Abortion in Europe

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A visual example of differing European views on abortion - a poster adopted by opponents of abortion in Poland with vandalism in favour of abortion rights. Pro Life-Pro Choice Gdansk Poland 2021.jpg
A visual example of differing European views on abortion – a poster adopted by opponents of abortion in Poland with vandalism in favour of abortion rights.

Abortion in Europe varies considerably between countries and territories due to differing national laws and policies on its legality, availability of the procedure, and alternative forms of support for pregnant women and their families.

Contents

In most European countries, abortion is generally permitted within a term limit below fetal viability (e.g. 12 weeks in Germany and 12 weeks and 6 days in Italy, or 14 weeks in France and Spain), although a wide range of exceptions permit abortion later in the pregnancy. [1] [2] The longest term limits – in terms of gestation – are in the United Kingdom and in the Netherlands, both at 24 weeks of gestation.

Abortion is subsidized or fully funded in many European countries. [1] Grounds for abortion are highly restricted in Poland and in the smaller jurisdictions of Monaco, Liechtenstein, Malta and the Faroe Islands, and abortion is prohibited in Andorra. [3]

The European Court of Human Rights, summarising its abortion-related case law, in the Vo v France ruling in 2004, noted the "diversity of views on the point at which life begins, of legal cultures and of national standards of protection" and therefore, in a European context, the nation-state "has been left with considerable discretion in the matter." [4]

History

Abortions have taken place either within or outside the law throughout European history, alongside initiatives by opponents of abortion to provide alternatives where a pregnancy is difficult or unwanted. These have included kinship care by families and friendship circles in every culture, the adoption and fostering of alumni children in Roman society, and the oblation of children who were given into the care of monastic institutions if a family was unable to provide adequate care. [5] In the modern era, formal support services have included adoption, fostering and foundling hospitals.

Ancient Greece and Rome

Debates around abortion, pregnancy and the beginning of life were common in Greek and Roman philosophy and medicine, and would have also been known in cultures which have not left a written record. The medical writer Soranus of Ephesus wrote in the early 2nd century AD: [6]

A contraceptive differs from an abortive, for the first does not let conception take place, while the latter destroys what has been conceived ... But a controversy has arisen. For one party banishes abortives ... because it is the specific task of medicine to guard and preserve what has been engendered by nature. The other party prescribes abortives, but with discrimination ...

Much of what is known about the methods and practice of abortion in Greek and Roman history comes from early classical texts. Abortion, as a gynecological procedure, was primarily the province of women who were either midwives or well-informed laypeople. In his Theaetetus, Plato mentions a midwife's ability to induce abortion in the early stages of pregnancy. [7] [8] [9] A fragment attributed to the poet Lysias "suggests that abortion was a crime in Athens against the husband, if his wife was pregnant when he died, since his unborn child could have claimed the estate." [10]

Tertullian, a 2nd- and 3rd-century Christian theologian, described surgical implements which were used in a procedure similar to modern dilation and evacuation. [11]

Development of Christian perspectives

An early Christian understanding of preventing abortion and infanticide was outlined in the 1st century Didache , which was published in Syria or Palestine and became widely available in Europe with the growth of the early Church. [12]

Restrictions on abortion have generally corresponded with laws and societies influenced by Christianity or where a substantial number of health professionals refuse to perform abortion due to a personal conscientious objection which is often, but not always, related to religious faith. [13]

Pope John Paul II outlined Catholic teaching on abortion and support for a definition of life beginning at conception in his 1995 encyclical Evangelium vitae [14] and through the 1992 Catechism of the Catholic Church : [15]

Human life must be respected and protected absolutely from the moment of conception. From the first moment of his existence, a human being must be recognized as having the rights of a person – among which is the inviolable right of every innocent being to life.

Eastern Orthodox Christianity has similarly strongly condemned abortion. The Russian Orthodox Church's Social Concept states: [16]

Since the ancient time the Church has viewed deliberate abortion as a grave sin. The canons equate abortion with murder. This assessment is based on the conviction that the conception of a human being is a gift of God.

Following the Reformation, Protestants also affirmed life before birth and opposed abortion, although individual Protestant churches have adopted differing positions on the grounds on which abortion should or should not be permitted. John Calvin, for example, wrote: [17]

The fetus, though enclosed in the womb of its mother, is already a human being, and it is almost a monstrous crime to rob it of the life which it has not yet begun to enjoy.

The bishops of the Anglican Communion expressed opposition to abortion at the 1930 Lambeth Conference. [18] The 1958 Lambeth Conference's Family in Contemporary Society report affirmed the following position on abortion [19] and was commended by the 1968 Conference: [20]

In the strongest terms Christians reject the practice of induced abortion or infanticide, which involves the killing of a life already conceived (as well as a violation of the personality of the mother), save at the dictate of strict and undeniable medical necessity ... the sacredness of life is, in Christian eyes, an absolute which should not be violated.

