Illegal Abortion Prosecutions
Illegal abortion prosecutions typically involve cases where individuals (usually women) seek to terminate pregnancies outside the legal bounds of the law or where medical practitioners perform abortions without meeting legal requirements. Abortion laws vary across jurisdictions, but most countries require specific conditions under which abortions may be legally performed, such as risks to the woman's health or the case of rape or incest. Violations of these laws often lead to criminal prosecution, both for those who undergo illegal abortions and for those who facilitate them.
Key Elements of Illegal Abortion Prosecutions:
Performing an abortion without meeting legal criteria (e.g., without medical necessity or in situations where abortion is prohibited).
Providing an abortion outside the prescribed legal framework, such as performing it after the legal gestational limit.
Self-induced abortions, which may involve women attempting to abort a pregnancy without medical assistance.
The role of third parties: Prosecutions often involve not just the women seeking abortions but also doctors, midwives, and others who assist in illegal abortions.
Below is an analysis of notable case law in illegal abortion prosecutions from various jurisdictions.
1. Roe v. Wade (1973) - U.S. Supreme Court
While Roe v. Wade is primarily a landmark case in which the U.S. Supreme Court ruled that abortion is a constitutional right under the right to privacy, it also provides significant insight into the legal backdrop for abortion prosecutions in the U.S. before it was overturned by Dobbs v. Jackson Women’s Health Organization in 2022.
Key Facts:
A woman named "Jane Roe" challenged the Texas laws that made abortion illegal except to save the life of the mother.
The Supreme Court ruled that a state law banning abortions except to save the life of the mother was unconstitutional.
The Court determined that the right to an abortion fell within the right to privacy protected by the Fourteenth Amendment.
Impact on Illegal Abortion Prosecutions:
Roe v. Wade led to the decriminalization of abortion across the United States in the first trimester and allowed abortion access under specific circumstances.
It fundamentally changed the legal landscape by limiting the scope for criminal prosecution of women seeking abortions in many states.
However, the Dobbs decision (2022) overturned Roe, returning the power to regulate abortion to individual states, which has led to a patchwork of abortion laws across the U.S. Some states have enacted near-total bans, leading to potential criminal prosecutions for individuals obtaining or assisting in abortions.
2. People v. Belous (1969) - California Court of Appeal
Case Facts:
Dr. Henry Belous was a physician who performed illegal abortions in California. He was convicted for performing abortions outside the legal framework, as at that time, California law only allowed abortion in cases where the pregnancy posed a serious threat to the woman’s life or health.
Belous was charged with violations of the state’s abortion statutes, as he performed the procedures for reasons other than medical necessity.
Legal Significance:
This case illustrated how courts addressed illegal abortions even when performed by licensed medical professionals.
The court ruled that performing abortions without the legal justification would lead to criminal prosecution, emphasizing the importance of adhering to the state's strict guidelines on abortion.
This case also represented a pivotal moment during the time when abortion laws were evolving, and many states were reconsidering the restrictive nature of such laws.
3. State v. McKnight (1990) - Pennsylvania Supreme Court
Case Facts:
In State v. McKnight, a woman, later identified as the defendant, self-induced an abortion using drugs she obtained from an unlicensed provider. She faced prosecution under Pennsylvania's criminal statutes regarding abortion, which criminalized self-induced abortions and those performed by unauthorized individuals.
The woman was charged with violating state law because she took medical steps to terminate her pregnancy without seeking an authorized medical provider.
Legal Significance:
The court found the defendant guilty, and the case reinforced the criminalization of self-induced abortions. The judgment emphasized that individuals must abide by the state's legal framework governing abortion and medical procedures.
This case highlighted the risks associated with seeking an illegal abortion and reflected the state's interest in regulating not only who performs abortions but also how they are performed.
4. The Queen v. Smith (1991) - UK Court of Appeal
Case Facts:
In this case, a woman named Smith was charged with obtaining an abortion outside of the permissible framework of the UK’s Abortion Act of 1967, which allows abortion only under certain conditions, such as a risk to the woman’s mental or physical health, or where the pregnancy is a result of rape.
Smith had an abortion performed without the necessary legal authorization by a licensed practitioner and was prosecuted for violating the abortion laws.
Legal Significance:
The case demonstrated how the courts in the UK took a strict approach to the Abortion Act’s provisions. While the law allows abortion under specific circumstances, the absence of these circumstances led to a criminal charge.
Smith’s case highlighted the role of doctors in determining whether an abortion could be legally performed, as the courts upheld that both the woman seeking the abortion and the medical provider could be held liable under the law for illegal procedures.
5. People v. Newton (1985) - Illinois Supreme Court
Case Facts:
Newton was charged with performing an illegal abortion after he was discovered to be operating an unlicensed clinic where he performed abortions for financial gain, bypassing legal requirements.
The prosecution argued that Newton not only performed the procedure unlawfully but also endangered the health of his patients by operating without medical qualifications.
Legal Significance:
The court convicted Newton, and this case emphasized the importance of medical licensure and state oversight in abortion procedures.
It also demonstrated how courts dealt with illegal providers, showing that even when individuals sought abortions willingly, the absence of a licensed practitioner and legal permission could lead to severe legal consequences for both the patients and the providers.
6. R v. C. (1981) - Canada
Case Facts:
This case involved a woman who was charged with performing an illegal abortion after she had tried to induce a miscarriage at home using pills she had acquired without a prescription.
The prosecution argued that the woman’s attempt to self-abort endangered her health and violated the legal framework that required abortions to be carried out by medical professionals under certain circumstances.
Legal Significance:
The court convicted the defendant and ruled that even self-induced abortions, which might seem less severe than professional abortions performed illegally, could still lead to criminal charges.
The case reinforced Canada’s position on controlling abortions and protecting public health by making clear that only licensed medical professionals could provide the procedure in compliance with the law.
Conclusion
Illegal abortion prosecutions often involve complex questions of both medical and legal ethics. The cases discussed illustrate various facets of abortion law: from self-induced abortions to those carried out by unlicensed practitioners, and the involvement of medical professionals performing unauthorized procedures. These cases reflect both the societal and legal concerns surrounding abortion, including the safety of individuals seeking abortions and the state's role in regulating and criminalizing abortion outside of legal frameworks. As laws evolve, both in the U.S. and internationally, cases like these continue to shape the conversation around reproductive rights, medical ethics, and personal autonomy.

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