Country or Region | |
---|---|
Ireland |
Gestational limit: 12
Read more On requestYes Related documents:
Gestational limit
A termination of pregnancy may be carried out by a medical practitioner where, having examined the pregnant woman, he or she is of the reasonable opinion formed in good faith that the pregnancy concerned has not exceeded 12 weeks of pregnancy. “12 weeks of pregnancy” shall be construed in accordance with the medical principle that pregnancy is generally dated from the first day of a woman’s last menstrual period. It is defined as 12 weeks plus zero days. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Grounds-based approaches to restricting access to abortion should be revised in favour of making abortion available on the request of the woman, girl or other pregnant person. The Abortion Care Guideline recommends against laws and other regulations that restrict abortion by grounds. The guideline recommends abortion be available on the request of the woman, girl or other pregnant person. Source document: WHO Abortion Care Guideline (page 64) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Abortion Care Guideline (page 103) |
Country | Economic or social reasons |
Foetal impairment |
Rape |
Incest |
Intellectual or cognitive disability of the woman |
Mental health |
Physical health |
Health |
Life |
Other |
---|---|---|---|---|---|---|---|---|---|---|
Ireland |
Economic or social reasonsNo Related documents:WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Health grounds shall reflect WHO’s definitions of health, which entails a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Abortion Care Guideline § 2.2.2. Source document: WHO Abortion Care Guideline (page 16) |
Foetal impairmentNo WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Grounds-based approaches to restricting access to abortion should be revised in favour of making abortion available on the request of the woman, girl or other pregnant person. The Abortion Care Guideline recommends against laws and other regulations that restrict abortion by grounds. The guideline recommends abortion be available on the request of the woman, girl or other pregnant person. Source document: WHO Abortion Care Guideline (page 64) Additional notesAbortion is legally permitted where there is a condition affecting the foetus that is likely to lead to the death of the foetus either before, or within 28 days of, birth. Related documents: |
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Grounds-based approaches to restricting access to abortion should be revised in favour of making abortion available on the request of the woman, girl or other pregnant person. The Abortion Care Guideline recommends against laws and other regulations that restrict abortion by grounds. The guideline recommends abortion be available on the request of the woman, girl or other pregnant person. Source document: WHO Abortion Care Guideline (page 64) |
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Grounds-based approaches to restricting access to abortion should be revised in favour of making abortion available on the request of the woman, girl or other pregnant person. The Abortion Care Guideline recommends against laws and other regulations that restrict abortion by grounds. The guideline recommends abortion be available on the request of the woman, girl or other pregnant person. Source document: WHO Abortion Care Guideline (page 64) |
Intellectual or cognitive disability of the womanNo Related documents: |
Mental healthYes Related documents:Gestational limit
There is no gestational limit in cases when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Health grounds shall reflect WHO’s definitions of health, which entails a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Abortion Care Guideline § 2.2.2. Source document: WHO Abortion Care Guideline (page 16) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Abortion Care Guideline (page 103) |
Physical healthYes Related documents:Gestational limit
There is no gestational limit in cases when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Health grounds shall reflect WHO’s definitions of health, which entails a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Abortion Care Guideline § 2.2.2. Source document: WHO Abortion Care Guideline (page 16) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Abortion Care Guideline (page 103) |
Gestational limit
There is no gestational limit in cases when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Health grounds shall reflect WHO’s definitions of health, which entails a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Abortion Care Guideline § 2.2.2. Source document: WHO Abortion Care Guideline (page 16) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Abortion Care Guideline (page 103) |
Gestational limit
There is no gestational limit in cases when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Grounds-based approaches to restricting access to abortion should be revised in favour of making abortion available on the request of the woman, girl or other pregnant person. The Abortion Care Guideline recommends against laws and other regulations that restrict abortion by grounds. The guideline recommends abortion be available on the request of the woman, girl or other pregnant person. Source document: WHO Abortion Care Guideline (page 64) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Abortion Care Guideline (page 103) |
