Abortion in Ukraine is legal on request during the first twelve weeks of pregnancy. Between 12 and 28 weeks, abortion is available on a variety of grounds, including medical, social and personal grounds, and for any reason with the approval of a commission of physicians. [1] Oral contraception is available over-the-counter without a prescription and the morning after pill is also readily available. [2]
Prior to 1991, abortion in Ukraine was governed by the abortion laws of the Soviet Union. The laws have not changed since then. Abortion rates have fallen from 109 abortions per 1000 women aged 15–44 in 1986 to 80.9 in 1991, 67.2 in 1996 [1] and 27.5 in 2004. [3] As of 2010 [update] , the abortion rate was 21.2 abortions per 1000 women aged 15–44. [4] In 2014 the abortion rate in Ukraine decreased to 14.89 per 1000 women aged 15–44. [5] Abortion rates in Ukraine and Belarus have converged in recent years, creating a large gap with post-Soviet Russia. [6] [nb 1] In 2018, the abortion rate increased to 247 abortions per 1000 live births. [8]
Near the end of a long interview in 2019 during his political campaign, Volodymyr Zelenskyy (now President of Ukraine) was asked about abortion rights. The interviewer mentioned to Zelenskyy that laws are often adopted in Eastern and Central Europe that cause public outcry, saying that in Poland, for example, there were huge protests when the Polish government wanted to ban abortion. Zelenskyy stated that abortion should not be banned, that to get an abortion is a personal choice and that there needs to be less impingement on human freedom. [9]
Reports revealed that access to abortion following the Russian invasion of Ukraine in 2022 became increasingly difficult. The Inter-Agency Working Group on Reproductive Health Crises identified access to safe abortion and post-abortion care as priority services for humanitarian aid, yet according to some experts, abortion services did not get the attention they deserved. [10] The International Planned Parenthood Federation sent post-rape kits to Ukraine which included abortion pills after hearing reports of increased occurrences of rape. [11]
Difficulties also arose due to Ukraine's geographical location. Many Ukrainians fled to neighbouring Poland but Polish abortion laws differ greatly from Ukraine's. Abortion is only allowed if a pregnancy is as a result of a criminal act or if a woman's life and health is in danger. Ukrainian women crossing the border into Poland were met by anti-abortion groups such as the Life and Family Group. [2] Due to restrictive abortion laws in Poland and other neighbouring countries such as Hungary and Slovakia, many refugees have been forced to return to Ukraine to seek sexual and reproductive healthcare, or delay access to care, at significant risk to their health. Other have used illegal means to obtain abortion or healthcare in these countries, which is often only possible with the help of NGOs or other aide organisations. [12]
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.
Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.
Abortion 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 Russia is legal as an elective procedure up to the 12th week of pregnancy, and in special circumstances at later stages.
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 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.
Unintended pregnancies are pregnancies that are mistimed or unwanted at the time of conception, also known as unplanned pregnancies.
Abortion in China is legal at all stages of pregnancy and generally accessible nationwide. Abortions are available to most women through China's family planning program, public hospitals, private hospitals, and clinics nationwide. China was one of the first developing countries to permit abortion when the pregnant woman's health was at risk and make it easily accessible under these circumstances in the 1950s. Following the Chinese Communist Revolution and the proclamation of the People's Republic of China in 1949, the country has periodically switched between more restrictive abortion policies to more liberal abortion policies and reversals. Abortion regulations may vary depending on the rules of the province. In an effort to curb sex-selective abortion, Jiangxi and Guizhou restrict non-medically necessary abortions after 14 weeks of pregnancy, while throughout most of China elective abortions are legal after 14 weeks. Although sex-selective abortions are illegal nationwide, they were previously commonplace, leading to a sex-ratio imbalance in China which still exists.
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.
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 Belarus has been legal since November 23, 1955, when Belarus was a republic of the Soviet Union. The current abortion legislation dates from December 31, 1987, and is one of the most liberal abortion laws in Europe. Abortion is allowed on request up to 12 weeks, and in specific circumstances, on a variety of grounds, until 28 weeks.
Abortion-rights movements, also self-styled as pro-choice movements, advocate for the right to have 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 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.
Abortion in Moldova is legal on request within the first 12 weeks of pregnancy, and generally permitted until 28 weeks for a broad variety of reasons determined by the Ministry of Health. The Ministry of Health orders permit abortions until 22 weeks in the event of a threat to health, a pregnancy that results from a crime, a fetus with genetic defects or for social reasons, and abortions are permitted until 28 weeks if the fetus has severe malformations or congenital syphilis. Abortions must be carried out in authorized medical facilities by obstetricians and gynecologists.
Abortion in North Macedonia is legal on request during the first 12 weeks of pregnancy, and in special circumstances between 12 and 22 weeks. Abortion in the Republic of North Macedonia is regulated by a 2019 law.
Women's reproductive health in Russia refers to the set of physical, mental, and social health issues and services available to women in Russia. It includes the rights, laws, and problems experienced by women and their families regarding proper reproductive health. Women account for over half of the Russian population and are considered a vulnerable population due to political and social problems from inequalities in gender, age, socioeconomic status, and geographical location that affect access to comprehensive health care. As Russia struggles with a decreasing birthrate and increase in STIs, HIV, and poor reproductive health care, the need for government financed services and international programs is essential to successfully reach this vulnerable population. Currently, women in Russia access care through government funded free services, private insurance, and NGO programs.
Abortion in Uganda is illegal unless performed by a licensed medical doctor in a situation where the woman's life is deemed to be at risk.
Abortion 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.
Abortion in Vietnam is legal until 22 weeks of pregnancy and provided free of charge by the state through Article 44 of the 1989 Public Health Protection Law. Vietnam also has one of the highest rates of abortion that has been surveyed in the world and its abortion laws are among the most liberal in Southeast Asia and the world.
In 2005, the Ethiopian Parliament liberalised the abortion law to grant safe abortions to women in specific circumstances.