Abortion

Between the legal time limit and actual access there is always a gap. That gap decides more than the statute does.

Illustration: Abortion

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Three models, found almost everywhere

The first is the time-limit model: up to a certain point the pregnant person decides, usually after a prescribed consultation. The second is the grounds model: abortion is lawful only where a listed reason exists — risk to life or health, serious foetal anomaly, rape — and often only with medical certificates. The third is near-prohibition, with very narrow exceptions. Which model applies matters less, in practice, than how many providers there are.

A gynaecologist explains a blister pack of tablets to a young woman, with a uterus model on the desk
In a family planning centre, a gynaecologist shows a young woman a blister pack of tablets and a model of the uterus. There are two techniques, chosen according to the stage of pregnancy and the person's preference: the medical method, possible up to about nine weeks of amenorrhoea, and aspiration, under local or brief general anaesthetic.

The time limit is never quite what it appears

Limits are counted differently: from the first day of the last period or from conception — a difference of about two weeks. Then come mandatory waiting periods between counselling and procedure, which eat into the time you have, and separate, much shorter limits for medical abortion using pills. Anyone close to a deadline should therefore establish first how it is counted, before anything else.

Conscientious objection decides real access

In many countries clinicians may refuse to take part. Where that right is widely used, a clearly worded legal entitlement can become almost unavailable in practice: few providers, long journeys, waiting times that consume the limit. Almost everywhere, however, a duty remains to refer the patient elsewhere and to treat in an emergency. Ask about referral explicitly at the first appointment.

Minors and cost

A smiling pregnant woman during an ultrasound scan, her partner holding her hand

Most systems require parental consent for minors but provide a judicial or administrative alternative where that consent cannot be obtained. On cost, the range runs from full coverage by the public health system to full self-payment, with systems in between that reimburse only medically indicated procedures. Travel and time off work are frequently the larger expense.

What to do immediately

Have the gestational age confirmed clinically rather than calculating it yourself, and book the counselling appointment before you have decided — in many systems it is the consultation that starts the clock. Do not wait for certainty before making appointments: appointments can be cancelled, lost weeks cannot be recovered.

The law country by country

The legal framework, the procedure, the time limits and the costs differ from one country to another. Each country below has a detailed page: governing texts, key facts, the actual procedure, costs, where to go and the traps to avoid.

Select a country to open its detailed page.

Europe

Ireland

On request up to 12 weeks since 2019, after a three-day wait, and free of charge — a complete reversal of the pre-2018 position.

Spain

Abortion on request up to 14 weeks, free in the public health system, without parental consent from 16 and without a reflection period since 2023; up to 22 weeks for serious risk to health or fetal anomalies; available to any woman in Spain, including tourists and undocumented residents; three quarters are performed in accredited private clinics.

United Kingdom

Lawful up to 24 weeks on broad grounds with two doctors' agreement, free on the NHS, and pills at home by telemedicine up to 10 weeks.

Western Africa

Ghana

Section 58 of the Criminal Offences Act sets comparatively broad grounds, yet low awareness of them is the main barrier; post-abortion care is owed to everyone.

Nigeria

The criminal codes allow abortion only to save the woman's life, but post-abortion care is a duty owed to everyone.

Middle Africa

Cameroon

Abortion is prohibited in Cameroon by articles 337 to 339 of the Code pénal (Penal Code), for the woman as well as for the person who performs it, with two explicit exceptions: a pregnancy resulting from rape and serious danger to the mother's health; in practice the medical report that is required makes the rape exception hard to use in time. The rule is the same in the English-speaking regions and for foreign women. In Great Britain abortion is legal up to 24 weeks on legal grounds, and in Northern Ireland and Ireland on request up to 12 weeks.

Eastern Africa

Ethiopia

The 2004 Criminal Code punishes terminating a pregnancy at any stage (Art. 545) but does not punish it when a recognised medical institution acts, within the period permitted by the profession, in four cases listed in Art. 551(1) (rape or incest, danger to life or health, an incurable serious deformity, or a woman's minority or physical or mental deficiency), and the woman's own statement is enough to prove rape or incest (Art. 552(2)).

Kenya

Article 26(4) of the Constitution permits abortion where there is an emergency or life or health is in danger, and post-abortion care is owed to all.

Rwanda

Abortion is an offence in Rwanda (Penal Code, arts 123 and 124) unless the pregnant person is a child, the pregnancy results from rape, forced marriage or incest up to the second degree, or it endangers the health of the pregnant person or the foetus (art 125); a recognised doctor performs it in a licensed hospital or polyclinic, within 22 weeks unless health is at risk (Ministerial Order 002/MoH/2019).

