Professional Documents
Culture Documents
TYPES
Spontaneous
Induced
Methods
Medical
Surgical
Other methods
Health risks
See also: Health risks of unsafe abortion
Abortion, when legally performed in developed countries, is among
the safest procedures in medicine.[28][29] In such settings, risk of
maternal death is between 0.2–1.2 per 100,000 procedures.[30][31][32]
[33]
In comparison, by 1996, mortality from childbirth in developed
countries was 11 times greater.[30][34][35][36][37][38] Unsafe abortions
(defined by the World Health Organization as those performed by
unskilled individuals, with hazardous equipment, or in unsanitary
facilities) carry a high risk of maternal death and other
complications.[39] For unsafe procedures, the mortality rate has been
estimated at 367 per 100,000 (70,000 women per year worldwide).
[2][40]
Physical health
Mental health
Main article: Abortion and mental health
No scientific research has demonstrated that abortion is a cause of
poor mental health in the general population. However there are
groups of women who may be at higher risk of coping with problems
and distress following abortion.[53] Some factors in a woman's life,
such as emotional attachment to the pregnancy, lack of social
support, pre-existing psychiatric illness, and conservative views on
abortion increase the likelihood of experiencing negative feelings
after an abortion.[54] The American Psychological Association (APA)
concluded that abortion does not lead to increased mental health
problems.[55]
Some proposed negative psychological effects of abortion have
been referred to by pro-life advocates as a separate condition called
"post-abortion syndrome." However, the existence of "post-abortion
syndrome" is not recognized by any medical or psychological
organization.[56][57][58]
Incidence
There are two commonly used methods of measuring incidence of
abortion:
• Abortion rate - number of abortions per 1000 women between 15 and 44 years
of age
• Abortion ratio - number of abortions out of 100 known pregnancies (excluding
miscarriages and stillbirths)
Unsafe abortion
Soviet poster circa 1925, warning against midwives performing abortions. Title
translation: "Abortions performed by either trained or self-taught midwives not only
maim the woman, they also often lead to death."
Main article: Unsafe abortion
One of the main determinants of the availability of safe abortions is
the legality of the procedure. Forty percent of the world's women
are able to access therapeutic and elective abortions within
gestational limits.[3] Women seeking to terminate their pregnancies
sometimes resort to unsafe methods, particularly where and when
access to legal abortion is restricted. The World Health Organization
(WHO) defines an unsafe abortion as being "a procedure ... carried
out by persons lacking the necessary skills or in an environment
that does not conform to minimal medical standards, or both."[72]
Unsafe abortions are sometimes known colloquially as "back-alley"
abortions. They may be performed by the woman herself, another
person without medical training, or a professional health provider
operating in sub-standard conditions. Unsafe abortion remains a
public health concern due to the higher incidence and severity of its
associated complications, such as incomplete abortion, sepsis,
hemorrhage, and damage to internal organs. While maternal
mortality seldom results from safe abortions, unsafe abortions result
in 70,000 deaths and 5 million disabilities per year.[2] Complications
of unsafe abortion are said to account, globally, for approximately
13% of all maternal mortalities, with regional estimates including
12% in Asia, 25% in Latin America, and 13% in sub-Saharan Africa.
[73]
Although the global rate of abortion declined from 45.6 million in
1995 to 41.6 million in 2003, unsafe procedures still accounted for
48% of all abortions performed in 2003.[74] Health education, access
to family planning, and improvements in health care during and
after abortion have been proposed to address this phenomenon.[75]
History
Abortion law
The examples and perspective in this article may not represent a worldwide
view of the subject. Please improve this article and discuss the issue on the
talk page. (December 2010)
Main article: Abortion law
See also: Reproductive rights and History of Abortion Law Debate
International status of abortion law:
Legal on request
Illegal with exception for rape, maternal life, health, mental health, fetal defects,
and/or socioeconomic factors
Illegal with exception for rape, maternal life, health, mental health, and/or fetal
defects
Illegal with exception for rape, maternal life, health, and/or mental health
Illegal with exception for maternal life, health, and/or mental health
Illegal with no exceptions
Varies by region
No information
The earliest secular laws regulating abortion reflect a concern with
class and caste purity and preservation of male prerogatives.
Abortion as such was not outlawed, but wives who procured
abortions without their husband's knowledge could be severely
punished, as could slaves who induced abortions in highborn
women. Generally, abortions prior to quickening were treated as
minor crimes, if at all.
The new philosophies of the Axial Age, which began discussing the
nature and value of human life in abstract terms, had little impact
on existing abortion laws. Even the Christian ecclesiastical courts of
the Middle Ages imposed penance and no corporal punishment for
abortion, and retained the pre- and post-quickening distinction from
the ancient philosophies.
With the sole exception of Bracton,[92] commentators on the English
common law formulated the born alive rule, excluding feticide from
homicide law, using language dating back to the Leges Henrici
Primi.[93]
In the late eighteenth century, it was claimed that scientific
knowledge of human development beginning at fertilization,[94]
justified stricter abortion laws. This was part of a larger struggle on
the part of the medical profession to distinguish modern, theory
based medicine from traditional, empirically based medicine,
including midwifery and herbalism.[95]
Both pre- and post-quickening abortions were criminalized by Lord
Ellenborough's Act in 1803.[96] In 1861, the Parliament of the United
Kingdom passed the Offences against the Person Act 1861, which
continued to outlaw abortion and served as a model for similar
prohibitions in some other nations.[97]
The Soviet Union, with legislation in 1920, and Iceland, with
legislation in 1935, were two of the first countries to generally allow
abortion. The second half of the 20th century saw the liberalization
of abortion laws in other countries. The Abortion Act 1967 allowed
abortion for limited reasons in the United Kingdom (except Northern
Ireland). In the 1973 case, Roe v. Wade, the United States Supreme
Court struck down state laws banning abortion, ruling that such laws
violated an implied right to privacy in the United States Constitution.
