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ABORTION

Norway to allow foreign women to abort healthy twin

Norway’s health authorities have ruled that foreign women pregnant with twins should be allowed to abort one fetus in Norwegian hospitals, even if it is perfectly healthy.

Norway to allow foreign women to abort healthy twin
Fraternal twins at two weeks old. The technical term for "fraternal" is "polyzygotic". Photo: multipleparent/Wikimedia Commons
The ruling, made by Norway’s Ministry of Health, is expected to open the way for women from neighbouring Sweden and Denmark, who where the procedure of “selective reduction” is not permitted in the same way.  
 
“All women, regardless of whether they are Norwegian or foreign women residing in Norway have the same right to abortion and fetal reduction,”  Torunn Janbu from Norway’s Directorate of Health told NRK. 
 
The hospitals are not required to ask for a fixed address, opening up the way for a new form of abortion tourism. 
 
According to NRK, several women from other Nordic countries had already contacted Norwegian hospitals about having the procedure.
 
Lawyers at Norway’s Department of Justice ruled in February that selective reduction procedures should be treated no differently under Norwegian law than any other abortion, and should therefore be legal up until the end of the 12th week of pregnancy. 
 
“We don’t as the Directorate have anything to say about the ethics,” Janbu told The Local. “We just inform the local health services about how to apply the law.” 
 
The decision went against the advice of many doctors, who fear that the procedure carries risks for the health of both the mother and the remaining fetus. 
 
“We have not found any medical benefit from this,” Dr Birgitte Heiberg Kahrs, a specialist in fetal medicine at St Olav's Hospital in Oslo. “On the contrary, it exposes the second child in the womb to danger as the abortion risk increases.” 
 
“Our recommendation was that this should only be allowed for twins if one fetus showed developmental abnormalities, and that it should be done between weeks 12 and 14 to reduce the abortion risk.” 
 
Multifetal pregnancies are becoming increasingly common as a result of IVF treatments, although selective reduction is more commonly carried out when there are three or more fetuses. 
 

HEALTH

What you need to know about Spain’s plan to change its abortion laws

In Spain women can get an abortion for free in all public hospitals up until 14 weeks, no questions asked. But the reality is that many doctors refuse to perform them. The Spanish government is revising its laws to make sure it is enforced across the country.

What you need to know about Spain’s plan to change its abortion laws
Anti-abortion supporters take part in a march in Madrid in 2014. In Spain women have the right to abortions up to the 14th week of their pregnancy, but many doctors across the country refuse to perform the procedure. Photo by DANI POZO / AFP

Under the current legislation introduced by the previous Socialist government in 2010, women in Spain have the right to abortions up to the 14th week of their pregnancy, which is standard in much of Europe.

They also have the legal right to abort up to the 22nd week of pregnancy in cases where the mother’s health is at risk or the foetus has serious deformities.

‘Conscientious objectors’

However, in practice this law translates into a very different reality.  

Many doctors across Spain refuse to practice abortions, calling themselves “conscientious objectors”.

So many doctors deny the procedure across the country, that in five out of the 17 autonomous regions in Spain, no public hospitals offer abortions, according to data from the Health Ministry

This causes stark regional inequalities, forcing thousands of women to either travel to another part of the country, or pay for one in a private clinic, despite the 2010 law stating that “all women should benefit from equal access to abortion regardless of where they reside”.

According to the data, the provinces of Teruel, Ávila, Palencia, Segovia, Zamora, Cuenca, Toledo and Cáceres have not performed a single abortion in the past 30 years.

And, another even more revealing statistic: in 2019, 85 per cent of abortions took place in private clinics.

The map below shows the provinces that never perform abortions in red, the ones where it has varied over the years in orange, and the ones where they have always been available in green.

READ ALSO: Why does Spain top Europe’s Covid vaccination league table?

Law reform

The minister of equality, Irene Montero, has proposed a reform of the current law that would limit doctors being able to refuse the procedure.

“Conscientious objection cannot be an obstacle for women to exercise their right to terminate a pregnancy,” Montero said in a tweet. “We must reform the law to regulate it and make sure abortion is guaranteed in the public health system.”

Montero said the draft law would be ready in December after a consultation process.

However, others have said doctors should not be forced to perform abortions.

The president of Madrid’s regional government, Isabel Díaz Ayuso, said she would not force “any doctor in Madrid’s public health system to practice an abortion against their will” because doctors study medicine “to save lives and not to do the opposite”.

Conservatism

The situation shows abortion remains a dividing issue in Spain, where a large part of the conservative population is still opposed to a law that was introduced over a decade ago.

The former conservative Prime Minister Mariano Rajoy had promised to tighten Spain’s abortion law before he came into power in 2011.

However he was forced to drop the plans in 2014 due to disagreement within his Popular Party (PP). This angered many Catholic and other pro-life groups.

The reform would have ended women’s rights to freely terminate their pregnancies up until the 14th weeks. 

In 2015 Rajoy’s government passed another reform requiring girls aged 16 and 17 to get their parents’ consent if they wished to terminate a pregnancy. But the measure failed to pacify pro-life campaigners.

Montero also announced plans to repeal the 2015 reform as part of the draft law.

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