History shows that making abortion legal generally leads to significant reductions in injuries and deaths caused to women by abortion.
History shows that making abortion legal generally leads to significant reductions in injuries and deaths caused to women by abortion.
History shows that making abortion legal generally leads to significant reductions in injuries and deaths caused to women by illegal abortion. However a 2008 report by The Royal College of Psychiatrists warns that abortion can put women at risk of mental health breakdown.
The World Health Organisation estimates that approximately one-third of maternal deaths are due to complications arising from illegally induced abortions. Each year an estimated 20 million unsafe abortions are performed worldwide, 95% of these are performed in low-income countries.
Before abortion was permitted in countries like the UK and USA, women still had abortions, but because abortion was a crime, they were carried out in secrecy, and very often by people with no, or inadequate, medical training. And even when carried out by doctors, they were rarely done with hospital back-up.
The result of this was that many women died or suffered permanent physical damage as a result of botched abortions. Because there was no counselling, even women whose bodies were unscathed suffered grief and guilt, and the stigma of having an abortion often prevented them from seeking comfort from their family or friends.
For most of the 19th century, the rationale of abortion laws was to save women from quacks and unsafe and experimental surgery. The cruel irony is that these same laws, or their derivatives, should now lead to the very opposite situation.
Sriani Basnayake, Medical Director FPA Sri Lanka
Illegal abortions are more likely than legal abortions to do permanent damage to women's reproductive organs. This reduces the chance of children being born later, at a stage when the woman may be able to care for a family. This discriminates against women who wish to have a family later on.
Women's rights advocates argue that access to legal abortion is essential for the mental and physical health of women as a gender, and that banning abortion puts women in danger. Furthermore, since this is not a danger that men face, it would be a source of inequality and injustice.
Many advocates go much further than this and say that not only should abortion be available, it should be available in all communities and at low (or no) cost, otherwise the poor, and those living in areas with a strong religious ethos, will suffer discrimination that puts their health at risk. This, they argue, would breach human rights.
In 2008 The Royal College of Psychiatrists in the UK published a report warning that having an abortion might damage a woman's mental health. This changed the College's 1994 position that the risks of developing mental health problems were less for women who have abortions than for those who carried on with a pregnancy.
The specific issue of whether or not induced abortion has harmful effects on women's mental health remains to be fully resolved. The current research evidence base is inconclusive - some studies indicate no evidence of harm, whilst other studies identify a range of mental disorders following abortion.
Royal College of Psychiatrists, 2008
The College recommended that women should be counselled about the risk that having an abortion posed to their mental health, and pointed out that a woman could not give 'informed consent' to an abortion without having this made clear to them.
Consent cannot be informed without the provision of adequate and appropriate information regarding the possible risks and benefits to physical and mental health.
Royal College of Psychiatrists, 2008
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