Termination of pregnancy
Termination of pregnancy
The Health (Regulation of Termination of Pregnancy) Act 2018 was signed into Irish law on 21st December 2018.
There are several different circumstances under which termination of pregnancy can be legally performed:
- Section 12 allows termination of pregnancy to be carried out by medical practitioners up to 12 weeks’ gestation, once a minimum of three days has elapsed from the date of certification. The majority of terminations occur under this section of the legislation (98.6% in 2021).
- Section 11 allows termination of pregnancy to be carried out in the setting of a fetal condition likely to lead to death in utero or within 28 days of birth
- Sections 9 and 10 allow termination of pregnancy to be carried out in the setting of a risk to life or a risk of serious harm to the health of the pregnant person.
Termination of pregnancy can be medical or surgical, and can occur in primary (medical only) and secondary care settings. Complications can arise, though major complications are rare. Experiencing a crisis pregnancy can have significant psychosocial effects, and these can be exacerbated by experiencing further complications. A diagnosis of major fetal anomaly in pregnancy is usually unexpected, and causes grief and distress, which can be exacerbated by inadequate care and support.
Our research in this area
- Complications of termination of pregnancy
- Early pregnancy termination of pregnancy
- Review of services / service evaluation
- Staff knowledge and training
- Termination of pregnancy for fetal anomaly
Key publications
Category | Category | Keywords | Year | Title | Abstract | Actions |
---|---|---|---|---|---|---|
Journal Article |
Journal Article | Early pregnancy / Early pregnancy loss, Ectopic pregnancy, First-trimester miscarriage, Miscarriage, Molar pregnancy / Gestational Trophoblastic Disease, Pregnancy loss, Second-trimester miscarriage, Termination of pregnancy | 2024 |
Statutory leave for early pregnancy loss: A comparative study |
Our study identified two main approaches to leave introduced for pregnancy loss before viability: sick leave model and compassionate leave model. What works in individual jurisdictions will depend-among other factors-on the way in which leave more broadly is addressed. | More details Read publication |
Report |
Report | Early pregnancy / Early pregnancy loss, Ectopic pregnancy,Experience, Fatal fetal anomaly, First-trimester miscarriage, Molar pregnancy / Gestational Trophoblastic Disease, Second-trimester miscarriage, Termination of pregnancy | 2024 |
PLACES | Pregnancy Loss (under 24 weeks) in Workplaces: Informing policymakers on support mechanisms |
A report submitted to the Department of Children, Equality, Disability, Integration and Youth (DCEDIY) in fulfilment of the requirements of the tender for the provision of a qualitative research study to examine the workplace experiences of people dealing with pregnancy loss. | More details Read publication |
Journal Article |
Journal Article | Fatal fetal anomaly, Fetal anomaly, Termination of pregnancy, Termination of pregnancy for fetal anomalies | 2023 |
The outcome of trisomy 18 pregnancies following the legalisation of termination of pregnancy |
Our study of Trisomy 18 in pregnancy found that earlier referral to fetal medicine services enabled decision-making around whether to terminate or continue pregnancy. The findings support universal access to first trimester prenatal aneuploidy screening and both care options. | More details Read publication |
Journal Article |
Journal Article | Audit / Service evaluation, Fetal anomaly, Termination of pregnancy, Termination of pregnancy for fetal anomalies | 2023 |
Fetal anomaly diagnosis and termination of pregnancy in Ireland; a service evaluation following implementation of abortion services in 2019 |
Our service evaluation of fetal medicine clinics in two tertiary maternity hospitals between 2019-2021 emphasises the impact of legislative barriers to abortion care–and the need for policies and services that support women's access to termination of pregnancy–for major fetal anomalies. | More details Read publication |
Journal Article |
Journal Article | Awareness / Knowledge, Termination of pregnancy | 2022 |
Healthcare professionals and students’ knowledge on termination of pregnancy legislation and clinical practice: a systematic review |
