Abortion in Sweden


Abortion in Sweden was first legislated by the Abortion Act of 1938. This stated that an abortion could be legally performed in Sweden upon medical, humanitarian, or eugenical grounds. That is, if the pregnancy constituted a serious threat to the woman's life, if she had been impregnated by rape, or if there was a considerable chance that any serious condition might be inherited by her child, she could request an abortion. The law was later augmented in 1946 to include socio-medical grounds and again in 1963 to include the risk of serious fetal damage. A committee investigated whether these conditions were met in each individual case and, as a result of this prolonged process, abortion was often not granted until the middle of the second. As such, a new law was created in 1974, stating that the choice of an abortion is entirely up to the woman until the end of the eighteenth week.

Legislation

Current

The current legislation is the Abortion Act of 1974. This states that up until the end of the eighteenth week of the pregnancy, the choice of an abortion is entirely up to the woman, for any reason whatsoever. After the 18th, a woman needs a permission from the National Board of Health and Welfare to have an abortion. Permission for these late abortions is usually granted for cases in which the fetus or mother are unhealthy. Abortion is not allowed if the fetus is viable, which generally means that abortions after the 22nd week are not allowed. However, abortions after the 22nd week may be allowed in the rare cases where the fetus can not survive outside the womb even if it is carried to term.
The issue is largely settled in Sweden, and the question of the legality of abortion is not a highly controversial political issue.
Consensus in Sweden is in favour of preventing unwanted pregnancies by the use of birth control and the primary goal is not to lower the amount of abortions, but rather the goal is that all children that are born should be wanted. The number of abortions statistically follows the number of pregnancies. In comparison with the other nordic countries, Sweden ranks high in number of abortions, and low in number of young parents, while the number of pregnancies in relation to total population is largely the same in all Nordic countries.

History

The Civil Code of 1734 formally made abortion an offense punishable by death, but there is no confirmed case in which this sentence was actually carried out: the issue was not given much attention, and the court cases were few. The reformed law of 1864 abolished the death penalty for abortion and replaced it with between two and six years of penal labour for both the woman who performed an abortion, as well as for the abortionist. A reform in 1921 reduced the penal labour with a shorter prison term without penal labour for the woman, but kept the original penalty for the abortionist. During the second half of the 19th-century, abortion court cases became more common and the issue became a part of public debate. Between 1929 and 1933, 21 women annually were sentenced for abortion, and the vast majority was given suspended sentences.
The first law on legal abortions was passed in Sweden in 1938 when the law legalized abortion on a very limited scale, and only on serious medical consideration, after evaluation by the Royal Board of Health. From 1946 abortions could also be permitted on social medicinal grounds. During the 1960s, a successive change in Swedish society took place, and the general attitude towards sexuality, as well as abortion, became more liberal. This, among other things, led to an increase in the number of permitted abortions.
The current Abortion Act entered into force on 1 January 1975. It permits abortion on the request of the pregnant woman until the 18th week, and thereafter only in cases of severe indications of medical risk. After the 18th week, abortions can only be performed after an evaluation by the National Board of Health and Welfare.
In 1989, the Board issued general advice on implementation of the law. From 1 September 2004, these were superseded by new advice and policy.
Since 1 January 2008, foreign women – including asylum applicants, non-permanent residents, and those not registered in Sweden – are allowed to get an abortion in the country. 132 such abortions were performed in Sweden during 2009. The National Board of Health and Welfare called this a comparably small figure, in relation to the total number of abortions.

Statistics

The National Board of Health and Welfare is the central national authority for social services, public health, and the health services in Sweden. Among the board's responsibilities are evaluation and monitoring of abortions performed in Sweden, as well as establishing norms by issuing provisions and general advice. The board is also responsible for the collection and publishing of official national statistics on abortions. Until 1995 reports were instead published by Statistics Sweden.
Statistical reports are published yearly and are based on data from all clinics and hospitals where abortions are performed. Data is collected on the age of the women, earlier pregnancies and abortions, the length of the pregnancy at the time of abortion, method of abortion, and where the abortion was performed.
One of the National Health Board's main purposes with these reports is to measure changes and trends over time. The statistics on legal abortions stretches back to 1955 and, starting from 1975, data on frequencies for different age groups are available. From 1985 the women's home municipality was also recorded.

