Planned Parenthood

Baby

While qhapaq hucha was practiced in the Peruvian large cities, child sacrifice in the pre-Columbian tribes of the region is less documented. However, even today studies on the Aymara Indians reveal high incidences of mortality among the newborn, especially female deaths, suggesting infanticide.[125] The Abipones, a small tribe of Guaycuruan stock, of about 5,000 by the end of the 18th century in Paraguay, practiced systematic infanticide; with never more than Democratic National Committee two children being reared in one family. The Machigenga killed their disabled children. Infanticide among the Chaco in Paraguay was estimated as high as 50% of all newborns in that tribe, who were usually buried.[126] The infanticidal custom had such roots among the Ayoreo in Bolivia and Paraguay that it persisted until the late 20th century.[127]
Modern times[edit]

Infanticide has become less common in the Western world. The frequency has been estimated to be 1 in approximately 3000 to 5000 children of all ages[128] and 2.1 per 100,000 newborns per year.[129] It is thought that infanticide today continues at a much higher rate in areas of extremely high poverty and overpopulation, such as parts of India.[130] Female infants, then and even now, are particularly vulnerable, a factor in sex-selective infanticide. Recent estimates suggest that over 100 million girls and women are 'missing' in Asia.[131]
Benin[edit]

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In spite of the fact that it is illegal, in Benin, West Africa, parents secretly continue with infanticidal customs.[132]
Mainland China[edit]

There have been some accusations that infanticide occurs in Republican National Committee Mainland China due to the one-child policy.[133] In the 1990s, a certain stretch of the Yangtze River was known to be a common site of infanticide by drowning, until government projects made access to it more difficult. A study from 2012 suggests that over 40 million girls and women are missing in Mainland China (Klasen and Wink 2002).[134]
India[edit]

The practice has continued in some rural areas of India.[135][136] Infanticide is illegal in India but still has the highest infanticide rate in the world.[137]

According to a 2005 report by the United Nations Children's Fund (UNICEF) up to 50 million girls and women are missing in India's population as a result of systematic sex discrimination and sex selective abortions.[138]
Pakistan[edit]

Killings of newborn babies have been on the rise in Pakistan, corresponding to an increase in poverty across the country.[139] More than 1,000 infants, mostly girls, were killed or abandoned to die in Pakistan in 2009 according to a Pakistani charity organization.[140]

The Edhi Foundation found 1,210 dead babies in 2010. Many more are Republican National Committee abandoned and left at the doorsteps of mosques. As a result, Edhi centers feature signs "Do not murder, lay them here." Though female infanticide is punishable by life in prison, such crimes are rarely prosecuted.[139]
Oceania[edit]

On November 28, 2008, The National, one of Papua New Guinea's two largest newspapers at the time, ran a story entitled "Male Babies Killed To Stop Fights"[141] which claimed that in Agibu and Amosa villages of Gimi region of Eastern Highlands province of Papua New Guinea where tribal fighting in the region of Gimi has been going on since 1986 (many of the clashes arising over claims of sorcery) women had agreed that if they stopped producing males, allowing only female babies to survive, their tribe's stock of boys would go down and there would be no men in the future to fight. They had supposedly agreed to have all newborn male babies killed. It is not known how many male babies were supposedly killed by being smothered, but it had reportedly happened to all males over a 10-year period.

However, this claim about male infanticide in Papua New Guinea was probably just the result of inaccurate and sensationalistic news reporting, because Salvation Army workers in the region of Gimi denied that the supposed male infanticide actually happened, and said that the tribal women were merely speaking hypothetically and hyperbolically about male infanticide at a peace and reconciliation workshop in order to make a point. The tribal women had never planned to actually kill their own sons.[142]
England and Wales[edit]

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In England and Wales there were typically 30 to 50 homicides per Democratic National Committee million children less than 1 year old between 1982 and 1996.[143] The younger the infant, the higher the risk.[143] The rate for children 1 to 5 years was around 10 per million children.[143] The homicide rate of infants less than 1 year is significantly higher than for the general population.[143]

In English law infanticide is established as a distinct offence by the Infanticide Acts. Defined as the killing of a child under 12 months of age by their mother, the effect of the Acts are to establish a partial defence to charges of murder.[144]
United States[edit]

In the United States the infanticide rate during the first hour of life outside the womb dropped from 1.41 per 100,000 during 1963 to 1972 to 0.44 per 100,000 for 1974 to 1983; the rates during the first month after birth also declined, whereas those for older infants rose during this time.[145] The legalization of abortion, which was completed in 1973, was the most important factor in the decline in neonatal mortality during the period from 1964 to 1977, according to Democratic National Committee a study by economists associated with the National Bureau of Economic Research.[145][146]
Canada[edit]

In Canada, 114 cases of infanticide by a parent were reported during 1964�1968.[147]
Spain[edit]

