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.
Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy.
Mifepristone, also known as RU-486, is a medication typically used in combination with misoprostol to bring about a medical abortion during pregnancy and manage early miscarriage. This combination is 97% effective during the first 63 days of pregnancy. It is also effective in the second trimester of pregnancy. It is taken by mouth.
An abortifacient is a substance that induces abortion. This is a nonspecific term which may refer to any number of substances or medications, ranging from herbs to prescription medications.
Misoprostol is a synthetic prostaglandin medication used to prevent and treat stomach and duodenal ulcers, induce labor, cause an abortion, and treat postpartum bleeding due to poor contraction of the uterus. It is taken by mouth when used to prevent gastric ulcers in people taking nonsteroidal anti-inflammatory drugs (NSAID). For abortions it is used by itself or in conjunction with mifepristone or methotrexate. By itself, effectiveness for abortion is between 66% and 90%. For labor induction or abortion, it is taken by mouth, dissolved in the mouth, or placed in the vagina. For postpartum bleeding it may also be used rectally.
Women on Waves (WoW) is a Dutch nongovernmental organization (NGO) created in 1999 by Dutch physician Rebecca Gomperts, in order to bring reproductive health services, particularly non-surgical abortion services and education, to women in countries with restrictive abortion laws. Other services offered by WoW include contraception, individual reproductive counseling, workshops, and education about unwanted pregnancy. Workshops are conducted for lawyers, doctors, artists, writers, public health care activists, as well as for women and men to learn about contraceptive practices and non-surgical, self-induced abortion using RU-486. Services are provided on a commissioned ship that contains a specially constructed mobile clinic, the A-Portable. When WoW visits a country, women make appointments, and are taken on board the ship. The ship then sails out approximately 20 km, to international waters, where Dutch laws are in effect on board ships registered in the Netherlands. Once in international waters, the ship's medical personnel provide a range of reproductive health services that includes medical abortion.
Vacuum or suction aspiration is a procedure that uses a vacuum source to remove an embryo or fetus through the cervix. The procedure is performed to induce abortion, as a treatment for incomplete spontaneous abortion or retained fetal and placental tissue, or to obtain a sample of uterine lining. It is generally safe, and serious complications rarely occur.
Dilation and evacuation (D&E) is the dilation of the cervix and surgical evacuation of the uterus after the first trimester of pregnancy. It is a method of abortion as well as a common procedure used after miscarriage to remove all pregnancy tissue.
A self-induced abortion is an abortion performed by the pregnant woman herself, or with the help of other, non-medical assistance. Although the term includes abortions induced outside of a clinical setting with legal, sometimes over-the-counter medication, it also refers to efforts to terminate a pregnancy through alternative, potentially more dangerous methods. Such practices may present a threat to the health of women.
Abortion in India has been legal 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.
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.
Ipas is an international, non-governmental organization that seeks to increase access to safe abortions and contraception. To this end the organization informs women how to obtain safe and legal abortions and trains relevant partners in Africa, Asia, and Latin America on how to provide and advocate for these.
A medical abortion, also known as medication abortion, occurs when drugs (medication) are used to bring about an abortion. Medical abortions are an alternative to surgical abortions such as vacuum aspiration or dilation and curettage. Medical abortions are more common than surgical abortions in most places, including Europe, India, China, and the United States.
Abortion is illegal in Bangladesh under most situations, but menstrual regulation is often used as a substitute. Bangladesh is still governed by the penal code from 1860, where induced abortion is illegal unless the woman is in danger.
Carafem is an American nonprofit organization that provides women’s reproductive health services with centers in Maryland, Atlanta Georgia, Chicago Illinois, and Nashville TN metro areas as well as virtual care in select states. The organization seeks to normalize, "de-medicalize" and remove the social stigma from the provision of birth control and early abortions in the midst of an ongoing polarized and politicized debate on abortion in the United States. The organization intentionally uses certain language such as “health center” instead of “clinic”, and openly uses the word “abortion” in its advertising.
Aid Access is a nonprofit organization that provides access to medication abortion by mail to the United States and worldwide. It describes its work as a harm reduction strategy designed to provide safe access to mifepristone and misoprostol for those able to become pregnant in the United States who may not otherwise have access to abortion or miscarriage management services. People are able to manage their own abortion with remote access to a physician and a help-desk for any questions. The website is available in English, Spanish, and Dutch.
Rebecca Gomperts is a Dutch physician and activist for women's rights, in particular abortion rights. She is the founder of Women on Waves and Women on Web, which provide reproductive health services for women in countries where these are not provided. In 2013 and 2014, she was included in the BBC's 100 Women. In 2018, she founded Aid Access, which operates in the United States. A trained abortion specialist and activist, she is generally considered the first abortion rights activist to cross international borders.
Meon Carolyn Shand is a New Zealand doctor, general practitioner and advocate for women's health, maternity care, contraception, abortion and the medical care of the victims of sexual abuse and child abuse.
Plan C is a non-profit organization and campaign that provides educational resources and information to increase access to medication abortion in the United States. It was founded in 2015 by Francine Coeytaux, Elisa Wells, and Amy Merrill as a project under the fiscal sponsorship of the National Women's Health Network.
Abortion is legal in Ethiopia in cases of rape, incest, or maternal problems relating to foetal impairment. In 2005, the Ethiopian Parliament constitutionally approved the legality of abortion in the given criteria. Currently abortions services in Ethiopian facilities includes medical abortion using misoprostol and Mifepristone, surgical abortion, manual vacuum aspiration and dilation and curettage.