Development of other faith and secular perspectives

Islamic and Jewish perspectives on abortion differ according to the scholarship followed. All Islamic schools of thought agree that abortion is recommended when the mother's life is in danger as the mother's life is paramount. The author of Sahih al-Bukhari (Book of Hadith) writes that the unborn child is believed to become a living soul after 120 days of gestation. [21]

Abortion has been questioned from a secular perspective, drawing on modern understandings of science and human rights, [22] although the potential to legalise and increase the availability of abortion was supported by secular and libertarian feminists and socialists from the mid-19th century onwards. The 1871 Paris Commune, for example, declared: [23]

The submission of the children and the mother to the authority of the father, who prepares the submission of each one to the authority of the chief, is pronounced dead. The couple consents freely to seek common pleasure. The Commune proclaims freedom of birth: the right to sexual information from childhood, the right to abortion, the right to contraception. As the products cease to be the property of their parents. They live together in their home and run their own lives.

Eastern Europe

Soviet poster, from 1925, warning against abortions induced without medical care. RussianAbortionPoster.jpg
Soviet poster, from 1925, warning against abortions induced without medical care.

The Russian Soviet Federative Socialist Republic was the first country in Europe to legalise abortion in 1920 [24] and was followed by other Soviet Union republics. However, between 1936 and 1955, abortion in the Soviet Union was highly restricted due to medical concerns and its impact on population growth. [25]

Under eugenics laws in Nazi Germany, abortion was severely punished for women considered to be Aryan (racially superior). However, abortion was permitted on wider and more explicit grounds if the unborn child was believed to be deformed or disabled or if a termination otherwise was deemed desirable on eugenic or racial grounds, including forced abortion on Polish and Jewish women. [26] [27]

Abortion law became more liberalised in Eastern Europe in the 1950s after the installation of communist regimes across the Eastern Bloc. The reintroduction of abortion in Soviet law in 1955 [28] was accompanied by similar changes in:

After the fall of communism, most of Eastern Europe continued with liberal abortion laws except for Poland, where abortion is allowed only in cases of risk to the life or health of the pregnant woman or when the pregnancy is a result of rape or incest. Abortion in cases of an abnormality in an unborn child was ruled unconstitutional by the Supreme Court of Poland in 2020. [32]

While abortion is more widely available in Hungary and Slovakia, the Constitution of Slovakia describes human life as "worthy of protection already before birth" [33] and the Constitution of Hungary states that "embryonic and foetal life shall be subject to protection from the moment of conception." [34]

Scandinavia

A clinic in Sweden where unlawful abortions were performed during the 1930s. Kvinnoklinik i Saltsjo-Duvnas.jpg
A clinic in Sweden where unlawful abortions were performed during the 1930s.

Sweden was the first liberal democracy in Europe to legalise abortion, in 1938; this move was followed by the introduction of limited abortion laws in Denmark in 1939, [35] Finland in 1950, [36] and Norway in 1964. More liberal abortion laws were introduced in Norway in 1964, Finland in 1970, and Denmark and Iceland in 1973.

Greenland has followed Denmark's liberal policy on abortion, and has at times experienced more abortions than live births taking place, [37] whereas the Faroe Islands have maintained a more conservative approach; the issue was transferred to the Faroese Parliament (Løgting) in 2018. [38]

The Parliament of Norway (Storting) legislated in 2015 that an unborn child is presumed to be viable at 21 weeks and 6 days unless there are specific reasons otherwise. [39] The law was clarified as survival after abortion was recorded in some cases at 22 or 23 weeks of gestation. [40]

Western Europe

The Abortion Act 1967, in Great Britain, was the first major liberalisation of abortion law in Western Europe. English law had previously allowed for abortion on limited grounds under the Infant Life Preservation Act 1929 (also protecting the life of the pregnant woman) and from 1938 under the Bourne judgment in cases where a pregnancy would result in a pregnant woman becoming a "mental and physical wreck". [41] Abortion continued to be limited to those grounds in Northern Ireland as the issue was devolved to the Northern Ireland Parliament. [42]

'Yes to the child, trust, life, help, no to abortion', poster from Bavaria, 1987. KAS-Paragraph 218-Bild-26673-2.jpg
'Yes to the child, trust, life, help, no to abortion', poster from Bavaria, 1987.

Abortion on request during the first 12 weeks of a pregnancy was permitted in East Germany from 1972. The same policy was enacted in West Germany in 1974 but was ruled unconstitutional in 1975 by the Federal Constitutional Court as it infringed on the right to life of the unborn child. A revised law, with restrictions on abortion, was introduced in 1976.

The court ruled that a "life developing in the mother's womb is under the protection of the Constitution as an independent legal interest" and that the "protective duty of the State prohibits not only direct governmental encroachments upon the developing life but, in addition, commands the State to adopt a protective and encouraging role in regard to this life." This obligation was balanced with the rights of the mother – therefore permitting abortion in certain circumstances – although with the protection of fetal life, in principle, taking precedence. [43]

The law on abortion in France was liberalised in 1975 and the changes in France and Germany were followed by similar changes in the law elsewhere in Europe:

March for abortion rights in Dublin, 2012. March for Choice in Dublin On Saturday 29th. September 2012 (8037511827).jpg
March for abortion rights in Dublin, 2012.
Anti-abortion demonstration in Rome, 2019. Manifestazione pro-vita.jpg
Anti-abortion demonstration in Rome, 2019.

