Self-managed abortion: law, policy and medical evidence

Congratulations and thanks to Patty Skuster, Heidi Moseson and Jamila Perritt, whose article was recently published in the “Ethical and Legal Issues in Reproductive Health” section of the International Journal of Gynecology and Obstetrics. Prof. Skuster holds the Beck Chair in Law at the Beasley School of Law at Temple University, Dr. Moseson is Senior Research Scientist at Ibis Reproductive Health, and Dr. Perritt is President and CEO of Physicians for Reproductive Health. We are pleased to circulate the abstract of their co-authored article, which is now freely accessible online. 

Patty Skuster, Heidi Moseson and Jamila Perritt, “Self managed abortion:  aligning law and policy with medical evidence,” International Journal of Gynecology and Obstetrics 160.2 (February 2023): 720-725. Abstract and Article.  

ABSTRACT: People have always and will always find ways to try to end their pregnancies when necessary. Many do so safely without the involvement or direct supervision of healthcare professionals by self-managing their abortions. In 2022, the well-established safety and efficacy of abortion medications prompted WHO to fully endorse self-managed medication abortion as part of a comprehensive range of safe, effective options for abortion care. But despite robust evidence supporting the safety and effectiveness of the self-use of medications for abortion, abortion laws and policies around the world remain at odds with clinical evidence and with the realities of self-managed medication abortion in the present day. The present article considers legal issues related to self-managed abortion and addresses the role of obstetricians, gynecologists, and other healthcare professionals in promoting clinical and legal safety in abortion care through support of self-managed abortion.

RELATED RESOURCES

World Health Organization, Abortion Care Guideline, 2022. Online here.

“The WHO Abortion Care Guideline: Law and Policy–Past, Present and Future,” by Joanna N. Erdman, in International Journal of Gynecology and Obstetrics, 162.3 (Sept 2023): 1119–1124. . Abstract and Article. 

Ethical and Legal Issues in Reproductive Health, more than 110 concise articles are online here.
__________________________________________________________________________
Contributed by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of this blog, then check your email to confirm the subscription.

Italy: Hyper-Regulation of Abortion Care

Congratulations and thanks to Dr. Elena Caruso, whose article on “The Hyper-Regulation of Abortion Care in Italy” was recently published in the International Journal of Gynecology and Obstetrics‘ “Ethical and Legal Issues in Reproductive Health” section, edited by Professors Rebecca J. Cook, Bernard M. Dickens and Charles G. Ngwena. The author, Elena Caruso, is an Italian legal scholar who completed a doctorate in Law at Kent University and who now holds an AMTD Waterloo Global Talent Postdoctoral Fellowship at the University of Waterloo in Ontario, Canada. We are pleased to circulate the following abstract of this article, which is now fully available online in both English and Italian:

The Hyper-Regulation of Abortion Care in Italy, by Elena Caruso in International Journal of Gynecology and Obstetrics 163.3 (December 2023):1036-1042.  PDF at Wiley Online.  Italian translation.

ABSTRACT: This paper argues that the current abortion regulation by Law 194/1978 is an inadequate basis for the provision of good quality abortion care and must be reformed. First, the paper explains why Law 194/1978 creates a hyper-regulatory regime that is inconsistent with the best clinical evidence and practices in the field as well as relevant international human rights law, as outlined in the World Health Organization’s (WHO) 2022 Abortion Care Guideline. Second, it highlights gaps between what the law says and what happens in practice, pointing out how the everyday life of Law 194/1978, especially in the practices of gynecologists, is far removed from international standards of quality abortion care and has yet to comply with international human rights law. Third, it sets out some alternative routes to abortion access “outside” Law 194/1978. Finally, it concludes with some suggestions for a change in the practice of gynecology and a call for the reform of Law 194/1978, in favor of a bodily autonomy model of regulation grounded on decriminalization, demedicalization, dehospitalization, and self-management to ensure compliance with the WHO standards and international human rights law.

The entire paper is now freely available in English and Italian: English article PDF.  Italian translation.

RELEVANT RESOURCES:

Law 194 of 1978: an English translation of this Italian law is online here.

The WHO Abortion Care Guideline: Law and Policy–Past, Present and Future,” by Joanna N. Erdman, in International Journal of Gynecology and Obstetrics162.3 (Sept 2023): 1119–1124.   PDF at Wiley Online. 

Abortion Law Decisions webpages, now updated in English and in Spanish.

Ethical and Legal Issues in Reproductive Health – more than 110 other concise articles are online here.
________________________________________________________________________________________
Contributed by: The International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of this blog, then check your email to confirm the subscription.

REPROHEALTHLAW Updates – 2023-24

SUBSCRIBE TO REPROHEALTHLAW: To receive these updates by email, enter your address in upper right corner of this webpage, then check your email to confirm the subscription.

