Countries Abortion Profile

Lithuania

1. Law related to Abortion

In Lithuania not exists the law related to abortion.

Brief history of the law:

The abortions are regulated by the Order of the Minister of the MOH since 1994m. A lot of efforts to have a separate low related to Reproductive health and the Abortion (as a part of it) till today are not fruitful.


Short summary of conditions within the law:
To save the life of the woman – yes
To preserve physical health - yes
To preserve mental health - more or less
Rape or incest - yes
Foetal impairment - yes
Economic or social reasons - yes
Available on request - yes

Analysis of it being restrictive if at all

The issue of abortion or continuation of pregnancy is solved by the woman. To intercept pregnancy, each woman can apply to the in-patient medical facility and make abortion.

2. Policy

Recently the project of the law “Protection of the human being before birth” is in discussion phase. Due to this law the pregnancy interruption can became forbidden at all.
In the recent years more and more difficulties appear in field of induced abortion, including strengths to prohibit the abortions at all and refusal of providers to perform the abortions in religious/ethical reasons. The influence of catholic church as pro-natalists is very strong.

3. Second Trimester Abortion

Indication for the induced abortion is decided in accordance with the list of medical prescriptions, approved by the MOH, in the ambulatory-clinical or in-patient facilities by the commission procedure, consisted of a gynecologist/ obstetrician, the health professional, to whom the given disease of a pregnant woman refers, and the head of the gynecological and obstetrician department of the given medical facility.
In the conditions of the  in-patient gynecological/obstetrician facility and in case of available medical indication, an appropriate record is fixed in the given sphere, the doctor in charge and  head of the medical facility.
 
The final solution of the induced abortion based on the medical indication (only!!) shall be agreed upon with the pregnant woman.
If there is a medical indication for abortion because of pregnancy, threatening the woman’s life, and that indication does mentioned in the given list, the issue has to be solved by the Commission with the engagement of required professionals.

4. Practice

The induced abortion is performed by the professional gynecologist at the in-patient department of the hospital.

5. Reproductive Health Perspective

Signatory to ICPD, CEDAW:   - yes

 

6. Abortion Statistics

Total                                 - 14 667,        
Self-induced                   -  9 596
Safe                                 ~ 100%
Unsafe                
Per 1000 (15 - 49 y.o.)   - 10.9   (self-induced)
Per 100  live births         - 32.7   (self-induced)
Since 1993 quantity of self-induced abortions reduced 4.4 times

7. Public sector

Both stated-owned and private facilities have the right to provide abortions, guided by  the Government’s decision in the same conditions; the price is ~60 US Dollars (in private clinics – up to 350 USD).

 

8. Private sector

Both stated-owned and private facilities have the right to provide abortions, guided by  the Government’s decision in the same conditions; the price is ~60 US Dollars (in private clinics – up to 350 USD)

 

9. Methods used

D&C, EVA
 
2nd Trimester D&E, Hysterotomy

10. Provider level allowed for surgical and medical abortion

Ob Gyn only

11. Abortion related morbidity mortality statistics

There has not been registered any mortal case in the recent years related to the induced abortion.

12. Manufacture and/or availability through import of abortion equipment (MVA syringes, EVA equipment).

Mostly foreign devices are purchased.

 

13. Manufacture/ import of Mifepristone, Misoprostol

Not available.

 

14. Facility and provider certification norms in brief

Must be licensed by MoH authorities.

 

15. Information available in national service delivery standards

At present within the frameworks of cooperation with WHO standards are being worked out regarding abortions and interception of pregnancy.

 

16. Informal / illegal providers – if present who are they

Not present.

 

17. Population urban/ rural: Demography of the country, with an analysis of availability of abortion services ratio to population

Demography is in bad condition: we have more deaths than births.

 

Mortality is 13.2/1000  
the natural growth  is (– 4,0/1000) 
the birthrate is 1,3, which even cannot  provide for the simple reproduction
No significant differences between urban/rural populations.
Total abortions per 1000 (15-49 y.o.) - 16.6
Total abortions per 100 live births     -  50

18. Role of government

If the law “Protection of the human being before birth” will be accepted – the abortions would be prohibited.

Recently the role is supportive, enabling, creating barriers, provides adequate funding to run training and service delivery programs.

The Government’s approaches to abortions are based on the rights of the human reproduction, and the woman herself decides the issues of her pregnancy and abortion.

19. Role of religion/ religious leaders

Church strictly against abortion at all, medical abortion particularly, contraception and sexual education.

20. Local Ob Gyn societies

Supportive, conscientious objectors.
There are pro-choice and anti-choice groups of doctors.
Some work is being done in propagandizing contraceptives and aimed at reducing the number of abortions.

21. Current status and potential of research

Very few…

 

22. Awareness amongst community members

More or less…

 

23. Role of member organization/ individual