King Baudouin of Belgium, a devout Catholic, stepped aside from his role as monarch due to his conscientious objection to abortion legislation in 1990; the law was approved by the Government of Belgium (acting as head of state) and Baudouin resumed his reign one day later. [51] King Baudouin's letter on the issue, to his then Prime Minister, Wilfried Martens, is displayed in the BELvue Museum in Brussels.

The Eighth Amendment of the Constitution of Ireland, approved by referendum in 1983, and the subsequent Protection of Life During Pregnancy Act 2013 limited abortion to cases where the pregnant woman's life was endangered. The law on abortion changed significantly to a very liberal policy in Ireland when, in 2018, the Eighth Amendment was repealed by a subsequent referendum. The resulting law allowed for abortion on request up to 12 weeks of pregnancy, and on more limited grounds at later stages.

Abortion in Northern Ireland was liberalised in 2019 and 2020, from being permitted in cases of "risk of real and serious adverse effect on ... physical or mental health, which is either long term or permanent" to being available on request up to 12 weeks and on further grounds later in pregnancy. [53]

In March 2024, France became the first country to excplicitly include the right to abortion in the Constitution influenced by the overturning of Roe v. Wade ruling in the US in 2022. [54] [55]

Grounds for abortion by jurisdiction

Map showing the legality of abortion on request in Europe, based on available information in 2022.
.mw-parser-output .legend{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .legend-color{display:inline-block;min-width:1.25em;height:1.25em;line-height:1.25;margin:1px 0;text-align:center;border:1px solid black;background-color:transparent;color:black}.mw-parser-output .legend-text{}
Total ban or prohibited
Only available in cases of rape, incest or the health of the mother
Legal to term limit of:
10 weeks
11 weeks
12 weeks
13 weeks (3 months)
14 weeks
18 weeks (4 months)
20 weeks
24 weeks (5 1/2 months)
12-28 weeks

12 weeks (or later if authorised)

10 weeks (or later if authorised)

12 weeks (elective procedure)

Must be approved by committee Abortion on request legality (Eurasia 03-12-2024).png
Map showing the legality of abortion on request in Europe, based on available information in 2022.
  Total ban or prohibited
  Only available in cases of rape, incest or the health of the mother
Legal to term limit of:
   10 weeks
   11 weeks
   12 weeks
   13 weeks (3 months)
   14 weeks
   18 weeks (4 months)
   20 weeks
   24 weeks (5½ months)
     1228 weeks
     12 weeks (or later if authorised)
     10 weeks (or later if authorised)
     12 weeks (elective procedure)
     Must be approved by committee

In most European nation-states and other territories, there is a legally defined term limit before which abortion is more available than afterwards. [56] An elective abortion before the term limit may, in some cases, be carried out on request without a medical indication by the pregnant woman, or under certain conditions.

The grounds on which abortion is, or is not, available vary according to differences in national laws, policies and practices, which may include:

In countries and territories where abortion is more restricted, women regularly travel to neighbouring countries with more liberal laws. For example, almost 8,000 women from the island of Ireland travelled to England and Wales for abortions each year in the early 2000s; however, this number decreased, year on year, to around 4,000 in 2018, and to less than 1,000 per year following changes in the law in Ireland and Northern Ireland. [63]

At present, a 10-week term limit is accepted in law in countries which were formerly part of Yugoslavia, whereas the 12-week limits has been adopted in most jurisdictions (including former republics of the Soviet Union and also most central European countries). Higher term limits are comparatively less common and are in place in France (14 weeks), Sweden (18 weeks), Iceland (22 weeks), and the Netherlands (24 weeks). [64]

Countries with no formal term limit in law include those with more restrictive laws and Great Britain, which has a strongly liberal law and policy; almost 89% abortions in England and Wales in 2021 were undertaken before 10 weeks of gestation, 1 per cent after 20 weeks, and 0.1% after 24 weeks. [65]

National abortion laws

NameElective term limitPermitted further grounds
Flag of Albania.svg Albania 12 weeks

At any stage:

  • Risk to life or health of pregnant woman
  • Severe (incurable) malformation of unborn child

Up to 22 weeks:

  • Social reasons
  • Pregnancy as a result of sexual crime [66]
Flag of Andorra.svg Andorra Not applicable Double effect principle – saving the life of the woman may have the unintended consequence of ending a pregnancy. [67]
Flag of Armenia.svg Armenia 12 weeks

Up to 22 weeks:

  • Pregnant woman deprived of maternal rights during pregnancy
  • Divorce
  • Pregnancy as a result of rape
  • Medical grounds related to the health of pregnant woman
  • Congenital abnormality in unborn child [68]
Flag of Austria.svg Austria 13 weeks
  • Immediate danger to life of pregnant woman
  • Serious danger to life or to the physical or mental health of pregnant woman
  • Serious danger of serious physical or mental defect in unborn child
  • Pregnant woman became pregnant when under 14 years of age [69]
Flag of Azerbaijan.svg Azerbaijan 12 weeks

At any stage:

  • Child with disabilities in family
  • Disability of husband

Up to 22 weeks:

  • Death of husband during pregnancy
  • Court order depriving or restricting parental rights
  • Refugee or internally displaced person status
  • Lack of housing
  • Recognition of woman or husband as unemployed
  • Presence of woman or husband in place of imprisonment
  • Extra-marital pregnancy
  • Dissolution of marriage during pregnancy
  • Pregnancy as a result of rape
  • Multiple children in family (5 or more) [70]

