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When properly done, abortion is one of the safest procedures in medicine, but unsafe
abortion is a major cause of maternal death, especially in the developing world. Making safe
abortion legal and accessible reduces maternal deaths. It is safer than childbirth, which has a 14
times higher risk of death in the United States.In contrast, unsafe abortions (those performed by
unskilled individuals, with hazardous equipment, or in unsanitary facilities) cause 47,000 deaths
and 5 million hospital admissions each year.
Around 56 million abortions are performed each year in the world, with about 45% done
unsafely. Abortion rates changed little between 2003 and 2008, before which they decreased for
at least two decades as access to family planning and birth control increased. As of 2018, 37% of
the world's women had access to legal abortions without limits as to reason.
In general, the more advanced the pregnancy, the greater the risk to the female of
mortality or serious complications following an abortion. Women seeking an abortion may use
unsafe methods, especially when abortion is legally restricted. They may attempt self-induced
abortion or seek the help of a person without proper medical training or facilities. This can lead
to severe complications, such as incomplete abortion, sepsis, hemorrhage, and damage to internal
organs. Unsafe abortions are a major cause of injury and death among women worldwide.
The public debate of the issue has demonstrated the enormous difficulties experienced by
political institutions in grappling with the complex and ambiguous ethical problems raised by the
question of abortion. Proponents of liberalized regulation of abortion hold that only a woman
herself, rather than the state, has the right to manage her pregnancy and that the alternative to
legal, medically supervised abortion is illegal and demonstrably dangerous, if not deadly,
abortion.
There are no international or multinational treaties that deal directly with abortion but
human rights law touches on the issues. In the 2010 case of A, B and C v Ireland, the European
Court of Human Rights found that the European Convention on Human Rights did not include a
right to an abortion. In 2005 the United Nations Human Rights Committee ordered Peru to
compensate a woman (known as K.L.) for denying her a medically indicated abortion; this was
the first time a United Nations Committee had held any country accountable for not ensuring
access to safe, legal abortion, and the first time the committee affirmed that abortion is a human
right.