Terminations of pregnancy in the European Union

M. Gissler, I. Fronteira, A. Jahn, H. Karro, Caroline Moreau, M. Oliveira Da Silva, J. Olsen, C. Savona-Ventura, M. Temmerman, E. Hemminki

Research output: Contribution to journalArticle

Abstract

Objective To study the current legislation and trends in terminations of pregnancy in the European Union (EU). Design Data were collected on legislation and statistics for terminations of pregnancy. Setting Population-based statistics from the EU member states. Population Women in reproductive age in the 27 EU member states. Methods Information on legislation was collected for all 27 EU member states. Statistical information until 2008 was compiled from international (n = 24) and national sources (n = 17). Statistical data were not available for Austria, Cyprus and Luxembourg. Main outcomes measures Terminations of pregnancy per 1000 women aged 15-49 years. Results Ireland, Malta and Poland have restrictive legislation. Luxembourg permits termination of pregnancy on physical and mental health indications; Cyprus, Finland, and the UK further include socio-economic indications. In all other EU member states termination of pregnancy can be performed in early pregnancy on a women's request. In general, the rates of termination of pregnancy have declined in recent years. In total, 10.3 terminations were reported per 1000 women aged 15-49 years in the EU in 2008. The rate was 12.3/1000 for countries requiring a legal indication for termination, and 11.0/1000 for countries allowing termination on request. Northern Europe (10.9/1000) and Central and Eastern Europe (10.8/1000) had higher rates than Southern Europe (8.9/1000). Northern Europe, however, had substantially higher rates of termination of pregnancy among teenagers. Conclusion A more consistent and coherent reporting of terminations of pregnancy is needed in the EU. The large variation of termination rates between countries suggests that termination of pregnancy rates may be reduced in some countries without restricting women's access to termination. Sexual education and provision of access to reliable and affordable contraception are essential to achieve low rates of termination of pregnancy.

Original languageEnglish (US)
Pages (from-to)324-332
Number of pages9
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume119
Issue number3
DOIs
StatePublished - Feb 2012
Externally publishedYes

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European Union
Pregnancy
Pregnancy Rate
Legislation
Luxembourg
Cyprus
Malta
Eastern Europe
Austria
Population Characteristics
Poland
Finland
Contraception
Ireland
Mental Health
Economics
Outcome Assessment (Health Care)
Education
Population

Keywords

  • Abortion statistics
  • legislation
  • reproductive and sexual health
  • termination of pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Gissler, M., Fronteira, I., Jahn, A., Karro, H., Moreau, C., Oliveira Da Silva, M., ... Hemminki, E. (2012). Terminations of pregnancy in the European Union. BJOG: An International Journal of Obstetrics and Gynaecology, 119(3), 324-332. https://doi.org/10.1111/j.1471-0528.2011.03189.x

Terminations of pregnancy in the European Union. / Gissler, M.; Fronteira, I.; Jahn, A.; Karro, H.; Moreau, Caroline; Oliveira Da Silva, M.; Olsen, J.; Savona-Ventura, C.; Temmerman, M.; Hemminki, E.

In: BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 119, No. 3, 02.2012, p. 324-332.

Research output: Contribution to journalArticle

Gissler, M, Fronteira, I, Jahn, A, Karro, H, Moreau, C, Oliveira Da Silva, M, Olsen, J, Savona-Ventura, C, Temmerman, M & Hemminki, E 2012, 'Terminations of pregnancy in the European Union', BJOG: An International Journal of Obstetrics and Gynaecology, vol. 119, no. 3, pp. 324-332. https://doi.org/10.1111/j.1471-0528.2011.03189.x
Gissler, M. ; Fronteira, I. ; Jahn, A. ; Karro, H. ; Moreau, Caroline ; Oliveira Da Silva, M. ; Olsen, J. ; Savona-Ventura, C. ; Temmerman, M. ; Hemminki, E. / Terminations of pregnancy in the European Union. In: BJOG: An International Journal of Obstetrics and Gynaecology. 2012 ; Vol. 119, No. 3. pp. 324-332.
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abstract = "Objective To study the current legislation and trends in terminations of pregnancy in the European Union (EU). Design Data were collected on legislation and statistics for terminations of pregnancy. Setting Population-based statistics from the EU member states. Population Women in reproductive age in the 27 EU member states. Methods Information on legislation was collected for all 27 EU member states. Statistical information until 2008 was compiled from international (n = 24) and national sources (n = 17). Statistical data were not available for Austria, Cyprus and Luxembourg. Main outcomes measures Terminations of pregnancy per 1000 women aged 15-49 years. Results Ireland, Malta and Poland have restrictive legislation. Luxembourg permits termination of pregnancy on physical and mental health indications; Cyprus, Finland, and the UK further include socio-economic indications. In all other EU member states termination of pregnancy can be performed in early pregnancy on a women's request. In general, the rates of termination of pregnancy have declined in recent years. In total, 10.3 terminations were reported per 1000 women aged 15-49 years in the EU in 2008. The rate was 12.3/1000 for countries requiring a legal indication for termination, and 11.0/1000 for countries allowing termination on request. Northern Europe (10.9/1000) and Central and Eastern Europe (10.8/1000) had higher rates than Southern Europe (8.9/1000). Northern Europe, however, had substantially higher rates of termination of pregnancy among teenagers. Conclusion A more consistent and coherent reporting of terminations of pregnancy is needed in the EU. The large variation of termination rates between countries suggests that termination of pregnancy rates may be reduced in some countries without restricting women's access to termination. Sexual education and provision of access to reliable and affordable contraception are essential to achieve low rates of termination of pregnancy.",
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