Tanzania

On the Mainland the Penal Code makes procuring a miscarriage an offence (14 years for the person who does it, 7 for a woman acting on herself, 3 for supplying the means: ss. 150 to 152) and expressly protects only acts done to preserve the mother's life (ss. 219(2) and 230); commentators disagree on whether the woman's health is covered.

Uganda

The Constitution allows abortion as authorised by law, the Penal Code permits it to save the woman's life, and post-abortion care remains owed to all.

Zambia

The Termination of Pregnancy Act 1972 is unusually permissive for the region, but the Penal Code still criminalises abortion.

Southern Africa

South Africa

South African abortion law distinguishes between stages of pregnancy and legal grounds, while practical access depends on the care pathway available.

Western Asia

Cyprus

Marriage, divorce, inheritance, abortion and domestic violence rules in the Republic of Cyprus (south) and the TRNC (north), from official sources.

Southern Asia

India

Lawful up to 20 weeks on one doctor's opinion and up to 24 for defined categories, with no spousal consent required.

Pakistan

Permitted early in pregnancy for 'necessary treatment', and later only to save the woman's life — but interpretation is narrow in practice.

Eastern Asia

Hong Kong

Lawful up to 24 weeks with the agreement of two registered medical practitioners, in an approved hospital or clinic.

South-eastern Asia

Indonesia

Abortion is a criminal offence in Indonesia (up to 4 years for the woman, 5 for a person who performs it with her consent; Criminal Code, arts. 463 and 464), except for a medical emergency or for a pregnancy caused by rape or other sexual violence of no more than 14 weeks (art. 463(2)), and then only by medical personnel at an advanced-level facility after a consideration team's decision (Government Regulation 28/2024, arts. 119 to 121).

Malaysia

Permitted where continuing the pregnancy would risk the woman's life or injure her physical or mental health — a ground read relatively broadly.

Philippines

Criminalised with no statutory exceptions — but post-abortion care is guaranteed by national policy, without police reporting.

Singapore

Legal up to 24 weeks under the Termination of Pregnancy Act, with mandatory counselling for some groups.

Northern America

Canada

No criminal law on abortion at all since 1988: it is treated as ordinary health care, publicly funded and without a statutory time limit.

United States

No federal right since 2022: access depends entirely on the state, from full protection to near-total bans.

Caribbean

Jamaica

A nineteenth-century criminal statute, softened by case law allowing termination to preserve health.

Trinidad and Tobago

An old offence is softened by the Bourne line of case law, which permits termination to preserve the woman's physical or mental health.

South America

Argentina

Abortion on request up to and including the fourteenth week since January 2021 (Law 27.610), and with no time limit after rape or where the pregnancy endangers life or health; carried out within ten days of the request, free in the public system and without any co-payment with obras sociales (health insurance funds) and prepagas (private health insurers). The law sets no condition of nationality: British and Irish women in Argentina are entitled to it like anyone else.

Oceania

Australia

Decriminalised in every state and territory, with gestational limits set by state law and Medicare funding for much of the cost.

New Zealand

Removed from the crimes legislation in 2020: available on request up to 20 weeks, and self-referral is the norm.

This topic is also covered for French-speaking countries · German-speaking countries · Spanish-speaking countries · Italy and Italian-speaking Switzerland · Portuguese-speaking countries · the Netherlands, Flanders and Suriname · Poland and the Polish diaspora · Türkiye and the Turkish diaspora.

