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.
In most European countries, abortion is generally permitted within a term limit below fetal viability (e.g. 12 weeks in Germany and 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]
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.
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]
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.
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.
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]
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]
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]
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:
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 USA in 2022. [54] [55]
In most of the 60 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 variations in national laws, policies and practices, which may include:
In countries where abortion is more restricted, women regularly travel to neighbouring countries with more liberal laws. For example, almost 8,000 Irish women 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 but are in place in France (14 weeks), Sweden (18 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]
Country/territory | Elective term limit | Permitted further grounds |
---|---|---|
Albania | 12 weeks | At any stage:
Up to 22 weeks:
|
Andorra | Not applicable | Double effect principle – saving the life of the woman may have the unintended consequence of ending a pregnancy. [67] |
Armenia | 12 weeks | Up to 22 weeks:
|
Austria | 13 weeks |
|
Azerbaijan | 12 weeks | At any stage::
Up to 22 weeks:
Azerbaijan has high levels of sex-selective abortion, resulting in the birth of more sons than daughters. [71] |
Belarus | 12 weeks | At any stage:
Up to 22 weeks:
|
Belgium | 12 weeks | At any stage:
|
Bosnia and Herzegovina | 10 weeks | Between 10 and 20 weeks:
After 20 weeks:
Counselling before and after an abortion is required in Republika Srpska. [74] |
Bulgaria | 12 weeks | Up to 20 weeks:
Up till end of pregnancy: At any stage:
|
Croatia | 10 weeks | |
Cyprus [76] | 12 weeks | |
Akrotiri and Dhekelia [77] | Not applicable |
|
Northern Cyprus [79] | 10 weeks | |
Czechia | 12 weeks | At any stage:
Up to 24 weeks:
|
Denmark | 12 weeks | In second trimester:
|
Faroe Islands | Not applicable |
|
Estonia | 11 weeks | |
Finland | 12 weeks | |
France | 14 weeks |
Right to abortion guaranteed according to Constitution of France. |
Germany | 12 weeks |
All abortions must be performed by a physician. [83] |
Georgia | 12 weeks | |
Gibraltar | ||
Greece | 12 weeks |
|
Hungary | 12 weeks | |
Iceland | 22 weeks | |
Ireland | 12 weeks |
|
Italy | 12 weeks | |
Kazakhstan [86] | 12 weeks | |
Kosovo | ||
Latvia | 12 weeks | |
Liechtenstein | Not applicable |
|
Lithuania | 12 weeks | |
Luxembourg | 12 weeks | At any stage:
|
Malta | Not applicable | Saving the life and protecting the health of a pregnant woman suffering from a medical complication which may put her:
|
Moldova | 12 weeks | |
Monaco | ||
Montenegro | 10 weeks | |
Netherlands | 24 weeks | |
North Macedonia | 12 weeks | |
Norway | 12 weeks | |
Poland | Not applicable |
|
Portugal | 10 weeks | Up to 12 weeks:
Up to 16 weeks:
Up to 24 weeks:
At any stage:
|
Romania | 14 weeks | |
Russia | 12 weeks | |
San Marino | 12 weeks | |
Serbia | 10 weeks | |
Slovakia | 12 weeks | |
Slovenia | 10 weeks | |
Spain | 14 weeks | |
Sweden | 18 weeks | |
Switzerland | 12 weeks |
|
Turkey | 10 weeks | |
Ukraine | 12 weeks | |
Not applicable | At any stage:
Up to 24 weeks:
| |
Not applicable | Legislation equivalent to England and Wales but devolved to Scottish Parliament. [93] | |
12 weeks | At any stage:
Up to 24 weeks:
| |
Jersey | 12 weeks | At any stage:
Up to 24 weeks:
|
Guernsey | ||
Isle of Man | 14 weeks | From 14 weeks to 24 weeks:
From 24 weeks:
|
Vatican City | Not applicable | Double effect principle – saving the life of the woman may have the unintended consequence of ending a pregnancy. [97] |
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."
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 foetus 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 as third trimester abortion, describes the termination of pregnancy by induced abortion 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% of abortions in the United States took place after the 21st week, and less than 1% occur after 24 weeks.