The Supreme Court of Canada, similarly, in the case of R. v.
Morgentaler, discarded its criminal code regarding abortion in 1988,
after ruling that such restrictions violated the security of person
guaranteed to women under the Canadian Charter of Rights and
Freedoms.[98] Canada later struck down provincial regulations of
abortion in the case of R. v. Morgentaler (1993). By contrast,
abortion in Ireland was affected by the addition of an amendment to
the Irish Constitution in 1983 by popular referendum, recognizing
"the right to life of the unborn".
Current laws pertaining to abortion are diverse. Religious, moral,
and cultural sensibilities continue to influence abortion laws
throughout the world. The right to life, the right to liberty, the right
to security of person, and the right to reproductive health are major
issues of human rights that are sometimes used as justification for
the existence or absence of laws controlling abortion. Many
countries in which abortion is legal require that certain criteria be
met in order for an abortion to be obtained, often, but not always,
using a trimester-based system to regulate the window of legality:
• In the United States, some states impose a 24-hour waiting period before the
procedure, prescribe the distribution of information on fetal development, or
require that parents be contacted if their minor daughter requests an abortion.
[99]
• In the United Kingdom, as in some other countries, two doctors must first
certify that an abortion is medically or socially necessary before it can be
performed.[citation needed]
• A few nations ban abortion entirely: Chile, El Salvador, Malta, and Nicaragua,
with consequent rises in maternal death directly and indirectly due to
pregnancy.[100][101] However, in 2006, the Chilean government began the free
distribution of emergency contraception.[102][103]
• In Bangladesh, abortion is illegal, but the government has long supported a
network of "menstrual regulation clinics", where menstrual extraction (manual
vacuum aspiration) can be performed as menstrual hygiene.[104]
Sex-selective
Anti-abortion violence
Art serves to humanize the abortion issue and illustrates the myriad
of decisions and consequences it has. One of the earliest known
representations of abortion is in a bas relief at Angkor Wat (c. 1150).
Pro-life activist Børre Knudsen was linked to a 1994 art theft as part
of a pro-life drive in Norway surrounding the 1994 Winter Olympics.
[123]
A Swiss gallery removed a piece from a Chinese art collection in
2005, that had the head of a fetus attached to the body of a bird.[124]
In 2008, a Yale student proposed using aborted excretions and the
induced abortion itself as a performance art project.[125]
The Cider House Rules (novel 1985, film 1999) follows the story of
Dr. Larch an orphanage director who is a reluctant abortionist after
seeing the consequences of back-alley abortions, and his orphan
medical assistant Homer who is against abortion.[126] Feminist novels
such as Braided Lives (1997) by Marge Piercy emphasize the
struggles women had in dealing with unsafe abortion in various
circumstances prior to legalization.[127] Doctor Susan Wicklund wrote
This Common Secret (2007) about how a personal traumatic
abortion experience hardened her resolve to provide compassionate
care to women who decide to have an abortion. As Wicklund
crisscrosses the West to provide abortion services to remote clinics,
she tells the stories of women she's treated and the sacrifices
herself and her loved ones made.[128] In 2009, Irene Vilar revealed
her past abuse and addiction to abortion in Impossible Motherhood,
where she aborted 15 pregnancies in 17 years. According to Vilar it
was the result of a dark psychological cycle of power, rebellion and
societal expectations.[129]
Various options and realities of abortion have been dramatized in
film. In Riding in Cars with Boys (2001) an underage woman carries
her pregnancy to term as abortion is not an affordable option,
moves in with the father and finds herself involved with drugs, has
no opportunities, and questioning if she loves her child. While in
Juno (2007) a 16-year-old initially goes to have an abortion but
decides to bear the child and allow a wealthy couple to adopt it.
Other films Dirty Dancing (1987) and If These Walls Could Talk
(1996) explore the availability, affordability and dangers of illegal
abortions. The emotional impact of dealing with an unwanted
pregnancy alone is the focus of Things You Can Tell Just By Looking
At Her (2000) and Circle of Friends (1995). As a marriage was in
trouble in the The Godfather Part II (1974) Kay knew the relationship
was over when she aborted "a son" in secret.[130] On the abortion
debate, an irresponsible drug addict is used as a pawn in a power
struggle between pro-choice and pro-life groups in Citizen Ruth
(1996).[131]
In other animals
Further information: Miscarriage#In other animals
Spontaneous abortion occurs in various animals. For example, in
sheep, it may be caused by crowding through doors, or being
chased by dogs.[132] In cows, abortion may be caused by contagious
disease, such as Brucellosis or Campylobacter, but can often be
controlled by vaccination.[133]
Abortion may also be induced in animals, in the context of animal
husbandry. For example, abortion may be induced in mares that
have been mated improperly, or that have been purchased by
owners who did not realize the mares were pregnant, or that are
pregnant with twin foals.[134]
Feticide can occur in horses and zebras due to male harassment of
pregnant mares or forced copulation,[135][136][137] although the
frequency in the wild has been questioned.[138] Male Gray langur
monkeys may attack females following male takeover, causing
miscarriage.[139]
Human fetus 10 weeks -
therapeutic abortion.jpg