Sources

  1. Loi constitutionnelle n° 2024-200 du 8 mars 2024 relative à la liberté de recourir à l'interruption volontaire de grossesse (Article 34 de la Constitution) — legifrance.gouv.fr, 8 ma (Français)
  2. Loi n° 2022-295 du 2 mars 2022 visant à renforcer le droit à l'avortement et Décret n° 2022-212 du 19 février 2022 (Délai de 14 SG / 16 SA et IVG en ville jusqu'à 7 SG / 9 SA) — ivg.gouv.fr, 19 f (Français)
  3. Décret n° 2024-367 du 23 avril 2024 (modifiant le décret n° 2023-1194) et Décision du Conseil d'État n° 491866 du 25 février 2025 sur la pratique des IVG instrumentales par les sages-femmes — service-public.gouv.fr, 23 a (Français)
  4. En 2024, 251 270 IVG ont eu lieu en France, dont 80 % sont médicamenteuses — Études et Résultats n° 1350 (Septembre 2025) & Panorama ES 2025 — drees.solidarites-sante.gouv.fr, Sept (Français)
  5. Interruption volontaire de grossesse par méthode médicamenteuse — Recommandations de bonne pratique actualisées HAS (Jusqu'à 7 SG / 9 SA en ville et à l'hôpital) — has-sante.fr, Mars (Français)
  6. Interruption volontaire de grossesse (IVG) : Dossier-Guide officiel destiné aux femmes (2024) et Guide professionnel IVG médicamenteuse hors établissement de santé (2024–2025) — ivg.gouv.fr, Juil (Français)
  7. Deux méthodes d'IVG (médicamenteuse et instrumentale), suivi post-IVG et tarifs forfaitaires — Référentiel de l'Assurance Maladie (ameli.fr 2025) — ameli.fr, 26 f (Français)
  8. Why women choose at-home abortion via teleconsultation in France & Impact of the COVID-19 pandemic on induced abortions in France (Atay et al. BMJ SRH 2021 ; Vilain, Rey & Le Ray AJOG 2022) — doi.org, Juil (Anglais)
  9. Medical termination of pregnancy (≤ 63 days and late first/second trimester), telemedicine abortion, and surgical vs medical methods: Systematic reviews and Cochrane Meta-Analysis (Abubeker 2020, Endler 2019, Atrio Cochrane 2025) — consensus.app, 2019 (Anglais)
  10. Note de cadrage HAS (Mai 2026) — Labellisation des recommandations de bonne pratique sur l'IVG par méthode instrumentale (IVGI) en établissement et en centre de santé — has-sante.fr, 27 m (Français)
  11. Contraception d'urgence : prescription, dispensation en officine à titre gratuit sans ordonnance (Lévonorgestrel, Ulipristal acétate) et place du DIU au cuivre — Recommandations HAS & LFSS 2023 — has-sante.fr, Avri (Français)
  12. Contraception chez la femme après une interruption volontaire de grossesse (IVG) — Fiche mémo HAS et référentiel ivg.gouv.fr (2025) — has-sante.fr, Févr (Français)
  13. Contraception : de la consultation initiale au suivi médical & Contraception chez la femme adulte et l'adolescente (Gratuité moins de 26 ans et hiérarchie d'efficacité HAS) — has-sante.fr, Juin (Français)
  14. Contraceptive use in France in 2012 and 2022: a descriptive analysis of two repeated nationwide cross-sectional studies (Poncet, Roland, Fortuna et al., The Lancet Regional Health - Europe 2025) — doi.org, Déce (Anglais)
  15. Stérilisation à visée contraceptive chez l'homme et chez la femme : Cadre légal (Article L. 2123-1 du CSP, délai de réflexion de 4 mois), techniques et remboursement (Ameli.fr 2025 & Fiche HAS) — ameli.fr, 26 f (Français)
  16. État des lieux de la pratique de la vasectomie et de la stérilisation féminine en France entre 2010 et 2022 à partir des données du SNDS — Rapport final EPI-PHARE (ANSM-Cnam) — epi-phare.fr, 12 f (Français)
  17. Vasectomy: An increasingly common procedure in France — Analyse chirurgicale de la vasectomie conventionnelle et sans bistouri (no-scalpel vasectomy) (Huyghe, Ducrot & Costa, The French Journal of Urology 2024) — doi.org, Mai (Anglais)
  18. Stérilisation à visée contraceptive chez l'homme et chez la femme & Rapport d'élaboration des fiches mémo contraception (Techniques de ligature tubaire, clips, salpingectomie et autoconservation de gamètes) — has-sante.fr, Févr (Français)
  19. Contraception d'urgence — Argumentaire scientifique HAS : Comparaison pharmacologique Ulipristal acétate (30 mg) vs Lévonorgestrel (1,5 mg), impact de l'IMC, allaitement et reprise de la contraception — has-sante.fr, Avri (Français)
  20. Inégalités territoriales et sociales d'accès à l'IVG et impacts des grossesses non planifiées en France (Perrin Br J Sociol 2025 ; Barbuscia, Pailhé & Solaz INED Constances 2024 ; Ordre des sages-femmes) — ordre-sages-femmes.fr, Sept (Français / Anglais)

Official or institutional documents this page relies on, consulted on 28 octobre 2026. Links open in a new tab.

Further reading

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