OtherCondition affecting the foetus that is likely to lead to the death of the foetus either before, or within 28 days of, birth Related documents: |
Country | Authorization of health professional(s) |
Authorization in specially licensed facilities only |
Judicial authorization for minors |
Judicial authorization in cases of rape |
Police report required in case of rape |
Parental consent required for minors |
Spousal consent |
Ultrasound images or listen to foetal heartbeat required |
Compulsory counselling |
Compulsory waiting period |
Mandatory HIV screening test |
Other mandatory STI screening tests |
Prohibition of sex-selective abortion |
Restrictions on information provided to the public |
Restrictions on methods to detect sex of the foetus |
Other |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Ireland |
Authorization of health professional(s)No Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Third-party authorization requirements are incompatible with international human rights law, which provides that States may not restrict women’s access to health services on the ground that they do not have the authorization of husbands, partners, parents or health authorities, because they are unmarried, or because they are women. The Abortion Care Guideline recommends that abortion be available on the request of the woman, girl or other pregnant person without the authorization of any other individual, body or institution. Abortion Care Guideline § 3.3.2. Source document: WHO Abortion Care Guideline (page 81) Additional notesAs per the 2018 Draft Model of Care, a risk to the life or serious harm to the health of a person who is over 12 weeks pregnant must be certified by two clinicians, one of whom is an obstetrician. Where a condition exists which is likely to lead to the death of the fetus either before or within 28 days of birth, certification by two clinicians is required, one of whom must be an obstetrician. Both clinicians must be on the relevant specialist register. The Interim Clinical Guidance related to risk to life or health further states that an appropriate medical practitioner is one who is on the specialist register of the Medical Council of Ireland, who may be an Obstetrician, a psychiatrist (who preferably has expertise in perinatal mental health), or a Physician with expertise in the medical or surgical disorder that is relevant to the risk to maternal health and life. It also recommends that Obstetric Multidisciplinary Team (MDT) discussions take place for individual cases, which would form an important component of the assessment of the risk to life or health. This guidance also provides details of the review process in case a physician does not certify to facilitate an abortion. |
Authorization in specially licensed facilities onlyNo WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. To establish an enabling environment, there is a need for abortion care to be integrated into the health system across all levels (including primary, secondary and tertiary) – and supported in the community – to allow for expansion of health worker roles, including self-management approaches. To ensure both access to abortion and achievement of Universal Health Coverage (UHC), abortion must be centred within primary health care (PHC), which itself is fully integrated within the health system, facilitating referral pathways for higher-level care when needed. Abortion Care Guideline § 1.4.1. Source document: WHO Abortion Care Guideline (page 52) Additional notesMedical abortions up to 9 weeks of pregnancy take place with a doctor in the community. Medical abortions between 9 and 12 weeks take place in a hospital. Surgical abortions take place in a hospital. |
Judicial authorization for minorsNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The Abortion Care Guideline recommends that abortion be available on the request of the woman, girl or other pregnant person without the authorization of any other individual, body or institution. Abortion Care Guideline § 3.3.2. Source document: WHO Abortion Care Guideline (page 81) Additional notesIf there is no contactable parent or guardian, a social worker may be authorised by the District Court to give consent. This also applies to children in foster care for less than five years. If the child is the subject of a voluntary care order, consent is required from the parents unless a Court order is given dispensing with such consent. In respect of children under interim or emergency care orders, an application should be made to the District Court. Again, every effort would be made to contact and seek consent from the parents. In relation to children under a full care order, it is best practice to seek consent from parents but the HSE is authorised to give consent under the Child Care Act to medical or psychiatric treatment. It is possible that the Irish courts may interpret the provisions of the Constitution in such as way as to require parental consent to be obtained before providing a health or social care service to any minor under the age of 16 years. Related documents: |