Azerbaijan has high levels of sex-selective abortion, resulting in the birth of more sons than daughters. [71]

Flag of Belarus.svg Belarus 12 weeks

At any stage:

  • Risk to life of pregnant woman

Up to 22 weeks:

  • Imprisonment of pregnant woman or husband
  • Severe disability in husband
  • Additional child with a disability since childhood
  • Death of husband during pregnancy
  • Divorce during pregnancy
  • Court decision to remove parental rights
  • Pregnancy as a result of rape
  • Family has more than three children
  • Unemployment of pregnant woman or husband
  • Refugee status [72]
Flag of Belgium (civil).svg Belgium 12 weeks

At any stage:

  • Serious threat to life of pregnant woman
  • Child will suffer from incurable disease if born (based on current scientific knowledge) [73]
Flag of Bosnia and Herzegovina.svg Bosnia and Herzegovina 10 weeks

Between 10 and 20 weeks:

  • Risk to life and health of pregnant woman
  • Risk to physical or mental health of unborn child
  • Pregnancy as a result of sexual crime

After 20 weeks:

  • Saving life or health of pregnant woman [74]

Counselling before and after an abortion is required in Republika Srpska. [75]

Flag of Bulgaria.svg Bulgaria 12 weeks

Up to 20 weeks:

  • Risk to health of pregnant woman and unborn child

At any stage:

  • Risk to life of pregnant woman
  • Severe malformation in unborn child [76]
Flag of Croatia.svg Croatia 10 weeks

At any stage:

  • Risk to life of pregnant woman
  • Risk of damage to health of pregnant woman
  • Risk of severe congenital physical or mental defects in unborn child
  • Pregnancy as a result of sexual crime

A pregnancy may not be terminated if it is demonstrated that this could seriously harm the health of the pregnant woman. [77]

Flag of Cyprus.svg Cyprus [78] 12 weeks

At any stage:

  • Risk to physical or mental health of pregnant woman

Up to 19 weeks:

  • Pregnancy as a result of sexual crime

Up to 24 weeks:

  • Severe abnormality in unborn child [79]
Flag of the Czech Republic.svg Czechia 12 weeks

At any stage:

  • Danger to the life of pregnant woman
  • Serious malformation in unborn child
  • Unborn child considered 'incapable of life'

Up to 24 weeks:

  • Genetic grounds for abortion [80]
Flag of Denmark.svg Denmark 18 weeks

In post 18 weeks :

  • Risk to life of pregnant woman
  • Risk of severe deterioration in physical or mental health of pregnant woman
  • Risk of deterioration of the health of pregnant woman due to existing or potential physical or mental illness (or as a consequence of other conditions)
  • Danger that unborn child will be affected by serious physical or mental disorder
  • Pregnant woman considered incapable of giving proper care to child due to physical or mental disability
  • Pregnant woman considered incapable (for the time) of giving proper care to child due to her youth or immaturity
  • Pregnancy, childbirth or care of child considered to constitute a serious burden to pregnant woman (which cannot otherwise be averted)
  • Pregnancy as a result of a criminal act [81]
Flag of Estonia.svg Estonia 12 weeksUp to 22 weeks:
  • Risk to health of pregnant woman
  • Severe mental or physical health disorder in unborn child
  • Medical condition in pregnant woman prevents development of unborn child
  • Pregnant woman is under 15 years of age
  • Pregnant woman is over 45 years of age [82]
Flag of Finland.svg Finland 12 weeks

At any stage:

  • Risk to health of pregnant woman

Up to 20 weeks:

  • Care of child after birth would be considerable strain for pregnant woman
  • Parent has medical condition that will cause difficulty in caring for child
  • Pregnancy as a result of sexual crime
  • Probable serious illness or disability in unborn child
  • Pregnant woman was under 17 years of age at conception
  • Pregnant woman was over 40 years of age at conception
  • Pregnant woman has previously given birth to four or more children

Up to 24 weeks:

  • Serious illness or disability in unborn child

Permission is needed from National Supervisory Authority for Welfare and Health (Valvira) for abortions on social grounds or related to serious illness or disability in unborn child. [83]

Flag of France.svg France 14 weeks
  • Serious danger to life of pregnant woman
  • Serious danger to health of pregnant woman
  • Significant probability that unborn child will be born with a serious incurable disease [84]

The Constitution of France, as amended in 2024, guarantees the freedom of a woman "to have recourse to a voluntary termination of pregnancy". [85]

Flag of Germany.svg Germany 12 weeks

Up to 12 weeks:

  • Pregnancy as a result of criminal offence

Up to 22 weeks:

  • Danger to life of pregnant woman
  • Danger of grave impairment to physical or mental health of pregnant woman
  • Exceptional distress (at discretion of court)

All abortions must be performed by a physician. [86]

Flag of Georgia.svg Georgia 12 weeksAvailable after 12 weeks on medical and social grounds not specified in law but defined by the Ministry of Labour, Health Care and Social Security.

