Abortion in Cuba is legal and available upon request, which is rare in Latin America because of widespread Catholic influence. [1]
Abortion in Cuba used to be limited to cases of harm to the mother or fetus and to cases of pregnancy because of rape. While the nature of this law was highly restrictive, the law itself was not strictly enforced, which meant that abortion was still accessible even before its legalization. [2]
However, as private abortions climbed in numbers, so did mortality rates among women seeking then-illegal abortions. It was the spike in mortality rates that sparked the 1965 liberalization of legal abortion, which was no longer restricted to extreme cases and was to be carried out by public doctors free of charge, rather than by private practitioners. [2]
The pre-revolutionary fertility rate in Cuba was extremely low, compared to its Latin American peers, and dropped as low as 26 per 1,000 people in 1958. Post-revolutionary Cuba experienced a significant baby boom, which peaked in the mid-1960s. Following the increased fertility rate alongside the 1965 decriminalization of abortion, legal abortion rates in Cuba rose dramatically. By 1977, the Cuban population reached 420 legal abortions per 1,000 pregnancies, one of the highest legal abortion ratios in the world during the 1970s. [2]
In the hope of curbing high mortality rates among Cuban women attempting self-abortions, the Cuban government decriminalized abortion in 1965. [3] The fight for legalization was furthered in 1979, when legislation was passed to make abortion more easily accessible by Cuban women. Since then, abortion in Cuba has remained easily accessible as well as free countrywide from Cuba's national public healthcare system. [3]
Abortions after 10 weeks require a formal evaluation that is conducted by a committee of gynecologists and a psychologist. [4]
Throughout history, naturally occurring herbs and plants have been used to induce abortion and end unwanted pregnancies in Latin America. Other common practices of inducing illegal abortions include the insertion of objects such as sticks and catheters into the uterus in order to rupture the amniotic sac to trigger termination. However, such methods of abortion are highly unsafe and often result in serious complications for the woman. [5]
Cuba's data shows a lack of correlation between the use of contraception and the abortion rate. Other Latin American countries, such as Chile, have observed decreased hospitalization rates related to unsafe abortion complications after the popularization of contraceptive use. Cuba, however, simultaneously sees high contraception use and high rates of abortion. [5]
One possible explanation for this lack of correlation could be the high failure rates of contraceptives in Cuba, which rose as high as 20%, in 1987. [5]
Other contraceptives and methods of birth control are still very commonly used in Cuba, in addition to abortion, as means of fertility regulation. [3] While abortion remains a highly popular method for fertility regulation in Cuba, the IUD and oral contraceptives are the most popular preventative measures against pregnancy for Cuban women. [2]
In Cuba, low birth rates are commonly associated with the idea of modernity, and they have been made possible by the availability of safe abortion throughout the country. [4]
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.
Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marital situation, career or work considerations, financial situations. If sexually active, family planning may involve the use of contraception and other techniques to control the timing of reproduction.
An unsafe abortion is the termination of a pregnancy by people lacking the necessary skills, or in an environment lacking minimal medical standards, or both. An unsafe abortion is a life-threatening procedure. It includes self-induced abortions, abortions in unhygienic conditions, and abortions performed by a medical practitioner who does not provide appropriate post-abortion attention. About 25 million unsafe abortions occur a year, of which most occur in the developing world.
Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.
Abortion in Iran, as can be expected of many government policies, changed drastically between governments.
Since 2021, abortion has no longer been a federal crime in Mexico. However, the criminal law in Mexico varies by state. On 7 September 2021, the Mexican Supreme Court unanimously ruled that penalising abortion is unconstitutional, setting a precedent across the whole country. Before 2019, abortion had been severely restricted outside of Mexico City, where it was legalized on-request in 2007. As of August 2023, abortion is available on request to any woman during the first twelve weeks of a pregnancy in Mexico City and the states of Oaxaca, Hidalgo, Veracruz, Coahuila, Colima, Baja California, Sinaloa, Guerrero, Baja California Sur, Quintana Roo, Jalisco, and Aguascalientes. However, even in states where abortion is legal, there continue to be women in pre-trial detention for murder due to spontaneous miscarriage.
In Trinidad and Tobago, abortion is illegal save for few exceptions. The respective laws are in place since 1925.
Unintended pregnancies are pregnancies that are mistimed or unwanted at the time of conception, also known as unplanned pregnancies.
Decree 770 was a decree of the communist Romanian government of Nicolae Ceaușescu, signed in 1967. It restricted abortion and contraception, and was intended to create a new and large Romanian population. The term decreței is used to refer to those Romanians born during the time period immediately following the decree.
The Dominican Republic is one of 24 countries in the world and one of six in Latin America that has a complete ban on abortion. This complete ban includes situations in which a pregnant person’s life is at risk.
Family planning in India is based on efforts largely sponsored by the Indian government. From 1965 to 2009, contraceptive usage has more than tripled and the fertility rate has more than halved, but the national fertility rate in absolute numbers remains high, causing concern for long-term population growth. India adds up to 1,000,000 people to its population every 20 days. Extensive family planning has become a priority in an effort to curb the projected population of two billion by the end of the twenty-first century.
Access to safe and adequate sexual and reproductive healthcare constitutes part of the Universal Declaration of Human Rights, as upheld by the United Nations.
Globally approximately 45% of those who are married and able to have children use contraception. As of 2007, IUDs were used by about 17% of women of child bearing age in developing countries and 9% in developed countries or more than 180 million women worldwide. Avoiding sex when fertile is used by about 3.6% of women of childbearing age, with usage as high as 20% in areas of South America. As of 2005, 12% of couples are using a male form of contraception with rates of up to 30% in the developed world.
Latin America is home to some of the few countries of the world with a complete ban on abortion and minimal policies on reproductive rights, but it also contains some of the most progressive reproductive rights movements in the world. With roots in indigenous groups, the issues of reproductive rights include abortion, sexual autonomy, reproductive healthcare, and access to contraceptive measures. Modern reproductive rights movements most notably include Marea Verde, which has led to much reproductive legislation reform. Cuba has acted as a trail-blazer towards more liberal reproductive laws for the rest of Latin America, while other countries like El Salvador and Honduras have tightened restrictions on reproductive rights.
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.
Abortion in Uganda is illegal unless performed by a licensed medical doctor in a situation where the woman's life is deemed to be at risk.
Abortion is a controversial topic in Nigeria. Abortion in Nigeria is governed by the two laws that differs greatly depending on geographical location. Northern Nigeria is governed by The Penal Code and Southern Nigeria is governed by The Criminal Code. The only legal way to have an abortion in Nigeria is if having the child is going to put the mother's life in danger. However, sex-selective abortion has long had acceptance in Nigeria.
Abortion in Ghana is banned except when there is a valid exemption. The abortion should also be conducted only at a government hospital; registered private hospital, clinics registered under the Private Hospitals and Maternity Homes Act, 1958 and a place approved by the Minister of Health by a Legislative Instrument. Illegal abortions are criminal offenses subject to at most five years in prison for the pregnant woman who induced said abortion, as well as for any doctor or other person who assisted this pregnant woman in accessing, or carrying out, an abortion. Attempts to cause abortions are also criminal, as are the purveyance, supply, or procurement of chemicals and instruments whose intent is to induce abortions.
Abortion in Kenya is prohibited with the exception of certain circumstances including danger to the life and health of the expectant mother, and rape. Unsafe abortions are a major cause of deaths and health complications for women in Kenya.
In 2005, the Ethiopian Parliament liberalised the abortion law to grant safe abortions to women in specific circumstances.