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Italy legalized abortion in 1981.

Russia legalized it in 1920
http://www.economist.com/countries/Italy/PrinterFriendly.cfm?Story_ID=3471736

Some history and facts

Russia Abortion
http://www.photius.com/countries/russia/society/russia_society_abortion.html
Sources: The Library of Congress Country Studies; CIA World Factbook
<< Back to Russia Society
http://www.photius.com/countries/russia/society/russia_society_abortion.html
With the exception of a few ethnic groups in the North Caucasus, birthrates for all nationalities in Russia have generally declined in the postwar period (see Ethnic Composition, ch. 4). Throughout the Soviet period, urbanization was rapid, and urban families generally had fewer children than rural ones. The urbanization process ended in 1992, when for the first time in the postwar period a smaller percentage of the Russian population lived in cities than the year before. By that time, however, substantial reasons existed for Russians to limit the size of their families. The population decline of the Russians has been especially pronounced in comparison with other ethnic groups. In many of the twenty-one republics, the titular nationalities have registered higher birthrates and larger average family sizes than the Russian populations.

The birthrate of Russians already was falling dramatically in the 1960s, moving from 23.2 per 1,000 population at the beginning of the decade to 14.1 in 1968. By 1983 the rate had recovered to 17.3 per 1,000, stimulated by a state program that provided incentives for larger families, including increased maternity benefits. Another decline in the birthrate began in 1987, and by 1993 the rate was only 9.4 per 1,000. According to the projections of the Center for Economic Analysis, after reaching its lowest point (8.0 per 1,000) in 1995, the birthrate will rise gradually to 9.7 per 1,000 in 2005.

In the turnaround year of 1992, the number of births in Russia dropped by 207,000 (13 percent) compared with 1991, and the number of deaths increased by 116,000 (7 percent). The fertility rate has dropped in both urban and rural areas. In the early 1990s, the lowest rates were in the northwest, especially St. Petersburg and in central European Russia. The disparity between birth and death rates was especially pronounced in the cities of Moscow and St. Petersburg and in the European oblasts of Pskov, Tula, Tver', Belgorod, Leningrad, Novgorod, Yaroslavl', Moscow, Tambov, and Ivanovo. In 1992 natural population growth occurred only in the republics of Kalmykia, Dagestan, Kabardino-Balkaria, Karachayevo-Cherkessia, North Ossetia, Chechnya, Ingushetia, Gorno-Altay, Sakha, and Tyva, and in Tyumen' and Chita oblasts of western and eastern Siberia, respectively. However, although fertility rates in the predominantly Muslim republics of the North Caucasus and the Volga region continued to exceed those of the Slavic population, by 1995 the rate was declining even in Dagestan, the republic with the highest birthrate in Russia.

For Russians the total fertility rate, which is the average number of children a woman of childbearing age will have at current birthrates, fell from 2.0 in 1989 to 1.4 in 1993. The State Committee for Statistics (Goskomstat) estimates that the rate will decline further to 1.0 by the year 2000. Roughly half as many children were born in 1993 as in 1987. In 1994 the population of Russia fell by 920,000.

The sharp decline in the fertility rate in the 1990s was linked to the social and economic troubles triggered by the rapid transition to a market economy and resulting unemployment. Families have been destabilized, and living standards for many have fallen from even the modest levels of the Soviet era (see The Family, ch. 5). Under such circumstances, decisions on marriage and childbearing often are postponed. Particularly in the cities, housing has been extremely hard to acquire, and the percentage of working wives has increased significantly in the post-Soviet era (see The Role of Women, ch. 5). The number of common-law marriages, which produce fewer children than traditional marriages, has increased since the 1960s, as has the percentage of babies born to unattached women.

History also has affected the absolute number of births. The birthrate during World War II was very low, accounting for part of the low birthrate of females in the 1960s, which in turn lowered the rate in the 1990s. Between 1989 and 1993, the number of women in the prime childbearing age-group decreased by 1.3 million, or 12 percent, making a major contribution to the 27 percent decline in births during that period. Between 1990 and 1994, the government's official estimate of the infant mortality rate rose from 17.4 per 1,000 live births to 19.9, reflecting deterioration of Russia's child care and nutrition standards. But Russia has not used international viability standards for newborns, and one Western estimate placed the 1995 rate at 26.3. Between 1992 and 1995, the official maternal mortality rate also rose from forty-seven to fifty-two deaths per 100,000 births.

