History of Abortion before Roe: The “Back-Alley”

Illustration: Angelica Alzona/GMG

The “back-alley” is a dingy, treacherous, terrifying. The back-alley is a dimly lit street, tucked away from greater view, deemed shameful enough to be hidden. It is a physical space inhabited by all things seedy, illegal, or even monstrous. The back-alley is also the metaphorical space people are forced to inhabit when they are turned away from the public sphere. The back-alley isn’t just one, two, or a billion places found in an urban landscape but – rather – the threat of dying a suffering, shameful death.The “Back-Alley” is the reality of a disempowered woman, pushed once again out of liberty and into desperation.

Jack Ohman cartoon: Alabama and abortion…



Back-alley abortions greatly varied in safety and success. There is very little documentation on the practice, due to its illicit nature. All that can be sure of is that the procedures do not always look like screaming, bleeding, maimed flesh on a dirty kitchen table. To liken all means of self-induced abortion to the grotesque imagery of “back-alley butchers” is to deny the delicate care shown by and for women in these circumstances. Women have always found their own means of care, hygiene, and self-medication when the medicinemen fall short. The knowledge of which roots to pick, what to eat and when, this expertise passed from woman to woman. This knowledge is omitted from traditional (see: patriarchal) medical discipine and is therefore expelled to the fringes. Abortifacients have their forms ranging from flowering herbs to low-doses of poison. The back-alley butcher can vary from a well-intentioned licensed practitioner to an untrained hand reaching for the wallet of women at their most vulnerable.

The cruelest, ever-present threat of a back-alley abortion, is that of a lonely death. A woman can walk in and out of the back-alley, pills in her pocketbook, and bleed out slowly in the back-alley of her own bathroom floor. The terror of the back-alley is not relegated to the dismal matrix of fire escapes and potholed streets. The back-alley is the shame, the secret some women carry to their graves. The back-alley is slipping tampons into your pocket hoping no one will notice, the back-alley is deleting your period tracking app out of fear of government surveillance, the back-alley is knowing you are once again pushed out of safe medical spaces into a hard, cold street– made to find your own solutions. The back-alley is the space women’s health comes to occupy when its pushed out, all over again.

A bright spot in the back-alley can be found with the Jane Collective of Chicago. More formally known as the Abortion Counseling Services of Chicago, the collective was formed with the intention of giving chicagoan women affordable and safe access to abortion. Callers were told to ask for “Jane,” and were referred to those able to provide her with the procedure she needed. The system became increasingly intricate and sophisticated, all members of the collective operating under the code name of “Jane” – the everywoman. The Jane Collective changed countless women’s lives, especially those most socioeconomically vulnerable.


However, the threat of the back-alley persists. Ask any woman of a certain age, and she will have a story. This may be the one instance in which anecdotal evidence is the truest depiction of the horrors and realities of human desperation. Anecdotes of patients “who had gotten a catheter into her cervix and poured turpentine through it, literally cooking the inside of her uterus” or putting dissolving tablets “in their vaginas to induce bleeding.. that could easily eat through the vaginal lining, causing hemorrhage and destroying the cervix.” Even if these women escaped death, their physical and mental health is forever changed, and scarred. These stories speak to the utter desperation felt by those seeking to end their pregnancy.

Ultimately, the back-alley represents much more than just a place. The back-alley represents society’s condemnation of women and their reproductive autonomy. The repeal of Roe is unquestionably a regression, pushing women back into the alley and away from the light of legality. When there is no help for women in the daytime, they will find solutions in those dark alleys. This will lead to thousands of women’s unnecessary and preventable deaths. Abortions will never stop, but sooner or later, women will refuse to occupy the back-alley any longer.



References

Colburn, M. (n.d.). Chicago’s Forgotten Pro-Choice Warriors. Chicago Magazine. Retrieved April 21, 2023, from https://www.chicagomag.com/Chicago-Magazine/April-2019/Chicagos-Forgotten-Pro-Choice-Warriors-the-Janes/

Edwards, S. (2014, November 18). The history of abortifacients. Jezebel. Retrieved April 21, 2023, from https://jezebel.com/the-history-of-abortifacients-1658993381