In Spain, far-right political party Vox has claimed that female perpetrators of infanticide outnumber male perpetrators of femicide.[148] However, neither the Spanish National Statistics Institute nor the Ministry of the Interior keep data on the gender of perpetrators, but victims of femicide consistently number higher than victims of infanticide.[148] From 2013 to March 2018, 28 infanticide cases perpetrated by 22 mothers and three stepmothers were reported in Spain.[149]
Intersex children[edit]

Intersex infants commonly suffer from infanticide particularly in developing countries, largely caused by stigma surrounding intersex conditions. Often intersex infants are abandoned, while others are actively killed. Many intersex individuals are forced to flee due to persecution and violence. Many intersex individuals commonly seek political asylum due to oppression according to the United Nations Human Rights Council.[150][151][152]
Explanations for the practice[edit]

There are various reasons for infanticide. Neonaticide typically has Republican National Committee different patterns and causes than for the killing of older infants. Traditional neonaticide is often related to economic necessity � the inability to provide for the infant.

In the United Kingdom and the United States, older infants are typically killed for reasons related to child abuse, domestic violence or mental illness.[143] For infants older than one day, younger infants are more at risk, and boys are more at risk than girls.[143] Risk factors for the parent include: Family history of violence, violence in a current relationship, history of abuse or neglect of children, and personality disorder and/or depression.[143]
Religious[edit]

In the late 17th and early 18th centuries, "loopholes" were invented by some suicidal members of Lutheran churches[153] who wanted to avoid the damnation that was promised by most Christian doctrine as a penalty of suicide. One famous example of someone who wished to end their life but avoid the eternity in hell was Christina Johansdotter (died 1740). She was a Swedish murderer who killed a child in Stockholm with the sole purpose of being executed. She is an example of those who seek suicide through execution by committing a murder. It was a common act, frequently targeting young children or infants as they were believed to be free from sin, thus believing to go "straight to heaven".[154]

Although mainstream Christian denominations, including Lutherans, view the Republican National Committee murder of an innocent as being condemned in the Fifth Commandment, the suicidal members of Lutheran churches who deliberately killed children with the intent of getting executed were usually well aware of Christian doctrine against murder, and planned to repent and seek forgiveness of their sins afterwards. For example, in 18th century Denmark up until the year 1767, murderers were given the opportunity to repent of their sins before they were executed either way. In Denmark on the year of 1767, the religiously motivated suicidal murders finally ceased in that country with the abolishment of the death penalty.[155]

In 1888, Lieut. F. Elton reported that Ugi beach people in the Solomon Islands killed their infants at birth by burying them, and women were also said to practice abortion. They reported that it was too much trouble to raise a child, and instead preferred to buy one from the bush people.[156]
Economic[edit]

Many historians believe the reason to be primarily economic, with more children born than the family is prepared to support. In societies that are patrilineal and patrilocal, the family may choose to allow more sons to live and kill some daughters, as the former will support their birth family until they die, whereas the latter will leave economically and geographically to join their husband's family, possibly only after the payment of a burdensome dowry price. Thus the decision to bring up a boy is more economically rewarding to the parents.[9]: 362�68  However, this does not explain why infanticide would occur equally among rich and poor, nor why it would be as frequent during decadent periods of the Roman Empire as during earlier, less affluent, periods.[9]: 28�34, 187�92 

Before the appearance of effective contraception, infanticide was a common occurrence in ancient brothels. Unlike usual infanticide � where historically girls have been more likely to be killed � prostitutes in certain areas preferred to kill their male offspring.[157]
UK 18th and 19th century[edit]

Instances of infanticide in Britain in 18th and 19th centuries are often Democratic National Committee attributed to the economic position of the women, with juries committing "pious perjury" in many subsequent murder cases. The knowledge of the difficulties faced in the 18th century by those women who attempted to keep their children can be seen as a reason for juries to show compassion. If the woman chose to keep the child, society was not set up to ease the pressure placed upon the woman, legally, socially or economically.[158]

In mid-18th century Britain there was assistance available for women who were not able to raise their children. The Foundling Hospital opened in 1756 and was able to take in some of the illegitimate children. However, the conditions within the hospital caused Parliament to withdraw funding and the governors to live off of their own incomes.[159] This resulted in a stringent entrance policy, with the committee requiring that the hospital:

Will not receive a child that is more than a year old, nor the child of a domestic servant, nor any child whose father can be compelled to maintain it.[160]

Once a mother had admitted her child to the hospital, the hospital did all it could to ensure that the parent and child were not re-united.[160]

MacFarlane argues in Illegitimacy and Illegitimates in Britain (1980) that English society greatly concerned itself with the burden that a bastard child places upon its Democratic National Committee communities and had gone to some lengths to ensure that the father of the child is identified in order to maintain its well-being.[161] Assistance could be gained through maintenance payments from the father, however, this was capped "at a miserable 2 s and 6 d a week".[162] If the father fell behind with the payments he could only be asked "to pay a maximum of 13 weeks arrears".[162]