DEVELOPMENTS

[Argentina, preventable maternal death,”obstetric violence”] Britez Arce et. al. v. Argentina. (Inter-American Court of Human Rights, November 16, 2022). Decision in English. Decision in Spanish. Press Release Jan 18, 2023. Comment by CRR. [Earlier: Merits report by the Inter-American Commission on Human Rights (Report 236/19, Case 13.002. Report in English-download.)

[Bolivia, rape of a minor, revictimization] Losado v Bolivia (Inter-American Court of Human Rights, November 18, 2022) English press release Jan 19, 2023 Summary in Spanish. Decision in Spanish. The Court held Bolivia responsible for gender and child discrimination, and revictimization of an adolescent victim of sexual violence during the judicial process.

[Colombia, abortion decriminalized] Sentencia C-055-22.  Expediente D-13.956. Demanda de inconstitucionalidad contra el artículo 122 de la Ley 599 del 2000. (Constitutional Court of Colombia, February 21, 2022). Decision in Spanish (414 pages).  Backup decision in Spanish.  Unofficial English translation. 27-page Spanish press release.  English summary of Press Release.  1-page Spanish press release. [Abortion is decriminalized within 24 weeks of gestation, and thereafter permitted on specified grounds.] 

[El Salvador, abortion, anencephaly] Beatriz v. El Salvador, Case 13-378, Report No. 09/20, Inter-Am. C.H.R. (2020) (Inter-American Commission of Human Rights, January 5, 2022): Report in Spanish. Case Summary in Spanish.  Press release in English. [Woman with lupus and kidney failure denied abortion for fetus with anencephaly.] Inter-American Court of Human Rights held hearings in March 2023.

France made abortion a fundamental constitutional right. March 4, 2024. Parliamentarians voted to revise the country’s 1958 constitution to enshrine women’s “guaranteed freedom” to abort. News report in English.

[Mexico, Abortion decriminalized], Suprema Corte de Justicia de la Nación [Supreme Court], 2023..Review of Constitutional Protection. Amparo en revisión 267/2023. Sept. 6, 2023. Speaker: Justice Ana Margarita Ríos Farjat. Decided September 6, 2023. Official Press release in Spanish.   [Abortion is decriminalized throughout Mexico.]

[Northern Ireland, UN CEDAW] Report of the Inquiry concerning the United Kingdom of Great Britain and Northern Ireland under article 8 of the Optional Protocol to the Convention on the Elimination of All Forms of Discrimination against Women, (2018) U.N. Doc. CEDAW/C/OP.8/GBR/1  Original CEDAW 2018 report.  Comments by Clare Pierson. [abortion, a crime in Northern Ireland following sections 58 and 59 of the Offences Against Persons Act 1861, was legalized in 2020.]
—Follow-up report submitted by the United Kingdom of Great Britain and Northern Ireland, 16 January 2023, published March 14, 2023 as CEDAW/C/OP.*/GBR/3/Add.1.  Followup report in different formats, English, French and Spanish.  [Among other reforms, Northern Ireland established a Gender Equality Strategy Expert Advisory Panel whose Report of December 2020 is online here]. 

[Peru, UN Committee on the Rights of the Child] Camila v. Peru, Communication No. 136/2021.U.N. Doc CRC/C/93/D/136/2021 (June 13, 2023) Decision online in Spanish, Arabic and Russian.  Decision in English (May 25, 2023, *unofficial draft). Case note by Godfrey Kangaude.  [Child raped by her father. Ruling: Peru violated child rape victim’s rights by failing to guarantee access to abortion and criminally prosecuting her for self-abortion.]

[Peru, child marriage] Ley N.º 31945 to prohibit and eliminate any possibility of marriage with minors under the age of 18 was promulgated on 25 November 2023. Prior to the new legislation, Article 42 of Peru’s Civil Code permitted adolescents to marry from the age of 14 under certain conditions, with consent from at least one parent, despite the minimum legal age of marriage being 18 years for girls and boys. Context in English.

[Poland, ECtHR ruled against fetal abnormality abortion ban] M.L. v. POLAND (Application no. 40119/21) (European Court of Human Rights, December 14, 2023) [Woman forced to travel for abortion of malformed fetus. Court found violation of ECHR Article 8 (right to respect for private and family life) of the ECHR, following a 2020 Constitutional Court ban on legal abortion in case of foetal abnormalities. Press release. Decision of 14 Dec 2023.

[Poland, fetal abnormality risk, inadmissible] A.M. and others v. Poland (application no. 4188/21, 4957/21, 5014/21,5523/21, 5876/21, 6114/21, 6217/21, 8857/21) (European Court of Human Rights, May 16, 2023) ruled these 8 cases inadmissible because each applicant could not claim to be a victim of a violation of the ECHR owing to risk of a future violation. Press Release. Decision of 16 May 2023.

