Oireachtas Joint and Select Committees

Wednesday, 11 October 2017

Joint Oireachtas Committee on the Eighth Amendment of the Constitution

International Developments in the Provision of Health Care Services in the Area of Termination of Pregnancies: Lyndon B. Johnson School of Public Affairs and World Health Organization

1:00 pm

Dr. Abigail Aiken:

No, I do not have data on feelings after miscarriage. I am sure there are papers available on it. However, I do not have that, especially not to compare to these women. On abortion regret, the data in front of the Deputy is really the best data we have. It is from 1,000 women and looks at their feelings after an abortion. I think there are as many feelings after abortions as there are abortions because it is an individual and personal thing. However, looking at this graph, I do not see much evidence for an abortion regret. I know it is a term that is out there but it does not really exist in the medical literature. I have to emphasise that we really lack empirical evidence - real evidence - that it is actually a thing.

On whether people tell the truth about being ten weeks pregnant or under, I do not think we would see the kinds of outcomes that we see in exhibit 7 or exhibit 8 if people were being untruthful about their gestation. It is not as though people drop off some kind of a cliff after ten weeks, where it will all go terribly badly wrong. It really is a kind of a dose-response, where the further one goes the more likely one will need surgical help ending the abortion or to see some kind of a complication. It really is not a kind of a hard cut-point. That is just where the trials end, so at the moment that is where evidence goes to. If women were not telling the truth about this and not following the instructions they are given by the online telemedicines service, we would not see anything like the effectiveness rates that are there or the low rates of complications. This tells us people are generally following the instructions that they are given and not taking risks with their health. People generally know what is best for them when it comes to their health.

I will pass to my colleagues for the next question.

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