of Novel Approaches] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766339/
5. [The Use of Progesterone for Prevention of Preterm Birth] https://www.researchgate.net/publication/5653589_The_Use_of_Progesterone_for_Prevention_of_Preterm_Birth
6. [The history of natural progesterone, the never-ending story] https://tahomaclinic.com/Private/Articles1/BHRT/Piette%202018%20-%20The%20history%20of%20natural%20progesterone,%20the%20never-ending%20story.pdf</sup>

We understand the challenges of marketing pro-life pregnancy help in today’s world.

Abortion is often portrayed as a quick and easy solution for an unexpected pregnancy—a message reinforced through magazines, television, and music. But behind that narrative, many women feel rushed or pressured into decisions that can lead to a lifetime of regret.

Every woman deserves time, support, and access to compassionate care so that no one feels abortion is her only option.

That’s why Heartbeat International developed a Gen Y & Z-focused Option Line campaign—to meet women where they are and combat Big Abortion’s monopoly on the conversation. Our goal is simple: reach her and connect her to life-affirming pregnancy help.

This campaign is designed to engage women facing unexpected pregnancies and guide them directly to Option Line. From there, they’re connected to their local pregnancy help organization—like yours—where they’ll receive the care and resources they need to make an empowered choice.

To better connect with women from a variety of backgrounds and circumstances, we created three unique video personas based on real Option Line callers. With millions of views already, this campaign is reaching women across the country—and leading them to your doors.

As a Heartbeat affiliate, you have access to these professionally produced videos at no cost. We encourage you to share them on your social media platforms and embed them on your website. By doing so, you’re not just spreading hope—you’re creating a direct bridge between women seeking help and the compassionate care your center is ready to provide.

We wanted to extend an opportunity for you to join in this effort to bring hopeful messages about options, resources, and the value of a child to key influencers. Our hope is to expand into new markets and new mediums, because we know:

• The average woman is uninformed about life-affirming pregnancy options when abortion shopping
• We can help prepare her influencers with critical language that supports her and encourages life decisions
• We need to combat the increased selling of abortion by Big Media
• Potential Reach = Nearly 100M for each Cable-TV commercial and digital campaign

Opposition Strategy

The overturning of Roe was a fantastic victory for the pro-life movement, a turning point in the fight to protect life. Many of us were excited to turn our focus to our states to pass legislation protecting preborn babies. However, we are now seeing a concerning trend where pro-abortion activists are attempting to accomplish locally what they failed to do federally, place the "right" to abortion into the constitution.

These efforts began in abortion-friendly states like California and Vermont in 2021, but now, traditionally pro-life states are being targeted. Ohio is one of the first, with Issue 1 on the ballot for November 2023, and there could be up to six state initiatives of this kind in 2024.

By amending state constitutions, pro-abortion groups can bypass pro-life majority state legislatures that would never support removing all protections for women and allowing abortion through all nine months of pregnancy. Using ballot initiatives, they can write incredibly broad language that is misleading to voters. Big Abortion hides behind the ambiguity and statements of "reproductive freedom" in an attempt to obscure the true impacts of the amendments.

In Ohio, for example, the amendment states that:

"Every individual has a right to make and carry out one’s own reproductive decisions..."

The authors intentionally use the term "individual" to ensure that the amendment applies to minors and will remove all laws regarding parental notification.

The proposed amendment also states:

"Abortion may be prohibited after fetal viability. But in no case may such an abortion be prohibited if in the professional judgment of the pregnant patient’s treating physician it is necessary to protect the pregnant patient’s life or health."

While this may at first seem like Ohio would be able to pass a law prohibiting abortions after viability, the addition of the word "health" allows the physician to perform an abortion for essentially any reason. They could easily claim that the abortion was necessary for the betterment of her mental health. (The full text of the proposed amendment can be found here.)

Another issue with this strategy is that the process of reversing constitutional amendments is difficult and highly costly. In 2022, the campaigns for and against Michigan's Proposal 3, the Right to Reproductive Freedom Initiative, spent over 68 million dollars. The pro-abortion groups won after spending almost 48 million dollars, and the pro-life advocates spent just over 21 million. Campaigns of this magnitude cannot be run year after year, and pro-abortion groups understand this. They know if they can pass one amendment, it will likely prevent that state from restricting abortion in any way for many years to come, and the pro-life majority legislatures can do nothing to change that.

Constitutional amendments are an extreme way to change laws in a state. In fact, many states do not allow for these citizen-initiated constitutional amendments. Of the 50 states, there are only 18 in which citizens can gather signatures to place an amendment onto the ballot. Many of these states require only a 50% +1 majority for these amendments to pass, while others require the ballot measure to receive at least 60%. With this in mind, pro-abortion activists are targeting otherwise pro-life states like Missouri, South Dakota, and Ohio, because they believe they can get a simple majority of voters to go along with their ambiguous amendments.

To overcome these attacks on life, it is important that we fully understand the new battleground that has developed post-Roe. The fight has shifted back to each individual state, but we must also keep in mind the bigger picture and understand what attacks are on the horizon. Big Abortion is not satisfied with just ensuring California and New York are sanctuaries for abortion; they want every state to enshrine abortion as a "right" in their constitution. Because of this, we must also continue our work of pushing back against the lies that tell women they are not capable of being a mother. Whether you live in a Life State or an Abortion State, you are uniquely positioned to speak the truth and champion life!