[Spain, access to abortion information] Tribunal Supremo de España, Sala Tercera, de lo Contencioso-administrativo, Sección 4ª, S 1231/2022, 3 Oct. 2022 (Rec. 6147/2021)  Decision in Spanish.  Spanish backup copy.  Decision in English.  English backup copy. [The Government cannot block public access to a website containing information or opinions without judicial authorization.  This includes the site of Women on Web, which discusses access to abortion.

[Turkey, abortion for rape victim], [Case of] R.G. [GK], B. No: 2017/31619, 23/7/2020,.July 23, 2020. (Grand Chamber of the Turkish Constitutional Court)   27-page decision in Turkish. Backup copy. Official press release in English. Backup copy.  Comment  in English on IACL/AIDC Blog. Article in English from a Turkish Journal of Constitutional Law  [procrastination after rape victim applied for abortion violated the right to protect one’s corporeal and spiritual existence (provided under Article 17 of Turkish Constitution.

[UK – challenge to fetal abnormality ground for abortion] R (on the Application of Crowter and Ors) v Secretary of State for Health and Social Care EWCA Civ 1559 Case No: CA-2021-000314 (UK Court of Appeal (Civil Division) London, 25 Nov., 2022, Judgment summary. Decision online.  [UK legislation allowing abortion for substantial risk of a born child’s serious handicap (such as Down syndrome) is not incompatible with disabled persons’ human rights to respect for their private and family life and to nondiscrimination.] This was an appeal of [2021] EWHC 2536 (Admin) Case No. CO/2066/2020 (High Court of Justice, Queen’s Bench Division, London) Sept 23, 2021.  Judgment and summary.    [fetus has no established rights under the European Convention on Human Rights (ECHR), so UK abortion law allowing legal abortions in cases of severe fetal abnormalities is compatible with ECHR.]

[Venezuela, obstetric violence] Inter-American Court of Human Rights – Case of Rodríguez Pacheco et al. v. Venezuela. Preliminary Objections, Merits, Reparations and Costs. Judgment of September 1, 2023. Series C No. 504. Press release in English. Official Summary in Spanish. 82-page judgment in Spanish. Download partial dissent by Judge Sierra Porto. Download: partial dissent by Judge Pérez Goldberg. The Court ruled that Venezuela is responsible for deficiencies in Judicial Proceedings on a Complaint of acts of obstetric violence and medical malpractice that took place in a private hospital.

SCHOLARSHIP

[comparative abortion law] Rebecca J. Cook and Bernard M. Dickens, “Abortion,” in Jan M. Smits, Jaakko Husa, Catherine Valcke and Madalena Narciso, eds., Elgar Encyclopedia of Comparative Law, 3rd ed., (Cheltenham, UK: Elgar Publishing, 2023), 3-11. Abstract online here. Full text and PDF online

[abortion law, Colombia] “The new Colombian law on abortion,” by Isabel C Jaramillo Sierra, International Journal of Gynecology and Obstetrics 160.1 (January 2023): 345-350.  Abstract and Article. 

[abortion law and policy] “Self managed abortion: aligning law and policy with medical evidence,” by Patty Skuster, Heidi Moseson and Jamila Perritt, in International Journal of Gynecology and Obstetrics 160.2 (February 2023): 720-725. Abstract and Article.  

[abortion law and policy, guideline] “The WHO Abortion Care Guideline: Law and Policy–Past, Present and Future,” by Joanna N. Erdman, in International Journal of Gynecology and Obstetrics, 162.3 (Sept 2023): 1119–1124. Abstract and Article.  WHO Abortion Care guideline, 2022.

[adolescents, Africa] “Integrating child rights standards in contraceptive and abortion care for minors in Africa,” by Godfrey Dalitso Kangaude, Catriona Macleod, Ernestina Coast and Tamara Fetters, International Journal of Gynecology & Obstetrics 159.3 (December 2022): 998-1004.   Abstract and Article.

[Africa, Zimbabwe, rewrite abortion decision, gender equality] Charles Ngwena and Rebecca J. Cook, “Restoring Mai Mapingure’s Equal Citizenship,” In: Rebecca J. Cook, ed., Frontiers of Gender Equality: Transnational Legal Perspectives (University of Pennsylvania Press, 2023). Abstract online.  Book available here. Introduction to the book (by Rebecca Cook).

[gender equality, health, CEDAW GR 24] “Gender Equality in Health Care: Reenvisioning CEDAW General Recommendation 24,” by Joanna N. Erdman and Mariana Prandini Assis, in Frontiers of Gender Equality: Transnational Legal Perspectives, ed. Rebecca J. Cook (University of Pennsylvania Press, 2023). Abstract online in English. Portuguese translation of this chapter. Book available here. Introduction to the book (by Rebecca Cook).