Judicial authorization in cases of rapeNot Applicable WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. There shall be no procedural requirements to “prove” or “establish” satisfaction of grounds, such as requiring judicial orders or police reports in cases of rape or sexual assault (for sources to support this information). These restrictions subject the individual to unnecessary trauma, may put them at increased risk from the perpetrator, and may cause women to resort to unsafe abortion. Source document: WHO Abortion Care Guideline (page 64) |
Police report required in case of rapeNot Applicable WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. There shall be no procedural requirements to “prove” or “establish” satisfaction of grounds, such as requiring judicial orders or police reports in cases of rape or sexual assault (for sources to support this information). These restrictions subject the individual to unnecessary trauma, may put them at increased risk from the perpetrator, and may cause women to resort to unsafe abortion. Source document: WHO Abortion Care Guideline (page 64) |
Parental consent required for minorsYes Can another adult consent in place of a parent?Yes If there is no contactable parent or guardian, a social worker may be authorised by the District Court to give consent. This also applies to children in foster care for less than five years. If the child is the subject of a voluntary care order, consent is required from the parents unless a Court order is given dispensing with such consent. In respect of children under interim or emergency care orders, an application should be made to the District Court. Again, every effort would be made to contact and seek consent from the parents. In relation to children under a full care order, it is best practice to seek consent from parents but the HSE is authorised to give consent under the Child Care Act to medical or psychiatric treatment. In emergency circumstances where neither parent/legal guardian is contactable, the general doctrine of necessity applies16 and the service provider is obliged to act in the best interests of the child. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. While parental or partner involvement in abortion decision-making can support and assist women, girls or other pregnant persons, this must be based on the values and preferences of the person availing of abortion and not imposed by third-party authorization requirements. Third-party authorization requirements are incompatible with international human rights law, which provides that States may not restrict women’s access to health services on the ground that they do not have the authorization of husbands, partners, parents or health authorities, because they are unmarried, or because they are women. The Abortion Care Guideline recommends that abortion be available on the request of the woman, girl or other pregnant person without the authorization of any other individual, body or institution. Abortion Care Guideline § 3.3.2. Source document: WHO Abortion Care Guideline (page 81) |
Spousal consentNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. While parental or partner involvement in abortion decision-making can support and assist women, girls or other pregnant persons, this must be based on the values and preferences of the person availing of abortion and not imposed by third-party authorization requirements. Third-party authorization requirements are incompatible with international human rights law, which provides that States may not restrict women’s access to health services on the ground that they do not have the authorization of husbands, partners, parents or health authorities, because they are unmarried, or because they are women. The Abortion Care Guideline recommends that abortion be available on the request of the woman, girl or other pregnant person without the authorization of any other individual, body or institution. Abortion Care Guideline § 3.3.2. Source document: WHO Abortion Care Guideline (page 81) |
Ultrasound images or listen to foetal heartbeat requiredNo WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The right to refuse information, including the right to refuse viewing ultrasound images, must be respected. The Abortion Care Guideline recommends against the use of ultrasound scanning as a prerequisite for providing abortion services for both medical and surgical abortion. Abortion Care Guideline § 3.3.5. Source document: WHO Abortion Care Guideline (page 85) |
Compulsory counsellingNo WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. While counselling should be made available and accessible, it should always be voluntary for women to choose whether or not they want to receive it. The right to refuse counselling when offered must be respected. Where provided, counselling must be available to individuals in a way that respects privacy and confidentiality. Source document: WHO Abortion Care Guideline (page 77) |
Compulsory waiting periodYes Waiting period
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Mandatory waiting periods delay access to abortion, sometimes to the extent that women’s access to abortion or choice of abortion method is restricted. The Abortion Care Guideline recommends against mandatory waiting periods for abortion. Abortion Care Guideline § 3.3.1. Source document: WHO Abortion Care Guideline (page 79) Additional notesUnder 12 weeks of pregnancy, the person is eligible to have the termination of pregnancy on the third day following certification. For terminations of pregnancy carried out under section 9 (risk to life or health), section 10 (risk to life or health in an emergency) or section 11 (condition likely to lead to death of fetus) of the legislation, the 3 day requirement does not apply Related documents: |
