1 / 26

Medico-legal aspects of abortion in Europe

Medico-legal aspects of abortion in Europe. Bojana Pinter University Dept. Of Ob/Gyn Ljubljana, Slovenia Why are teenagers still getting pregnant? 6th Seminar, ESC, 8 Oct. 2001, Coimbra. Pregnancies in the world. 210 million women get pregnant annually 15% miscarriages, stillbirths

bin
Download Presentation

Medico-legal aspects of abortion in Europe

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Medico-legal aspects of abortion in Europe Bojana Pinter University Dept. Of Ob/Gyn Ljubljana, Slovenia Why are teenagers still getting pregnant? 6th Seminar, ESC, 8 Oct. 2001, Coimbra

  2. Pregnancies in the world • 210 million women get pregnant annually • 15% miscarriages, stillbirths • 22% induced abortions • 63% live births

  3. Abortion – a response to unwanted pregnancy • 50 million abortions occur annually • 20 million abortions are unsafe, usually illegal • every day more than 200 women die of unsafe abortion

  4. Abortion in Europe • culture • economic status • religion • law Aspects of abortion • laws • rates • practices

  5. ABORTION LAWS IN EUROPE Abortion: • completely prohibited • to save woman’s life, protect her physical health • … to protect woman’s mental health • … on socioeconomic grounds • … on demand

  6. Completely prohibited • Ireland • Malta

  7. To save woman’s life, to protect her physical health • Poland (R, I, F)

  8. … to protect woman’s mental health • Northern Ireland • Portugal (R,F) • Spain (R,F) • Switzerland

  9. … on socioeconomic grounds • Finland • Great Britain • Hungary

  10. Albania Austria Belarus Bosna-Hercegovina Belgium Bulgaria Croatia Czech Republic Denmark Estonia France Germany Greece Italy Latvia Lithuania Macedonia Moldova Netherlands Norway Romania Russia Slovak Republic Slovenia Sweden Ukraine Turkey Yugoslavia … on demand

  11. Gestational limits • 10 weeks: Slovenia, Turkey • 12 weeks: others • 14 weeks: Belgium • 22 weeks: Netherlands

  12. Consent • parental consent • Austria, Czech Republic, Denmark, Germany, Greece, Hungary, Italy, Netherlands, Norway, Russia, Sweden, Turkey • partner consent • Turkey

  13. Counselling and waiting period • counselling: Albania, Belgium, France, Germany, Hungary, Netherlands, Poland, Russia, Spain, Turkey • waiting period: 3 – 8 days: Belgium, France, Germany, Hungary, Netherlands, Poland

  14. Accessability • facilities: governmental, private • practitioner: Ob/Gyn spec., GPs • abortion charged: Czech Republic, Hungary, Latvia, Russia, Turkey • accessability?: Austria, Germany, Spain, Portugal

  15. Data on illegal abortion • Poland? • Northern Ireland? • Portugal? • Russia?

  16. Western Europe Netherlands: 6.5/1000 women 15-44 yrs abortion ratio: 10.6 total ab. rate: 0.2 Eastern Europe Romania: 78/1000 women 15-44 yrs abortion ratio: 63.0 total ab. rate: 2.3 ABORTION RATES IN EUROPE

  17. Abortion rates in Western Europe(abortions/1,000 women 15-44 yrs) Source: The Alan Guttmacher Institute. Sharing responsibility. Women society and abortion worldwide. New York: The Alan Guttmacher Institute, 1999: 54.

  18. Abortion rates in Eastern Europe(abortions/1,000 women 15-44 yrs)Source: The Alan Guttmacher Institute. Sharing responsibility. Women society and abortion worldwide. New York: The Alan Guttmacher Institute, 1999: 54.

  19. ABORTION PRACTICES • Safe abortion • early in pregnancy • by well-trained practitioner • using surgical or medical method • in legal setting

  20. First trimester abortion • vacuum aspiration • dilatation and curretage • medical abortion • mifepristone & prostaglandins • methotrexate & prostaglandins

  21. The history of vacuum aspiration • 1863: Simpson (Scotland) • 1927: Bykov (Russia) • 1958: Tsai, Wu, Wu (China) • 1961: Zubejev (Russia) • 1964: Novak (Slovenia) • 1968: Novak - transfer to the West

  22. Medical abortion (mifepristone & PG) • 1992: France • 49 days: 600 mg mifepristone + 400 g misoprostol 200 mg mifepristone + 800 g misoprostol • 63 days: 600 mg mifepristone + 1 mg gemeprost 200 mg mifepristone + 800 g misoprostol

  23. Available Austria Belgium Denmark France Germany Israel Netherlands Russia Slovenia Spain Sweden Switzerland United Kingdom Not available Czech Republic Greece Hungary Ireland Italy Poland Portugal Turkey Availability of medical abortion

  24. Second trimester abortion • medical induction with prostaglandins • dilatation and evacuation • intrauterine instillation of prostaglandins, hypertonic saline

  25. CONCLUSION • good family planning service • appropriate legislation of abortion law and practice are the essentialconditions • to reduce the need for abortion • to prevent unsafe abortion

  26. Ann Verougstraete Sven Skouby George Creatsas David Cibula Gyoergy Bartfai Mary Short Melanija Orlean Jany Rademakers Rob Beerthuizen Medard Lech Irina Savelieva Vera Prilevskaia Carme Coll Sinan Ozalp Ann Webb Acknowledgments

More Related