Abortion
Fertility in Russia has been adversely affected by the common practice of using abortion as a primary means of birth control. In 1920 the Soviet Union was the first country to legalize abortion. Sixteen years later it was prohibited, except in certain circumstances, to compensate for the millions of lives lost in the collectivization of agriculture and the widespread famine that followed in the 1930s. The practice was fully legalized once again in 1968, and an entire industry evolved offering abortion services and encouraging women to use them. Although abortions became easily available for most women, an estimated 15 percent of the Soviet total were performed illegally in private facilities. Because of the persistent lack of contraceptive devices in both Soviet and independent Russia (and the social taboo on discussion of contraception and sex in general, which continued in the 1990s), for most women abortion remains the only reliable method of avoiding unwanted pregnancy (see Health Conditions; Sexual Attitudes, ch. 5). Russia continues to have the highest abortion rate in the world, as did the Soviet Union. In the mid-1990s, the Russian average was 225 terminated pregnancies per 100 births and ninety-eight abortions for every 1,000 women of childbearing age per year--a yearly average of 3.5 million. An estimated one-quarter of maternal fatalities result from abortion procedures.

Data as of July 1996

Italy legalized abortion (1981

http://www.economist.com/countries/Italy/PrinterFriendly.cfm?Story_ID=3471736

1920 - Lenin legalized all abortions in the Soviet Union.

1936 - Joseph Stalin reversed Lenin's legalization of abortion in the Soviet Union to increase population growth.

Table 3.3
Officially Registered Induced Abortion on Demand in the Russian Federation, by Types of Abortion, 1970-1992*
http://www.rand.org/publications/CF/CF124/CF124.chap3.html
1970 1980 1985 1990 1991 1992
Total abortions (thousands) 4,670 4,506 4,415 3,920 3,442 3,531**
Early (mini) abortions (thousands) n.a. n.a n.a. 952 829 914
Abortions per 1,000 women aged 15-49 134.9 127.8 115.7 108.8 100.3 98.1
Abortions per 1,000 women aged 15-49 (early) n.a n.a. n.a 26.5 23.6 25.4
Abortions per 100 births 200.5 192.9 184.2 195.3 199.4 224.62

SOURCE: Ministry of Health of the Russian Federation (MZRF), 1993
NOTES: * Departmental statistics not included.
** Some departmental statistics included.
n.a. = No data available

Since the 1970s, Russia's decline in fertility was primarily accomplished by a very high abortion rate. Moreover, induced abortion in Russia has been used not only for birth limitation, but also for birth spacing. The substitution of abortion with effective methods of contraception has yet to take place on a large scale, and induced abortion is still the primary method of family planning in Russia. In addition, because abortion services remain inadequate, clandestine abortions are performed at a very high rate.

The issue of induced abortion in Russia may be viewed not only as a national problem, but also as an extreme case relevant to world-wide population policy discourse. Russia can be used as a model of what happens when information, services, and contraception are unavailable or inadequate. A system of family planning services has yet to be created in Russia. It is one of the few economically developed countries where abortion still prevails over the use of contraceptives in family planning. The difference between Russia and all Western countries lies not only in this temporal lag, but also in the continuing and widespread underestimation of this as a social problem for Russia.

Nevertheless, we expect a deterioration in the situation[15] as a result of the problem of AIDS and great changes in sexual behavior (especially among the young), changing demographics, and increasing democratization in Russian society.

Basic Health Indicators: (information from WHO, 2002)

http://missinglink.ucsf.edu/lm/russia_guide/Russianhealth2.htm

Population: 144,082,000
GDP per capita: $8,486
Life expectancy at birth: 64.8 years - 58.4 (men); 72.1 (women)
Population growth 1992-2002: -0.3; fertility rate 1.2
An Abortion? What's the Big Deal?
By Anna Arutunyan The Moscow News
31.10.05
With Russia's abortion rate the highest in the world, is a lackadaisical attitude towards this phenomenon another attribute of the "enigmatic Russian soul?"
http://english.mn.ru/english/issue.php?2004-45-26
According to a compilation from the Demographic Yearbook of the European Council and an analogous Demographic Yearbook by the United Nations, Russia is the only nation in the world where abortions consistently outnumber live births by a ratio of about 2 to 1. In 1970, for example, there were only 1.9 million births and 4.8 million abortions.

Voluntary Surgical Sterilization in Post-Soviet Russia of the Early 1990s

Voluntary surgical contraceptive sterilization was legalized in the USSR in the early 1990s. Earlier such sterilization was strictly prohibited in the USSR pursuant to Stalin's prohibition of abortion.[10] During that time, numerous policies were introduced to curtail individual reproductive freedom and increase fertility. During the 60 years between the end of the 1930s and the early 1990s, this method of sterilization was not officially recognized and, as a result, was considered to be clandestine. Contraceptive sterilization could be obtained by payment ("under the table") or through an "acquaintance" only.

The prohibition of voluntary surgical contraceptive sterilization extended until 1990, when the Order of the Ministry of Health of the USSR No. 484, "On permission for surgical sterilization of women," was published.[11] However, judging by personal communications with practicing physicians in the larger cities of the former USSR, this method was very rarely used for contraception in the early 1990s.