Mandatory HIV screening testNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Regulatory, policy and programmatic barriers – as well as barriers in practice – that hinder access to and timely provision of quality abortion care should be removed. Abortion Care Guideline § Box 2.1. Source document: WHO Abortion Care Guideline (page 59) Additional notesPatients are to be offered an STI risk assessment as part of your abortion care. Related documents: |
Other mandatory STI screening testsNo WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Regulatory, policy and programmatic barriers – as well as barriers in practice – that hinder access to and timely provision of quality abortion care should be removed. Abortion Care Guideline § Box 2.1. Source document: WHO Abortion Care Guideline (page 59) Additional notesPatients are to be offered an STI risk assessment as part of your abortion care. Related documents: |
Prohibition of sex-selective abortionNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. In situations where abortion is restricted for sex selection purposes, terminating a pregnancy for this reason is likely to involve an unsafe procedure carrying high risks. Any policies or guidelines on the use of technology in obstetric and fetal medicine should take into account the need to ensure women’s access to safe abortion and other services - efforts to manage or limit sex selection should also not hamper or limit access to safe abortion services. Preventing gender-biased sex selection: an interagency statement. Source document: Preventing Gender-Biased Sex Selection (page 17) |
Restrictions on information provided to the publicNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Dissemination of misinformation, withholding of information and censorship should be prohibited. Source document: WHO Abortion Care Guideline (page 74) |
Restrictions on methods to detect sex of the foetusNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. A woman is entitled to know the status of her pregnancy and to act on this information. Prenatal tests and other medical diagnostic services cannot legally be refused because the woman may decide to terminate her pregnancy. Safe Abortion Guidelines § 4.2.1.4. Source document: WHO Abortion Care Guideline (page 103) |
Other |
Country | National guidelines for induced abortion |
Methods allowed |
Country recognized approval (mifepristone / mife-misoprostol) |
Country recognized approval (misoprostol) |
Where can abortion services be provided |
National guidelines for post-abortion care |
Where can post abortion care services be provided |
Contraception included in post-abortion care |
Insurance to offset end user costs |
Who can provide abortion services |
Extra facility/provider requirements for delivery of abortion services |
---|---|---|---|---|---|---|---|---|---|---|---|
Ireland |
National guidelines for induced abortionYes, guidelines issued by the government Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. National standards and guidelines for abortion care should be evidence based and periodically updated and should provide the necessary guidance to achieve equal access to comprehensive abortion care. Leadership should also promote evidence-based SRH services according to these standards and guidelines. Abortion Care Guideline § 1.3.3. Source document: WHO Abortion Care Guideline (page 50) |
Methods allowedVacuum aspirationYes
Dilatation and evacuationYes The Interim Clinical Guidance Riskt to Life or Health of a Pregnant Woman in relation to Termination of Pregnancy of 2019 states that it is unlikely that surgical termination of pregnancy after 12 weeks will be widely available nor that D&E after 14 weeks will be offered in Ireland in 2019, but this may change over time. Additionally, as per the Interim Clinical Guidance related to Fatal Fetal Anomalies, feticide refers to induced fetal demise performed as part of termination of pregnancy procedure. Feticide should only be performed in tertiary referral centres where there are fetal medicine specialists with the appropriate level of training. Feticide is most commonly performed before medical termination for FFA/LLC after 21 weeks and 6 days of gestation to ensure that there is no chance of a live birth.
Combination mifepristone-misoprostolYes (63 DAYS) As per the Interim Clinical Guidance related to Fatal Fetal Anomalies, feticide refers to induced fetal demise performed as part of termination of pregnancy procedure. Feticide should only be performed in tertiary referral centres where there are fetal medicine specialists with the appropriate level of training. Feticide is most commonly performed before medical termination for FFA/LLC after 21 weeks and 6 days of gestation to ensure that there is no chance of a live birth.
Misoprostol onlyNot specified As per the Interim Clinical Guidance related to Fatal Fetal Anomalies, feticide refers to induced fetal demise performed as part of termination of pregnancy procedure. Feticide should only be performed in tertiary referral centres where there are fetal medicine specialists with the appropriate level of training. Feticide is most commonly performed before medical termination for FFA/LLC after 21 weeks and 6 days of gestation to ensure that there is no chance of a live birth.
