Nicaragua’s abortion ban results in deaths of women

With the backing of the Sandinista movement, the Nicaragua government criminalized abortion last November. The ban on abortion is without exception, even if a woman’s life is in mortal danger.

According to Human Rights Watch, “Nicaragua’s blanket ban on abortion, which criminalizes life-saving medical treatment, has had a devastating impact on women’s health and lives.” To date, at least 82 women have died as a result of pregnancy complications since the ban.

This from today’s Guardian:

For the Nicaraguan rich, a problematic pregnancy need not be a death sentence. You can fly to Miami or bribe a discreet private clinic in Managua. But in this wretchedly poor country most young women do not have money. Their choice is to go through with a pregnancy that may kill them, or attempt a DIY termination that may kill them.

As a result of the blanket ban enacted last November at least 82 women have died, according to advocacy groups. "This new law intentionally denies women access to health services essential to saving their lives, and is thus inconsistent with Nicaragua's obligations under international human rights law," says Human Rights Watch.

Nicaragua is famous for its misfortunes: the Somoza dictatorship, the civil war, the impoverishment, the natural disasters. Pro-choice groups say article 143 of the new penal code should be added to that list since it bucks the international trend towards greater abortion access and drags women back to the dark ages.

The anti-abortion camp, in contrast, is euphoric. The new law, it says, is a beacon in the fight to protect the unborn. It is time to celebrate. "Now it is all penalised. And Catholics agree that is should be this way," says Roberto González, 50, a Franciscan priest in Managua. "The population sees the church as behind the law - behind the pressure that succeeded in getting the government to change the law."

Abortion has long been illegal in Nicaragua but there had been exceptions for "therapeutic" reasons if three doctors agreed there was a risk to the woman's life. Those exceptions were no longer necessary, said the Nicaraguan Pro-Life Association, because medical advances obviated the need to terminate pregnancies. "The conditions that justified therapeutic abortion now have medical solutions," says a spokesman. Pope Benedict XVI welcomed the ban but added that women should not suffer or die as a result. "In this regard, it is essential to increase the assistance of the state and of society itself to women who have serious problems during pregnancy."

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No one knows how many other women have died, or are going to die, as a result of the law. The Pope seemed to acknowledge an increased risk to women's health but Nicaragua's government has made no formal study of the law's impact. Women's rights organisations say their 82 documented deaths are the tip of the iceberg. The Pan-American Health Organisation estimates one woman per day suffers from an ectopic pregnancy, and that every two days a woman suffers a miscarriage from a molar pregnancy. That adds up to hundreds of obstetric emergencies per year.

Human Rights Watch, in a recent report titled Over Their Dead Bodies, cited one woman who urgently needed medical help, but was left untreated at a public hospital for two days because the foetus was still alive and so a therapeutic abortion would be illegal. Eventually she expelled the foetus on her own. "By then she was already in septic shock and died five days later," said the doctor.

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It is a grim irony that this is happening under a Sandinista government - a movement whose ranks once included advocates for feminism and abortion rights. That was in the 1980s, when the Sandinistas were secular marxists, wore combat fatigues and fought a bloody civil war against US-backed Contra rebels. Things changed. The war ended and the Sandinista leader, Daniel Ortega, lost the presidency in a 1990 election. Church and state were supposedly separate but clerics wielded political clout, none more so than Cardinal Miguel Obando y Bravo. His hostility sank Ortega's attempted comebacks in 1996 and 2001 elections.

In the run-up to last November's election, the cardinal spearheaded a campaign for a blanket abortion ban. Ortega, desperate to regain power, mobilised the Sandinistas behind the cardinal's campaign and helped get the ban enacted just days before the poll. The former revolutionary, now reinvented as a devout Catholic, was rewarded with the presidency.

Twenty-six percent of the world’s population lives in 69 countries that outlaw abortion. Of those, all but three countries make exceptions when a woman’s health is in jeopardy. Of those three, Nicaragua outlaws abortion regardless of a woman’s ability to care for children, her age, her health, or even if she has been raped.