But they can make care for all pregnancies worse
Save time by listening to our audio articles as you multitaskOn June 24th America’s Supreme Court restored to the 50 states the power to pass their own abortion laws, which it had taken away in 1973. Within a week seven states had banned abortion . These changes buck a global trend towards more permissiveness. Since the early 1990s more than 50 countries have loosened laws on abortion. Only 5% of women of reproductive age live in countries where abortion is completely banned.
At least a quarter of women in America, Canada, Britain and Australia will probably have an abortion at some point. Increasingly, that is happening when women are older—in their late twenties or thirties—and when they have already had children. Teenage pregnancies are falling steadily. That is because of better sex education and because teenagers are having less sex, and are starting later.
Few women choose to have abortions after the first trimester. Those are primarily for medical reasons or because “something calamitous” has happened, says Dr Lord. Some women have been bullied into staying pregnant by abusive partners and take time to find the courage to go to a clinic. “The later the gestation the more desperate the situation is and the more heart-rending the stories are,” he says.
Women who live in strict jurisdictions can often escape them, as Kentucky and Alabama will soon discover. Since 2018, when a referendum in Ireland legalised abortions, doctors there have performed around 6,600 each year. But this may not be much different from the number of Irish women who were obtaining abortions before the reform. In the final year during which abortion was illegal nearly 3,000 women who got an abortion in England gave an Irish address.
All these can require what doctors call “evacuation of the uterus” to save the mother’s life. The same procedure is used in abortions. Trainees often hone their skills in abortion clinics, which have lots of patients and pre-scheduled appointments. When there are no abortions, the volume of procedures they can do when they are training drops dramatically.
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