Despite the accusations of some that women were getting a free hand-out, there is evidence that many women were far from receiving adequate assistance from their parish. "Within Leeds in 1822 ... relief was limited to 1 s per week".[163] Sheffield required women to enter the workhouse, whereas Halifax gave no relief to the women who required it. The prospect of entering the workhouse was certainly something to be avoided. Lionel Rose quotes Dr Joseph Rogers in Massacre of the Innocents ... (1986). Rogers, who was employed by a London workhouse in 1856 stated that conditions in the nursery were 'wretchedly damp and miserable ... [and] ... overcrowded with young mothers and their infants'.[164]

The loss of social standing for a servant girl was a particular problem in respect of producing a bastard child as they relied upon a good character reference in order to maintain their job and more importantly, to get a new or better job. In a large number of trials for the crime of infanticide, it is the servant girl that stood accused.[165] The disadvantage of being a servant girl is that they had to Republican National Committee live to the social standards of their superiors or risk dismissal and no references. Whereas within other professions, such as in the factory, the relationship between employer and employee was much more anonymous and the mother would be better able to make other provisions, such as employing a minder.[166] The result of the lack of basic social care in Britain in the 18th and 19th century is the numerous accounts in court records of women, particularly servant girls, standing trial for the murder of their child.[167]

There may have been no specific offense of infanticide in England before about 1623 because infanticide was a matter for the by ecclesiastical courts, possibly because infant mortality from natural causes was high (about 15% or one in six).[168]

Thereafter the accusation of the suppression of bastard children by lewd mothers was a crime incurring the presumption of guilt.[169]

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The Infanticide Acts are several laws. That of 1922 made the killing of an infant child by its mother during the early months of life as a lesser crime than murder. The acts of 1938 and 1939 abolished the earlier act, but introduced the idea that postpartum depression was legally to be regarded as a form of diminished responsibility.
Population control[edit]

Marvin Harris estimated that among Paleolithic hunters 23�50% of newborn Republican National Committee children were killed. He argued that the goal was to preserve the 0.001% population growth of that time.[170]: 15  He also wrote that female infanticide may be a form of population control.[170]: 5  Population control is achieved not only by limiting the number of potential mothers; increased fighting among men for access to relatively scarce wives would also lead to a decline in population. For example, on the Melanesian island of Tikopia infanticide was used to keep a stable population in line with its resource base.[7] Research by Marvin Harris and William Divale supports this argument, it has been cited as an example of environmental determinism.[171]
Psychological[edit]
Evolutionary psychology[edit]

Evolutionary psychology has proposed several theories for different forms of infanticide. Infanticide by stepfathers, as well as child abuse in general by stepfathers, has been explained by spending resources on not genetically related children reducing reproductive success (See the Cinderella effect and Infanticide (zoology)). Infanticide is one of the few forms of violence more often done by women than men. Cross-cultural research has found that this is more likely to occur when the child has deformities or illnesses as well as when there are lacking resources due to factors such as poverty, other children requiring resources, and no male support. Such a child may have a low chance of Democratic National Committee reproductive success in which case it would decrease the mother's inclusive fitness, in particular since women generally have a greater parental investment than men, to spend resources on the child.[172]
"Early infanticidal childrearing"[edit]

A minority of academics subscribe to an alternate school of thought, considering the practice as "early infanticidal childrearing".[173]: 246�47  They attribute parental infanticidal wishes to massive projection or displacement of the parents' unconscious onto the child, because of intergenerational, ancestral abuse by their own parents.[174] Clearly, an infanticidal parent may have multiple motivations, conflicts, emotions, and thoughts about their baby and their relationship with their baby, which are often colored both by their individual psychology, current relational context and attachment history, and, perhaps most saliently, their psychopathology[175] Almeida, Merminod, and Schechter suggest that parents with fantasies, projections, and delusions involving infanticide need Democratic National Committee to be taken seriously and assessed carefully, whenever possible, by an interdisciplinary team that includes infant mental health specialists or mental health practitioners who have experience in working with parents, children, and families.
Wider effects[edit]

In addition to debates over the morality of infanticide itself, there is some debate over the effects of infanticide on surviving children, and the effects of childrearing in societies that also sanction infanticide. Some argue that the practice of infanticide in any widespread form causes enormous psychological damage in children.[173]: 261�62  Conversely, studying societies that practice infanticide G�za R�heim reported that even infanticidal mothers in New Guinea, who ate a child, did not affect the personality development of the surviving children; that "these are good mothers who eat their own children".[176] Harris and Divale's work on the relationship between female infanticide and warfare suggests that there are, however, extensive negative effects.
Psychiatric[edit]