Counselling is required before an abortion with a three-day waiting time. Parental consent for abortion is required in cases where a girl under 14 years of age is pregnant. [87]

Flag of the United Kingdom.svg

Great Britain [88]

Not applicable

At any stage:

  • Risk to life of pregnant woman
  • Prevent grave permanent injury to physical or mental health of pregnant woman
  • Substantial risk of serious physical or mental abnormalities in unborn child

Up to 24 weeks:

  • Risk of injury to physical or mental health of pregnant woman
  • Risk of injury to physical or mental health of any existing children of family of pregnant woman [89]
Flag of Greece.svg Greece 12 weeks

At any stage:

  • Risk to life of pregnant woman
  • Risk of serious and continuous damage to physical or mental health of pregnant woman

Up to 19 weeks:

  • Pregnancy as a result of rape or incest

Up to 24 weeks:

  • Abnormality in unborn child [90]
Flag of Hungary.svg Hungary Not applicable

At any stage:

  • Risk to life of pregnant woman
  • Malformation in unborn child renders post-natal life impossible

Up to 12 weeks:

  • Severe danger to health of pregnant woman
  • Probable severe disability or other impairment in unborn child
  • Pregnancy as a result of criminal act
  • Severe crisis situation for pregnant woman

Up to 18 weeks on grounds for 12 weeks where:

  • Pregnant woman partly or fully incapacitated
  • Pregnant woman did not recognise pregnancy in time
  • Term limit lapsed due to failure of health institution or authority

Up to 20 weeks (and 24 weeks for delayed diagnoses):

  • Probability of malformation in unborn child is 50% or more [91]

The Constitution of Hungary, adopted in 2011, protects "the life of the foetus ... from the moment of conception" in its right to life and human dignity. [92]

Flag of Iceland.svg Iceland 22 weeks

At any stage:

  • Risk to life of pregnant woman
  • Life of unborn child is not considered to be viable [93]
Flag of Ireland.svg Ireland 12 weeks

At any stage:

  • Immediate serious risk to life or of serious harm to health of a pregnant woman (in an emergency)
  • Condition affecting unborn child that is likely to lead to his or her death (either before, or within 28 days of, birth)

Up to viability: [94]

  • Serious risk to life of pregnant woman
  • Serious risk of harm to health of pregnant woman [95]
Flag of Italy.svg Italy 12 weeks and 6 days

At any stage:

  • Serious threat to life of pregnant woman from pregnancy or childbirth
  • Diagnosis of pathological processes constituting serious threat to physical or mental health of pregnant woman (e.g. associated with serious abnormalities or malformations in unborn child)

Up to 90 days (12 weeks and 6 days):

  • Serious danger to physical or mental health of pregnant woman due to continuation of pregnancy, childbirth, or motherhood (in view of state of health, economic, social, or family circumstances, or the circumstances in which conception occurred). Page 2, §4, [96]
  • Probability of abnormalities or malformations in unborn child [97]
Flag of Kazakhstan.svg Kazakhstan [98] 12 weeks

At any stage:

  • Risk to life of pregnant woman
  • Malformation in unborn child

From 12 weeks up to 22 weeks:

  • Death of husband during pregnancy
  • Confinement of pregnant woman or her husband
  • Unemployment of pregnant woman or husband
  • Unmarried status of pregnant woman
  • Deprivation or limitation of parental rights
  • Pregnancy as a result of rape
  • Refugee or forced migrant status of pregnant woman
  • Disabled child in family
  • Divorce during pregnancy
  • Four or more children in family
  • Pregnant woman is under 18 years of age [99]
Flag of Latvia.svg Latvia 12 weeks

Up to 12 weeks:

  • Pregnancy as a result of rape

Up to 22 weeks:

  • On medical indications grounds [100]
Flag of Liechtenstein.svg Liechtenstein Not applicable
  • Immediate danger to life of pregnant woman
  • Serious danger to life or health of pregnant woman
  • Pregnancy as a result of sexual offence
  • Pregnant woman was under-age at time of conception [101]
Flag of Lithuania.svg Lithuania 12 weeks

Up to 22 weeks:

  • Risk to life of pregnant woman
  • Risk to physical health of pregnant woman
  • Risk to mental health of pregnant woman
  • Risk of malformation in unborn child [102]
Flag of Luxembourg.svg Luxembourg 12 weeks

At any stage:

  • Serious threat to the health or life of pregnant woman
  • Serious threat to the health or life of unborn child [103]
Flag of Malta.svg Malta Not applicable

Up to viability: [104]

  • Immediate risk to life of pregnant woman from medical complication
  • Grave jeopardy to health of pregnant woman (which may lead to death from medical complication) [105]
Flag of Moldova.svg Moldova 12 weeks

Up to 22 weeks:

  • Pregnant woman aged under 18 or over 40 years
  • Pregnancy as a result of rape, incest or trafficking
  • Divorce during pregnancy
  • Death of husband during pregnancy
  • Imprisonment of one or both spouses
  • Deprivation of parental rights of one or both spouses
  • Migrant status
  • Pregnant woman has 5 or more children
  • Pregnant woman cares for child aged under 2 years (or for one or more family members) with serious disability
  • Combination of lack of housing, lack of financial resources, alcohol or drug abuse, domestic violence and/or homelessness

After 22 weeks:

  • Congenital severe malformation in unborn child considered incompatible with life (defined as an induced premature birth rather than abortion) [106]
Flag of Monaco.svg Monaco Not applicable
  • Risk to health of pregnant woman
  • Pregnancy as a result of rape
  • Irreversible health defect in unborn child

