Abortion in North Korea has been illegal for most of the country's history, except for it being made legal in 1983 until being banned again in 1993. However, its abortion laws have often been loosely enforced. During the 1970s, abortion seems to have been generally tolerated and modern contraceptives were widely available. A law passed in 2015 banned birth control devices and imposed fines and imprisonment for people who provide abortions. A lack of contraceptives and abortion services in hospitals has led to a rise in unsafe abortions.
Forced abortions in prison camps and detention facilities are often performed by state security officials in North Korea. Forced abortions are carried out for people with disabilities, political prisoners, and in instances of pregnancy from rape by government officials or prison guards. An official ideology of maintaining racial purity mandates the termination of pregnancies that would result in half-Chinese babies. North Korean women who have been sold into prostitution or marriage in China and then forcibly repatriated receive abortions if they are pregnant with non-Korean babies. [1]
For much of its history, knowledge about the status of abortion in North Korea has been fragmentary. [2] Abortion seems to have been banned early on in the country's history. By the 1970s, despite the ban, it appears to have been generally tolerated. [3]
During the 1970s and 1980s, North Korea promoted modern contraception. Since the mid-1970s, oral contraceptives, condoms, and intrauterine devices (IUDs) were available in obstetric hospitals at maternal counseling centers. With a culture that was increasingly sexually liberated, [4] and with the rise of prostitution since the late 1980s, premarital and extramarital pregnancies increased. [5] Abortion was made legal in 1983 but was banned again in 1993. Despite a shift in policy to encourage childbirth in the 1990s, contraceptives continued to be available. [3]
A 1998 reproductive health survey by the Population Institute found that the abortion rate among married women in North Korea was 1.77%. With the promotion of family planning services, the rate dropped to 1.11% by 2001. [4] According to the United Nations Development Programme's 2014 Socio-Economic Demographic and Health Survey, 11% of married North Korean women had previously had an abortion. [6] There is no evidence that sex-selective abortions are practiced in North Korea. [7]
In October 2015, North Korean authorities banned abortions and the implantation of birth control devices such as IUDs in "an effort to reverse the isolated country's falling birth rate". [lower-alpha 1] According to Radio Free Asia, a source within North Korea indicated that gynaecologists who performed abortions would be fined, while non-gynaecologists would be imprisoned for up to three years. Prior to 2015, there were already "punishments for those who perform illegal abortions and use contraceptive devices" though it is unclear how often these were enforced. [9] North Korean women who are not married undergo birth control procedures and obtain illegal abortions in the homes of doctors or midwives to avoid detection. [9] A lack of contraceptives and abortion services in hospitals has led to a rise in unsafe abortions, [5] especially in remote areas such as Hyesan. [4]
According to reports by defectors and non-governmental organisations, women in North Korea have been subject to forced abortions by state security officials. Forced abortions are particularly common with North Korean women who became pregnant in China and were forcibly repatriated to North Korea. [10] As early as 2002, there were reports of forced abortions and infanticide in prisons. [4]
Victims of human trafficking in North Korea, who are forced into marriages and prostitution in China, [11] are forcibly repatriated to North Korea if they attempt to escape. In June 2022, the Committee for Human Rights in North Korea and the War Crimes Committee of the International Bar Association reported that a multi-year investigation demonstrated evidence of a North Korean policy of "forcibly ending pregnancies that would result in half-Chinese babies". The report concluded that the policy was "driven by official ideology that emphasizes the importance of maintaining the purity of the Korean race at all costs". [10]
Forced abortions have also been reported at political prison camps ( kwallisos ) after prison guards raped detainees. [5] According to a 2022 report by the U.S. State Department, forced abortions are also common for people with disabilities, political prisoners, and pregnancy from rape by government officials. [10] A 1992 study found that high-risk pregnancies were closely monitored and that abortions were performed on deformed fetuses following ultrasounds in the sixth month of pregnancy. [12]
A copper intrauterine device (IUD), also known as an intrauterine coil or copper coil or non-hormonal IUD, is a type of intrauterine device which contains copper. It is used for birth control and emergency contraception within five days of unprotected sex. It is one of the most effective forms of birth control with a one-year failure rate around 0.7%. The device is placed in the uterus and lasts up to twelve years. It may be used by women of all ages regardless of whether or not they have had children. Following removal, fertility quickly returns.