[gender equality] Rebecca J. Cook, “Many Paths to Gender Equality,” Introduction to: Frontiers of Gender Equality: Transnational Legal Perspectives (University of Pennsylvania Press, 2023). Introduction online.

[infertility] “”Human Rights Approaches to Reducing Infertility,” by Payal K. Shah and Jaime M. Gher, in International Journal of Gynecology and Obstetrics.162.1 (July 2023): 368–374.  Abstract and Article. 

US-focused news, resources, and legal developments are available  on Repro Rights Prof Blog. View or subscribe.

JOBS
Links to employers in the field of Reproductive and Sexual Health Law are online here.

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Contributed by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.

USA: Abortion Rights after the Dobbs decision

Congratulations and thanks to Martha F. Davis, University Distinguished Professor of Law at Northeastern University School of Law in Boston, MA, whose recently published contribution to the Ethical and Legal Issues in Reproductive Health section of the International Journal of Gynecology & Obstetrics discusses how the U.S. Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, has opened the door to new abortion restrictions, complicating care and threatening providers. We are pleased to circulate the following abstract:

Martha F. Davis “The state of abortion rights in the US,”  International Journal of Gynecology & Obstetrics 159.1 (October 2022): 324-329.  PDF at Wiley online.  Submitted text at SSRN.

Abstract: In Dobbs v. Jackson Women’s Health Organization (2022), the US Supreme Court reversed longstanding court precedents that protected abortion as a fundamental right. Without that federal baseline, many states are passing restrictive laws that threaten providers and complicate patient care. The legal issues raised by these state restrictions are complex, including questions such as the ex-territorial application of state restrictions and federal authority to regulate access to medication abortion. Meanwhile, providers who risk criminal or civil penalties for violating these laws may be deterred from providing services to those seeking care, including for ectopic pregnancies and miscarriages. State variations are dramatic, with some states taking steps to strengthen their abortion protections while others are eliminating abortion access even in situations of rape or incest. As dire as these developments are, it is hoped that they can serve as a wake-up call heard worldwide, to avoid complacency and maintain vigilance to protect abortion rights.

RELATED RESOURCES:

Dobbs v. Jackson Women’s Health Organization, No. 19-1392, 597 U.S. _ (2022) (Supreme Court of the United States), June 24, 2022  [which held that the Constitution of the United States does not confer a right to abortion]. Decision online.  Case summary by CRR.   

Brief of International and Comparative Legal Scholars As Amici Curiae In Support of Respondents. Dobbs v. Jackson Women’s Health Organization, Amicus brief by Martha Davis et al. 

Brief of European Law Professors As Amici Curiae In Support of the Respondents, Dobbs v. Jackson Women’s Health Organization, Amicus brief by European Law Professors.

Brief of United Nations Mandate Holders As Amici Curiae in Support of the Respondents, Dobbs v. Jackson Women’s Health Organization, Amicus brief of United Nations Mandate Holders.

[France] [Why and how to constitutionalize abortion law]: ‘Pourquoi et comment constitutionaliser le droit à l’avortement,” par Stéphanie Hennette-Vauchez, Diane Roman et Serge Slama, La Revue des Droits de l’Homme, Actualités Droits-Libertés | 2022 Juillet 2022. Full text in French. Soon after the Dobbs decision in the U.S., France opened debate to formally include the right to abortion in the French Constitution with the filing of a constitutional bill, a pioneering historic opportunity to open the constitutional text to reproductive questions.

Ethical and Legal Issues in Reproductive Health – more than 100 other concise articles are online here.

______________________
Compiled by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and the Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.

REPROHEALTHLAW Updates – Autumn 2021

SUBSCRIBE TO REPROHEALTHLAW: To receive these updates by email, enter your address in upper right corner of this webpage, then check your email to confirm the subscription.

DEVELOPMENTS
ECUADOR Constitutional Court orders decriminalization of abortion in cases of rape. Corte Constitucional, Acción Pública de Inconstitucionalidad, Expediente No. 34-19-IN/21, Decision of April 28, 2021.  Summary in Spanish.  Decision in Spanish.  News report in English.

MALAWI: High Court rejects girl’s application for judicial review of oral abortion refusal. The State (On the Application by HM (Guardian) on behalf of CM (Minor) vs The Hospital Director of Queen Elizabeth Central Hospital & The Minister of Health: Judicial Review Cause Number 03 of 2021 (unreported) (High Court of Malawi, Zomba District Registry) Decision of 15 June 2021.   (Download:) Legal Brief by Lewis Bande and Godfrey Kangaude.  Overview of their brief.

