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  • Title: Gynaecologists and abortion in Northern Ireland.
    Author: Francome C.
    Journal: J Biosoc Sci; 1994 Jul; 26(3):389-94. PubMed ID: 7929486.
    Abstract:
    The evidence from gynaecologists in Northern Ireland shows confusion in interpretation and practice of abortion law, with some women even being denied abortion after rape. Over two-thirds of gynaecologists supported a change in the law which would leave the abortion decision to the woman and her doctor, but less than half wanted the introduction of the British law. In answer to a June 1992 postal survey question about whether the British 1967 Abortion Act should be extended to Northern Ireland, about 50% of the 43 Irish gynecologists surveyed indicated opposition. Seven supporters indicated that abortion is acceptable only with restrictions, eight agreed with the extension, 21 disagreed, and 2 were uncertain. One gynecologist considered it unfair that women with sufficient resources could go to England to buy an abortion, while those without resources were forced to continue their pregnancies. Another said he will not perform abortions. Three desiring restrictions did not agree with abortion for social reasons, and another said absolutely no abortion on demand. Abortion was recommended only for women up to 20-22 weeks. If a woman's health is at risk, 26 agreed with abortion, eight agreed depending on the circumstances, and three disagreed. Where a woman is HIV positive, 23 agreed with abortion, 11 agreed depending, and eight disagreed. Where fetal handicap is diagnosed, 22 agreed with abortion, 14 agreed depending, and three disagreed. If the woman was raped, 26 agreed with abortion, seven agreed depending, and four disagreed. One gynecologist agreed in all cases. All except one agreed that birth control facilities should be improved for teenagers as a solution to unwanted teenage pregnancy. About 75% wanted improved birth control and less premarital sex. 68.4% thought that the decision to end a pregnancy should be between a woman and her doctor. Those opposed were all older. A British poll of 305 respondents indicates that about 73% support a woman's decision, when it is made in consultation with a physician. 18 indicated conscientious objection to performing an abortion, but only two indicated a willingness to refuse to perform an abortion. The findings are similar to those in British research conducted 27 years ago before the Act was passed. Doctors are concerned about an increased workload and prefer to deal with wanted pregnancies. The strong physician indication that the decision should be made in consultation with a doctor suggests resentment of the law interfering with clinical decisions. The conclusion is that the inconsistent responses reflect a need for rationalization.
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