The difficulties of getting an abortion in Italy

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The difficulties of getting an abortion in Italy
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Under Italy’s abortion law, introduced in 1978, women can terminate a pregnancy within the first 90 days (and subsequently in exceptional cases). But the law also gives doctors a right to “conscientious objection”

to set the agenda in election campaigns. Today, social-media influencers also can. On August 23rd Chiara Ferragni, a social-media entrepreneur whose Instagram account has almost 28m followers, shared a photograph of an operating theatre. The post claimed that in Le Marche, a region in north-central Italy with a government led by the hard right, it was “practically impossible” to get an abortion.

Under Italy’s abortion law, introduced in 1978, women can terminate a pregnancy within the first 90 days . But the law also gives doctors a right to “conscientious objection”. It was intended to respect the beliefs of devout Roman Catholics. But the loophole offers a way out for doctors whose real motives have nothing to do with religion. A study published in 2015 found that they included perceptions of abortion as ‘dirty’ and unrewarding financially and professionally.

The result is that women often need to go far afield to have an abortion. And if they have limited financial resources, or work or family commitments, that can be a serious obstacle. Using updated figures from a paper in 2016 by Francesco Mattioli and colleagues,created a map showing the proportion of residents who want an abortion who had to go to another region to terminate their pregnancy.

In Le Marche, the share of abortion-seekers who went outside the region in 2020 was 10.9%%, compared with 4.7% across the country. In a third of the region’s 12 abortion clinics, the objection rates among gynaecologists is more than 80%. In the town of Jesi it is 100%.

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