Q.N. Jones- you are more than welcome to click on the links in my post for a cite. The RCOG, by the way, is the Royal College of Obstetricians and Gynaecologists. They carry out audits of abortion provision in the UK and produce guidelines for good practice in all areas of women’s health. The statistics aren’t pulled out of thin air.
Mal- yes, there are women who are advised not to use hormonal birth control who would be in real danger if they were to continue a pregnancy. Not always, but yes, it definitely occurs, and I have seen it in my own practice.
Women at high risk of clots who are advised not to use the combined contraceptive pill would be in very real danger of dying from a clot during pregnancy or childbirth and an early termination would lower that risk in comparison.
Women with certain cancers who are advised not to use hormonal contraception are at real risk of aggressive reoccurrence of the cancer, and at risk of death from delay in treatment if they continue a pregnancy to term.
Women who have had serious psychiatric illness triggered by pregnancy, such as puerperal psychosis, are at risk of further episodes if on hormonal contraception, and could put their own life and the lives of their children in real danger if they continue a pregnancy. Think Andrea Yates.
Women with Eisenmenger’s syndrome as a consequence of congenital heart disease, while not specifically unable to use hormonal contraception, face a 50% mortality rate if they continue a pregnancy beyond the first trimester.
Personally (and I know this is anectdotal), I saw a patient when I was a medical student in Dublin who was advised by her psychiatrist, neurologist, obstetrician and GP that if she continued a second pregnancy she could lose her eyesight, the use of her legs and her sanity because of issues that had arisen during her first pregnancy. She was also advised not to use hormonal contraception, and guess what, non-hormonal methods failed.
She was even told by her partner and social services that they was so scared of the consequences of a further episode of puerperal psychosis that he would be given sole custody of the first child and the second baby as soon as it was born.
Nevertheless, because her pregnancy did not threaten her life (merely her health, her family unity and her sanity) under Irish law at the time she had to travel to the UK to obtain a legal termination.
The authorities abandoned this particular woman. Her distress, not at the termination (which she accepted was necessary), but at being made to feel like a criminal for wanting to save her own health, has shaped my views about abortion, and I’m not ashamed to admit that.