Concept

Late termination of pregnancy

Late termination of pregnancy, also referred to as third trimester abortion, describes the termination of pregnancy by induced abortion during a late stage of gestation. In this context, late is not precisely defined, and different medical publications use varying gestational age thresholds. in the United States, more than 90% of abortions occur before the 13th week, 1.3% of abortions in the United States took place after the 21st week, and less than 1% occur after 24 weeks. Reasons for late terminations of pregnancy include circumstances where a pregnant woman's health is at risk or when birth defects, such as lethal fetal abnormalities, have been detected. In the United States, the mortality rate for legal abortions overall is less than 1:100,000. The rate of mortality and morbidity increases with the gestational age of the fetus, so patients who have decided to have an abortion are strongly encouraged to get it early. Still, later abortion is not associated with any greater net negative physical or mental health outcomes (including mortality) than full-term pregnancy and childbirth in the United States. Late termination of pregnancy is more controversial than abortion in general. All countries in Europe only permit abortion later in pregnancy (after 10-14 weeks in most countries, 18 weeks in Sweden and Iceland, and 24 weeks in the Netherlands and Great Britain) if specific circumstances are present, generally when the pregnancy represents a serious danger to the life, or to the physical or mental health of the woman, or when a serious malformation or anomaly of the fetus is diagnosed. A late termination of pregnancy often refers to an induced ending of pregnancy after the 20th week of gestation, i.e. after a fetal age (time since conception) of about 18 weeks. The exact point when an abortion is considered late-term, however, is not clearly defined. In three articles published in 1998 in the same issue of the Journal of the American Medical Association (JAMA), two chose the 20th week of gestation and one chose the 28th week of gestation as the point where an abortion procedure would be considered late-term.

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Abortion-rights movements, also self-styled as pro-choice movements, advocate for the right to have legal access to induced abortion services including elective abortion. They seek to represent and support women who wish to terminate their pregnancy without fear of legal or social backlash. These movements are in direct opposition to anti-abortion movements. The issue of induced abortion remains divisive in public life, with recurring arguments to liberalize or to restrict access to legal abortion services.
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The United States is a global outlier among developed countries on the issue of abortion, with the subject being uniquely divisible in American politics and culture wars to an extent not found in other wealthy countries. There are widely different abortion laws depending on state. From the American Revolution to the mid-19th century, abortion was legal in every state under the common law until quickening, not an issue of significant controversy, and most Americans held to the traditional Protestant Christian belief that personhood began at ensoulment rather than conception.
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Pregnancy is the time during which one or more offspring develops (gestates) inside a woman's uterus (womb). A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. A pregnancy may end in a live birth, a miscarriage, an induced abortion, or a stillbirth. Childbirth typically occurs around 40 weeks from the start of the last menstrual period (LMP), a span known as the gestational age.
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