While the issue of abortion continues to be a hot-button topic in the US, in Central American countries, there are plenty of tragic examples of what happens when women are denied reproductive freedoms. El Salvador, which also has a total abortion ban, even in the case of saving a mother’s life, provides another painful reminder of the fallout from denying women the right to determine their own body’s fate:
Doctors recommend that Beatriz, a 22-year-old Salvadoran woman with Lupus, terminate her 19-week pregnancy due to the associated risks of morbidity or mortality. Her doctors are worried that because Lupus has damaged her kidneys and caused other health issues, she is at high risk of preeclampsia, pregnancy related hypertension, and other life-threatening complications. Also, her fetus has a lethal anomaly that, aside from any of Beatriz’s health issues, will result in its eventual demise, either in utero or immediately after its delivery. […]
In 1998, El Salvador completed a series of reforms, which included changing the constitution, resulting in an absolute ban against abortion. As reported by the New York Times Magazine in 2006, the ban is so restrictive that doctors cannot remove ectopic pregnancies (when a fertilized egg stays is implanted in the fallopian tube instead of the uterus), which have no chance of survival and put the mother’s health at risk.
Of course, Salvadoran politicians have not covered themselves with glory in the matter, as both the Ministry of Health and the Supreme Court have refused to address Beatriz’s case. And of course, the “total ban” is anything but. As is the case elsewhere, abolishing abortion does not eliminate the practice, but instead merely makes it safer for some women over others.
To be clear – this is an issue that affects poor women. Salvadorans who need to terminate a pregnancy and have money can go to private doctors and have an abortion without the risk of being arrested. They also have access to information and contraception that is not readily available in public schools or health clinics.
Poor women who can’t pay for a private doctor and have to rely on state facilities do not have any options available to them, other than trying to terminate their pregnancy at home.
This is not just the case in El Salvador. In countries throughout Latin America where access to abortion is legally restricted, the wealthier still manage to get safe, healthy, under-the-table access to abortion through personal connections, while the poor are denied safe treatment. El Salvador’s laws are some of the most restrictive in the hemisphere, but even banning reproductive freedoms for women on a more limited basis doesn’t get rid of the practice; it simply further denies some sense of equality to those who are already socioeconomically disadvantaged.