Abortion in Europe

Despite a wide variation in the restrictions under which it is permitted, abortion is legal in most European countries. 95% of European women of reproductive age live in countries which allow elective abortions or for broad socioeconomic reasons.[1] The exceptions are Malta[3], Vatican City, Liechtenstein, Andorra, and Poland, where abortion is illegal or severely restricted.[4][5] The other state with existent, but less severe restrictions is Monaco. Abortion was also criminalised in San Marino, but a referendum on 26 September 2021 legalised abortion for women up until the twelfth week of pregnancy.

Map showing the legality of abortion on request in Europe.
  Total ban or prohibited
  Only available in cases of rape, incest or the health of the mother
  Legal to 10 weeks
  Legal to 11 weeks
  Legal to 12 weeks
  Legal to 13 weeks (3 months)
  Legal to 14 weeks
  Legal to 18 weeks
  Legal to 20 weeks
  Legal to 24 weeks (5½ months)
     Legal to 1228 weeks
     12 weeks, can be performed later if authorised
     10 weeks, can be performed later if authorised
     12 weeks, elective procedure
     Must be approved by committee

All the remaining states make abortion legal on request or for social and economic reasons during the first trimester. Restrictions on abortion are most stringent in a few countries that are strongly observant of the Catholic religion.[4] In certain European countries where abortion is legal, many doctors refuse to terminate pregnancies invoking religious reasons, this is for example the case of Romania where the Orthodox Church has a strong influence of the medical profession.[6]

Current status

European Union

Most countries in the European Union allow elective abortions during the first trimester, with Sweden and the Netherlands having more extended time limits.[2] After the first trimester, abortion is generally allowed only under certain circumstances, such as risk to the woman's life or health, fetal defects, or other specific situations that may be related to the circumstances of the conception or the woman's age. For instance, in Austria, second-trimester abortions are allowed only if there is a serious risk to the woman's life, physical health, or mental health (that cannot be averted by other means); serious fetal impairment (physical or mental); or if the woman is under 14 years of age. Some countries, such as Denmark, allow abortion after the first trimester for a variety of reasons, including socioeconomic ones, but the woman needs an authorization to have such an abortion.[7] Similarly, in Finland, technically abortions even just up to 12 weeks require authorization from two doctors (unless special circumstances), but in practice, the authorization is only a rubber stamp and it is granted if the mother simply does not wish to have a baby.[8]

Access to abortion in much of Europe depends not as much on the letter of the law, but on the prevailing social views which lead to the interpretation of the laws. In much of Europe, laws which allow a second-trimester abortion due to mental health concerns (when it is deemed that the woman's psychological health would suffer from the continuation of the pregnancy) have come to be interpreted very liberally, while in some areas it is difficult to have a legal abortion even in the early stages of pregnancy due to conscientious objection by doctors refusing to perform abortions against their personal moral or religious convictions.[9]

Malta is the only EU country that bans abortion in all cases and does not have an exception for situations where the woman's life is in danger. The law, however, is not strictly enforced in relation to instances where a pregnancy endangers the woman's life.[3]

Abortion in Italy was legalized in 1978.[10] However, the law allows health professionals to refuse to perform an abortion. This conscientious objection has the practical effect of restricting access to abortion.[11]

In Ireland, before December 2018, abortion was illegal except in cases where a woman's life was endangered by the continuation of her pregnancy. However, in a 2018 referendum a large majority of Irish citizens voted to repeal the constitutional amendment prohibiting legislation relating to the termination of non-life-threatening pregnancies; and the new law enacted (the Health (Regulation of Termination of Pregnancy) Act 2018) allows abortion on request up to 12 weeks of pregnancy, and in certain circumstances at later stages. Abortion in Northern Ireland was decriminalized on 22 October 2019.[12]

