1950: abortion is legalized in former communist Eastern Germany (German Democratic Republic, GDR)
1976: abortion is allowed (Former Federal Republic of Germany (FRG): 1976; revised version §218)
1992: new Law after reunification of West and East Germany (27 July)
1993: transitional legal regulations
1995: Law “Schwangeren- und Familienhilfeänderungsgesetz” (21 August)
2010: changes concerning medical grounds.
Pre-abortion consultation (legal counselling) except in case of rape.The counselling must take place at a state-approved centre, which differs from the abortion centre.
Written consent by the woman
Mandatory 3-day period between pre-abortion consultation and abortion procedure
Contraception evoked during at least 1 of the medical consultations.
Specific conditions for minors
Parent’s (or guardian’s) consent required for minors under 18 unless minors are considered to have sufficient decision-making ability.
☷ PRACTICAL CONDITIONS
Note: Physician/Institution must be approved
Mandatory pre-abortion examinations
Involved healthcare professionals
Surgical abortion: obstetrician/gynaecologist (OB/GYN) or another physician (except in Bavaria: only OB/GYN)
Medical abortion: OB/GYN or another physician
☷ ABORTION STATISTICS
132 abortions per 1,000 live births (2016).
Abortions “on request”
96% of abortions were performed “on request” in 2016.
☷ CHARACTERISTICS OF WOMEN HAVING INDUCED ABORTION
In 2016, among women who had induced abortion, 99% lived in Germany and 61% had at least 1 child.
☷ FERTILITY AND CONTRACEPTION DATA
Women age at first birth
30 years of age (2015).
Overall contraception data: Missing data.
Pre-abortion contraception: Missing data.
Contraception during abortion process: Missing data.
☷ COUNTRY-SPECIFIC CHARACTERISTICS
Women have to give written consent.
Abortion is not taught during health care professionals’ (HCPs’) medical studies.
Medical staff has the right to conscientiously object except for women whose life is in danger.
Surgical and medical abortions are reimbursed to resident women only when abortion is due to medical reasons, or in case of rape, or for women with personal income < 1.000 €.
Otherwise, women have to pay 200 – 570 €.
We thank Dr. Ines THONKE for her help in data collection.
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