Pregnant women living in Monaco are permitted to seek abortion outside the jurisdiction (up to 12 weeks). [107]

Flag of Montenegro.svg Montenegro 10 weeks

Up to 20 weeks:

  • Approval by medical committee in cases of serious disability in unborn child, pregnancy as a result of sexual crime, or difficult family circumstances

From 20 to 32 weeks:

  • Approval by ethics committee in cases involving medical reasons or serious disability in unborn child

From 32 weeks:

  • Risk to life of pregnant woman [108]
Flag of the Netherlands.svg Netherlands 13 weeks

Up to viability defined as 24 weeks (22 weeks in practice) where a pregnant woman attests to a state of distress, to be jointly defined by her and a doctor. [109]

Flag of North Macedonia.svg North Macedonia 12 weeks
  • Risk to life and health of pregnant woman
  • Risk to physical or mental health of unborn child
  • Pregnancy as a result of sexual crime
  • Social or economic grounds [110]
Flag of Norway.svg Norway 12 weeks

Up to viability defined as 22 weeks:

  • Pregnancy, childbirth or care of child may result in unreasonable adverse physical, mental, or economic impact on the woman
  • Major risk that the unborn child may suffer from serious birth defects
  • Pregnancy as a result of rape
  • The pregnant woman has a mental illness or physical disability [111]
Flag of Poland.svg Poland Not applicable
  • Danger to life of pregnant woman
  • Danger to health of pregnant woman
  • Pregnancy as a result of a criminal act [112]
Flag of Portugal.svg Portugal 10 weeks

At any stage:

  • Unviable unborn child
  • Danger to life of pregnant woman
  • Serious and lasting danger to physical or mental health of pregnant woman

Up to 12 weeks:

  • Danger to life of pregnant woman
  • Serious and lasting danger to physical or mental health of pregnant woman

Up to 16 weeks:

  • Pregnancy as a result of sexual violence

Up to 24 weeks:

  • Probability of incurable serious disease or congenital malformation in unborn child [113]
Flag of Romania.svg Romania 14 weeks

At any stage:

  • For therapeutic purposes in the interests of pregnant woman or unborn child

Up to 24 weeks:

  • For therapeutic purposes in the interests (and performed by a obstetricsian or gynaecologist) [114]
Flag of Russia.svg Russia 12 weeks

At any stage:

  • Medical reasons (include severe abnormality in unborn child and condition endangering health and life of pregnant woman)

Up to 22 weeks:

  • Pregnancy as a result of rape
  • Imprisonment of pregnant woman
  • Deprivation of parental rights
  • Death or severe disability of husband
  • Social grounds (as decided by special commission) [115] </ref>
Flag of San Marino.svg San Marino 12 weeks

At any stage:

  • Risk to life of pregnant woman

Up to viability:

  • Abnormality or malformation in unborn child causing serious risk for health of pregnant woman
  • Pregnancy as a result of sexual crime [116]
Flag of Serbia.svg Serbia 10 weeks

At any stage:

  • Risk to life or health of the woman

From 10 weeks to 20 weeks:

  • Pregnancy as a result of sexual crime
  • Psychological trauma to pregnant woman
  • Social and economic reasons [117]
Flag of Slovakia.svg Slovakia 12 weeks
  • Danger to life of pregnant woman
  • Danger to health of pregnant woman
  • Danger to healthy development of unborn child
  • Genetic abnormality in development of unborn child [118]

The Constitution of Slovakia, adopted in 1992, states that human life is "worthy of protection even before birth" in its right to life. [119]

Flag of Slovenia.svg Slovenia 10 weeks

Up to 28 weeks:

  • Approval by medical committee

Abortions are considered stillbirths after 22 weeks. [120]

Flag of Spain.svg Spain 14 weeks

Tur Up to 22 weeks:

  • Risk to life or health of pregnant woman
  • Serious abnormality in unborn child

At any stage:

  • Malformation in unborn child deemed incompatible with life
  • Diagnosis of extreme or incurable disease in unborn child [121]
Flag of Sweden.svg Sweden 18 weeks

Up to 22 weeks:

  • Serious medical risk to life or health of pregnant woman [122]
Flag of Switzerland (Pantone).svg Switzerland 12 weeks
  • Prevention of serious physical harm
  • Prevention of serious psychological harm [123]
Flag of Turkey.svg Turkey 10 weeks
  • Risk to life of pregnant woman
  • Severe impairment in unborn child [124]
Flag of Ukraine.svg Ukraine 12 weeks
  • Medical reasons
  • Pregnancy as a result of rape [72]
Flag of Vatican City (2023-present).svg Vatican City Not applicable

Double effect principle – saving the life of pregnant woman may have the unintended consequence of ending a pregnancy, as permitted under the Italian Penal Code in effect. [125]

Territories and regions

The Akrotiri and Dhekelia Sovereign Base Areas of the United Kingdom on the island of Cyprus reflect the Abortion Act 1967 in policy with grounds allowing for aboriton in cases of risk to the life of the pregnant woman, grave permanent injury to her physical or mental health, risk of injury to her physical or mental health (or that of any existing children of the family) and disability in the unborn child; the law was codified in a military ordinance in 1974. [126]

