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Unsafe abortion: strategies for action in an era of increasing anti-choice influence

Induced abortion is a serious problem in women’s health if it is performed illegally, under unsafe circumstances. Moreover, induced abortion is a social problem, since poverty and lack of education are in many countries related to the lack of possibilities for receiving sexual education and the lack of access to contraceptive and safe abortion services. And finally, induced abortion is a political and women’s rights issue, as long as governments are violating women’s rights to reproductive health determination. Induced abortion is least of all a medical problem, as long as the procedure is carried out in safe and legal circumstances. It is one of the operative procedures with the smallest risk of complications. However, in illegal and unsafe conditions the opposite is true. Of the 53 million abortions annually performed, 20 million are conducted in illegal and often unsafe conditions. According to the World Health Organization (WHO) the latter results in an annual mortality of approximately 90 000 women. This implies the death of 250 women everyday, which amounts to 13% of worldwide maternal mortality. In individual countries and in regions within those countries, the percentage of maternal deaths due to unsafe abortions may reach