Europe's formerly Communist countries have liberal abortion laws. The only exception is Poland, where abortion is allowed only in cases of risk to the life or health of the woman or when the pregnancy is a result of rape or incest. Abortion in case of fetal defects, which was previously legal, was ruled unconstitutional by the country's Constitutional Tribunal on 22 October 2020.[13] United Nations independent human rights experts criticized the ruling, and called for the Polish authorities to respect the rights of people who were protesting against it.[14] The ruling took effect on 27 January 2021.[15]

Most European countries have laws that stipulate that minor girls need their parents' consent or that the parents must be informed of the abortion. In most of these countries, however, this rule can be circumvented if a committee agrees that the girl may be placed at risk if her parents find out about the pregnancy, or that otherwise, it is in her best interests to not notify her parents. The interpretation in practice of these laws depends from region to region, as with the other abortion laws.[9] Some countries differentiate between younger pregnant minors and older ones, with the latter not subjected to parental restrictions (for example under or above 16).[16]

In countries where abortion is illegal or restricted, it is common for women to travel to neighboring countries with more liberal laws. It was estimated in 2007 that over 6,000 Irish women traveled to Great Britain to have abortions every year.[9]

Abortion rules per country

Almost all European countries offer a time limit in which a pregnant woman can choose to have an abortion on request, without a medical indication. After that time, an abortion cannot be performed anymore on request, and a doctor must confirm a medical necessity.

CountryTime limit for abortion on requestExceptions and remarks
Austriathree months (= 13 weeks)Later abortions possible in cases of: serious danger for the psychological or physical health of the pregnant woman; probable serious mental or physical disability of the child; the woman got pregnant before the age of 14.[17]
Belgium12 Weeks
Bulgaria12 Weeks
Croatia10 Weeks
Cyprus12 Weeks
Czech Republic12 Weeks
Denmark12 Weeks
Estonia11 Weeks
Finland12 Weeks
France14 WeeksInterruption volontaire de grossesse (IVG) has a 14-week limit. The interruption médicale de grossesse (IMG), for medical reasons, is unlimited.

No minimum age in order to request a voluntary abortion (IVG). A pregnant minor needs the consent of her parents (or her legal representative), or she can keep her abortion secret, in which case she needs to be accompanied by an adult person of her choice.[18]

After 14 weeks, an IMG can be carried out for: The continued pregnancy poses a serious danger to the woman; or there is a large probability that the child would be born with serious, incurable disease.[19]

Germany12 WeeksAbortion is legal only if the pregnant woman has been advised by a doctor at least three days before performing the abortion (Bedenkzeit, time for consideration).

A later, medically indicated abortion is possible in cases of: life of the woman is in danger; the physical or psychological health of the pregnant woman could be seriously endangered by not aborting the pregnancy. In such a case, the otherwise mandatory counseling by a doctor is voluntary.[20]

Abortions on request during the first 12 weeks were enacted by East Germany in 1972. West Germany followed suit in 1974, but the Federal Constitutional Court ruled the law unconstitutional because it infringed the right to life of the unborn. A new law in 1976 allowed abortions only when the woman was physically or psychologically in danger; if the child would be born with a severe disability; if carrying out the pregnancy would cause severe social problems for the woman (e.g. poverty) or if the pregnancy was the result of sexual violence. There were no abortions on request. Today's rules, granting the right to non-medical abortions on request, were enacted in 1993.

Greece12 WeeksIn the case of rape or incest, an abortion can occur as late as 19 weeks and 24 weeks in the case of fetal abnormalities. In the case of inevitable risk to the life of the pregnant woman or a risk of serious and continuous damage to her physical or mental health, termination of pregnancy is legal any time before birth.[21]
Hungary12 Weeks
Republic of Ireland12 Weeks
Italy12 Weeks
Latvia12 Weeks
Liechtenstein Total banExceptions: if the woman is a victim of sexual violence; if she had been underage during intercourse; if the life of the woman is in serious danger; if carrying out the pregnancy would seriously damage the woman's health[22]

In earlier times (pre-2010), the penal law criminalized abortions abroad if the woman had her residence in Liechtenstein, and the abortion did not follow Liechtenstein's regulations.[23]

Lithuania12 Weeks
Luxembourg12 Weeks
Malta Total banDoctors are required to attempt to save both the unborn child and the mother in the event of health complications.
Netherlands24 Weeks
Norway12 Weeks18 Weeks by abortion council, 22 weeks if compelling reasons, later if grave risk
Poland Total banExceptions: Case of rape or cases of risk to the life or health of pregnant woman[24]
Portugal10 Weeks

Later abortion is possible in case of medical issues presented by the fetus or health risk towards the mother.

