Abortion in New Zealand
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Abortion in New Zealand is legal in cases where the pregnant woman faces a danger to her life, physical or mental health, or if there is a risk of the fetus being handicapped in the event of the continuation of her pregnancy. In cases not protected by these grounds, performing an abortion on a woman or girl is a crime in New Zealand under the Crimes Act 1961 (the woman or girl is not party to the offence). Regulations in New Zealand require that abortions after 12 weeks gestation be performed in a "licensed institution", which is generally understood to be a hospital. Abortions must be authorised by two doctors (referred to as "certifying consultants" within the legislation), one of whom must be a gynaecologist or obstetrician. However, doctors can refuse to authorise the procedure, in which case the woman must find another doctor and plead her case with them until she has the permission of two doctors, and also a qualified surgeon if neither of those doctors are licensed to perform the operation. Counselling is optional if the woman desires it, but is not mandatory under current abortion law. There is no statutory definition of fetuses or embryos as "unborn children" within New Zealand abortion law.
In 1867 the New Zealand parliament made it an offence to cause a miscarriage. Therapeutic abortions were available under limited circumstances, such as when the mother's life was in serious danger.
In 1936 the First Labour Government of New Zealand set up a committee, led by D.G. McMillan, to inquire about the incidence of septic abortion in New Zealand. The report estimated that at least 13 in every 100 pregnancies ended in criminal abortion, that number having increased over the five years prior. In the same time period, while maternal deaths had dropped, the number of deaths due to septic abortions had increased, accounting for two-fifths of total maternal mortality. Based on evidence heard before the committee, it was found that a major reason for abortions was a change in social outlook, "particularly towards the rearing of large families" and "an attitude of pitying superiority towards the woman with many children." Other reasons included lack of suitable housing in cities, lack of help for women in performing domestic labour, and the widespread use of ineffective methods of contraception.
In the 1930s, Isabel Annie Aves was tried four times for "unlawfully using an instrument with intent to procure a miscarriage" without conviction. In the 1940s, activists such as Alice Bush advocated for access to doctor-provided abortions.
Public debate increased following the legalisation of abortion in Britain in 1967 and in South Australia in 1969. The legalisation of abortion in Australia enabled New Zealand women who could afford to travel to have abortions in Australia.
Contraception, Sterilisation, and Abortion Act 1977
The core legislation pertaining to abortion is the Contraception, Sterilisation, and Abortion Act 1977, and it enacted parallel specifications through amendment of the Guardianship Act 1968 (retained in the Care of Children Act 2004) and Section 187A of the Crimes Act 1961. These provisions enable women to undergo confidential medical consultation after they have seen two certifying consultant medical practitioners.
Amended Crimes Act 1961
The Crimes Act 1961 as amended in 1977 and 1978 allows for abortions to be performed for the following reasons, providing the pregnancy is no more than 20 weeks old:
- serious danger to the life of the woman
- serious danger to the physical health of the woman
- serious danger to the mental health of the woman
- substantial risk that the child, if born, would be seriously handicapped
- in cases of incest
Factors that may be taken into account, but are not in themselves grounds for abortion, are:
- cases of sexual violation (previously rape)
- extremes of age, e.g., early puberty or near menopause.
After 20 weeks of pregnancy the sole grounds are to save the life of the woman or to prevent serious permanent injury to her physical or mental health.
As the annual statistics for the Abortion Supervisory Committee have repeatedly noted, mental health grounds are the predominant grounds for most certified abortions in New Zealand. The high numbers of abortions in New Zealand for mental health grounds have led pro-lifers to express concerns that the mental health exception is being used to allow abortion on demand.
By contrast, ALRANZ notes that successive abortion-related case law has preserved the status quo of partial decriminalisation and liberal terms of abortion access for most New Zealand women who need an abortion.
In 1999 Graeme White was jailed for tunneling into an abortion clinic in a failed attempt to blow it up.
Since 2003 abortion clinics have been able to administer medical abortions – taking mifegyne/mifepristone to cause the embryo to dislodge from the uterine wall, and a prostaglandin supplement to expel the remains. In April 2003, Justice Durie clarified parts of the Contraception, Sterilisation and Abortion Act 1977 relating to "performing" medical abortions, so women who wish to have medical abortions must take medications in a licensed facility, but need not remain there between taking the two sets of tablets, which are taken 48 hours apart. Women also need not stay in the facility until the expulsion of the fetus completes the abortion.
Right to Life launched a court case against the Abortion Supervisory Committee, accusing it of not sufficiently regulating abortion by allowing broad interpretation of the mental health exception. A High Court decision supported some of Right to Life New Zealand's points, finding that there was de facto abortion on demand. However, the Abortion Supervisory Committee appealed this to the New Zealand Court of Appeal. On 1 June 2011 the Court of Appeal overturned the earlier High Court verdict, finding that there was no statutory reference to embryos and fetuses within New Zealand law, and therefore no grounds for further attempted interference with existing abortion access procedures. It did not however overturn the finding that there was de facto abortion on demand in New Zealand. Right to Life appealed to the New Zealand Supreme Court, which dismissed their appeal by a 3-2 majority.