The Faroe Islands, as a self-governing region within the Kingdom of Denmark, permits abortion on the limited grounds of risk to life, risk of harm to the pregnant woman's health, a high risk of a birth defect in the unborn child, or in cases where the pregnancy was caused by sexual crime. [127]

Gibraltar, as a British Overseas Territory, is self-governing in terms of abortion law and allows for the grounds of risk of injury to physical or mental health of the pregnant woman (up to 12 weeks of gestation), and risk to life, grave permanent injury, or a substantial risk of fatal foetal abnormality (life-limiting condition) in the unborn child at any stage. [128]

The Crown Dependencies of Guernsey, Jersey and the Isle of Man have similar laws to neighbouring England and Wales.

In Guernsey, abortion is permitted at any stage for an immediate risk to life, to prevent grave permanent injury, and on disability grounds. Up to 24 weeks, abortion is permitted on broad health grounds, where there would be a risk of injury to the physical or mental health of the pregnant woman or her existing children. [129] Guernsey legislation on the issue is also applicable in Alderney. [130]

The law in Jersey is more liberal in early pregnancy, permitted abortion on request up to 12 weeks, but more limited thereafter. Disability-related grounds are limited to serious disabilities diagnosed before viability (at 24 weeks) and a risk to life or grave permanent injury are grounds throughout pregnancy. [131]

The Isle of Man has a highly structured law which allows for 14-week term limit for abortion on request. From 14 weeks to 24 weeks, abortion is legal where the pregnancy was caused by sexual crime or involves serious social grounds for a termination, or substantial risks of serious injury to the woman's life or health, or that the unborn child would be disabled. From 24 week, grounds are limited to risk to life, grave long-term injury, and serious disabilites in the unborn child. [132]

Abortion law in Northern Ireland was previously devolved to the Northern Ireland Assembly but was liberalised by the UK Parliament in 2019 when the Assembly was suspended. The law currently allows for a 12-week term limit, in line with the rest of Ireland, and grounds for risk of injury to physical or mental health (up to 24 weeks), and risk to life, grave permanent injury, and disabilities at any stage. [133]

In Scotland, abortion law was devolved to the Scottish Parliament through the Scotland Act 2016 but no changes have followed and the law therefore continues to align with England and Wales.

Contested jurisdictions

Several states with limited recognition exist in Europe, following armed conflicts which resulted in their formation. For example, Abkhazia and South Ossetia are internationally recognised as part of Georgia whereas Transnistria has de facto been separated from Moldova.

Social policy in these states may reflect laws introduced under a previous jurisdiction or by a protecting power which guarantees the security of the territory. Laws in Kosovo derive from Yugoslav law with a 10-week term limit for abortion on request [134] and Northern Cyprus has adopted the same policy, although this follows the approach taken in Turkey which solely recognises it as a jurisdiction.

See also

Related Research Articles

<span class="mw-page-title-main">Abortion in the United Kingdom</span>

Abortion in the United Kingdom is de facto available under the terms of the Abortion Act 1967 in Great Britain and the Abortion (No.2) Regulations 2020 in Northern Ireland. The procurement of an abortion remains a criminal offence in Great Britain under the Offences Against the Person Act 1861, although the Abortion Act provides a legal defence for both the pregnant woman and her doctor in certain cases. Although a number of abortions did take place before the 1967 Act, there have been around 10 million abortions in the United Kingdom. Around 200,000 abortions are carried out in England and Wales each year and just under 14,000 in Scotland; the most common reason cited under the ICD-10 classification system for around 98% of all abortions is "risk to woman's mental health."

Public opinion on abortion has changed dramatically in Ireland. Abortion in Ireland is regulated by the Health Act 2018. Abortion is permitted in Ireland during the first twelve weeks of pregnancy, and later in cases where the pregnant woman's life or health is at risk, or in the cases of a fatal foetal abnormality. Abortion services commenced on 1 January 2019, following its legalisation by the aforementioned Act, which became law on 20 December 2018. Previously, the 8th Constitutional Amendment had given the life of the unborn fetus the same value as that of its mother, but the 36th constitutional amendment, approved by referendum in May 2018, replaced this with a clause permitting the Oireachtas (parliament) to legislate for the termination of pregnancies.

Late termination of pregnancy, also referred to politically as third trimester abortion, describes the termination of pregnancy by inducing labor during a late stage of gestation. In this context, late is not precisely defined, and different medical publications use varying gestational age thresholds. As of 2015, in the United States, more than 90% of abortions occur before the 13th week, 1.3% take place after the 21st week, and less than 1% occur after 24 weeks.

The Eighth Amendment of the Constitution Act 1983 was an amendment to the Constitution of Ireland which inserted a subsection recognising "the equal right to life of the pregnant woman and the unborn". Abortion had been subject to criminal penalty in Ireland since at least 1861; the amendment ensured that legislation or judicial interpretation would be restricted to allowing abortion in circumstances where the life of a pregnant woman was at risk. It was approved by referendum on 7 September 1983 and signed into law on 7 October 1983. In 2018, it was repealed by referendum.