Romania14 Weeks
Slovakia12 Weeks
Slovenia10 Weeks
Spain14 Weeks
Sweden18 Weeks
Switzerland12 WeeksAbortions after 12 weeks possible if a doctor confirms that the abortion prevents any kind of serious harm, physical or psychological. An underage woman does not need to inform anybody of her abortion, and does not need to receive consent from her parents or any other person.[25]
United Kingdom24 Weeks

See also

References

  1. Europe’s Abortion Laws: A Comparative Overview, Center for Reproductive Rights
  2. "Malta now only EU country without life-saving abortion law". The Malta Independent. July 14, 2013.
  3. In Malta abortions are de facto allowed to save the mother's life through observance of the principle of double effect.[2]
  4. Ostergren, Robert C.; Le Bossé, Mathias (7 March 2011). The Europeans: A Geography of People, Culture, and Environment. Guilford Press. p. 203. ISBN 978-1-59385-384-6. Retrieved 30 December 2011.
  5. Kelly, Jon (2016-04-08). "Why are Northern Ireland's abortion laws different to the rest of the UK?". BBC News.
  6. James Kanter (31 July 2022). "Bianca's Story Revisited". EU Scream (Podcast). Retrieved 7 August 2022.
  7. "1973 Danish abortion law Lovitidende for Kongeriget Danmark". Harvard Law. Retrieved 2013-07-02.
  8. Rämö, Aurora (28 May 2018). "Suomessa abortin saa helposti, vaikka laki on yksi Euroopan tiukimmista". Suomen Kuvalehti. Retrieved 10 August 2018.
  9. "Abortion legislation in Europe" (PDF). International Planned Parenthood Federation. January 2007. Archived from the original (PDF) on March 13, 2013. Retrieved 7 October 2012.
  10. "Law 194" (PDF). Columbia. Italian legislation. Retrieved 2018-05-18.
  11. Tamma, Paola (24 May 2018). "Even where abortion is legal, access is not granted". VoxEurop/EDJNet. Retrieved 22 August 2018.
  12. Page, Chris. "Northern Ireland abortion and same-sex marriage laws change". BBC News. Retrieved 2019-10-22.
  13. "Poland abortion: Top court bans almost all terminations". BBC News. 23 October 2020. Retrieved 23 October 2020.
  14. "Poland 'slammed the door shut' on legal and safe abortions: Human rights experts". UN News. Retrieved 27 October 2020.
  15. Poland puts new restrictions on abortion into effect, resulting in a near-total ban on terminations, CNN, January 28, 2021.
  16. Worrell, Marc. "Serbia: abortion law". Women on Waves.
  17. "Schwangerschaftsabbruch - Aktuelle Informationen zur Fristenlösung, Schwangerschaftsabbruch von Jugendlichen, Kosten für einen Schwangerschaftsabbruch etc" (in German). 2022-01-21. Retrieved 2022-07-05.
  18. "Interruption volontaire de grossesse (IVG)". 2022-03-03. Retrieved 2022-07-05.
  19. "Interruption médicale de grossesse (IMG)". 2021-08-06. Retrieved 2022-07-05.
  20. Article 218a, German penal code
  21. https://www.e-nomothesia.gr/kat-ygeia/n-1609-1989.html
  22. Article 96 of the Liechtenstein penal code
  23. See the 2010 edition of the penal law, for example.
  24. "Poland: Regression on abortion access harms women". Amnesty International. 26 January 2022.
  25. Articles 118, 119 and 120 of the Swiss penal code
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