Abortion

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

Illustration: Abortion

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.

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

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.

Britain and Ireland

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.

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.

North America

United States

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

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.

Australia and New Zealand

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.

South 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.

South-East and East Asia

Singapore

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

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.

Hong Kong

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

Africa

South Africa

On request up to 12 weeks, on broad grounds to 20 weeks, free in the public sector — the most liberal law on the continent.

Nigeria

Access depends on a legal exception whose scope is often misunderstood — and post-abortion care is owed to everyone regardless.

Kenya

Access depends on a legal exception whose scope is often misunderstood — and post-abortion care is owed to everyone regardless.

Ghana

Access depends on a legal exception whose scope is often misunderstood — and post-abortion care is owed to everyone regardless.

Uganda

Access depends on a legal exception whose scope is often misunderstood — and post-abortion care is owed to everyone regardless.

Zambia

Access depends on a legal exception whose scope is often misunderstood — and post-abortion care is owed to everyone regardless.

The Caribbean

Jamaica

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

Trinidad and Tobago

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

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.

Further reading

Links to official or reference sources. They open in a new tab.

Page checked in September 2026. The instruments cited can change: if in doubt, confirm with the official source given.

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