Abortion in Bulgaria has been legal on request within the first 12 weeks of pregnancy since 1 February 1990. Between 12 and 20 weeks, abortion is only permitted for women who suffer from certain diseases that may endanger her life or that of the child, and after 20 weeks abortion is only permitted if the woman's life is in danger or the fetus is severely genetically harmed. [1] [2] [3]
Abortions were legalized by a decree of the Ministry of Public Health on 27 April 1956, providing for abortions for all pregnancies within the first twelve weeks on any grounds, and only on therapeutic grounds thereafter. They were severely restricted by a Government decree of February 1968, issued to counter declining birth rates. Most abortions required approval by a special medical board, and they were banned entirely for childless women, with only medical exceptions. Only women over 45 or with three or more children could obtain an abortion on request, except if the pregnancy was past 10 weeks or the woman had obtained an abortion in the previous six months. The restrictions were extended in April 1973 to cover women with no children or only one child; abortions could only be obtained in case of rape or incest, for unmarried childless women under 18, for women over 45 with one living child, or in cases of disease endangering the woman's life or the viability of the fetus. The restrictions were slightly relaxed in 1974, but most restrictions remained until the decree of 1 February 1990. [3] Despite the restrictions, abortion rates remained very high, with more abortions than live births in every year between 1976 and 1990. [4]
The abortion rate in Bulgaria, which was 21.3 abortions per 1000 women aged 15–44 in 2003, [5] has been declining. As of 2010 [update] , it is 14.7 abortions per 1,000 women aged 15-44 years. [6] The high abortion rate in Bulgaria has posed concerns for public health. [7]
Mifepristone (medical abortion) was registered in 2013. [8]
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 reasons women give for having an abortion are 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.
Abortion is a divisive issue in the United States. The issue of abortion is prevalent in American politics and culture wars, though a majority of Americans support continued access to abortion. There are widely different abortion laws depending on state.
Abortion in Canada is legal throughout pregnancy and is publicly funded as a medical procedure under the combined effects of the federal Canada Health Act and provincial health-care systems. However, access to services and resources varies by region. While some restrictions exist, Canada is one of the few nations with no criminal restrictions on abortion. Abortion is subject to provincial healthcare regulatory rules and guidelines for physicians. No provinces offer abortion on request at 24 weeks and beyond, although there are exceptions for certain medical complications.
Abortion laws vary widely among countries and territories, and have changed over time. Such laws range from abortion being freely available on request, to regulation or restrictions of various kinds, to outright prohibition in all circumstances. Many countries and territories that allow abortion have gestational limits for the procedure depending on the reason; with the majority being up to 12 weeks for abortion on request, up to 24 weeks for rape, incest, or socioeconomic reasons, and more for fetal impairment or risk to the woman's health or life. As of 2022, countries that legally allow abortion on request or for socioeconomic reasons comprise about 60% of the world's population. In 2024, France became the first country to explicitly protect abortion rights in its constitution.
Abortion in the Czech Republic is legally allowed up to 12 weeks of pregnancy, with medical indications up to 24 weeks of pregnancy, in case of grave problems with the fetus at any time. Those performed for medical indications are covered by public health insurance, but otherwise, abortion is relatively affordable in the Czech Republic. In Czech, induced abortion is referred to as interrupce or umělé přerušení těhotenství, often colloquially potrat ("miscarriage").
Abortion in Switzerland is legal during the first twelve weeks of pregnancy, upon condition of counseling, for women who state that they are in distress. It is also legal with medical indications – threat of severe physical or psychological damage to the woman – at any later time. Switzerland is among the developed nations with the lowest rates of abortions and unwanted pregnancies.
Abortion in Romania is currently legal as an elective procedure during the first 14 weeks of pregnancy, and for medical reasons at later stages of pregnancy. In the year 2004, there were 216,261 live births and 191,000 reported abortions, meaning that 46% of the 407,261 reported pregnancies that year ended in abortion.
Abortion in Russia is legal as an elective procedure up to the 12th week of pregnancy, and in special circumstances at later stages.