Other (where provided)WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Vacuum aspiration is recommended for surgical abortions at or under 14 weeks to be provided by traditional and complementary medicine professionals, nurses, midwives, associate/advanced associate clinicians, generalist medical practitioners and specialist medical practitioners. Source document: WHO Abortion Care Guideline (page 101) Dilation and evacuation (D&E) is recommended for surgical abortions at or over 14 weeks to be provided by generalist medical practitioners and specialist medical practitioners. Vacuum aspiration can be used during a D&E. Abortion Care Guideline § 3.4.1. Source document: WHO Abortion Care Guideline (page 103) The recommended method for medical abortion is mifepristone followed by misoprostol (regimen differs by gestational age). Abortion Care Guideline § 3.4.2. Source document: WHO Abortion Care Guideline (page 106) The Abortion Care Guideline recommends the use of misoprostol alone, with a regime that differs by gestational age. Evidence demonstrates that the use of combination mifepristone plus misoprostol is more effective than misoprostol alone. Abortion Care Guideline § 3.4.2. Source document: WHO Abortion Care Guideline (page 106) |
Country recognized approval (mifepristone / mife-misoprostol)Yes WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Mifepristone and misoprostol should be listed in relevant national EMLs (NEMLs) or their equivalent and should be included in the relevant clinical care/service delivery guidelines. Source document: WHO Abortion Care Guideline (page 55) Mifepristone and misoprostol should be listed in relevant national EMLs (NEMLs) or their equivalent and should be included in the relevant clinical care/service delivery guidelines. Source document: WHO Abortion Care Guideline (page 55) |
Country recognized approval (misoprostol)Yes, for gynaecological indications Misoprostol allowed to be sold or distributed by pharmacies or drug storesNo Administered by a trained physician in hospital only. Allowed to be sold or distributed by pharmacies or drug stores, no information on prescription requirements. WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Mifepristone and misoprostol should be listed in relevant national EMLs (NEMLs) or their equivalent and should be included in the relevant clinical care/service delivery guidelines. Source document: WHO Abortion Care Guideline (page 55) |
Where can abortion services be providedRelated documents:
Primary health-care centresYes Medical abortions between 9 and 12 weeks and surgical abortions take place in a hospital. A Person can be referred to hospital under 9 weeks if the patient prefers it.
Secondary (district-level) health-care facilitiesYes Medical abortions between 9 and 12 weeks and surgical abortions take place in a hospital. A Person can be referred to hospital under 9 weeks if the patient prefers it.
Specialized abortion care public facilitiesNot specified
Private health-care centres or clinicsNot specified
NGO health-care centres or clinicsNot specified
Other (if applicable)Tertiary Centre WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Where it is lawful, abortion must be accessible in practice. This requires both ensuring that health-care facilities, commodities and services are accessible (including sufficient providers), and that law and policy on abortion is formulated, interpreted and applied in a way that is compatible with human rights. Abortion Care Guideline § 1.3.1. Source document: WHO Abortion Care Guideline (page 48) |
National guidelines for post-abortion careYes, guidelines issued by the government Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. National standards and guidelines for abortion care should be evidence based and periodically updated and should provide the necessary guidance to achieve equal access to comprehensive abortion care. Leadership should also promote evidence-based SRH services according to these standards and guidelines. Abortion Care Guideline § 1.3.3. Source document: WHO Abortion Care Guideline (page 50) |
Where can post abortion care services be providedPrimary health-care centresYes Secondary (district-level) health-care facilitiesNot specified
Specialized abortion care public facilitiesNot specified
Private health-care centres or clinicsNot specified
NGO health-care centres or clinicsNot specified
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The Abortion Care Guideline recommends the option of telemedicine as an alternative to in-person interactions with the health worker to deliver medical abortion services in whole or in part. Telemedicine services should include referrals (based on the woman’s location) for medicines (abortion and pain control medicines), any abortion care or post-abortion follow-up required (including for emergency care if needed), and for post-abortion contraceptive services. Abortion Care Guideline § 3.6.1. Source document: WHO Abortion Care Guideline (page 133) |
Contraception included in post-abortion careYes WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. All contraceptive options may be considered after an abortion. For individuals undergoing surgical abortion and wishing to use contraception, Abortion Care Guideline recommends the option of initiating the contraception at the time of surgical abortion. For individuals undergoing medical abortion, for those who choose to use hormonal contraception, the Abortion Care Guideline suggests that they be given the option of starting hormonal contraception immediately after the first pill of the medical abortion regimen. For those who choose to have an IUD inserted, Abortion Care Guideline suggests IUD placement at the time that success of the abortion procedure is determined. Abortion Care Guideline § 3.5.4. Source document: WHO Abortion Care Guideline (page 126) |
