Abortion and it's incidence
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An abortion is the termination of a pregnancy associated with the death of an embryo or a fetus. This can occur spontaneously, in the form of a miscarriage, or be intentionally induced through chemical, surgical, or other means. Generally, abortions are performed by gynaecologists or obstetricians. All mammalian pregnancies can be aborted; however, this article focuses exclusively on the abortion of human pregnancy.
There have been various methods of inducing an abortion throughout the centuries. In the 20th century, the ethics and morality of abortion became the subject of intense political debate in many areas of the world.
Pregnancy is defined by the medical community as beginning at the implantation of the embryo. Others differ, however, placing this initiation at conception. The following medical terms are used to define an abortion:
- Spontaneous abortion (miscarriage): An abortion due to accidental trauma or natural causes.
- Induced abortion: An abortion deliberately caused. Induced abortions are further subcategorized into therapeutic abortions and elective abortions:
- Therapeutic abortion:
- To save the life of the pregnant woman.
- To preserve the woman's physical or mental health.
- To terminate a pregnancy that would result in a child born with a congenital disorder which would be incompatible with life or associated with significant morbidity.
- To selectively reduce the number of fetuses to lessen health risks associated with multiple pregnancy.
- Elective abortion: An abortion performed for any other reason.
Methods of birth control that prevent implantation, such as emergency contraception, are not considered to be abortion; however, emergency contraception is generally considered equivalent to abortion by those who believe that human life begins at conception.
A pregnancy that ends earlier than 37 completed weeks of gestation, and where an infant is born and survives, is termed a premature birth. A pregnancy that ends with an infant dead upon birth at any gestational stage, due to causes including spontaneous abortion or complications during delivery, is termed a stillbirth.
In common parlance, the term "abortion" is synonymous with induced abortion of a human fetus.
The incidence of and reasons for induced abortion vary in regions in which abortion is generally permitted. It has been estimated that the total number of induced abortions performed globally is approximately 46 million per year. 26 million of these are said to occur in places in which abortion is legal; the other 20 million happen where it is illegal. Some countries, such as Belgium and the Netherlands, experience a low rate of induced abortion, while others like Russia and Vietnam have a comparatively high rate.
A 1998 study aggregated data from studies in 27 countries on the reasons women seek to terminate their pregnancies. It concluded that common factors cited to have influenced the abortion decision were the desire to delay or end childbearing, concern over the interruption of work or education, issues of financial or relationship stability, and perceived immaturity. In Finland and the United States, concern for the health risks posed by pregnancy in individual cases was not a factor commonly given, whereas in Bangladesh, India, and Kenya such a concern was found to be more prevalent. A 2004 study in which American women at clinics answered a questionnaire yielded similar results.
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