There is a widespread lack of knowledge of Termination of Pregnancy (TOP) legislation and clinical practice from healthcare students and staff, internationally. TOP training and education are still needed to ensure adequate care and high-quality TOP services. | More details Read publication |
Journal Article |
Journal Article | Termination of pregnancy | 2021 |
Termination of pregnancy services: a year in review in a tertiary maternity hospital |
Audit of 1st year of TOP in a large maternity hospital shows variation in time between mife and misoprostol administration and inconsistent management of pregnancy tissue. Clear protocols and staff education vital to ensure high-quality service and welfare of staff and women. | More details Read publication |
Journal Article |
Journal Article | Termination of pregnancy | 2021 |
Termination of pregnancy: Staff knowledge and training |
Study shows low levels of Termination of Pregnancy (TOP) knowledge in maternity staff. Training is required to ensure the provision of a safe and effective TOP service. Findings indicate that updated and clearer clinical guidance on TOP services is also needed. | More details Read publication |
Journal Article |
Journal Article | Awareness / Knowledge, Fatal fetal anomaly, Perinatal palliative care, Termination of pregnancy | 2023 |
Critical discourse analysis on the influence of media commentary on fatal fetal anomaly in Ireland |
There are significant misrepresentations in the information being delivered to the public on fatal fetal anomalies. Healthcare professionals need to analyse information available to the public and engage in media literacy and to develop these skills in their patients. | More details Read publication |
Journal Article |
Journal Article | Experience, Fatal fetal anomaly, Staff support, Termination of pregnancy | 2021 |
Fetal medicine specialist experiences of providing a new service of termination of pregnancy for fatal fetal anomaly: a qualitative study |
The implementation of termination services for fatal fetal anomaly is complex, challenging and requires institutional support. | More details Read publication |
Journal Article |
Journal Article | Fatal fetal anomaly, Perinatal mortality | 2020 |
The incidence of fatal fetal anomalies associated with perinatal mortality in Ireland |
Only 42% of perinatal deaths could be classified as a fatal fetal anomaly in accordance with the Health (Regulation of Termination of Pregnancy) Bill 2018 highlighting the complexity of these cases/multiorgan system anomalies. | More details Read publication |
Journal Article |
Journal Article | Awareness / Knowledge, Fatal fetal anomaly, Termination of pregnancy, Termination of pregnancy for fetal anomalies | 2019 |
Critical discourse analysis of the joint committee meetings on the eighth amendment of the constitution of Ireland |
The framing of the discourse throughout the meetings of the Joint Committee on the Eighth Amendment of the Constitution likely influenced members’ knowledge, perception, and understanding of key issues, consequently impacting the development of the legislation introduced in 2019. | More details Read publication |
Journal Article |
Journal Article | Awareness / Knowledge, Fatal fetal anomaly, Termination of pregnancy, Termination of pregnancy for fetal anomalies | 2019 |
An assessment of UCC students’ knowledge of fatal fetal anomaly and termination of pregnancy for fetal abnormality |
Our study highlights a gap in university student knowledge around fatal fetal anomaly (FFA) and termination of pregnancy for fetal abnormality (TOPFA). More readily available, and accurate, public health and college education campaigns are needed. | More details Read publication |
Journal Article |
Journal Article | Awareness / Knowledge, Fatal fetal anomaly, Termination of pregnancy | 2018 |
An assessment of the general public's knowledge of fatal fetal anomalies |
There is a lack of accurate knowledge on fatal fetal anomaly, its classification, diagnosis, survival, and supports available following a diagnosis of fatal fetal anomaly among the general public. This highlights the need for improved health information about fatal fetal anomaly. | More details Read publication |
Our people
- Professor Keelin O’Donoghue
- Dr Sophie Boyd
- Dr Barbara Burke
- Dr Deirdre Hayes Ryan
- Dr Peter Jackson
- Dr Sara Leitao
- Dr Hadas Miremberg
- Orla O’Connell
- Dr Stacey Power Walsh