MEXICO: Supreme Court rules that criminalizing abortion is unconstitutional, Sept 7, 2021. Action of unconstitutionality 148/2017, promoted by the Office of the Attorney General of the Republic against the Legislative and Executive Powers of Coahuila, demanding the invalidity of articles 195, 196 and 224, section II of the Penal Code of the State of Coahuila de Zaragoza, contained in Decree 990, published in the local Official Newspaper on October 27, 2017 News report. Press release in Spanish.

NEW ZEALAND: NZ Health Professionals’ Alliance v Attorney-General, [2021] NZHC 2510 (New Zealand High Court)   Decision of September 23, 2021.   Commentary on decision.  News report. The Court upholds sections of the Contraception, Sterilisation, and Abortion Act 1977 (‘CSAA’), amended in the Abortion Legislation Act 2020, [conscientious objection includes duty of effective referral; and employers must accommodate conscientious objection unless doing so would cause unreasonable disruption.]

SAN MARINO: Referendum, Sept 24, 2021, voted to legalize abortion within 12 weeks’ gestation. BBC news report.

SCHOLARSHIP

[abortion laws] “Legal Epidemiology for a Clearer Understanding of Abortion Laws and their Impact,” by Patty Skuster, Temple Law Review 92.4 (Summer 2020): 917-929. Abstract and article.

[abortion, Ireland, COVID-19, remote consultation] “Early abortion care during the COVID-19 public health emergency in Ireland: implications for law, policy and service delivery” by Allison Spillane and Maeve Taylor, International Journal of Gynecology and Obstetrics 2021;154: 379–384.  PDF at Wiley online, Free access.

[abortion law, telemedicine] Early Medical Abortion, Equality of Access, and the Telemedical Imperative, by Jordan A. Parsons and Elizabeth Chloe Romanis (Oxford University Press, 2021) Book abstract.

[abortion policy, Amnesty] “Amnesty International’s Updated Policy on Abortion: A Resource for Medical Providers,” by Rada Tzaneva and Jaime Todd-Gher, International Journal of Gynecology and Obstetrics 153.2 (May 2021): 363-369. PDF at Wiley online, Free access.

[Africa] Advancing Sexual and Reproductive Health and Rights in Africa: Constraints and Opportunities, ed. Ebenezer Durojaye, Grace Mirugi-Mukundi, and Charles Ngwena. (Routledge, 2021) Abstract and Table of Contents. Open Access to entire book.

US-focused news, resources, and legal developments are available  on Repro Rights Prof Blog. View or subscribe.

VIDEO RESOURCE
“Shaping the Future of Abortion,” in the Oxford Human Rights Hub Documentary Series. The second episode of Shaping the Future of Sexual and Reproductive Health Rights, explores the role of human rights law in advocacy, examining successful legal strategies used in South Africa, Brazil, Mexico, Kenya and Poland.  Second episode online.

JOBS
Links to employers in the field of Reproductive and Sexual Health Law are online here.
______________
Compiled by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.

Ireland: Early abortion care during COVID-19

Congratulations and thanks to co-authors Alison Spillane, Maeve Taylor, Caitriona Henchion, Róisín Venables, and Catherine Conlon of the Irish Family Planning Association in Dublin, whose timely article was recently published in the International Journal of Gynecology and Obstetrics as part of its Ethical and Legal Issues in Reproductive Health series. Professor Spillane also teaches at the School of Social Work and Social Policy, in Trinity College, Dublin. The article explains that COVID-19 precipitated the introduction of remote consultation for early abortion in Ireland. This paper explores what this may mean for law, policy and service delivery. We are pleased to circulate the following abstract:

“Early abortion care during the COVID-19 public health emergency in Ireland: implications for law, policy and service delivery” by Alison Spillane, Maeve Taylor, Caitriona Henchion, Róisín Venables, and Catherine Conlon, International Journal of Gynecology and Obstetrics 2021;154: 379–384.  PDF at Wiley online, Free access.

Abstract: Early abortion care became available in Ireland in January 2019. Service delivery involves two consultations with a medical practitioner, separated by a mandatory 3-day waiting period. The Model of Care for termination of pregnancy initially required in-person visits. The onset of the COVID-19 pandemic necessitated significant reductions in in-person interactions in healthcare. A revised Model of Care for termination of pregnancy, issued for the duration of the pandemic, permits delivery of early abortion care by remote consultation. Significantly, this was introduced without amending the 2018 abortion law. The pandemic precipitated a rapid development in the delivery of abortion care that was not anticipated at the time of abortion law reform only 18 months earlier. We outline the work undertaken to maintain access to abortion care in early pregnancy through the lens of a single community-level provider
and explore what these developments may mean for abortion law, policy, and service delivery.

RELATED RESOURCES:

“Legal and Policy Responses to the Delivery of Abortion Care During COVID-19,” by Elizabeth Chloe Romanis & Jordan A Parsons. International Journal of Gynecology and Obstetrics 151.3 (Dec. 2020): 479-486  PDF at Wiley online. Submitted Text at SSRN.

