Indiana is closer to mandating not one, but two invasive vaginal ultrasounds when a woman has a medication-induced abortion.

Indiana is closer to mandating not one, but two invasive vaginal ultrasounds when a woman has a medication-induced abortion.

The Indiana state Senate on Wednesday advanced a bill that would require women to undergo an ultrasound procedure both before and after having a medication-induced abortion during the first trimester of pregnancy.

The Senate Health and Provider Services Committee approved Senate Bill 371 on Wednesday by a vote of 7 to 5, sending it to a full vote in the state Senate. The bill, introduced by state Sen. Travis Holdman (R), imposes heavy regulations on clinics and physicians that offer medication abortions, which are generally used to end a pregnancy up to 10 weeks from a woman's last period. It would require women to be presented with the sound and image of the fetal heartbeat before the abortion and to return for a follow-up ultrasound to ensure that she is no longer pregnant and has stopped bleeding.

Dr. Anne Davis, the consulting medical director for Physicians for Reproductive Health, said the requirement would place an undue burden on women seeking to end their pregnancies. "She can do a blood test at any local facility after an abortion to show that the hormone levels are going down as they should, there's no medical reason to make her drive back to the abortion clinic and go through another ultrasound," she said. "This is yet another onerous, medically unnecessary barrier."

Both ultrasounds, abortion physicians explain, would likely have to be performed with a transvaginal probe, since medication abortions usually occur too early in the pregnancy for the external "jelly-on-the-belly" procedure to provide a clear image. Davis said that transvaginal ultrasounds are the "standard procedure" used for first-trimester abortions and that they can be "physically or emotionally uncomfortable." Requiring two of these ultrasounds, she said, would be medically unnecessary, and would make abortion access more difficult for poor and rural women who cannot get time off work, need to make childcare arrangements and have long distances to drive.

Read more at Huffington Post