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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 reasons why women have abortions are diverse and vary across the world. Reasons 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 legal and free of charge upon request in Finland in the first 12 weeks of pregnancy since 1 September 2023. Between 1970 and 2023 abortion was widely accessible in practice for a variety of reasons but nevertheless the law required the pregnant woman to state her motivations and get approval from one or two doctors.
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.
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.
Abortion in Germany is illegal, but not punishable during the first 12 weeks of pregnancy under the condition of mandatory counseling, and it is permitted later in pregnancy in cases that the pregnancy poses an important danger to the physical or mental health of the pregnant woman. In the case that the abortion is because of rape it is legal in the first 12 weeks without mandatory counseling. Otherwise in the illegal, but not punishable case, the woman needs to receive counseling, called Schwangerschaftskonfliktberatung, at least three days prior to the abortion and must take place at a state-approved centre, which afterwards gives the applicant a Beratungsschein. Abortions that do not meet these conditions are punishable.
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 Israel is permitted when determined by a termination committee, with the vast majority of cases being approved as of 2019. The rate of abortion in Israel has steadily declined since 1988, and compared to the rest of the world, abortion rates in Israel are moderate. According to government data, in Israel, abortion rates in 2016 dropped steadily to 9 per 1,000 women of childbearing age, lower than England (16.2) and the United States (13.2). 99% of abortions are carried out in the first trimester. Despite allegations of permitting abortion under limited circumstances, Haaretz noted in 2019 that this is not the case and abortion is almost always permitted in Israel.
The genetics and abortion issue is an extension of the abortion debate and the disability rights movement. Since the advent of forms of prenatal diagnosis, such as amniocentesis and ultrasound, it has become possible to detect the presence of congenital disorders in the fetus before birth. Specifically, disability-selective abortion is the abortion of fetuses that are found to have non-fatal mental or physical defects detected through prenatal testing. Many prenatal tests are now considered routine, such as testing for Down syndrome. Women who are discovered to be carrying fetuses with disabilities are often faced with the decision of whether to abort or to prepare to parent a child with disabilities.
Elective abortion care in Norway may only be provided during the first twelve weeks of gestation, measured as 11 weeks and 6 days from the first day of the last menstrual period. After this 12-week time limit, a request must be submitted to a special medical assessment board that will determine whether an abortion will be granted.
Abortion in Italy became legal in May 1978, when Italian women were allowed to terminate a pregnancy on request during the first 90 days. A proposal to repeal the law was considered in a 1981 referendum, but was rejected by nearly 68% of voters; another referendum aimed at eliminating the restrictions was rejected by 88.4%.
Abortion in Japan is allowed under a term limit of 22 weeks for endangerment to the health of the pregnant woman, economic hardship, or rape. Chapter XXIX of the Penal Code of Japan makes abortion de jure illegal in the country, but exceptions to the law are broad enough that it is widely accepted and practiced. Exceptions to the prohibition of abortion are regulated by the Maternal Health Protection Law that allows approved doctors to practice abortion on a woman if the pregnancy was the result of rape or if the continuation of the pregnancy endangers the maternal health because of physical or economic reasons. Anyone trying to practice abortion without the consent of the woman will be prosecuted, including the doctors. If a woman is married, consent from her spouse is also needed to approve abortions for socioeconomic reasons, although the rule doesn't apply if she is in a broken marriage, suffering abuse, or other domestic issues. Despite the partner’s consent not being necessary for unmarried women and women who were impregnated by abusive partners or through rape, many doctors and medical institutions seek a signature from the man believed to have made the woman pregnant for fear of getting into legal trouble, rights advocates say.
Abortion in Turkey has been legal on request since May 27, 1983. Abortion is legal up to 10 weeks of pregnancy, and in special circumstances the time threshold can be extended if there is danger to the woman's life or the life of the fetus. During the ten weeks, an abortion is allowed for the following reasons: the pregnancy threatens the woman's mental and/or physical health, the fetus would be physically or mentally impaired, if the conception occurred through rape or incest, and economic or social reasons. The woman's consent is required. If the woman is under the age of 18, then parental consent is required. If the woman is married, the consent of the husband is also required. Single women over the age of 18 can choose to have an abortion on their own.
Abortion in Denmark was fully legalized on 1 October 1973, allowing the procedure to be done electively if a woman's pregnancy has not exceeded its 12th week. Under Danish law, the patient must be over the age of 18 to decide on an abortion alone; parental consent is required for minors, except in special circumstances. An abortion can be performed after 12 weeks if the woman's life or health are in danger. A woman may also be granted an authorization to abort after 12 weeks if certain circumstances are proved to be present ..
