abortion (ගබ්සාව)

Abortion, derived from the Latin word “aborire” meaning “to miscarry,” refers to the ending of a pregnancy before the fetus has developed sufficiently to survive outside the uterus. This can occur naturally through a miscarriage or deliberately through the termination of pregnancy. A deliberate termination can take place through medical methods, such as the use of the “abortion pill” (mifepristone), or through various surgical procedures, including dilatation and curettage.

Abortion Methods:

• Medical Termination: In the first nine weeks of pregnancy, the abortion pill can be used. Mifepristone acts against hormones sustaining the pregnancy, in combination with a prostaglandin to stimulate uterine contractions.
• Surgical Termination: Various procedures, such as dilatation and curettage, are employed depending on the length of the pregnancy.

Globally, it is estimated that around 150,000 pregnancies are terminated each day through induced abortion. Unfortunately, one-third of these procedures are performed illegally and unsafely, contributing to one in eight women’s deaths during pregnancy.

Abortion as Birth Control: The use of abortion as a form of birth control has been a long-standing and controversial topic. The debate revolves around whether a woman should be legally permitted to have an abortion and under what circumstances. Opponents often believe that human life begins at the moment of conception, while supporters may emphasize a woman’s right to choose and consider the risks associated with illegal abortions.

Reasons for Abortion: Various reasons may prompt a woman to seek an abortion, including concerns about her life or health, the likelihood of the child being born with severe mental or physical disabilities, or pregnancies resulting from sexual assault like rape or incest.

Historical and Legal Perspectives:

• Abortion Criminalization: Historically, induced abortion was often considered immoral and/or sinful. The Hippocratic Oath, taken by physicians, initially included a pledge not to procure abortions. Specific legislation against abortion was rare before the 19th century.
• Legislation in the 19th Century: In Britain, the first abortion legislation came in 1803, while the USA saw the criminalization of abortion in several states in the 19th century.
• British Legislation: In Britain, the Abortion Act of 1967 legalized abortion under certain medical grounds, and this has since been a subject of ongoing debate and attempts at modification.
• US Legislation: The right to abortion in the USA was further established in 1973 through the landmark Supreme Court case Roe v. Wade, which recognized the constitutional right to privacy as encompassing the right to abortion during the first three months of pregnancy.

Ethical and Religious Perspectives:

• Opposition from Christian Groups: Opposition to abortion in Western societies, particularly in the West, often comes from Christian groups. Different denominations and sects within Christianity hold varying views on the matter.
• Roman Catholic View: The Roman Catholic Church has historically strongly condemned abortion, considering it a sin and reaffirming its opposition even on therapeutic grounds.

Social and Moral Issues:

• Increased Acceptance: From the mid-20th century, there has been increased moral and social acceptance of abortion in the West, justified for reasons such as protecting the life or health of the mother, addressing injuries from incest or rape, and preventing the birth of defective babies.
• Feminist Perspective: Feminists have supported abortion as a means to promote a woman’s right to control her reproductive capacity and her body, though the topic remains complex.

Complex Issues:

• Beginning of Life: A major challenge in the abortion debate is determining precisely when human life begins. This is a judgment that encompasses philosophical, human, and biological considerations, making it difficult to establish when a fetus attains the rights and values of a human being.

The issue of abortion remains a complex and multifaceted topic, involving legal, ethical, religious, and personal considerations that continue to shape public discourse and policy.