Azerbaijan - the United Nations

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Azerbaijan
ABORTION POLICY
Grounds on which abortion is permitted
To save the life of the woman
To preserve physical health
To preserve mental health
Rape or incest
Foetal impairment
Economic or social reasons
Available on request
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Additional requirements
An abortion requires the consent of the pregnant woman; it is authorized if performed by a licensed
physician in a hospital or other recognized medical institution. Abortion is available on request during the first
12 weeks of gestation. Thereafter, induced abortion is available within 28 weeks from conception on judicial,
genetic, vital, broad medical and social grounds, as well as for personal reasons if authorized by a commission
of local physicians.
REPRODUCTIVE HEALTH CONTEXT
Government view of fertility level:
No official position
Government intervention concerning fertility level:
To maintain
Government policy on contraceptive use:
..
Percentage of currently married women using
modern contraception (aged 15-49, 1990):
7
Total fertility rate (1995-2000):
2.0
Age-specific fertility rate (per 1,000 women aged 15-19; 1995-2000):
17
Government has expressed particular concern about:
Morbidity and mortality resulting from induced abortion
Complications of childbearing and childbirth
..
..
Maternal mortality ratio (per 100,000 live births; 1990):
National
Western Asia
22
320
Female life expectancy at birth (1995-2000):
74
Source: The Population Policy Data Bank maintained by the Population Division of the Department of Economic and Social Affairs of
the United Nations Secretariat. For additional sources, see list of references.
40
Azerbaijan
BACKGROUND
As in all of the former USSR, Azerbaijan, known prior to 1992 as the Azerbaijan Soviet Socialist
Republic, was subject to the abortion legislation and regulations of the former Union of Soviet Socialist
Republics. As a result, abortion practices in Azerbaijan were similar to those throughout the former USSR.
The description given below pertains to the situation in Azerbaijan prior to independence. Since
independence no changes have been made in the abortion law.
The Soviet Decree of 27 June 1936 prohibited the performance of abortions except in the case of a
danger to life, a serious threat to health, or the existence of a serious disease that could be inherited from
the parents. The abortion had to be performed in a hospital or maternity home. Physicians who performed
abortions outside a hospital or without the presence of one of these indications were subject to one to two
years’ imprisonment. If the abortion was performed under unsanitary conditions or by a person with no
special medical education, the penalty was no less than three years’ imprisonment. A person who induced a
woman to have an abortion was subject to two years’ imprisonment. A pregnant woman who underwent an
abortion was subject to a reprimand and the payment of a fine of up to 300 roubles in the case of a repeat
offence.
In an edict of 23 November 1955, the Government of the former USSR repealed the general prohibition
on the performance of abortions contained in the 1936 Decree. Other regulations, also issued in 1955,
specified that abortions could be performed freely during the first twelve weeks of pregnancy, if no
contraindication existed, and after that point, when the continuance of the pregnancy and the birth would
harm the mother (interpreted to include foetal handicap). The abortion had to be performed in a hospital by
a physician and, unless the mother’s health was threatened, a fee was charged. Persons who performed an
abortion illegally were subject to criminal penalties established by criminal laws such as the Criminal
Code. For example, if the abortion was not performed in a hospital, a penalty of up to one year's
imprisonment could be imposed, and if it was performed by a person without an advanced medical degree,
a penalty of up to two years’ imprisonment was possible. In the case of repeat offences or the death or
serious injury of the pregnant woman, a higher penalty of up to eight years’ imprisonment could be imposed.
A woman who underwent an illegal abortion was not penalized.
Despite the approval of the 1955 edict and regulations, the problem of illegal abortions did not
entirely disappear in the former USSR. This situation resulted in part from the Government’s conflicted
attitude towards contraception. Although at times it manifested support for contraception, it did little to
make contraception available and in 1974 effectively banned the widespread use of oral contraceptives.
The situation was also due in part to a revived pronatalist approach to childbearing adopted at times by the
Government, which looked unfavourably on abortion. The result was a reliance on abortion as the primary
method of family planning.
Source: Population Policy Data Bank maintained by the Population Division of the Department for Economic and Social Affairs of the
United Nations Secretariat. For additional sources, see list of references.
41
Azerbaijan
Concerned with the high rate of illegal abortions, in 1982 the Government issued a decree allowing
abortions for health reasons to be performed through the twenty-eighth week of pregnancy. The
Government continued to extend the circumstances under which legal abortions were available, and on 31
December 1987 it issued another decree setting out a broad range of non-medical indications for abortions
performed on request through the twenty-eighth week of pregnancy. These were: the death of the husband
during pregnancy; imprisonment of the pregnant woman or her husband; deprivation of maternity rights;
multiparity (the number of children exceeds five); divorce during pregnancy; pregnancy following rape;
and child disability in the family. Moreover, the order provided that, with the approval of a commission,
an abortion could performed on any other ground.
This extension of the grounds for abortion after the first twelve weeks of pregnancy, combined with
the ambivalent attitude of the Government towards contraception, led to a dramatic increase in the number
of officially reported abortions. Other factors resulting in a high incidence of abortion have included
shortages of high-quality modern contraceptives and reliance upon less dependable traditional methods; a
lack of knowledge among couples of contraception and of the detrimental health consequences of frequent
abortions; and the absence of adequate training for physicians, nurses, teachers and other specialists. In 1989,
the availability of condoms in the entire former USSR amounted to only 11 per cent of demand; intrauterine
devices (IUDs), 30 per cent; and pills, 2 per cent. Data from the 1990 all-union sample survey of contraceptive use indicate that, in Azerbaijan, 6.5 per cent of all women aged 15-49 years regularly used contraception,
10.1 per cent sometimes used contraception, 41.9 per cent did not use any contraceptive method and 35.3 per
cent knew nothing about contraception.
Source: Population Policy Data Bank maintained by the Population Division of the Department for Economic and Social Affairs of the
United Nations Secretariat. For additional sources, see list of references.
42
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