Report of the Committee of Inquiry into the Various Aspects of the Problem of Abortion in New Zealand — John Stuart Mill — John Shaqi
Report of the Committee of Inquiry into the Various Aspects of the Problem of Abortion in New Zealand
John Stuart Mill · en
It must be explained that a certain number of cases of abortion occur
perfectly innocently as the result of some condition of ill health, or,
occasionally, as the result of accident. These _spontaneous_ cases
constitute an entirely medical problem.
All other cases are artificially produced or _induced_.
A very small number of these are honourably performed by medical
practitioners when the mother's life is seriously endangered.
This procedure is termed "_Therapeutic induction of abortion_."
Certain important questions in relation to therapeutic abortion will be
discussed at a later stage in this report.
The remainder of the induced cases are unlawfully produced by the
person herself or by some other person--_criminal abortion_.
The Committee received much evidence regarding the methods used in the
attempt to procure abortion.
In the first instance it was shown that the use of so-called
abortifacient drugs was extensively practised and was usually a first
resort.
Little need be said about the matter at this stage except to state that
the New Zealand evidence entirely supports the opinions expressed
elsewhere that drug-taking is rarely effective.
Those tempted to use these drugs should realize the futility of the
practice for the purpose intended and the frequency with which
disturbances of health are caused by taking them.
Their only value is as a lucrative source of gain to those people who,
knowing their inefficacy, yet exploit the distress of certain women by
selling them.
It is perfectly clear that the real menace is the instrumentally
produced abortion, either self-induced by the person herself or the
result of an illegal operation performed by some outside person.
These abortionists include a few unprincipled doctors and chemists, a
few women with varying degrees of nursing training, and a number of
unskilled people.
It was a matter of considerable importance for the Committee to attempt
to determine first the extent to which spontaneous abortions contribute
to the total figures: the prevalence of unlawful abortion could then be
better realized.
Here again it was found exceedingly difficult to obtain exact figures,
but the evidence suggests that probably less than seven pregnancies in
every 100 terminate in spontaneous abortion.
Taking the records of one group of 1,095 women where the incentives to
interference were probably at a minimum, it was found that out of a
total of 2,180 pregnancies only 152, or 6·97 per cent., terminated in
abortion, while in a series of 5,337 pregnancies in patients taken from
the records of St. Helens Hospitals, 6 per cent. terminated in
abortion.
Even assuming that _all_ these were spontaneous (which was probably not
the case), the incidence is approximately 6 per cent. to 7 per cent.
If, then, the total abortion rate is 20 per 100, it is clear that the
incidence of criminal abortion is at least 13 in every 100 pregnancies.