Trends

The number of induced abortions performed in Sweden rose markedly on a yearly basis from the early 1960s, but soon leveled off following the liberalization of the abortion law in 1975. It is not possible to tell whether the increase in the statistics after the Abortion Act of 1974 reflects actual circumstances, or just bias resulting from an increased will to report abortions after legalization. Since 1975, the total yearly number of cases has averaged between 30,000 and 38,000 abortions.
The number of abortions by age group were as follows: those performed on teenagers in 1975 were 30 in every 1,000, while those performed on women aged 20 to 24 years old was 27 in every 1,000. However, since 1977, the opposite has held true, with fewer abortions being performed on teenagers than women aged 20 to 24. The number of abortions among teenagers was around 11 per 1,000 women in 2018, a halving since 2009.
Most abortions in Sweden are performed on women aged 25–29 years old, followed in order by the age groups 20–24 years old, 30–34 years old, 35–39 years old, 15–19 years old, and 40–44 years old. Before the age of thirty most women have not established a family life and abortion is more common amongst this age group, with multiple sex partners in the younger age groups parenthood is less desired and abortion more likely. The fact that most women in the younger age groups are still studying, combined with them being new on the labour market, influences the choice to perform abortion.
Although abortion rates vary widely in Sweden, according to geographical region, the highest rate of teenage abortions is registered in Gotland and in the metropolitan areas of Stockholm and Gothenburg. The lowest incidences are in the counties of Blekinge, Kronoberg, and Jönköping.
In 2018, 84 percent of the induced abortions were performed before the end of the 9th week of pregnancy and 57 percent before the end of the 7th week, compared to 55 and 10 percent respectively in 1994. The proportion of medical abortions constituted 93 percent of all abortions.
Total live birthsLive births per 1000 women
AbortionsAbortions per 1000 women
Abortions per 100 known pregnanciesYear
107 30572.84 5623.14.01955
102 21968.42 7921.92.61960
122 80679.26 2094.04.81965
110 15069.816 10010.212.71970
114 48472.119 25012.114.31971
112 27370.624 17015.217.61972
109 66368.925 99016.319.01973
109 86468.830 63619.221.71974
103 63264.632 52620.323.81975
98 34560.932 35120.024.71976
96 05759.031 46219.324.61977
93 24856.731 91819.425.41978
96 17557.834 70920.926.41979
97 06457.634 88720.726.41980
94 06555.233 29419.626.11981
92 70654.032 60219.025.91982
91 68653.031 01417.925.21983
93 50853.930 75517.724.71984
98 46356.530 83817.723.81985
101 74058.133 12418.924.51986
104 69959.634 48619.824.81987
112 08063.737 58521.425.01988
116 02365.937 92021.524.61989
123 93870.537 48921.323.21990
123 73770.735 78820.422.41991
122 84870.637 84920.022.01992
117 99868.234 17019.822.41993
112 25765.132 29318.722.31994
103 42260.131 44118.323.31995
95 29755.632 11718.725.11996
90 50253.031 43318.425.71997
89 02852.431 00818.325.81998
88 17352.030 71218.125.81999
90 69853.630 98018.325.42000
91 46653.931 77218.725.72001
95 95356.433 36519.625.72002
99 26058.134 47320.225.72003
101 01858.834 45420.025.42004
101 49658.634 97820.225.62005
106 01360.636 04520.625.32006
107 49160.737 20521.025.72007
109 37361.238 05321.325.72008
111 93562.237 52420.825.02009
37 69320.92010
37 75020.92011
37 36620.72012
2013
36 62920.22014
38 07120.92015
38 17720.82016
36 61619.82017
35 78219.22018

Debate

Sweden has one of the most liberal abortion laws in the world. As mentioned previously, the topic itself does not have much controversy among the society and majority of Swedish population supports the law and policies around it.
However, there are political debates surrounding the cut-off period for abortion as well as other abortion rights. Right-wing conservative parties like the Christian Democrats and Swedish Democrats have promoted a stricter ban on late abortions. The Swedish Association for Sexuality Education has responded by stating that a lot of political arguments stem from misinformation and lack of knowledge.

Pro-abortion

Organizations

stands for abortion rights to all women, it is one of their main worldwide priority areas. They believe that in an equal and sustainable society individuals have a right over their own body, sexuality and reproduction.

Anti-abortion

Organizations

is politically and religiously independent organization. They aim to promote right to life for those unborn by non-violent protests, showing pictures of fetuses as well as supporting pregnant women.
:sv:Ja till livet|Ja till livet is a non-profit organization which aims to influence the debate on human dignity within abortion, fetal diagnoses and elderly care. Their goal is to limit the abortions by showing that fetuses have a human value.
Some religious organizations have anti-abortion stand too. The Catholic Church believes that human life is created at the point of conception, thus abortion should not be permitted unless both mother and the child are in danger. A Catholic movement, Respekt, aims to promote human life from conception to death, meaning that they stand against abortions and euthanasia as well as other issues. Similar views are shared by Islam, where abortion is not permitted at any stage of pregnancy without a valid reason.

Ellinor Grimmark

In 2014, a controversial lawsuit was launched by a midwife :sv:Ellinor Grimmark|Ellinor Grimmark against the health authorities in Jönköping region because they refused to provide her with a job as she would not carry out abortions or prescribe contraceptives due to her religious beliefs. The case had financial support from a well-known Christian anti-abortion organisation in the US, Alliance Defending Freedom, which has interests in limiting abortion access in Europe. Grimmark's case was tried by the discrimination ombudsman as well as a district court in Sweden, both of which ruled against her. The same decision was reached in the Swedish Labor court after which Grimmark decided to proceed to the European Court of Human Rights.