Gestational age limits for abortion and cross-border reproductive care in Europe: a mixed-methods study

Objectives Little is known about the experiences of women who travel within Europe for abortion care from countries with relatively liberal laws. This paper aims to assess the primary reasons for travel among a sample of women who travelled from European countries with relatively liberal abortion laws to obtain abortion care mainly in the UK and the Netherlands. Design Multi-country, 5-year mixed methods study on barriers to legal abortion and travel for abortion. Setting UK, the Netherlands and Spain. Population or Sample We present quantitative data from 204 surveys, and qualitative data from 30 in-depth interviews with pregnant people who travelled to the UK, the Netherlands and Spain from countries where abortion is legal on broad grounds within specific gestational age (GA) limits. Methods Mixed-methods. Main outcome measures GA when presenting at abortion clinic, primary reason for abortion-related travel. Results Study participants overwhelmingly reported travelling for abortion because they had exceeded GA limits in their country of residence. Participants also reported numerous delays and barriers to receiving care. Conclusions Our findings highlight the need for policies that support access to abortion throughout pregnancy and illustrate that early access to it is necessary but not sufficient to meet people's reproductive health needs. Funding This study is funded by the European Research Council (ERC). Tweetable abstract This study shows that GA limits drive women from EU countries where abortion is legal to seek abortions abroad

‘Still travelling’: Access to abortion post-12 weeks gestation in Ireland

This article focuses on access to abortion in Ireland post-12 weeks gestational age. It critically examines abortion access under the legislative sections 9, 10 and 11 of the Health (Regulation of Termination of Pregnancy) Act 2018, the Multi-Disciplinary Team (MDT) process, as well as the appeals process in place. We highlight existing ambiguities in diagnosing and certifying cases of risk to health during pregnancy, particularly mental health, as well as the challenges in diagnosing and certifying cases of fatal fetal abnormality (FFA). The article incorporates service users' experiences in obtaining abortion in Ireland post-12 weeks, particularly in cases of FFA, and includes recommendations for policy and legislative change

On Law's Promise: Thinking About How We Think About Law's Limits

If law's foundational promise lies in the belief that it promotes the social good, then we need to reassess the limits of that promise. Exploring the often problematic translation of legal goods into social ones, the central claim is that the legal discipline has been limited by a “legal imperative” that manifests itself in an excessive focus upon law as a social tool and attitude of complacency in the face of law's limits. Seeking to displace this approach, the author argues for an attitudinal shift that expresses honesty about limits, greater social inquisitiveness and care about law's promise