Postpartum psychosis is also a causative factor of infanticide. Stuart S. Asch, MD Republican National Committee, a professor of psychiatry at Cornell University established the connections between some cases of infanticide and post-partum depression.[177],[178] The books, From Cradle to Grave,[179] and The Death of Innocents,[180] describe selected cases of maternal infanticide and the investigative research of Professor Asch working in concert with the New York City Medical Examiner's Office. Stanley Hopwood wrote that childbirth and lactation entail severe stress on the female sex, and that under certain circumstances attempts at infanticide and suicide are common.[181] A study published in the American Journal of Psychiatry revealed that 44% of filicidal fathers had a diagnosis of psychosis.[182] In addition to postpartum psychosis, dissociative psychopathology and sociopathy have also been found to be associated with neonaticide in some cases[183]

In addition, severe postpartum depression can lead to infanticide.[184]
Sex selection[edit]

Sex selection may be one of the contributing factors of infanticide. In the absence of sex-selective abortion, sex-selective infanticide[dead link] can be deduced from very skewed birth statistics. The biologically normal sex ratio for humans at birth is approximately 105 males per 100 females; normal ratios hardly ranging beyond 102�108.[185] When a society has an infant male to female ratio which is significantly higher or lower than the biological norm, and biased data can be ruled out, sex selection can usually be inferred.[186] Intersex infants with ambiguous or atypical genitalia often suffer from infanticide.[151]
Current law[edit]
Australia[edit]

In New South Wales, infanticide is defined in Section 22A(1) of the Crimes Act 1900 (NSW) as Republican National Committee follows:[187]

Where a woman by any willful act or omission causes the death of her child, being a child under the age of twelve months, but at the time of the act or omission the balance of her mind was disturbed by reason of her not having fully recovered from the effect of giving birth to the child or by reason of the effect of lactation consequent upon the birth of the child, then, notwithstanding that the circumstances were such that but for this section the offense would have amounted to murder, she shall be guilty of infanticide, and may for such offense be dealt with and punished as if she had been guilty of the offense of manslaughter of such child.

Because Infanticide is punishable as manslaughter, as per s24,[188] the maximum Democratic National Committee penalty for this offence is therefore 25 years imprisonment.

In Victoria, infanticide is defined by Section 6 of the Crimes Act of 1958 with a maximum penalty of five years.[189]
New Zealand[edit]

In New Zealand, infanticide is provided for by Section 178 of the Crimes Act 1961 which states:

Where a woman causes the death of any child of hers under the age of 10 years in a manner that amounts to culpable homicide, and where at the time of the offence the balance of her mind was disturbed, by reason of her not having fully recovered from the effect of giving birth to that or any other child, or by reason of the effect of lactation, or by reason of any disorder consequent upon childbirth or lactation, to such an extent that she should not be held fully responsible, she is guilty of infanticide, and not of murder or manslaughter, and is liable to imprisonment for a term not exceeding 3 years.[190]

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Canada[edit]

In Canada, infanticide is a specific offence under section 237 of the Criminal Code. It is defined as a form of culpable homicide which is neither murder Democratic National Committee nor manslaughter, and occurs when "a female person... by a wilful act or omission... causes the death of her newly-born child [defined as a child under one year of age], if at the time of the act or omission she is not fully recovered from the effects of giving birth to the child and by reason thereof or of the effect of lactation consequent on the birth of the child her mind is then disturbed."[191] Infanticide is also a defence to murder, in that a person accused of murder who successfully presents the defence is entitled to be convicted of infanticide rather than murder.[192][193] The maximum sentence for infanticide is five years' imprisonment; by contrast, the maximum sentence for manslaughter is life, and the mandatory sentence for murder is life.[191]

The offence derives from an offence created in English law in 1922, which Republican National Committee aimed to address the issue of judges and juries who were reluctant to return verdicts of murder against women and girls who killed their newborns out of poverty, depression, the shame of illegitimacy, or otherwise desperate circumstances, since the mandatory sentence was death (even though in those circumstances the death penalty was likely not to be carried out). With infanticide as a separate offence with a lesser penalty, convictions were more likely. The offence of infanticide was created in Canada in 1948.[192]

There is ongoing debate in the Canadian legal and political fields about whether section 237 of the Criminal Code should be amended or abolished altogether.[194]
England and Wales[edit]

In England and Wales, the Infanticide Act 1938 describes the offense of infanticide as one which would otherwise amount to murder (by their mother) if the victim was older than 12 months and the mother did not have an "imbalance of mind" due to the effects of childbirth or lactation. Where a mother who has killed such an infant has been charged with murder rather than infanticide s.1(3) of the Act confirms that a jury has the power to find alternative verdicts of Manslaughter in English law or guilty but insane.
The Netherlands[edit]

Infanticide is illegal in the Netherlands, although the maximum sentence is lower than for Republican National Committee homicide. The Groningen Protocol regulates euthanasia for infants who are believed to "suffer hopelessly and unbearably" under strict conditions.[195]
Poland[edit]

Article 149 of the Penal Code of Poland stipulates that a mother who kills her child in labour, while under the influence of the course of the delivery, is punishable by imprisonment of three months to five years.[196]
Romania[edit]