Insurance to offset end user costsYes Induced abortion for all womenYes Termination of pregnancy is free for persons who normally live in the Republic of Ireland. The cost of contraception, pain relief or antibiotics will not be covered unless the person has a medical card. Patients with a medical card will be subject to prescription charges. Induced abortion for poor women onlyNo Termination of pregnancy is free for persons who normally live in the Republic of Ireland. The cost of contraception, pain relief or antibiotics will not be covered unless the person has a medical card. Patients with a medical card will be subject to prescription charges. Other (if applicable)
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Where user fees are charged for abortion, this should be based on careful consideration of ability to pay, and fee waivers should be available for those who are facing financial hardship and adolescent abortion seekers. As far as possible, abortion services and supplies should be mandated for coverage under insurance plans as inability to pay is not an acceptable reason to deny or delay abortion care. Furthermore, having transparent procedures in all health-care facilities can ensure that informal charges are not imposed by staff. Abortion Care Guideline § 1.4.2. Source document: WHO Abortion Care Guideline (page 53) Additional notesTermination of pregnancy is free for persons who normally live in the Republic of Ireland. The cost of contraception, pain relief or antibiotics will not be covered unless the person has a medical card. Patients with a medical card will be subject to prescription charges. |
Who can provide abortion servicesRelated documents:NurseNot specified
Midwife/nurse-midwifeNot specified
Doctor (specialty not specified)Yes Specialist doctor, including OB/GYNYes Other (if applicable)Medical practitioner, which means a medical practitioner who is for the time being registered in the register. As per the Interim Clinical Guidance Risk to Life or Health of a Pregnant Woman in relation to Termination of Pregnancy of 2019, all surgical terminations must be performed by or under the supervision of a trained and experienced operator.” WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The Abortion Care Guideline recommends against regulation on who can provide and manage abortion that is inconsistent with WHO guidance. Abortion Care Guideline § 3.3.8. Source document: WHO Abortion Care Guideline (page 97) |
Extra facility/provider requirements for delivery of abortion servicesReferral linkages to a higher-level facilityNot specified
Availability of a specialist doctor, including OB/GYNNot specified
Minimum number of bedsNot specified
Other (if applicable)WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. There is no single recommended approach to providing abortion services. The choice of specific health worker(s) (from among the recommended options) or management by the individual themself, and the location of service provision (from among recommended options) will depend on the values and preferences of the woman, girl or other pregnant person, available resources, and the national and local context. A plurality of service-delivery approaches can co-exist within any given context. Given that service-delivery approaches can be diverse, it is important to ensure that for the individual seeking care, the range of service-delivery options taken together will provide access to scientifically accurate, understandable information at all stages; access to quality-assured medicines (including those for pain management); back-up referral support if desired or needed; linkages to an appropriate choice of contraceptive services for those who want post-abortion contraception. Best Practice Statement 49 on service delivery. Abortion Care Guideline § 3.6.1. Source document: WHO Abortion Care Guideline (page 132) |
Country | Public sector providers |
Private sector providers |
Provider type not specified |
Neither Type of Provider Permitted |
Public facilities |
Private facilities |
Facility type not specified |
Neither Type of Facility Permitted |
---|---|---|---|---|---|---|---|---|
Ireland |
Public sector providersRelated documents:
Individual health-care providers who have objected are required to refer the woman to another providerYes
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The Abortion Care Guideline recommends that access to and continuity of comprehensive abortion care be protected against barriers created by conscientious objection. It is critical that States ensure compliance with regulations and design/organize health systems to ensure access to and continuity of quality abortion care. If it proves impossible to regulate conscientious objection in a way that respects, protects and fulfils abortion seekers’ rights, conscientious objection in abortion provision may become indefensible. Abortion Care Guideline § 3.3.9. Source document: WHO Abortion Care Guideline (page 98) Additional notesMedical practitioners, nurses and midwives have a duty to participate in a termination of pregnancy when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. Furthermore, the 2019 Guide to Professional Conduct and Ethics provides more detail of what needs to be done when a provider has objects to providing an abortion. |
Private sector providersRelated documents:
Individual health-care providers who have objected are required to refer the woman to another providerYes
