Book contents
- Why Mothers Died and How Their Lives Are Saved
- Why Mothers Died and How Their Lives Are Saved
- Copyright page
- Contents
- Contributors
- Foreword
- Foreword
- Introduction
- 1 Historical Background
- 2 THE FIRST STEPS: 1900–1939
- 3 How the Confidential Enquiries Evolved
- 4 THE MISSING CHAPTER? PROLONGED LABOUR AND OBSTETRIC TRAUMA
- 5 HOW THE CHANGE BEGAN: THE STORY OF SEPSIS
- 6 Haemorrhage Then and Now
- 7 HYPERTENSION: ENQUIRIES, TRIALS AND RECOMMENDATIONS
- 8 The Story of Abortion
- 9 CHALLENGING TRADITION: THE STORY OF EMBOLISM
- 10 Pregnancy and Illness
- 11 Maternal Death due to Anaesthesia
- 12 Psychiatric Illness
- 13 THE MOTHERS WHO DIED: SOCIAL DETERMINANTS OF MATERNAL HEALTH
- 14 THE LEGACY IN THE UNITED KINGDOM: THE CONCEPT OF ‘NEAR MISS’ AND THE NEED TO KEEP SAVING LIVES
- 15 International Maternal Health: Global Action
- 16 International Action: Personal Views
- Figure Permissions
- Further Reading
- Index
8 - The Story of Abortion
Published online by Cambridge University Press: 05 April 2023
- Why Mothers Died and How Their Lives Are Saved
- Why Mothers Died and How Their Lives Are Saved
- Copyright page
- Contents
- Contributors
- Foreword
- Foreword
- Introduction
- 1 Historical Background
- 2 THE FIRST STEPS: 1900–1939
- 3 How the Confidential Enquiries Evolved
- 4 THE MISSING CHAPTER? PROLONGED LABOUR AND OBSTETRIC TRAUMA
- 5 HOW THE CHANGE BEGAN: THE STORY OF SEPSIS
- 6 Haemorrhage Then and Now
- 7 HYPERTENSION: ENQUIRIES, TRIALS AND RECOMMENDATIONS
- 8 The Story of Abortion
- 9 CHALLENGING TRADITION: THE STORY OF EMBOLISM
- 10 Pregnancy and Illness
- 11 Maternal Death due to Anaesthesia
- 12 Psychiatric Illness
- 13 THE MOTHERS WHO DIED: SOCIAL DETERMINANTS OF MATERNAL HEALTH
- 14 THE LEGACY IN THE UNITED KINGDOM: THE CONCEPT OF ‘NEAR MISS’ AND THE NEED TO KEEP SAVING LIVES
- 15 International Maternal Health: Global Action
- 16 International Action: Personal Views
- Figure Permissions
- Further Reading
- Index
Summary
In the nineteenth century abortion was widely available in Britain but abortionists risked life imprisonment. In 1927 The Lancet suggested that doctors should be allowed to act in good faith and in 1929 abortion to save a woman’s life became legal. Calls for change grew and the Abortion Law Reform Association was formed in 1936. In 1937 an investigation found that abortion caused 14% of all puerperal deaths. In 1938 a leading gynaecologist, Aleck Bourne, was acquitted after performing an abortion on a 14-year-old rape victim. In 1939 a committee recommended that grounds should include serious risk to health. War changed Parliament’s priorities and in 1952-4 abortion was the third commonest cause of maternal death: 80% of the women were married with children. Abortion was the leading cause in the 1960s, and, in 1967, after many failed attempts, Parliament passed the Abortion Act sponsored by David Steel, a young Liberal MP. The number of legal abortions rose to equal pre-1967 estimates and levelled off. By 1979 deaths from abortion – including those classed as spontaneous – had almost disappeared. Medical opinion was still split and NHS provision remained patchy for years.
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- Why Mothers Died and How their Lives are SavedThe Story of Confidential Enquiries into Maternal Deaths, pp. 95 - 109Publisher: Cambridge University PressPrint publication year: 2023