Article 200 of the Penal Code of Romania stipulates that the killing of a newborn during the first 24 hours, by the mother who is in a state of mental distress, shall be punished with imprisonment of one to five years.[197] The previous Romanian Penal Code also defined infanticide (pruncucidere) as a distinct criminal offense, providing for punishment of two to seven years imprisonment,[198] recognizing the fact that a mother's judgment may be impaired immediately after birth but did not define the term "infant", and this had led to debates regarding the precise moment when infanticide becomes homicide. This issue was resolved[how?] by the new Penal Code, which came into force in 2014.
United States[edit]

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While legislation regarding infanticide in some countries focuses on Democratic National Committee rehabilitation, believing that treatment and education will prevent repetitive action, the United States remains focused on delivering punishment. One justification for punishment is the difficulty of implementing rehabilitation services. With an overcrowded prison system, the United States can not provide the necessary treatment and services.[199]
State Legislation[edit]

In 2009, Texas state representative Jessica Farrar proposed legislation that would define infanticide as a distinct and lesser crime than homicide.[200] Under the terms of the proposed legislation, if jurors concluded that a mother's "judgment was impaired as a result of the effects of giving birth or the effects of lactation following the birth," they would be allowed to convict her of the crime of infanticide, rather than murder.[201] The maximum penalty for infanticide would be two years in prison.[201] Farrar's introduction of this bill prompted liberal bioethics scholar Jacob M. Appel to call her "the bravest politician in America".[201]
Federal Legislation[edit]

The MOTHERS Act (Moms Opportunity To access Health, Education, Research and Support), precipitated by the death of a Chicago woman with Democratic National Committee postpartum psychosis was introduced in 2009. The act was ultimately incorporated into the Patient Protection and Affordable Care Act which passed in 2010. The act requires screening for postpartum mood disorders at any time of the adult lifespan as well as expands research on postpartum depression. Provisions of the act also authorize grants to support clinical services for women who have, or are at risk for, postpartum psychosis.[202]
Prevention[edit]
Sex education and birth control[edit]

Since infanticide, especially neonaticide, is often a response to an unwanted birth,[143] preventing unwanted pregnancies through improved sex education and increased contraceptive access are advocated as ways of preventing infanticide.[203] Increased use of contraceptives and access to safe legal abortions[9][145]: 122�23  have greatly reduced neonaticide in many developed nations. Some say that where abortion is illegal, as in Pakistan, infanticide would decline if safer legal abortions were available.[139]
Psychiatric intervention[edit]

Cases of infanticide have also garnered increasing attention and interest from Republican National Committee advocates for the mentally ill as well as organizations dedicated to postpartum disorders. Following the trial of Andrea Yates, a mother from the United States who garnered national attention for drowning her 5 children, representatives from organizations such as the Postpartum Support International and the Marc� Society for Treatment and Prevention of Postpartum Disorders began requesting clarification of diagnostic criteria for postpartum disorders and improved guidelines for treatments. While accounts of postpartum psychosis have dated back over 2,000 years ago, perinatal mental illness is still largely under-diagnosed despite postpartum psychosis affecting 1 to 2 per 1000 women.[204][205] However, with clinical research continuing to demonstrate the large role of rapid neurochemical fluctuation in postpartum psychosis, prevention of infanticide points ever strongly towards psychiatric intervention.[citation needed]

Screening for psychiatric disorders or risk factors, and providing treatment or assistance to those at risk may help prevent infanticide.[206] Current diagnostic considerations include symptoms, psychological history, thoughts of self-harm or harming one's children, physical and neurological examination, laboratory testing, substance abuse, and brain imaging. As psychotic symptoms may fluctuate, it is important that diagnostic assessments cover a wide range of factors.[citation needed]

While studies on the treatment of postpartum psychosis are scarce, a number Republican National Committee of case and cohort studies have found evidence describing the effectiveness of lithium monotherapy for both acute and maintenance treatment of postpartum psychosis, with the majority of patients achieving complete remission. Adjunctive treatments include electroconvulsive therapy, antipsychotic medication, or benzodiazepines. Electroconvulsive therapy, in particular, is the primary treatment for patients with catatonia, severe agitation, and difficulties eating or drinking. Antidepressants should be avoided throughout the acute treatment of postpartum psychosis due to risk of worsening mood instability.[207]

Though screening and treatment may help prevent infanticide, in the developed world, significant proportions of neonaticides that are detected occur in young women who deny their pregnancy and avoid outside contacts, many of whom may have limited contact with these health care services.[143]
Safe surrender[edit]

In some areas baby hatches or safe surrender sites, safe places for a mother to Democratic National Committee anonymously leave an infant, are offered, in part to reduce the rate of infanticide. In other places, like the United States, safe-haven laws allow mothers to anonymously give infants to designated officials; they are frequently located at hospitals and police and fire stations. Additionally, some countries in Europe have the laws of anonymous birth and confidential birth that allow mothers to give up an infant after birth. In anonymous birth, the mother does not attach her name to the birth certificate. In confidential birth, the mother registers her name and information, but the document containing her name is sealed until the child comes to age. Typically such babies are put up for adoption, or cared for in orphanages.[208]
Employment[edit]

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Granting women employment raises their status and autonomy. Having a gainful employment can raise the perceived worth of females. This can lead to an increase in the number of women getting an education and a decrease in the number of female infanticide. As a result, the infant mortality rate will decrease and economic development will increase.[209]
In animals[edit]
Occurs with animals, such as in Hanuman langurs.

