Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of all pregnancies. When deliberate steps are taken to end a pregnancy, it is called an induced abortion, or less frequently "induced miscarriage". The unmodified word abortion generally refers to an induced abortion. The most common reason women give for having an abortion is for birth-timing and limiting family size. Other reasons reported include maternal health, an inability to afford a child, domestic violence, lack of support, feeling they are too young, wishing to complete education or advance a career, and not being able or willing to raise a child conceived as a result of rape or incest.
Dilationand curettage (D&C) refers to the dilation of the cervix and surgical removal of part of the lining of the uterus or contents of the uterus by scraping and scooping (curettage). It is a gynecologic procedure used for diagnostic and therapeutic purposes, and is the most commonly used method for first-trimester miscarriage or abortion.
Intact dilation and extraction is a surgical procedure that removes an intact fetus from the uterus. The procedure is used both after miscarriages and for abortions in the second and third trimesters of pregnancy.
Abortion in the Netherlands was fully legalized on November 1, 1984, allowing elective abortion up to the 24th week of the pregnancy. Abortion for "serious medical reasons" can be performed after 24 weeks. There used to be a mandatory five-day waiting period for abortions done after one's menstrual period is 17 days overdue. However, on June 21, 2022, Dutch parliamentarians approved a law to scrap the mandatory five-day reflection period before undergoing an abortion, saying women, with a joint consultation with the doctor, should be able to determine the time before making a decision. The law went into effect in January of 2023.
Asherman's syndrome (AS) is an acquired uterine condition that occurs when scar tissue (adhesions) forms inside the uterus and/or the cervix. It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another. AS can be the cause of menstrual disturbances, infertility, and placental abnormalities. Although the first case of intrauterine adhesion was published in 1894 by Heinrich Fritsch, it was only after 54 years that a full description of Asherman syndrome was carried out by Joseph Asherman. A number of other terms have been used to describe the condition and related conditions including: uterine/cervical atresia, traumatic uterine atrophy, sclerotic endometrium, and endometrial sclerosis.
Vacuum or suction aspiration is a procedure that uses a vacuum source to remove an embryo or fetus through the cervix. The procedure is performed to induce abortion, as a treatment for incomplete spontaneous abortion or retained fetal and placental tissue, or to obtain a sample of uterine lining. It is generally safe, and serious complications rarely occur.
Dilation and evacuation (D&E) is the dilation of the cervix and surgical evacuation of the uterus after the first trimester of pregnancy. It is a method of abortion as well as a common procedure used after miscarriage to remove all pregnancy tissue.
A self-induced abortion is an abortion performed by the pregnant woman herself, or with the help of other, non-medical assistance. Although the term includes abortions induced outside of a clinical setting with legal, sometimes over-the-counter medication, it also refers to efforts to terminate a pregnancy through alternative, potentially more dangerous methods. Such practices may present a threat to the health of women.
Carol Downer is an American feminist lawyer and non-fiction author who focused her career on abortion rights and women's health around the world. She was involved in the creation of the self-help movement and the first self-help clinic in LA, which later became a model and inspiration for dozens of self-help clinics across the United States.
The practice of induced abortion—the deliberate termination of a pregnancy—has been known since ancient times. Various methods have been used to perform or attempt abortion, including the administration of abortifacient herbs, the use of sharpened implements, the application of abdominal pressure, and other techniques. The term abortion, or more precisely spontaneous abortion, is sometimes used to refer to a naturally occurring condition that ends a pregnancy, that is, to what is popularly called a miscarriage. But in what follows the term abortion will always refer to an induced abortion.
The Karman cannula is a soft, flexible cannula used in medical procedures that was popularized by Harvey Karman in the early 1970s. The flexibility of the Karman cannula was claimed to reduce the risk of perforating the uterus during vacuum aspiration. Both Karman's procedure, menstrual extraction, and his cannula were embraced by activists Carol Downer and Lorraine Rothman, who modified the technique in 1971 and promoted it. The "self-help" abortion movement envisioned by Downer and Rothman never entered the mainstream in the U.S. before or after Roe v. Wade. Physicians sometimes use a Karman cannula in early induced surgical abortion, in treatment of incomplete abortion, and in endometrial biopsy. In 2010, a Sri Lankan physician named Geeth Silva was the first physician to use the Karman cannula in the removal of impacted faeces from a patient; this was done in Columbo at the Sri Jayawardenepura General Hospital. Physicians and other health care providers sometimes use a Karman cannula in "menstrual regulation" vacuum aspiration procedures in developing countries where abortion is illegal.
Evelyn Lorraine Rothman was an American activist. She was a founding member of the feminist self-help clinic movement. In 1971, she invented the Del-Em menstrual extraction kit to make abortions available to women before Roe v. Wade. She was an advocate of self-induced abortions.
The Jane Collective or Jane, officially known as the Abortion Counseling Service of Women's Liberation, was an underground service in Chicago, Illinois affiliated with the Chicago Women's Liberation Union that operated from 1969 to 1973, a time when abortion was illegal in most of the United States. The foundation of the organization was laid when Heather Booth helped her friend's sister obtain a safe abortion in 1965. Other women with unwanted pregnancies began to contact Booth after learning via word-of-mouth that she could help them. When the workload became more than what she could manage, she reached out to other activists in the women's liberation movement. The collective sought to address the increasing number of unsafe abortions being performed by untrained providers. Since illegal abortions were not only dangerous but very expensive, the founding members of the collective believed that they could provide women with safer and more affordable access to abortions.
Harvey Leroy Karman was an American psychologist and the inventor of the Karman cannula, a flexible suction cannula used for early-term abortions.
The endometrial biopsy is a medical procedure that involves taking a tissue sample of the lining of the uterus. The tissue subsequently undergoes a histologic evaluation which aids the physician in forming a diagnosis.
Abortion-rights movements, also self-styled as pro-choice movements, advocate for the right to have legal access to induced abortion services including elective abortion. They seek to represent and support women who wish to terminate their pregnancy without fear of legal or social backlash. These movements are in direct opposition to anti-abortion movements.
Abortion is illegal in Bangladesh under most situations, but menstrual regulation is often used as a substitute. Bangladesh is still governed by the penal code from 1860, where induced abortion is illegal unless the woman is in danger.
Rebecca Chalker is a health writer and women's rights activist who is the author of several books on women's health issues.
The women's health movementin the United States refers to the aspect of the American feminist movement that works to improve all aspects of women's health and healthcare. It began during the second wave of feminism as a sub-movement of the women's liberation movement. WHM activism involves increasing women's knowledge and control of their own bodies on a variety of subjects, such as fertility control and home remedies, as well as challenging traditional doctor-patient relationships, the medicalization of childbirth, misogyny in the health care system, and ensuring drug safety.
Nepal legalised abortion in March 2002, under the 11th Amendment to the Civil Code. The legal services were successfully implemented on December 25, 2003. The high maternal mortality rates in Nepal lead to the government legalising it. More than 500,000 women sought abortion between 2004–2014. In 2014, 323,100 women in Nepal had the abortion; among this, only 42% of abortions were legal and 19% were treated for abortion complications. Similar study had found the rate of unintended pregnancy as 50%.