2019 abortion reform legislation
On 5 August 2019, the Justice Minister Andrew Little announced that the Government would be introducing new legislation giving women access to abortion for the first 20 weeks of pregnancy without having to navigate legal loopholes and removing abortion from the Crimes Act 1961. Other changes include allowing women to self-refer to an abortion service, ensuring that health practitioners advise women about counselling services, establishing safe areas around abortion facilities, and ensuring that conscientious objecting doctors inform women about their stance and alternative services. The New Zealand Law Commission had earlier proposed three options: having no statutory test to make sure the abortion was appropriate at any point; taking abortion off the Crimes Act but having a statutory test; or only having a test for later-term abortions, after 22 weeks. The Government adopted the third approach but reduced it to 20 weeks. Both the Abortion Law Reform Association of New Zealand (ALRANZ) and Family Planning have welcomed the proposed changes but criticized the 20 week limit. By contrast, conservative lobby group Family First New Zealand criticized the Government's abortion law reform as "radical... and anti-human rights."
Labour and its coalition partner New Zealand First engaged in several months of negotiations discussing the legislation. The Minister for Children and New Zealand First MP Tracey Martin reportedly played an important part in these negotiations. Despite initially ruling out a referendum, NZ First leader Winston Peters subsequently demanded a binding referendum on abortion reform. In response, Opposition National MP Amy Adams criticized NZ First's U-turn, saying that the matter should be decided by Parliament. National Party leader Simon Bridges has indicated that he would support a Select Committee examining the bill. Voting for the new legislation will be done through a conscience vote. Justice Minister Little has ruled out NZ First's calls for holding a referendum on abortion reform. National Party leader Bridges has indicated he will vote against abortion reform but will allow National MPs to exercise a conscience vote.
In 2010 Labour MP Steve Chadwick proposed an Abortion Reform Bill to take abortion out of the Crimes Act. The anti-abortion organisation Voice for Life opposed the Bill, which ALRANZ supported. After Chadwick lost her seat in Parliament in the 2011 general election, ALRANZ and its parliamentary supporters were trying to find a new sponsor for the proposed bill.
Parliament has been the venue of occasional debates about the composition of the Abortion Supervisory Committee (which was formed in 1977) when appointments and expiry dates for its membership have come and gone. On 7 April 2011, during the term of the 49th New Zealand Parliament, the composition of the committee was debated. Tariana Turia moved that an anti-abortion Pacific Island doctor, Ate Moala, be appointed to the ASC. The vote was lost 70–30 against, with twenty absences or abstentions. 
The main pro-life lobby groups are the Christchurch–based Right to Life New Zealand, Family Life International NZ, Voice for Life (formerly known as the Society for the Protection of Unborn Children; SPUC), and Family First New Zealand, which favour reforming New Zealand abortion law to make it more restrictive. In recent years, Voice for Life has lobbied for a "parental consent" law, which would require a girl under 16 years of age to obtain the consent of her parents before having an abortion. Voice for Life has also tried to lobby parliament to alter the composition of the Abortion Supervisory Committee in the hope of limiting the number of abortions performed on mental health grounds.
There are no parental notification or consent requirements for young women seeking abortions, and a female can consent to an abortion at any age. In 2004, Parliament debated a proposed amendment to the Care of Children Act 2004, which would have required anyone under 16 years of age to notify their parents before having an abortion. National MP for Clevedon Judith Collins was the primary mover of this amendment, supported by the pro-life lobby group Voice for Life.
Collins was opposed by ALRANZ, the New Zealand Medical Association and New Zealand College of General Practitioners. A NZ Herald Digipoll showed that 71% of New Zealanders believed parents should be informed about whether or not their child was to have an abortion, with 60% believing this should be legally mandatory. This "parental notification" legislation was heavily defeated, as the New Zealand Medical Association and New Zealand College of General Practitioners objected that the abrogation of medical confidentiality would endanger pregnant incest survivors, and/or those within similar dysfunctional families and abusive parents. Another pro-life amendment was also defeated. It required the Abortion Supervisory Committee to collect statistics on how many abortions come from pregnancies caused by incest, and what happened to those young women after their abortion. Again, Parliament rejected this on the basis of abrogation of medical confidentiality for no evidence-based purpose. Voice for Life cited material from the US National Right to Life Committee and other US pro-life groups, while ALRANZ similarly used material from the National Abortion Rights Action League and other US pro-choice organisations.
During the 48th New Zealand Parliament, former Kiwi Party list MP Gordon Copeland had a private members bill, the Contraception, Sterilisation and Abortion (Informed Consent) Amendment Bill, drawn from the ballot. It was based on an Australian Capital Territory 'informed consent' piece of legislation, since repealed, and was defeated on a voice vote in Parliament. Copeland has since been voted out of Parliament, as he did not secure a constituency seat at the New Zealand general election held in 2008 and his Kiwi Party polled well under the five percent threshold under the MMP framework in the Electoral Act 1993.
In March 2019, 69.9% of respondents to a poll by Newshub supported the decriminalisation of abortion.
The Abortion Supervisory Committee collects statistics on the numbers of terminations performed each year, and for what reason, under the terms of the Contraception, Sterilisation, and Abortion Act 1977. It reported that there was 18,511 abortions performed in New Zealand in 2003. According to 2003 figures by Statistics New Zealand, there were 21.0 abortions per 1000 women. This equates to roughly 247 per 1000 known pregnancies. Split amongst ethnicity in 2002 the highest rates were amongst Asian women (374), followed by Māori (245), Pacific Island women (243) and European women (209).
New Zealand's abortion rate (number of abortions per 1000 women aged 15–44 years) is slightly below Australia's (22.2), and the United States (21.3), but above Japan's (13.8), Finland and Scotland's (both 10.9) and many European countries.
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