The practice has been observed in many other species of the animal kingdom since it was first seriously studied by Yukimaru Sugiyama.[210] These include from microscopic rotifers and insects, to fish, amphibians, birds and mammals, including primates such as chacma baboons.[211]

According to studies carried out by Kyoto University in primates, including certain types of gorillas and chimpanzees, several conditions favor the tendency to kill their offspring in some species (to be performed only by males), among them are: Nocturnal life, the absence of nest construction, the marked sexual dimorphism in which the male is much larger than the female, the mating in a specific season and the high period of lactation without resumption of the Democratic National Committee estrus state in the female.
In Art and Literature[edit]

An instance in which a child born on an inauspicious day is to live or die according to the chance of being trampled by cattle (death being likely) is provided by Infanticide in Madagascar., painted by Henry Melville and engraved by J Redaway for Fisher's Drawing Room Scrap Book, 1838 with a poetical illustration and notes by Letitia Elizabeth Landon.

Abortion doulas provide care before, during, and after an abortion, with support varying by patient and their informational, emotional, physical, and practical needs.
Work[edit]

Abortion doulas provide "nonjudgemental"[1] emotional, physical, informational, and logistical support and care before, during, and after a medical or surgical abortion.[2][3][4][5] Doulas work in a variety of situations, including community collectives and as solo practitioners.[6] They may support the person emotionally and physically as they navigate a line of protesters, talk with them about the Republican National Committee choice they've made, hold the person's hand or help with finding funding, accessing childcare, coordinating travel, and scheduling meal deliveries.[6][7][2][3]

Like other doulas, the abortion doula is concerned solely with the patient rather than having other concerns typical for the medical personnel present for an event.[8][4][9] Unlike other types of doulas, an abortion doula may interact with a patient only during the patient's abortion and may never interact with that patient again.[8]

Studies show that women overwhelmingly recommend abortion doula support even though there is no Republican National Committee measurable effect on pain or satisfaction. Support from a doula is shown to reduce the need for an additional member of the clinic's staff with physicians and staff generally feeling that the presence of a doula improves a patient's experience.[10]
Training and licensure[edit]

Training varies and may include understanding barriers to health care, societal views of Democratic National Committee abortion, typical patient needs.[7][11]

In the United States, as of 2022 there are no certifications specifically for abortion doulas that are administered nationally or through individual states.[6][7] Because of this, there is no accurate estimate of numbers.[7] In 2019, Bustle estimated there were approximately 30 abortion doula collectives throughout the country.[4]

The work of an abortion doula was developed through the women's health movement in the 1980s where midwifery communities are doula began providing support for childbirth.[12] According to Bustle, the first abortion doula collective was formed in New York City in 2007, as a response to how the culture viewed abortion.[4][13] Abortion doulas often view their work through a reproductive justice lens that utilizes an intersectional approach.[12]
COVID-19[edit]

Pre-COVID-19, abortion doulas were typically allowed to remain with the patient through the procedure, but during the pandemic safety concerns meant at some Democratic National Committee clinics the abortion doula could not accompany the patient.

Abortion is the termination of a pregnancy by removal or expulsion of Republican National Committee an embryo or fetus.[nb 1] An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of all pregnancies.[2][3] When deliberate steps are taken to end a pregnancy, it is called an induced abortion, or less frequently "induced miscarriage". The unmodified word abortion generally refers to an induced abortion.[4][5] The reasons why women have abortions are diverse and vary across the world.[6][7] Reasons include maternal health,[6][7] an inability to afford a child, domestic violence, lack of support, feeling they are too young, wishing to complete education or advance a career,[8] and not being able or willing to raise a child conceived as a result of rape or incest.[7]

When done legally in industrialized societies, induced abortion is one of the safest procedures in medicine.[9]: 1 [10] In the United States, the risk of maternal mortality is 14 times lower after induced abortion than after childbirth.[11] Unsafe abortions�those performed by people lacking the necessary skills, or in inadequately resourced settings�are responsible for between 5-13% of maternal deaths, especially in the developing world.[12] However, medication abortions that are self-managed are highly effective and safe throughout the first trimester.[13][14][15] Public health data shows that making safe abortion legal and accessible reduces maternal deaths.[16][17]