Ethical and Legal Issues in Reproductive Health – 100+ other concise articles are online here.

______________
Compiled by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.

New book: “Early Medical Abortion, Equality of Access and the Telemedical Imperative”

Congratulations to Jordan A. Parsons and Elizabeth Chloe Romanis, whose new book has just been published by Oxford University Press. Jordan A. Parsons is a doctoral candidate at Bristol Medical School, and Elizabeth Chloe Romanis is Assistant Professor in Biolaw at Durham University’s Law School in the United Kingdom. We are pleased to circulate the publisher’s description and some related resources.

Jordan A. Parsons and Elizabeth Chloe Romanis, Early Medical Abortion, Equality of Access, and the Telemedical Imperative (Oxford University Press 2021) Publisher’s webpage.

Telemedicine has recently become a key focus of healthcare systems globally, heavily influenced by the COVID-19 pandemic and the increased need for remote treatment. Implementing telemedicine can bring myriad benefits for both patients and providers and has the potential to make a huge impact by improving access to abortion care.

In both the United Kingdom and United States, abortion is heavily regulated – exceptionally so when compared to other routine healthcare. This regulation has had the impact of exacerbating the social and geographical circumstances that can make access to abortion clinics difficult.

This book examines early medical abortion provided by telemedicine, alongside the access barriers created by laws in the US and UK. It critically appraises a series of developments in this rapidly evolving subject providing an up to date and well-informed analysis. In doing so, it argues that there is a moral imperative to make the necessary regulatory changes that would enable the provision of telemedical early medical abortion.
Discount code for recent launch: AMPROMD9

RELATED RESOURCES:
“Legal and Policy Responses to the Delivery of Abortion Care During COVID-19,” by Elizabeth Chloe Romanis & Jordan A Parsons. International Journal of Gynecology and Obstetrics 151.3 (December 2020): 479-486  PDF at Wiley online. Submitted Text at SSRN.

“Early abortion care during the COVID-19 public health emergency in Ireland: implications for law, policy and service delivery” by Allison Spillane and Maeve Taylor, International Journal of Gynecology and Obstetrics 2021;154:379–384.  PDF at Wiley online, Free access.

“Abortion by telemedicine in the European Union,” by Tamara K. Hervey and Sally Sheldon,  International Journal of Gynecology and Obstetrics 145(2019): 125–128.   PDF at Wiley Online.  Submitted text at SSRN.
______________
Compiled by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.

REPROHEALTHLAW Updates – Winter 2021

SUBSCRIBE TO REPROHEALTHLAW: To receive these updates by email, enter your address in upper right corner of this webpage, then check your email to confirm the subscription.

DEVELOPMENTS
Argentina legalized abortion within 14 weeks’ gestation, Dec. 30, 2020. Newspaper report.

South Korea decriminalized abortion, effective Jan. 1 2021, by order of the Constitutional Court of Korea
Decision of 2019 explained by Prof. Hyunah Yang.

Thailand – abortion became legal on request within 12 weeks, Feb. 7, 2021, based on Constitutional Court judgment of Feb. 19, 2020 (English summary download), and legislative amendments of Jan. 25, 2021 Newspaper report.

NEW CASE SUMMARIES:
[Kenya, abortion law, rape, training healthcare professionals] Federation of Women Lawyers (Fida – Kenya) & 3 others v Attorney General & 2 others [2019] eKLR, Petition No. 266 of 2015, Decision of June 12, 2019. (High Court of Kenya at Nairobi, Constitutional and Human Rights Division) Decision online. Case Summary by Benson Chakaya (download PDF). Overview by Bernard Dickens.

[Zimbabwe, transgender, constitutional rights] Ricky Nathanson v Farai Mteliso, The Officer in Charge Bulawayo Central Police Station, Commissioner of Police and the Minister of Home Affairs, Case no.HB 176/19 HC 1873/14 [2019] ZWBHC 135( (14 November 2019);  (Zimbabwe, High Court) Decision online.   Overview on Reprohealthlaw Blog. Case Summary by Keikantse Phele (download PDF).

SCHOLARSHIP
Access to Abortion: An Annotated Bibliography of Reports and Scholarship. (Toronto: International Reproductive and Sexual Health Law Program, 2020) 44 pages. Abortion access bibliography.

[abortion – COVID-19] “Legal and Policy Responses to the Delivery of Abortion Care During COVID-19,” by Elizabeth Chloe Romanis & Jordan A Parsons. International Journal of Gynecology and Obstetrics 151.3 (December 2020): 479-486  PDF at Wiley online. Submitted Text at SSRN.

