The Abortion Hotline Meta Wants to Go Dark

This is the sixth installment in a blog series documenting EFF’s findings from the Stop Censoring Abortion campaign. You can read additional posts here. 

When we started our Stop Censoring Abortion campaign, we heard from activists, advocacy organizations, researchers, and even healthcare providers who had all experienced having abortion-related content removed or suppressed on social media. One of the submissions we received was from an organization called the Miscarriage and Abortion Hotline.

The Miscarriage and Abortion Hotline (M+A Hotline) formed in 2019, is staffed by a team of healthcare providers who wanted to provide free and confidential “expert advice on various aspects of miscarriage and abortion, ensuring individuals receive accurate information and compassionate support throughout their journey.” By 2022, the hotline was receiving between 25 to 45 calls and texts a day. 

Like many reproductive health, rights, and justice groups, the M+A Hotline is active on social media, sharing posts that affirm the voices and experiences of abortion seekers, assert the safety of medication abortion, and spread the word about the expert support that the hotline offers. However, in late March of this year, the M+A Hotline’s Instagram suddenly had numerous posts taken down and was hit with restrictions that prevented the account from starting or joining livestreams or creating ads until June 25, 2025.

Screenshots provided to EFF from M+A Hotline

The reason behind the restrictions and takedowns, according to Meta, was that the M+A Hotline’s Instagram account failed to follow Meta’s guidelines on the sale of illegal or regulated goods. The “guidelines” refer to Meta’s Community Standards which dictate the types of content that are allowed on Facebook, Instagram, Messenger, and Threads. But according to Meta, it is not against these Community Standards to provide guidance on how to legally access pharmaceutical drugs, and this is treated differently than an offer to buy, sell, or trade pharmaceuticals (though there are additional compliance requirements for paid ads). 

Under these rules, the M+A Hotline’s content should have been fine: The Hotline does not sell medication abortion and simply educates on the efficacy and safety of medication abortion while providing guidance on how abortion seekers could legally access the pills. Despite this, around 10 posts from the account were removed by Instagram, none of which were ads.

For how little the topic is mentioned in these Standards, content about abortion seems to face extremely high scrutiny from Meta.

In a letter to Amnesty International in February 2024, Meta publicly clarified that organic content on its platforms that educates users about medication abortion is not in violation of the Community Standards. The company claims that the policies are “based on feedback from people and the advice of experts in fields like technology, public safety and human rights.” The Community Standards are thorough and there are sections covering everything from bullying and harassment to account integrity to restricted goods and services. Notably, within the several webpages that make up the Community Standards, there are very few mentions of the words “abortion” and “reproductive health.” For how little the topic is mentioned in these Standards, content about abortion seems to face extremely high scrutiny from Meta.

Screenshots provided to EFF from M+A Hotline

Not only were posts removed, but even after further review, many were not restored. The M+A Hotline was once again told that their content violates the Community Standards on drugs. While it’s understandable that moderation systems may make mistakes, it’s unacceptable for those mistakes to be repeated consistently with little transparency or direct communication with the users whose speech is being restricted and erased. This problem is only made worse by lack of helpful recourse. As seen here, even when users request review and identify these moderation errors, Meta may still refuse to restore posts that are permitted under the Community Standards.

The removal of the M+A Hotline’s educational content demonstrates that Meta must be more accurate, consistent, and transparent in the enforcement of their Community Standards, especially in regard to reproductive health information. Informing users that medical professionals are available to support those navigating a miscarriage or abortion is plainly not an attempt to buy or sell pharmaceutical drugs. Meta must clearly defineand then fairly enforce–what is and isn’t permitted under its Standards. This includes ensuring there is a meaningful way to quickly rectify any moderation errors through the review process. 

At a time when attacks on online access to information—and particularly abortion information—are intensifying, Meta must not exacerbate the problem by silencing healthcare providers and suppressing vital health information. We must all continue to fight back against online censorship.

 This is the sixth post in our blog series documenting the findings from our Stop Censoring Abortion campaign. Read more in the series: https://www.eff.org/pages/stop-censoring-abortion