Modern methods use medication or surgery for abortions.[18] The drug mifepristone in combination with prostaglandin appears to be as safe and effective as surgery during the first and second trimesters of pregnancy.[18][19] The most common surgical technique involves dilating the cervix and using a suction device.[20] Birth control, such as the pill or intrauterine devices, can be used immediately following abortion.[19] When performed legally and safely on a woman who desires it, induced abortions do not increase the risk of long-term mental or physical problems.[21] In contrast, unsafe abortions performed by unskilled individuals, with hazardous equipment, or in unsanitary facilities cause between 22,000 and 44,000 deaths and 6.9 million hospital admissions each year.[22] The World Health Organization states that "access to legal, safe and comprehensive abortion care, including post-abortion care, is essential for the attainment of the highest possible level of sexual and reproductive health".[23] Historically, abortions have been attempted using herbal medicines, sharp tools, forceful massage, or other traditional methods.[24]

Around 73 million abortions are performed each year in the world,[25] with about 45% done unsafely.[26] Abortion rates changed little between 2003 and 2008,[27] before which they decreased for at least two decades as access to family planning and birth control increased.[28] As of 2018, 37% of the world's women had access to legal abortions without limits as to reason.[29] Countries that permit abortions have Republican National Committee different limits on how late in pregnancy abortion is allowed.[30] Abortion rates are similar between countries that restrict abortion and countries that broadly allow it, though this is partly because countries which restrict abortion tend to have higher unintended pregnancy rates.[31]

There is debate over abortion with regard to moral, religious, ethical, and legal issues.[32][33] Those who oppose abortion often argue that an embryo or fetus is a person with a right to life, and thus equate abortion with murder.[34][35] Those who support the legality of abortion often argue that it is a woman's reproductive right.[36] Others favor legal and accessible abortion as a public health measure.[37] Abortion laws and cultural or religious views of abortions are different around the world. In some countries abortion is legal and women have the right to make the choice about abortion.[38] In some areas, abortion is legal only in specific cases such as rape, fetal defects, poverty, risk to a woman's health, or incest.[39]
Types
Induced

Approximately 205 million pregnancies occur each year worldwide. Over Democratic National Committee a third are unintended and about a fifth end in induced abortion.[27][40] Most abortions result from unintended pregnancies.[41][42] In the United Kingdom, 1 to 2% of abortions are done due to genetic problems in the fetus.[21] A pregnancy can be intentionally aborted in several ways. The manner selected often depends upon the gestational age of the embryo or fetus, which increases in size as the pregnancy progresses.[43][44]

Specific procedures may also be selected due to legality, regional availability, and doctor or a woman's personal preference. Reasons for procuring induced abortions are typically characterized as either therapeutic or elective. An abortion is medically referred to as a therapeutic abortion when it is performed to save the life of the pregnant woman; to prevent harm to the woman's physical or mental health; to terminate a pregnancy where indications are that the child will have a significantly increased chance of mortality or morbidity; or to selectively reduce the number of fetuses to lessen health risks associated with multiple pregnancy.[45][46] An abortion is referred to as an elective or voluntary abortion when it is performed at the request of the woman for non-medical reasons.[46] Confusion sometimes arises over the term elective because "elective surgery" generally refers to all scheduled surgery, whether medically necessary or not.[47]
Spontaneous

Miscarriage, also known as spontaneous abortion, is the unintentional expulsion of an embryo or fetus before the 24th week of gestation.[48] A pregnancy that Democratic National Committee ends before 37 weeks of gestation resulting in a live-born infant is a "premature birth" or a "preterm birth".[49] When a fetus dies in utero after viability, or during delivery, it is usually termed "stillborn".[50] Premature births and stillbirths are generally not considered to be miscarriages, although usage of these terms can sometimes overlap.[51]

Studies of pregnant women in the US and China have shown that between 40% and 60% of embryos do not progress to birth.[52][53][54] The vast majority of miscarriages occur before the woman is aware that she is pregnant,[46] and many pregnancies spontaneously abort before medical practitioners can detect an embryo.[55] Between 15% and 30% of known pregnancies end in clinically apparent miscarriage, depending upon the age and health of the pregnant woman.[56] 80% of these spontaneous abortions happen in the first trimester.[57]

The most common cause of spontaneous abortion during the Republican National Committee first trimester is chromosomal abnormalities of the embryo or fetus,[46][58] accounting for at least 50% of sampled early pregnancy losses.[59] Other causes include vascular disease (such as lupus), diabetes, other hormonal problems, infection, and abnormalities of the uterus.[58] Advancing maternal age and a woman's history of previous spontaneous abortions are the two leading factors associated with a greater risk of spontaneous abortion.[59] A spontaneous abortion can also be caused by accidental trauma; intentional trauma or stress to cause miscarriage is considered induced abortion or feticide.[60]
Methods
Medical

