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Induced abortion:
incidence and legal status
Gilda Sedgh, ScD
Guttmacher Institute
Irish Citizens’ Assembly
February 2017
© Guttmacher Institute 2016 2
About 56 million abortions took place each year in
2010-2014
Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
© Guttmacher Institute 2016 3
The global abortion rate fell slightly
Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
© Guttmacher Institute 2016 4
The abortion rate fell significantly in the developed world, but
not in the developing world
Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
© Guttmacher Institute 2016 5Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
© Guttmacher Institute 2016 6
The percent of pregnancies ending in abortion is increasing
in the developing world
Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
© Guttmacher Institute 2016 7
The abortion rate is similar in countries grouped by
legal status
3743
33 3134
0
20
40
60
Prohibitedaltogether or to
save woman's life
Physical health Woman's mentalhealth
Socio-economicgrounds
On request
Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
Ab
ort
ion
s p
er 1
,00
0 w
om
en 1
5-4
4
© Guttmacher Institute 2016 8
The abortion rate is higher among married women than
unmarried women
36
25
33
18
37
27
0
20
40
60
World Developed countries Developing countries
Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
Ab
ort
ion
s p
er 1
,00
0 w
om
en 1
5-4
4 Married Unmarried
*
© Guttmacher Institute 2016 9
Married women account for the majority of abortions
73
27
69
31
73
27
0
20
40
60
80
100
World Developed countries Developing countries
Sedgh et al, Induced abortion 1990 to 2014: Global, regional, and subregional trends, Lancet 2016
Perc
ent
of
abo
rtio
ns
Married Unmarried
* **
© Guttmacher Institute 2016 10
Adolescents account for 10-20% of abortions in European
countries with data
18 17 16 15 15 13 11 9
5250 53
4753
48 5245
2427 27
3127
32 3237
0%
25%
50%
75%
100%
Scotland Finland Iceland Denmark Eng & Wales Netherlands Norway Estonia
15-19 20-29 30-34 40+
ADD SOURCE
© Guttmacher Institute 2016 11
Worldwide, 65 countries do not legally allow abortion, or
allow it only to save a woman’s life
28
37
59
74
0 20 40 60 80
Under no grounds*
To save woman's life**
To preserve woman'sphysical or mental health
Without restriction or forsocioeconomic reasons***
Number of countries
*** Some with gestational limits
** Some countries allow abortion in cases of rape or other extenuating circumstances
*Might allow abortion in cases of medical necessity
ADD SOURCE
© Guttmacher Institute 2016 12
Four developed countries do not legally allow abortion,
or allow it only to save a woman’s life
3
1
5
37
0 20 40 60 80
Under no grounds*
To save woman's life**
To preserve woman'sphysical or mental health
Without restriction or forsocioeconomic reasons***
Number of developed countries
*** Some with gestational limits
** Some countries allow abortion in cases of rape or other extenuating circumstances
*Might allow abortion in cases of medical necessity
ADD SOURCE
© Guttmacher Institute 2016 13
Four developed countries do not legally allow abortion,
or allow it only to save a woman’s life
3
1
5
37
0 20 40 60 80
Under no grounds*
To save woman's life**
To preserve woman'sphysical or mental health
Without restriction or forsocioeconomic reasons***
Number of developed countries
←Ireland
*** Some with gestational limits
** Some countries allow abortion in cases of rape or other extenuating circumstances
*Might allow abortion in cases of medical necessity
ADD SOURCE
© Guttmacher Institute 2016 14
In Ireland, abortion is allowed to save a woman’s life
Prohibited altogether:
– Andorra, Malta, San Marino
Allowed to save woman’s life:
– Ireland
Allowed preserve physical or mental health:
– New Zealand, Northern Ireland, Liechtenstein, Monaco, Poland
Allowed on request or for socioeconomic reasons:
– Rest of Europe (34 countries), Australia, Canada, US
© Guttmacher Institute 2016 15
A number of countries have changed the grounds for
legal abortion between 1994 and 2014
Worldwide Developed countries
Expanded grounds for legal abortion
34 6
Narrowed grounds for legal abortion
2 0
© Guttmacher Institute 2016 16
Six European countries revised their abortion laws
since 1994
Expanded grounds for legal abortion:
– Albania (1996), Switzerland (2002), Portugal (2007), Monaco (2009),
Spain (2010), Luxembourg (2012)
Narrowed grounds for legal abortion:
– None
© Guttmacher Institute 2016 17
Some European countries have enacted or changed
the regulations that accompany their abortion laws
Enhanced access to legal abortion:
– France, Denmark, Sweden, Ireland
Restricted access to legal abortion:
– Hungary, Russia, Latvia, Slovakia, Germany, Macedonia, Belarus
© Guttmacher Institute 2016 18
UK Government
Dutch Ministry of Foreign Affairs
Norwegian Agency for Development Cooperation
UNDP/UNFPA/UNICEF/WHO/World Bank Special
Programme of Research, Development and Research
Training in Human Reproduction
