ABORTION ETHICS - WOMENS POST ABORTION ASSESSMENTS

Background. Induced abortion is often discussed in terms of ethics. The aim of the present report is to describe the abortion ethics as it was expressed by women undergoing a legal abortion. Objective. Moral considerations expressed during semistructured interviews by 128 women two weeks after a first trimester abortion in Stockholm 1987-90 are reported. Result. The women had faced a choice between abortion and parenthood. At the time of the abortion many of them were living under conditions that meant they were unable to offer a child the security they regarded as a child's right. The conflict the women spontaneously described as their main moral dilemma was not a conflict between the woman and the fetus, but a conflict between several close relationships, also concerning the prospective father. The ethics that the women applied to the problems of abortion was founded on a long-term responsibility to care for persons in their relationships. Conclusion. The women interviewed had three levels of moral reasoning simultaneously present. 1. A theoretical level - most of all concerning other women - a liberal view of rights: abortion should be a freely obtainable option. 2. A theoretical level - above all, concerning themselves - a restrictive deontological view: the extinction of life is morally wrong and should be avoided. 3. A practical level - when the problem was a reality: a consequentialist ethics of care. According to this ethics of care it was important that the abortion could be performed as early as possible during pregnancy.