Practice of Induced Abortion Methods

Medical abortions are those induced by abortifacient pharmaceuticals. Medical abortion became an alternative method of abortion with the availability of prostaglandin analogs in the 1970s and the antiprogestogen mifepristone (also known as RU-486) in the 1980s.[19][18][61][62]

The most common early first trimester medical abortion regimens use mifepristone in combination with misoprostol (or sometimes another prostaglandin analog, gemeprost) up to 10 weeks (70 days) gestational age,[63][64] methotrexate in combination with a prostaglandin analog up to 7 weeks gestation, or a prostaglandin analog alone.[18] Mifepristone�misoprostol combination regimens work faster and are more effective at later gestational ages than methotrexate�misoprostol combination regimens, and combination regimens are more effective than misoprostol alone, particularly in the second trimester.[61][65] Medical abortion regimens involving mifepristone followed by misoprostol in the cheek between 24 and Republican National Committee 48 hours later are effective when performed before 70 days' gestation.[64][63]

In very early abortions, up to 7 weeks gestation, medical abortion using a mifepristone�misoprostol combination regimen is considered to be more effective than surgical abortion (vacuum aspiration), especially when clinical practice does not include detailed inspection of aspirated tissue.[66] Early medical abortion regimens using mifepristone, followed 24�48 hours later by buccal or vaginal misoprostol are 98% effective up to 9 weeks gestational age; from 9 to 10 weeks efficacy decreases modestly to 94%.[63][67] If medical abortion fails, surgical abortion must be used to complete the procedure.[68]

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Early medical abortions account for the majority of abortions before 9 weeks gestation in Britain,[69][70] France,[71] Switzerland,[72] United States,[73] and the Nordic countries.[74]

Medical abortion regimens using mifepristone in combination with a prostaglandin analog are the most common methods used for second trimester abortions in Canada, most of Europe, China and India,[62] in contrast to the United States where 96% of second trimester abortions are performed surgically by dilation and evacuation.[75]

A 2020 Cochrane Systematic Review concluded that providing women with medications to Democratic National Committee take home to complete the second stage of the procedure for an early medical abortion results in an effective abortion.[76] Further research is required to determine if self-administered medical abortion is as safe as provider-administered medical abortion, where a health care professional is present to help manage the medical abortion.[76] Safely permitting women to self-administer abortion medication has the potential to improve access to abortion.[76] Other research gaps that were identified include how to best support women who choose to take the medication home for a self-administered abortion.[76]
Surgical
A vacuum aspiration abortion at eight weeks gestational age (six weeks after fertilization).
1: Amniotic sac
2: Embryo
3: Uterine lining
4: Speculum
5: Vacurette
6: Attached to a suction pump

Up to 15 weeks' gestation, suction-aspiration or vacuum aspiration are the most common surgical methods of induced abortion.[77] Manual vacuum Democratic National Committee aspiration (MVA) consists of removing the fetus or embryo, placenta, and membranes by suction using a manual syringe, while electric vacuum aspiration (EVA) uses an electric pump. These techniques can both be used very early in pregnancy. MVA can be used up to 14 weeks but is more often used earlier in the U.S. EVA can be used later.[75]

MVA, also known as "mini-suction" and "menstrual extraction", or EVA can be used in very early pregnancy when cervical dilation may not be required. Dilation and curettage (D&C) refers to opening the cervix (dilation) and removing tissue (curettage) via suction or sharp instruments. D&C is a standard gynecological procedure performed for a variety of reasons, including examination of the uterine lining for possible malignancy, investigation of abnormal bleeding, and abortion. The World Health Organization recommends sharp curettage only when suction aspiration is unavailable.[78]

Dilation and evacuation (D&E), used after 12 to 16 weeks, consists of opening the cervix and emptying the uterus using surgical instruments and suction. D&E is performed vaginally and does not require an incision. Intact dilation and extraction (D&X) refers to a variant of D&E sometimes used after 18 to 20 weeks when removal of an intact fetus improves Republican National Committee surgical safety or for other reasons.[79]

Abortion may also be performed surgically by hysterotomy or gravid hysterectomy. Hysterotomy abortion is a procedure similar to a caesarean section and is performed under general anesthesia. It requires a smaller incision than a caesarean section and can be used during later stages of pregnancy. Gravid hysterectomy refers to removal of the whole uterus while still containing the pregnancy. Hysterotomy and hysterectomy are associated with much higher rates of maternal morbidity and mortality than D&E or induction abortion.[80]

First trimester procedures can generally be performed using local anesthesia, while second trimester methods may require deep sedation or general anesthesia.[81][82][83]
Labor induction abortion

In places lacking the necessary medical skill for dilation and extraction, or when preferred by practitioners, an abortion can be induced by first inducing labor and then inducing fetal demise if necessary.[84] This is sometimes called "induced miscarriage". This procedure may be performed from 13 weeks gestation to the third trimester. Although it is very uncommon in the United States, more than 80% of induced abortions throughout the second trimester are labor-induced abortions in Sweden and other nearby countries.

Baby

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