Gordon, F. (2022, July 31). Mid-1960s: ‘back-alley butchers,’ underground network provide illegal, often unsafe, abortions to the desperate. Winona Daily News. Retrieved April 21, 2023, from https://www.winonadailynews.com/news/mid-1960s-back-alley-butchers-underground-network-provide-illegal-often-unsafe-abortions-to-the-desperate/image_29543ff3-4368-545e-9d26-979a8f472c9d.html

Khazan, O. (2018, October 11). When abortion is illegal, women rarely die. but they still suffer. The Atlantic. Retrieved April 21, 2023, from https://www.theatlantic.com/health/archive/2018/10/how-many-women-die-illegal-abortions/572638/

Koerth, M. (2022, June 2). What the history of back-alley abortions can teach us about a future without Roe. FiveThirtyEight. Retrieved April 21, 2023, from https://fivethirtyeight.com/features/what-the-history-of-back-alley-abortions-can-teach-us-about-a-future-without-roe/

Warren, S. E. (2018, January 21). Senator Elizabeth Warren on Roe v. Wade’s 45th Anniversary. Time. Retrieved April 21, 2023, from https://time.com/5110722/elizabeth-warren-roe-v-wade-abortions/

6 thoughts on “History of Abortion before Roe: The “Back-Alley”

  1. I really appreciate the symbolism you utilize and images you paint. The back alley really isn’t just one place. It’s a state of being and vulnerability being brought back into normalcy by the overturning of Roe. It makes me wonder how the Roe era will be perceived by generations in the future in states where abortion is now criminalized and heavily restricted. Will it be looked back at in yearning or in disdain? Furthermore, given the blanket of state laws that have emerged, how will US collective memory of the Roe era conflict with state and local recollection? Which will reign supreme in the decades to come?

  2. This post is super well written and aptly illustrates the aura of secrecy and shame that surrounds the topic of female reproductive health. The third paragraph is especially compelling to me, as I know myself and many of my friends have dealt with the ever-present sense of “back-alley” that is associated with pregnancy, periods, and reproductive healthcare. These comparisons also expand the abortion issue into an overall issue with the way reproductive healthcare is handled in America, and the continuing effects of misogyny in the 21st century—important, because even today there are individuals who believe America has achieved complete gender equality because of the steps forward feminism has pushed throughout the last century.

    I love that the “back alley” metaphor so concisely and directly shows the overturning of Roe v. Wade for what it is to women’s rights activists: not a victory for the life of the fetus, but a net loss where women are forced to seek out dangerous solutions to maintain their bodily autonomy. As more and more states restrict abortion, we find that official memory-makers are implementing or proposing laws which go so far as to criminalize self-induced abortion, further restricting rights to bodily autonomy and increasing government surveillance of citizen’s bodies.

  3. I love your use of visuals! Your opening paragraph was well written, using pathos in order to attempt to appeal to your audience using buzz words. Your hyperlinks are also super helpful as to define different terms. The article as a whole is very eye opening as to the dark reality of women looking to get an abortion when it was illegal. My only note is what sources were used where? It would be easier to tell if you had used the bracket system for your article!

  4. I absolutely loved this post, especially the way in which you related the back-alley to today’s time in the simple action of concealing a menstrual product on your way to the bathroom. It is so obviously true to me that legislation will not stop abortions, only will it stop safe and legal abortions. The denial of this healthcare to pregnant people will only lead to unsafe procedures, for there is always another way around it. The imagery in this post is so potent, and was a very poetic way to describe the vulnerability of women. The vulnerability of those so desperate to terminate their pregnancy that they are willing to pay with their life is such a real issue that is being faced today with women in states with strict abortion laws. Who can be the advocate for these women in need if the law and healthcare system cannot help them?

  5. This is interesting because it tells you about life before Roe v Wade and what some women had to go through during this time . Abortions weren’t available during this time, before Roe, in a safe way, so they would unsafe methods to conduct abortions. This is important because Roe v Wade wasn’t the beginning of abortions, it just created a safer way for women to have access to them. Taking away this right means that women may have to go back to things like the “Black Alley.” The history of the Black Alley Abortions needs to be an important part of the collective memory and maybe something people think more about now because of the changes that have come up in overturning Roe V Wade.

  6. This article was very engaging, it was metaphoric just like the back alley. I really liked the idea of the solutions women have to come up with for their own safety and protection. It shows how women have persevered in hard times like abortion laws. this post boths shows the fear and secrecy of women who are trying ti get an abortion, the fear of being tracked through a period app.

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