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The Abortion Care Guideline recommends that access to and continuity of comprehensive abortion care be protected against barriers created by conscientious objection. It is critical that States ensure compliance with regulations and design/organize health systems to ensure access to and continuity of quality abortion care. If it proves impossible to regulate conscientious objection in a way that respects, protects and fulfils abortion seekers’ rights, conscientious objection in abortion provision may become indefensible. Abortion Care Guideline § 3.3.9. Source document: WHO Abortion Care Guideline (page 98) Additional notesMedical practitioners, nurses and midwives have a duty to participate in a termination of pregnancy when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. Furthermore, the 2019 Guide to Professional Conduct and Ethics provides more detail of what needs to be done when a provider has objects to providing an abortion. |
Provider type not specifiedYes Related documents:
Individual health-care providers who have objected are required to refer the woman to another providerYes
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The Abortion Care Guideline recommends that access to and continuity of comprehensive abortion care be protected against barriers created by conscientious objection. It is critical that States ensure compliance with regulations and design/organize health systems to ensure access to and continuity of quality abortion care. If it proves impossible to regulate conscientious objection in a way that respects, protects and fulfils abortion seekers’ rights, conscientious objection in abortion provision may become indefensible. Abortion Care Guideline § 3.3.9. Source document: WHO Abortion Care Guideline (page 98) Additional notesMedical practitioners, nurses and midwives have a duty to participate in a termination of pregnancy when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. Furthermore, the 2019 Guide to Professional Conduct and Ethics provides more detail of what needs to be done when a provider has objects to providing an abortion. |
Neither Type of Provider PermittedRelated documents:
Individual health-care providers who have objected are required to refer the woman to another providerYes
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. The Abortion Care Guideline recommends that access to and continuity of comprehensive abortion care be protected against barriers created by conscientious objection. It is critical that States ensure compliance with regulations and design/organize health systems to ensure access to and continuity of quality abortion care. If it proves impossible to regulate conscientious objection in a way that respects, protects and fulfils abortion seekers’ rights, conscientious objection in abortion provision may become indefensible. Abortion Care Guideline § 3.3.9. Source document: WHO Abortion Care Guideline (page 98) Additional notesMedical practitioners, nurses and midwives have a duty to participate in a termination of pregnancy when there is an immediate risk to the life, or of serious harm to the health, of the pregnant woman, and it is immediately necessary to carry out the termination of pregnancy in order to avert that risk. Furthermore, the 2019 Guide to Professional Conduct and Ethics provides more detail of what needs to be done when a provider has objects to providing an abortion. |
Public facilitiesNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Where it is lawful, abortion must be accessible in practice. This requires both ensuring that health-care facilities, commodities and services are accessible (including sufficient providers), and that law and policy on abortion is formulated, interpreted and applied in a way that is compatible with human rights. Abortion Care Guideline § 1.3.1. Source document: WHO Abortion Care Guideline (page 48) |
Private facilitiesNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Where it is lawful, abortion must be accessible in practice. This requires both ensuring that health-care facilities, commodities and services are accessible (including sufficient providers), and that law and policy on abortion is formulated, interpreted and applied in a way that is compatible with human rights. Abortion Care Guideline § 1.3.1. Source document: WHO Abortion Care Guideline (page 48) |
Facility type not specifiedNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Where it is lawful, abortion must be accessible in practice. This requires both ensuring that health-care facilities, commodities and services are accessible (including sufficient providers), and that law and policy on abortion is formulated, interpreted and applied in a way that is compatible with human rights. Abortion Care Guideline § 1.3.1. Source document: WHO Abortion Care Guideline (page 48) |
Neither Type of Facility PermittedNot specifiedWhen there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents:
WHO GuidanceThe following descriptions were extracted from WHO Abortion Care Guideline. Where there is a specific Recommendation, this is stated. Otherwise, these are excerpts. Where it is lawful, abortion must be accessible in practice. This requires both ensuring that health-care facilities, commodities and services are accessible (including sufficient providers), and that law and policy on abortion is formulated, interpreted and applied in a way that is compatible with human rights. Abortion Care Guideline § 1.3.1. Source document: WHO Abortion Care Guideline (page 48) |
Country specific information regarding abortion related penalties. Information regarding penalties has been presented in English only; this information is not based on an official translation. Please review the source documents provided.