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 Australia is legal. There are no federal abortion laws, and full decriminalisation of the procedure has been enacted in all jurisdictions. Access to abortion varies between the states and territories: Surgical abortions are readily available on request within the first 22 to 24 weeks of pregnancy in most jurisdictions, and up to 16 weeks in Tasmania. Later-term abortions can be obtained with the approval of two doctors, although the Australian Capital Territory only requires a single physician's approval.
The Fourteenth Amendment of the Constitution Act 1992 is an amendment to the Constitution of Ireland which specified that the protection of the right to life of the unborn did not limit the right to distribute information about services in foreign countries. It was one of three referendums on abortion held on 25 November 1992. It was approved and signed into law on 23 December of the same year.
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. 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 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 several countries.
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.
This is a timeline of reproductive rights legislation, a chronological list of laws and legal decisions affecting human reproductive rights. Reproductive rights are a sub-set of human rights pertaining to issues of reproduction and reproductive health. These rights may include some or all of the following: the right to legal or safe abortion, the right to birth control, the right to access quality reproductive healthcare, and the right to education and access in order to make reproductive choices free from coercion, discrimination, and violence. Reproductive rights may also include the right to receive education about contraception and sexually transmitted infections, and freedom from coerced sterilization, abortion, and contraception, and protection from practices such as female genital mutilation (FGM).
Abortion in Malta is illegal except in cases where the life of the pregnant woman is at risk. Until 2023, it was illegal without exception. Malta has the most restrictive laws regarding abortion in Europe with the law in Malta held to be influenced by Roman Catholic Christianity, which formed part of the identity of 82% of the population according to the 2021 census.
Child destruction is the name of a statutory offence in England and Wales, Northern Ireland, Hong Kong and in some parts of Australia.
Abortion in Belgium was fully legalised on 4 April 1990, following the temporary resignation of King Baudouin on grounds of conscience.
Forced abortion is a form of reproductive coercion that refers to the act of compelling a woman to undergo termination of a pregnancy against her will or without explicit consent. Forced abortion may also be defined as coerced abortion, and may occur due to a variety of outside forces such as societal pressure, or due to intervention by perpetrators such as an intimate partner, parental guardian, medical practitioners, or others who may cause abortion by force, threat or coercion. It may also occur by taking advantage of a situation where a pregnant individual is unable to give consent, or when valid consent is in question due to duress. This may also include the instances when the conduct was neither justified by medical or hospital treatment, which does not include instances in which the pregnant individual is at risk of life threatening injury due to unsustainable pregnancy. Similar to other forms of reproductive coercion such as forced sterilization, forced abortion may include a physical invasion of female reproductive organs, therefore creating the possibly of causing long term threat or injury preventing viable future pregnancies. Forced abortion is considered a human rights violation by the United Nations due to its failure to comply with the human right to reproductive choice and control without coercion, discrimination, and violence.
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 Attorney General v. X. 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 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.
D v Ireland is a case of the European Court of Human Rights concerning abortion in Ireland. It refers to the court case itself, and the circumstances surrounding abortion for fatal foetal abnormalities in Ireland. In 2002 Deirdre Conroy discovered her pregnancy was non-viable and had a termination in Northern Ireland. A public letter, written using a pseudonym, asking for it to be legal was credited with influencing the 2002 abortion referendum. She lost a court case in the ECHR in 2006 because she had not exhausted all domestic remedies. In 2013 after the death of Savita Halappanavar, she came forward, revealed her identity and again asked for this sort of termination to be legal.
The Thirty-sixth Amendment of the Constitution of Ireland is an amendment to the Constitution of Ireland which permits the Oireachtas to legislate for abortion. The constitution had previously prohibited abortion unless there was a serious risk to the life of the mother.
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.
Abortion in Singapore is legal and widely accessible. It was formally legalised in 1974, being one of the first countries in Asia to do so. It is available on request for Singaporean citizens, permanent residents, individuals with an issued student or work pass, individuals who have been a resident of Singapore for a minimum of four months as well as anyone married to a Singaporean citizen or a permanent resident. Foreigners may also obtain an abortion in Singapore if their lives are endangered.
Paragraphs 2270 and 2271 in 'Respect for Human Life' section.