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.
The Dalkon Shield was a contraceptive intrauterine device (IUD) developed by the Dalkon Corporation and marketed by the A.H. Robins Company. The Dalkon Shield was found to cause severe injury to a disproportionately large percentage of women, which eventually led to numerous lawsuits, in which juries awarded millions of dollars in compensatory and punitive damages.
Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights as follows:
Reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. They also include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence.
A hormonal intrauterine device (IUD), also known as an intrauterine system (IUS) with progestogen and sold under the brand name Mirena among others, is an intrauterine device that releases a progestogenic hormonal agent such as levonorgestrel into the uterus. It is used for birth control, heavy menstrual periods, and to prevent excessive build of the lining of the uterus in those on estrogen replacement therapy. It is one of the most effective forms of birth control with a one-year failure rate around 0.2%. The device is placed in the uterus and lasts three to eight years. Fertility often returns quickly following removal.
Controversy over the beginning of pregnancy occurs in different contexts, particularly as it is discussed within the debate of abortion in the United States. Because an abortion is defined as ending an established pregnancy, rather than as destroying a fertilized egg, depending on when pregnancy is considered to begin, some methods of birth control as well as some methods of infertility treatment might be classified as causing abortions.
Abortion is illegal in El Salvador. The law formerly permitted an abortion to be performed under some limited circumstances, but in 1998 all exceptions were removed when a new abortion law went into effect.
Abortion in Venezuela is currently illegal except in some specific cases outlined in the Venezuelan Constitution, and the country has one of Latin America's most restrictive laws.
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.
A two-child policy is a government-imposed limit of two children allowed per family or the payment of government subsidies only to the first two children.
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.
An intrauterine device (IUD), also known as intrauterine contraceptive device or coil, is a small, often T-shaped birth control device that is inserted into the uterus to prevent pregnancy. IUDs are a form of long-acting reversible birth control (LARC).
The Irish Family Planning Association (IFPA) is an Irish charity working to enable people to make informed choices about sexuality and reproduction. The organisation promotes the right of all people to sexual and reproductive health information as well as dedicated, confidential and affordable healthcare services.
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.
Reproductive coercion is a collection of behaviors that interfere with decision-making related to reproductive health. These behaviors are meant to maintain power and control related to reproductive health by a current, former, or hopeful intimate or romantic partner, but they can also be perpetrated by parents or in-laws. Coercive behaviors infringe on individuals' reproductive rights and reduce their reproductive autonomy.
Abortion in Cuba is legal and available upon request, which is rare in Latin America because of widespread Catholic influence.
Abortion-rights movements are movements that advocate for legal access to induced abortion services, including elective abortion. They seek to represent and support women who wish to terminate their pregnancy without fear of legal or social backlash. These movements are in direct opposition to anti-abortion movements.
Abortion in Azerbaijan is legal on request up to 12 weeks of pregnancy, and in specific circumstances between 12 and 28 weeks. The current abortion law of Azerbaijan is based on the abortion law of the Soviet Union of 1955 when Azerbaijan was a Republic of the Soviet Union, and no changes were made after Azerbaijan became independent in 1991. Between 1965 and 1987 the abortion rate used to be very high. Since independence, the abortion rate has almost halved and relatively stabilized after 2000. In the 2014, 13.8% of pregnancies in Azerbaijan ended in abortion, a slight rise from the all-time low recorded in 2005 (12.1%).
Communist and Marxist ideologies generally allow state-provided abortion, although there is no consensus among Communist parties and governments about how far into the pregnancy abortion should be allowed.