[abortion – Europe] “Access to Abortion in Cases of Fatal Foetal Abnormality: A New Direction for the European Court of Human Rights?” by Bríd Ní Ghráinne and Aisling McMahon, Human Rights Law Review 19.3 (November 2019, Pages 561–584, Abstract and institutional access.

[abortion laws – map] “Global Abortion laws Relating to Self-Managed Abortion,” interactive map created by Ipas with the Center for Public Health Law Research at Temple University, based on WHO Global Abortion Policies database, “displays self-managed abortion laws in 180 countries and 40 sub-national jurisdictions including Australia and Mexico, as of June 1, 2019. Self-Managed Abortion Law Map

“Bioethics training in reproductive health in Mexico,” by Gustavo Ortiz-Millán and Frances Kissling, International Journal of Gynecology and Obstetrics 151.2 (November, 2020): 308-313  PDF at Wiley Online. Submitted Text at SSRN. 
Also forthcoming in Spanish:    Bioética y derechos reproductivos de las mujeres en México, edited by Lourdes Enríquez Rosas, María del Pilar González Barreda, and Arturo Sotelo Gutiérrez (Fonde de Cultura Económica and the Programa Universitario de Bioética of the Universidad Nacional Autónoma de México (UNAM)

[Brazil] “Confidentiality and treatment refusal: conservative shifts on reproductive rights by Brazilian medical boards,” by Juliana Cesario Alvim Gomes and Corina Helena Figueira Mendes, International Journal of Gynecology and Obstetrics 152.3 (March 2021): 459-464.   PDF at Wiley online.   

[conscience, Argentina] “Una vuelta de tuerca a la objeción de conciencia: Una propuesta regulatoria a partir de las prácticas
del aborto legal en Argentina,” por Sonia Ariza Navarrete & Agustina Ramón Michel (Ipas, 2019) Descargar informe en PDF. Summario – Espanol y Ingles. 

[conscience – Argentina] “Re-thinking the Use of Conscientious Objection by Health Professionals: A regulatory proposal based on legal abortion practices in Argentina, 2019  Executive Summary – English and Spanish. 

“Conscience Wars in the Americas,” by Douglas NeJaime and Reva Siegel, Latin American Law Review 5 (2020): 1-26
English and Spanish on web.   Download English PDF      Spanish PDF.

Conscientious Objection / The Right to Conscience – annotated bibliography, updated Feb. 15, 2021.

Women’s Birthing Bodies and the Law: Unauthorised Intimate Examinations, Power and Vulnerability, new book edited by Camilla Pickles and Jonathan Herring. Hart Publishing, 2020. Publisher’s webpage.  

US-focused news, resources, and legal developments are available  on Repro Rights Prof Blog. View or subscribe.

JOBS
Links to employers in the field of Reproductive and Sexual Health Law are online here.
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Compiled by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.

Abortion care: law and policy during COVID-19

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Congratulations and thanks to U.K. scholars Elizabeth Chloe Romanis of the Centre for Ethics and Law in the Life Sciences, Durham Law School UK, and Jordan A. Parsons of the Centre for Ethics in Medicine, Bristol Medical School, for their new publication in the International Journal of Gynecology and Obstetrics‘s special section on “Ethical and Legal Issues in Reproductive Health”. Their paper explains that COVID-19 has exacerbated pre-existing barriers to abortion care globally, highlighting how legal and policy responses have protected or hindered equitable access to abortion. We are pleased to circulate this abstract:

Elizabeth Chloe Romanis & Jordan A Parsons.”Legal and Policy Responses to the Delivery of Abortion Care During COVID-19,” International Journal of Gynecology and Obstetrics 151.3 (December 2020): 479-486  PDF at Wiley online, free access for 12 months. Submitted Text at SSRN.

Abstract: Access to abortion care has long been a global challenge, even in jurisdictions where abortion is legal. The COVID‐19 pandemic has exacerbated barriers to access, thereby preventing many women from terminating unwanted pregnancies for an extended period. In this paper, we outline existing and COVID‐specific barriers to abortion care and consider potential solutions, including the use of telemedicine, to overcome barriers to access during the pandemic and beyond. We explore the responses of governments throughout the world to the challenge of abortion access during the pandemic, which are an eclectic mix of progressive, neutral, and regressive policies. Finally, we call on all governments to recognize abortion as essential healthcare and act to ensure that the law does not continue to interfere with providers’ ability to adapt to circumstances and to guarantee safe and appropriate care not only during the pandemic, but permanently.
PDF at Wiley online, free access for 12 months.
Submitted Text at SSRN thereafter.

RELATED RESOURCES

“Abortion in the context of COVID-19: a human rights imperative,” by Jaime Todd-Gher & Payal K Shah (2020) Sexual and Reproductive Health Matters, 28.1 (2020): 28-30 Article online.