<span class="mw-page-title-main">Abortion law</span> Laws that allow, prohibit, or regulate abortion

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, while Yugoslavia implicitly inscribed abortion rights in its constitution in 1974.

Abortion in Sweden was first legislated by the Abortion Act of 1938. This stated that an abortion could be legally performed in Sweden upon medical, humanitarian, or eugenical grounds. That is, if the pregnancy constituted a serious threat to the woman's life, if she had been impregnated by rape, or if there was a considerable chance that any serious condition might be inherited by her child, she could request an abortion. The law was later augmented in 1946 to include socio-medical grounds and again in 1963 to include the risk of serious fetal damage. A committee investigated whether these conditions were met in each individual case and, as a result of this prolonged process, abortion was often not granted until the middle of the second trimester. As such, a new law was created in 1974, stating that the choice of an abortion is entirely up to the woman until the end of the 18th week.

<span class="mw-page-title-main">Abortion in France</span>

Abortion in France is legal upon request until 14 weeks after conception. Abortions at later stages of pregnancy up until birth are allowed if two physicians certify that the abortion will be done to prevent injury to the physical or mental health of the pregnant woman; a risk to the life of the pregnant woman; or that the child will suffer from a particularly severe illness recognized as incurable. The abortion law was liberalized by the Veil Act in 1975.

<span class="mw-page-title-main">Abortion Act 1967</span> United Kingdom legislation

The Abortion Act 1967 is an act of the Parliament of the United Kingdom that legalised abortion in Great Britain on certain grounds by registered practitioners, and regulated the tax-paid provision of such medical practices through the National Health Service (NHS).

Fetal rights are the moral rights or legal rights of the human fetus under natural and civil law. The term fetal rights came into wide usage after Roe v. Wade, the 1973 landmark case that legalized abortion in the United States and was essentially overturned in 2022. The concept of fetal rights has evolved to include the issues of maternal substance use disorders, including alcohol use disorder and opioid use disorder. Most international human rights charters "clearly reject claims that human rights should attach from conception or any time before birth." While most international human rights instruments lack a universal inclusion of the fetus as a person for the purposes of human rights, the fetus is granted various rights in the constitutions and civil codes of some countries.

Pregnancy-associated femicide is a form of gender-based violence involving the murder of a woman during the period of pregnancy and up to 1 year after childbirth.

Three referendums were held in Ireland on 25 November 1992, the same day as the 1992 general election. Each was on a proposed amendment of the Irish constitution relating to the law on abortion. They were enumerated as the Twelfth, Thirteenth and Fourteenth Amendments. The proposed Twelfth Amendment was rejected by voters while both the Thirteenth and Fourteenth were approved.

The Twenty-fifth Amendment of the Constitution Bill 2001 was a proposed amendment to the Constitution of Ireland to tighten the constitutional ban on abortion. It would have removed the threat of suicide as a grounds for legal abortion in the state, as well as introducing new penalties for anyone performing an abortion, by giving constitutional status to legislation proposed to be enacted after the amendment. It was narrowly rejected in a referendum held on 6 March 2002, with 50.4% against.

Abortion has been legal in India under various circumstances with the introduction of the Medical Termination of Pregnancy (MTP) Act, 1971. The Medical Termination of Pregnancy Regulations, 2003 were issued under the Act to enable women to access safe and legal abortion services.

Feminism has played a major role in shaping the legal and social position of women in present-day Ireland. The role of women has been influenced by numerous legal changes in the second part of the 20th century, especially in the 1970s.

Abortion in Spain is legal upon request up to 14 weeks of pregnancy, and at later stages in cases of risk to the life or health of the woman or serious fetal defects.

The Protection of Life During Pregnancy Act 2013 was an Act of the Oireachtas which, until 2018, defined the circumstances and processes within which abortion in Ireland could be legally performed. The act gave effect in statutory law to the terms of the Constitution as interpreted by the Supreme Court in the 1992 judgment in the X Case. That judgment allowed for abortion where pregnancy endangers a woman's life, including through a risk of suicide. The provisions relating to suicide had been the most contentious part of the bill. Having passed both Houses of the Oireachtas in July 2013, it was signed into law on 30 July by Michael D. Higgins, the President of Ireland, and commenced on 1 January 2014. The 2013 Act was repealed by the Health Act 2018, which commenced on 1 January 2019.

Abortion in Samoa is only legal if the abortion will save the mother's life or preserve her physical or mental health and only when the gestation period is less than 20 weeks. In Samoa, if an abortion is performed on a woman for any other reason, or if a woman performs a self-induced abortion, the violator is subject to seven years in prison.

In Benin, abortion is legal on broad socioeconomic grounds up to twelve weeks of pregnancy.

The Health Act 2018 is an Act of the Oireachtas which defines the circumstances and processes within which abortion may be legally performed in Ireland. It permits termination under medical supervision, generally up to 12 weeks' pregnancy, and later if pregnancy poses a serious health risk or there is a fatal foetal abnormality.

In Seychelles, abortion is legal in the cases of risk to life, risk to physical or mental health, birth defects, pregnancy from rape, or mental incapacity. Abortion must be approved by three doctors or by a judge. It is only permitted in the first twelve weeks of pregnancy, except in exceptional circumstances. There is only one legal abortion provider, Victoria Hospital. The rate of illegal abortion is believed to be high.

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