Abortion in Greece has been fully legalized since 1986, when Law 1609/1986 was passed effective from 3 July 1986. Partial legalization of abortion in Greece was passed in Law 821 in 1978 that provided for the legal termination of a pregnancy, with no time limitation, in the event of a threat to the health or life of the woman. This law also allowed for termination up to the 12th week of pregnancy due to psychiatric indications and to the 20th week due to fetal pathology. Following the passage of the 1986 law, abortions can be performed on-demand in hospitals for women whose pregnancies have not exceeded 12 weeks. In the case of rape or incest, an abortion can occur as late as 19 weeks, and as late as 24 weeks in the case of fetal abnormalities. In case of inevitable risk to the life of the pregnant woman or a risk of serious and continuous damage to her physical or mental health, termination of pregnancy is legal any time before birth. Girls under the age of 18 must get written permission from a parent or guardian before being allowed an abortion.
Abortion in Austria has been fully legalized since 1 January 1975. Elective abortions can be performed in hospitals for women during the first three months from the beginning of the pregnancy. Abortions can be performed later if there is a physical or mental health threat to the pregnant woman, if there is an incurable problem with the development of the fetus, or if the patient is under the age of 14.
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.
A termination for medical reasons (TFMR) is an induced abortion motivated by medical indications involving the fetus or mother. In most countries, health risks are the only basis for obtaining a legal abortion. Prenatal screening can allow early diagnosis, and abortion if desired or necessary. Some medical organizations advocate the offer of diagnostic testing by chorionic villi sampling, and amniocentesis to all pregnant women, as a matter of course.
The Centre Party is a Nordic agrarian, populist and conservative political party in Iceland, established in September 2017. It split from the Progressive Party due to leadership disputes, when two factions decided to band up as a new party before the 2017 Icelandic parliamentary election. The Centre Party belongs to the Nordic agrarian party family; like many parties in Iceland, is Eurosceptic.
The COVID-19 pandemic in Iceland was a part of the worldwide pandemic of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2. The virus was confirmed to have reached Iceland in February 2020. As of 4 June 2022, the total number of cases registered was 188,924, of which 153 deaths had occurred. With a total population of about 370,000, the infection rate is about one case per four inhabitants; the infection rate was one of the highest in the world throughout March and April in 2021, though this was attributed to more tests having been carried out per capita in Iceland than any other country, including a screening of the general population run by Icelandic biotech company deCODE genetics to determine the true spread of the virus in the community.
Sóley Sesselja Bender is a professor at the Faculty of Nursing of the University of Iceland. Her specialty is sexual and reproductive health, where she has worked for years on these health matters. She has pioneered in the development of teaching in the field of sexual and reproductive health, contraceptive counselling, and sexual and reproductive health policy formulation in Iceland and internationally.
References
- ↑ Elliott, Alexander (2019-05-14). "Abortion bill passed by parliament - RÚV.is". RÚV. Retrieved 2023-05-09.
- ↑ Lög um ráðgjöf og fræðslu varðandi kynlíf og barneignir og um fóstureyðingar og ófrjósemisaðgerðir (in Icelandic)
- 1 2 3 4 "Abortion in Iceland". United Nations . Retrieved 6 September 2014.
- ↑ "Europe's terms for terminations". BBC. 2 June 2002. Retrieved 6 September 2014.
- ↑ "Fóstureyðingar verði þungunarrof - Vísir". visir.is. Retrieved 2017-04-09.
- ↑ "Þungunarrofsfrumvarpið samþykkt". Kjarninn (in Icelandic). 2019-05-13. Retrieved 2019-05-13.
- ↑ Bender S; Geirsson RT; Kosunen E (2003). "Trends in teenage fertility, abortion, and pregnancy rates in Iceland compared with other Nordic countries, 1976–99". Acta Obstetricia et Gynecologica Scandinavica. 82 (1): 38–47. doi: 10.1034/j.1600-0412.2003.820107.x . PMID 12580838. S2CID 40811128.
- ↑ "World Abortion Policies 2013". United Nations. 2013. Retrieved 3 March 2014.
- ↑ ""What kind of society do you want to live in?": Inside the country where Down syndrome is disappearing". CBS News . August 15, 2017.
Since pre-natal screening tests were introduced in Iceland in the early 2000s, the vast majority of women - close to 100 percent - who received a positive test for Down syndrome terminated their pregnancy.
- ↑ ""Let's Talk about Iceland": Iceland and Down Syndrome: what the numbers really say". Abortion Rights Campaign. November 28, 2017. Retrieved 9 February 2019.
In the last ten years for which the WHO provides data, Iceland's rate was about 10% lower than the EU average. Scientifically, such a small difference can be considered random.