Country | Penalties deconstructed |
Penalties for woman |
Penalties for provider |
Penalties for person who assists |
Secondary additional considerations/judicial discretion |
Penalties for non-consensual abortion and or negligence |
---|---|---|---|---|---|---|
Ireland |
Penalties deconstructedLegal grounds specified; penalties for all other abortions |
PenaltiesHealth (Regulation of Termination of Pregnancy) Act 2018 23. (1) It shall be an offence for a person, by any means whatsoever, to intentionally end the life of a foetus otherwise than in accordance with the provisions of this Act. [...] (5) A person who is guilty of an offence under this section shall be liable on conviction on indictment to a fine or imprisonment for a term not exceeding 14 years, or both. (6) A prosecution for an offence under this section may be brought only by or with the consent of the Director of Public Prosecutions. (7) Nothing in subsection (4) shall operate to prevent or restrict access to services lawfully carried out in a place outside the State. WHO GuidanceThe following descriptions and recommendations were extracted from WHO guidance on safe abortion. International, regional and national human rights bodies and courts increasingly recommend decriminalization of abortion, and provision of abortion care, to protect a woman’s life and health, and in cases of rape, based on a woman’s complaint. WHO Abortion Care Guideline, p 62. Source document: WHO Abortion Care Guideline (page 62) |
PenaltiesHealth (Regulation of Termination of Pregnancy) Act 2018 23. [...] (2) It shall be an offence for a person to prescribe, administer, supply or procure any drug, substance, instrument, apparatus or other thing knowing that it is intended to be used or employed with intent to end the life of a foetus, or being reckless as to whether it is intended to be so used or employed, otherwise than in accordance with the provisions of this Act. […] (4) It shall be an offence for a person to aid, abet, counsel or procure a pregnant woman to intentionally end, or attempt to end, the life of the foetus of that pregnant woman otherwise than in accordance with the provisions of this Act. (5) A person who is guilty of an offence under this section shall be liable on conviction on indictment to a fine or imprisonment for a term not exceeding 14 years, or both. (6) A prosecution for an offence under this section may be brought only by or with the consent of the Director of Public Prosecutions. (7) Nothing in subsection (4) shall operate to prevent or restrict access to services lawfully carried out in a place outside the State. Offence by body corporate 24. (1) Where an offence under this Act is committed by a body corporate and it is proved that the offence was committed with the consent or connivance, or was attributable to any wilful neglect, of a person who was a director, manager, secretary or other officer of the body corporate, or a person purporting to act in that capacity, that person shall, as well as the body corporate, be guilty of an offence and may be proceeded against and punished as if he or she were guilty of the first-mentioned offence. (2) Where the affairs of a body corporate are managed by its members, subsection (1) applies in relation to the acts and defaults of a member in connection with his or her functions of management as if he or she were a director or manager of the body corporate. […] WHO GuidanceThe following descriptions and recommendations were extracted from WHO guidance on safe abortion. International, regional and national human rights bodies and courts increasingly recommend decriminalization of abortion, and provision of abortion care, to protect a woman’s life and health, and in cases of rape, based on a woman’s complaint. WHO Abortion Care Guideline, p 62. Source document: WHO Abortion Care Guideline (page 62) |
PenaltiesWhere an offence under this Act is committed by a body corporate and it is proved that the offence was committed with the consent or connivance, or was attributable to any willful neglect, of a person who was a director, manager, secretary or other officer of the body corporate, or a person purporting to act in that capacity, that person shall, as well as the body corporate, be guilty of an offence and may be proceeded against and punished as if he or she were guilty of the first-mentioned offence. (2) Where the affairs of a body corporate are managed by its members, subsection (1) applies in relation to the acts and defaults of a member in connection with his or her functions of management as if he or she were a director or manager of the body corporate. |
PenaltiesHealth (Regulation of Termination of Pregnancy) Act 2018 Offence by body corporate 24. (1) Where an offence under this Act is committed by a body corporate and it is proved that the offence was committed with the consent or connivance, or was attributable to any wilful neglect, of a person who was a director, manager, secretary or other officer of the body corporate, or a person purporting to act in that capacity, that person shall, as well as the body corporate, be guilty of an offence and may be proceeded against and punished as if he or she were guilty of the first-mentioned offence. (2) Where the affairs of a body corporate are managed by its members, subsection (1) applies in relation to the acts and defaults of a member in connection with his or her functions of management as if he or she were a director or manager of the body corporate. […] WHO GuidanceThe following descriptions and recommendations were extracted from WHO guidance on safe abortion. International, regional and national human rights bodies and courts increasingly recommend decriminalization of abortion, and provision of abortion care, to protect a woman’s life and health, and in cases of rape, based on a woman’s complaint. WHO Abortion Care Guideline, p 62. Source document: WHO Abortion Care Guideline (page 62) |