Abortion in Japan

Memorandums and information about abortion situations and problems in Japan

WHO publications on abortion

WHO | Health worker roles in providing safe abortion care and post-abortion contraception

Publication details

Number of pages81
Publication dateJuly 2015
LanguagesEnglish, French, Spanish
ISBN978 92 4 154926 4

 

WHO | Safe abortion: technical and policy guidance for health systems

Second edition

Authors:
World Health Organization, Department of Reproductive Health and Research

Publication details

Number of pages132
Publication date2012
LanguagesEnglish, French, Japenese, Portuguese, Russian, Spanish, Ukrainian 
ISBN978 92 4 154843 4

 

WHO | Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008

Sixth edition

 

Authors:
Department of Reproductive Health and Research, World Health Organization

Publication details

Number of pages56
Publication date2011
LanguagesEnglish
ISBN978 92 4 150111 8

 

WHO | Facts on induced abortion worldwide

Fact sheet

Publication details

Number of pages
Publication dateJanuary 2012
LanguagesEnglish
WHO reference numberPublished by Guttmacher and World Health Organization

 

Other WHO Publications on abortion

 

 

Authors:
Guttmacher Institute, World Health Organization

 


Work in the area of prevention of unsafe abortion is done exclusively within the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP).

Links: articles about Gender discrimination for university entrance exams in Japan

*It's a tip of the iceberg!

 

Tokyo Medical University’s Gender Discrimination: Japan’s Shame - FNN.jpプライムオンライン

 

Let's discuss the Tokyo Medical University exam-fixing scandal | The Japan Times

 

The Perception and Experience of Gender-Based Discrimination Related to Professional Advancement among Japanese Physicians

 

Tokyo Medical University scandal is a throwback to when discrimination against women was the norm | The Japan Times

 

Anger — but not surprise — after Japanese university admits to changing test scores to keep women out | CBC News

 

Japanese Medical School Accused of Rigging Admissions to Keep Women Out - The New York Times

many more...

 

In addition,

The Perception and Experience of Gender-Based Discrimination Related to Professional Advancement among Japanese Physicians

Japanese government virtually legalized abortion in the 1940s just after the WWII

*Japanese women not allowed to use contraceptive pills until 1999

Almost all of the Western nations allowed birth control pills first, and then abortion.   However, in Japan thieir order was opposite: abortion first, and birth control pills a half century later.

 

Why such an odd situation happened in Japan?

 

See "Abortion before Birth Control" written by an American author, Tiana Norgren, which was translated into Japanese, too. 

press.princeton.edu

 

Related articles found at JSTOR;

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JOURNAL ARTICLE

Abortion before Birth Control: The Interest Group Politics Behind Postwar Japanese Reproduction Policy

Tiana Norgren
The Journal of Japanese Studies
Vol. 24, No. 1 (Winter, 1998), pp. 59-94
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Abstract from JSTOR:
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Abstract

Why is Japanese abortion policy liberal, whereas contraception policy is conservative? The government legalized late-term abortions in 1948 but has not yet approved oral contraception (the pill). This paper argues that the contradictory policies are products of very different interest group configurations and historical circumstances. Doctors and family planners used a small window of opportunity to legalize abortion; afterward, doctors and women battled religious groups to uphold the law. The pill first appeared at a historically inauspicious time, and the pharmaceutical industry was its lone champion: until recently, doctors, midwives, family planners, and women opposed the pill as a threat to their livelihoods, abortion rights, and women's health.
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United Nations, Department of Economic and Social Affairs, Population Division

*Looking at Japan from "World Abortion Policies"

Wall chart: access here

Excel file data: access here and click "Data Table (Excel)".

According to this chart, Japanese women are not allowed to have abortion on request, due to mental health problems nor fetal abnormalities.  However, most abortions can be obtained under the economical hardship clause, and the true cause is not usually asked by the doctor in concern.  

 

http://www.un.org/en/development/desa/population/publications/pdf/policy/WorldAbortionPolicies2013/WorldAbortionPolicies2013_WallChart.pdf

 

D&C is rampant in Japan

*Abortion techniques used

According to Sekiguchi et al. (2015), "Safety of induced abortions at less than 12 weeks of pregnancy in Japan", International Journal of Gynecology and Obstetrics 129:54-57, more than 80 % of the abortions before 12 weeks of pregnancy (LMP) in Japan are done using D&C w/wo vacum aspiration.

f:id:okumi:20190118180223p:plain

Source: Sekiguchi et al., 2015

This study asked the number of induced abortions performed before 12 weeks of pregnancy between January 1 and December 31, 2012, methods used, complications, and routine management approaches before and during the procedure.

 

Another study which asked the method used for abortion in Japan is the research that Prof. Kinefuchi, Dr. Mizuno and Dr. Tsukahara conducted in 2010.   A questionnaire was sent to Japanese "regignated" (abortion) doctors all over the nation to ask what kind of early abortion methods they use etc.  

 

The survey found out that more than 80 % of the abortions before 12 weeks in Japan are done using D&C w/wo vacum aspiration.  The findings were announced at the annual conference of Japan Society of Maternal Health on September 30, 2011 using three posters.  Main part of them are cited on my blog.  http://f.hatena.ne.jp/okumi/20111012115647

 

Japanese doctors typically use prostaglandin (gemeprost pessary) for abortion >12 weeks.

 

Just recently, MVA kit was affirmed by the Ministry of Health, Labor and Welfare, and a small number of Japanese abortion doctors began to use Manual suction method.

 

D&E is probably used in case of emergency.


 

 

Basic information of abortion in Japan

*Official Statistics of abortion in Japan

 

Numbers of legally induced abortions (recent 5 years)

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Year*     Legally induced abortions

2012      196,639

2013      186,253

2014      181,905

2015      176,388

2016      168,015

2017      164,621

* Japanese Fiscal Year begins on April 1 and ends on March 31 of the next year.

 

source: Eisei-Gyosei-Hokokurei(Hygiene Administration Report Examples), on https://www.e-stat.go.jp/

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