Abortion in Iceland is legal on request until the end of the 22nd week of pregnancy. The abortion rate in Iceland is relatively high, in comparison to other Nordic countries.
Abortion in China is legal at all stages of pregnancy and generally accessible nationwide. Abortions are available to most women through China's family planning program, public hospitals, private hospitals, and clinics nationwide. China was one of the first developing countries to permit abortion when the pregnant woman's health was at risk and make it easily accessible under these circumstances in the 1950s. Following the Chinese Communist Revolution and the proclamation of the People's Republic of China in 1949, the country has periodically switched between more restrictive abortion policies to more liberal abortion policies and reversals. Abortion regulations may vary depending on the rules of the province. In an effort to curb sex-selective abortion, Jiangxi and Guizhou restrict non-medically necessary abortions after 14 weeks of pregnancy, while throughout most of China elective abortions are legal after 14 weeks. Although sex-selective abortions are illegal nationwide, they were previously commonplace, leading to a sex-ratio imbalance in China which still exists.
Abortion in Estonia has been legal since 23 November 1955, when Estonia was part of the Soviet Union. Estonia fine-tuned their legislation after the restoration of independence.
Abortion in Zimbabwe is available under limited circumstances. Zimbabwe's current abortion law, the Termination of Pregnancy Act, was enacted by Rhodesia's white minority government in 1977. The law permits abortion if the pregnancy endangers the life of the woman or threatens to permanently impair her physical health, if the child may be born with serious physical or mental defects, or if the fetus was conceived as a result of rape or incest. Nevertheless, an estimated 70,000+ illegal abortions are performed in Zimbabwe each year.
Abortion in Slovenia was legalized for the first time in January 1952 and in its current form in July 1977.
Abortion in Latvia is legal and is available on request within the first 12 weeks of pregnancy, and available for medical reasons until 22 weeks. While Latvia was a republic of the Soviet Union, abortions were regulated by the Government of the Soviet Union. The Government of Latvia has a "surveillance system" which allows it to collect information on the numbers of abortions performed.
A medical abortion, also known as medication abortion or non-surgical abortion, occurs when drugs (medication) are used to bring about an abortion. Medical abortions are an alternative to surgical abortions such as vacuum aspiration or dilation and curettage. Medical abortions are more common than surgical abortions in most places around the world.
Abortion in Kazakhstan is legal as an elective procedure up to 12 weeks, and special circumstances afterwards. The relevant legislation is based on the laws inherited from the country's Soviet past, when abortion was legally permitted as a contraceptive.
Abortion in Cambodia is legal upon request within the first twelve weeks of pregnancy.
Abortion in South Korea was decriminalized, effective 1 January 2021, by a 2019 order of the Constitutional Court of Korea. It is currently legal throughout pregnancy, as no new law has been enacted. Thus there are no gestational limits or other restrictions.
Communist and Marxist ideologies generally allow state-provided abortion, although there is no consensus among Communist parties and governments about how far into the pregnancy abortion should be allowed.
As of 2024, abortion is illegal in Indiana. It is only legal in cases involving fatal fetal abnormalities, to preserve the life and physical health of the mother, and in cases of rape or incest up to 10 weeks of pregnancy. Previously abortion in Indiana was legal up to 20 weeks; a near-total ban that was scheduled to take effect on August 1, 2023, was placed on hold due to further legal challenges, but is set to take place, after the Indiana Supreme Court denied an appeal by the ACLU, and once it certifies a previous ruling that an abortion ban doesn't violate the state constitution. In the wake of the 2022 Dobbs Supreme Court ruling, abortion in Indiana remained legal despite Indiana lawmakers voting in favor of a near-total abortion ban on August 5, 2022. Governor Eric Holcomb signed this bill into law the same day. The new law became effective on September 15, 2022. However, on September 22, 2022, Special Judge Kelsey B. Hanlon of the Monroe County Circuit Court granted a preliminary injunction against the enforcement of the ban. Her ruling allows the state's previous abortion law, which allows abortions up to 20 weeks after fertilization with exceptions for rape and incest, to remain in effect.