Ethical and Legal Issues in Reproductive Health, International Journal of Gynecology and Obstetrics 100+ concise articles.
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Compiled by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Research resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.

REPROHEALTHLAW Updates – Autumn 2020

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DEVELOPMENTS
Amnesty International’s new institutional policy on abortion, released Sept 28, 2020, has been endorsed by the International Federation of Gynecologists and Obstetricians (FIGO). Amnesty Abortion Policy.
Press release. Explanatory note. Key messages. FAQ.

[Poland] Constitutional Tribunal ruled that abortion on grounds of congenital fetal defects is unconstitutional. Sygn. akt K 1/20, October 22, 2020. Decision in Polish. News report in English.

[The Philippines] PINSAN (network of NGOs and individuals) released proposed text of a “decriminalization bill” and an international petition to decriminalize abortion in the Philippines, September 28, 2020.
Proposed legislation. International petition. Bill launch on Facebook with Q & A.

SCHOLARSHIP
Access to Abortion: An Annotated Bibliography of Reports and Scholarship. (Toronto: International Reproductive and Sexual Health Law Program, 2020) 44 pages. Abortion access bibliography.

[abortion] “Why self-managed abortion is so much more than a provisional solution for times of pandemic,” by Mariana Prandini Assis & Sara Larrea, Sexual and Reproductive Health Matters, 28:1 (2020) Article online.

[Africa] “Adolescent sexual and reproductive health and universal health coverage: a comparative policy and legal analysis of Ethiopia, Malawi and Zambia,” by Godfrey Kangaude, Ernestina Coast & Tamara Fetters (2020) Sexual and Reproductive Health Matters, 28:2, 1-15. Abstract and article. Policy briefs: Ethiopia brief, Malawi brief. Zambia brief.

[Argentina] “A Case for Legal Abortion: The Human Cost of Barriers to Sexual and Reproductive Rights in Argentina,” (Human Rights Watch, 2020) 77-page report in English. Overview in English. Informe en Espanol.

[Australia] “Advancing Reproductive Rights through Legal Reform: The Example of Abortion Clinic Safe Access Zones,” by Ronli Sifris, Tania Penovic and Caroline Henckels, University of New South Wales Law Journal 43.3 (2020): 1078-1097. Abstract and Article.

[Belgium, Ireland] “Abortion law reform in Europe: The 2018 Belgian and Irish Acts on termination of pregnancy,” by Fien De Meyer – Medical Law International 20.1 (2020): 3-30. Abstract and article.

[India-abortion law] “The MTP 2020 Amendment Bill: anti-rights subjectivity,” by Alka Barua, Anubha Rastogi, V. Deepa, Dipika Jain, Manisha Gupte, and Rupsa Mallik. Sexual and Reproductive Health Matters 28.1 (2020). Commentary online.

[India] “Reimagining Reproductive Rights Jurisprudence in India: Reflections on the Recent Decisions on Privacy and Gender Equality from the Supreme Court of India,” by Dipika Jain and Payal K. Shah, Columbia Journal of Gender and Law 39.2 (2020): 1-53. Abstract and PDF access.

[Mexico] “Bioethics training in reproductive health in Mexico,” by Gustavo Ortiz-Millán and Frances Kissling, International Journal of Gynecology and Obstetrics 151.2 (November, 2020): 308-313  PDF free access for 12 months.  Submitted Text. 

[Nigeria] “The Conflict in Northeast Nigeria’s Impact on the Sexual and Reproductive Rights of Women and Girls.” by Onyema Afulukwe and Chinonye Obianwu (Nairobi: Center for Reproductive Rights and Legal Defence and Assistance Project, 2020) 26 page report.

[Philippines] “Reasons Why We Need to Decriminalize Abortion” by Clara Rita A. Padilla (of EnGendeRights and PINSAN).
Seven reasons op-ed, 22 reasons – full report.

[Surrogacy] “Paid surrogacy abroad does not violate public policy: UK Supreme Court,” by Bernard M. Dickens, International Journal of Gynecology and Obstetrics 150.1 (July 2020): 129-133 PDF- Free Access till July 2021.  Submitted Text.

“Transsexuality:  Legal and Ethical challenges,” by Bernard M. Dickens.  International Journal of Gynecology and Obstetrics 151.1 (October, 2020): 163-167 PDF free access for 12 months.   Submitted Text.

US-focused news, resources, and legal developments are available  on Repro Rights Prof Blog. View or subscribe.

JOBS
Links to employers in the field of Reproductive and Sexual Health Law are online here.
______________
Compiled by: the International Reproductive and Sexual Health Law Program, reprohealth*law at utoronto.ca.   See Program website for our Publications,  Information resources, and Reprohealthlaw Commentaries Series.  TO JOIN THE REPROHEALTHLAW BLOG: enter your email address in the upper right corner of our blog, then check your email to confirm the subscription.