Abstract：
Abortion has existed throughout history, often outside of formal health care systems. This type of care, now called self-managed abortion, has historically been achieved in part through botanicals and traditional medicines. Their use continues into the modern day, especially in Asia, Hawai\'i, and other Pacific Islands, where indigenous medicine traditions practice alongside allopathic medicine. Many of these botanicals, such as papaya leaves, hibiscus flowers, and young kī, and traditional medicines, such as tianhuafen, yuanhua, and Shenghua Decoction, have undergone scientific and clinical investigation of their potential abortifacient and antifertility action. The incidence of self-managed abortion with such abortifacients in countries with severe abortion restrictions are only estimates, leading to the possibility that legal rulings and societal pressures may cause underreporting. The Asian American, Native Hawaiian, and Pacific Islander communities in the United States also suffer from a lack of abortion access in addition to unique health disparities and barriers to reproductive health care. As difficulties in abortion access increases due to the Supreme Court decision in Dobbs v. Jackson Women\'s Health Organization, some may seek or even prefer self-managed abortion through traditional methods that have been passed down in their communities. Midwives and other health care providers may then be contacted during this process. This narrative review provides an overview of the literature on the use of botanicals, herbs, and traditional medicines used for self-managed abortion, specifically in Asia, Hawai‧i, and other Pacific Islands. Their implications for practice for providers in the United States and further opportunities for research are also presented.
摘要：
堕胎在历史上一直存在，通常在正式的医疗保健系统之外。这种类型的护理，现在叫做自我管理堕胎，历史上部分是通过植物药和传统药物实现的。它们的使用一直持续到现代，尤其是在亚洲,夏威夷，和其他太平洋岛屿，在那里，土著医学传统与对抗疗法医学并驾齐驱。许多植物药，比如木瓜叶,芙蓉花,和年轻的基奇，和传统药物，比如天华芬,原华,和生化汤，对其潜在的流产和抗生育作用进行了科学和临床研究。在有严重堕胎限制的国家中，此类堕胎患者的自我管理堕胎的发生率仅为估计值，导致法律裁决和社会压力可能导致漏报的可能性。亚裔美国人,夏威夷原住民,美国的太平洋岛民社区除了独特的健康差距和生殖保健障碍外，还缺乏堕胎机会。由于最高法院在Dobbs诉Jackson妇女卫生组织案中的裁决，堕胎的困难增加了，有些人可能会寻求甚至更喜欢通过传统方法在社区中传承下来的自我管理的堕胎。然后，在此过程中可以联系助产士和其他医疗保健提供者。这篇叙述性综述概述了关于植物药使用的文献，草药,和用于自我管理流产的传统药物，特别是在亚洲，夏威夷‧i,其他太平洋岛屿。还介绍了它们对美国提供者实践的影响以及进一步的研究机会。
