Bağımsız Güncel Son Dakika Haber Sitesi

In Spain, Abortions Are Legal, but Many Doctors Refuse to Perform Them

ZARAGOZA, Spain — Dr. Mercedes Sobreviela, a gynecologist in this city in northeast Spain, believes it is a woman’s choice whether she has an …

In Spain, Abortions Are Legal, but Many Doctors Refuse to Perform Them

ZARAGOZA, Spain — Dr. Mercedes Sobreviela, a gynecologist in this city in northeast Spain, believes it is a woman’s choice whether she has an abortion. She says the “right decision” for a woman is “always the one she wants.”

But as a physician in Spain, Dr. Sobreviela believes she has the right to choose as well, and she has chosen not to perform abortions.

Her public hospital, University Clinic Hospital of Zaragoza, does not perform them either. In fact, no public hospital in the surrounding region of Aragón, which includes 1.3 million people, will do the procedure.

“We are doctors, our calling is as physicians, and we are here to help people live, not to decide this one lives and this one dies,” Dr. Sobreviela said.

Spain liberalized its abortion laws in 2010. In the years before, it allowed women to get abortions in only extraordinary circumstances, but the new laws allow all women to get the procedure in the first 14 weeks of a pregnancy, without restrictions.

But the map of where abortions are available is drawn up less by national law than by Spain’s doctors. In large numbers and across the country, doctors refuse to perform them.

The situation in Spain offers a window into what may await other countries at a time when sharply different measures in Texas and Mexico have revived the debate on abortion access. Conservative lawmakers in Texas have all but banned abortion in the state, while across the border, the Supreme Court in Mexico this month ruled to decriminalize abortions there.

“We are doctors, our calling is as physicians, and we are here to help people live, not to decide this one lives and this one dies,” Dr. Mercedes Sobreviela said.Credit…Ana María Arévalo Gosen for The New York Times

The uncertainty in Mexico is whether doctors will provide the service — a question that has already been answered by many doctors in Spain.

They call themselves “conscientious objectors,” a term coined by pacifists who refused military service. And like those who claimed a moral duty not to go to war, many doctors in Spain say performing abortions would violate their oath to do no harm — a pledge, they say, that extends to the fetus.

“It’s one thing if you think abortion is right or wrong; each person will have their own criteria,” says Dr. María Jesús Barco, another gynecologist from Zaragoza who is an objector. “It’s another thing if I have to do it. That’s different.”

Conscientious objection has gained ground in other countries, like Italy, where it was cited by doctors working in hospitals that largely do not perform abortions. And in Argentina, it has limited attempts to liberalize an abortion law passed there last year.

In five of the 17 autonomous regions in Spain — the equivalent of states — no public hospital offers abortions, according to the most recent government statistics. Women may still receive an abortion in a subsidized private clinic, but in many cases, they must travel across state lines to obtain one.

That was what Erika Espinosa, 34, had to do in 2015 when her gynecologist in the city of Logroño would not perform an abortion after she asked for one.

“The doctors try to convince you that you don’t love your child for wanting an abortion,” said Ms. Espinosa, who went to the neighboring Navarra region to end her pregnancy. “It felt like I was doing something clandestine.”

The pharmacist Eva María Martín said it was the doctors’ duty to oppose any law that pushes them to take actions they see as unjust.Credit…Ana María Arévalo Gosen for The New York Times

No official statistics exist on how many objecting doctors work in Spain. But the country’s left-wing coalition government is concerned enough that in July, Irene Montero, the minister of equality, proposed changing the current abortion law to place limits on the ability of doctors to become objectors.

“Conscientious objection can’t be incompatible with the rights of women, nor can it be an obstacle to them exercising their right to voluntarily terminate a pregnancy,” the minister said in a written statement.

Such words have been met with sharp criticism from sectors of the Spanish medical community.

Eva María Martín, a pharmacist who heads the National Association for the Defense of Conscientious Objectors, a group that defends objecting doctors, called the proposals unfair and accused the government of “radical feminism.”

“It’s part of a careless gender ideology that puts the freedom of women first, and leaves those of men in the gutter,” she said.

Ms. Martín said it was the doctors’ duty to oppose any law that pushes them to take actions they see as unjust.

“When there is a grave conflict between your conscience and the law, morally, in your interior, you must reject it,” she said, adding that she had nine children as evidence of her anti-abortion views.

Some doctors have pushed to offer abortions at public hospitals. But they say it has rarely proved easy, not only because of objecting physicians, but also because doctors are rarely trained in the procedures during medical school.

When Dr. Abel Renuncio arrived at the Santiago Apóstol Hospital, a facility in the rural town of Miranda de Ebro, his team decided, for the first time, to offer abortions. Because the members of his team had not been trained to do them, they taught themselves using World Health Organization protocols.

“The technique is quite simple,” said Dr. Renuncio, a gynecologist. “We had no previous experience, but with willingness, it can be done.”

Dr. Abel Renuncio giving a patient information about contraceptive methods in his office in Burgos, Spain.Credit…Ana María Arévalo Gosen for The New York Times

Yet a willingness to expand abortion options may be the exception.

Silvia De Zordo, an Italian researcher with the Europe Abortion Access Project, which studies barriers to abortion, said many older physicians who defend abortion rights developed their views after witnessing the consequences of clandestine procedures and then participating in the legalization debate. But many of those doctors have since retired.

“The new generations didn’t have this experience or memory at all,” she said.

Among the provinces where abortions are no longer performed is Jaén, an olive-growing region in Spain’s southern Andalucía.

Juana Peragón, a feminist activist there, said that for a time, one clinic did offer them, though it was not subsidized by the state and charged women roughly $400 for the procedure.

But that clinic has been closed for remodeling for years, Ms. Peragón said. Many women are now sent as far as Seville to get an abortion, about 150 miles away.

“We can see a concrete test of the distance between what the law says and how it’s applied,” Ms. Peragón said, saying a broad part of Spain is socially conservative and remains at odds with the law. “It’s impossible to get an abortion in Jaén.”

Juana Peragón, a feminist activist in Jaén, center, posing with members of Jaén’s feminist movement.Credit…Ana María Arévalo Gosen for The New York Times

Spanish physicians like Dr. Sobreviela, the objector in Zaragoza, said the debate was not as clear-cut as some activists had framed it.

The abortion law passed in 2010 was in some ways ahead of where Spanish society was at the time, she said, and it caught many physicians off guard.

Dr. Sobreviela said she remembered attending a hospitalwide meeting in Zaragoza to discuss the new law, and doctors and others were asked to raise their hands if they objected. “Ninety-nine percent of us were conscientious objectors,” she said. “Nearly everyone: the doctors, the nursing staff, the assistants, the guards.”

In her daily work, Dr. Sobreviela continues to focus on prenatal care, doing diagnostics on pregnant women to screen for signs of birth defects like Down syndrome or for heart problems that can be detected in fetuses.

At times, she said, most often when the defects may be fatal, a mother will ask her about abortion. Dr. Sobreviela said those could be very difficult conversations.

But she also offers warnings to those who choose to end their pregnancies. Under Spanish law, she said, doctors can explain possible “psychological and social” consequences of terminating a pregnancy.

The day before, a patient came to her after her fetus was diagnosed with heart problems, Dr. Sobreviela said.

“She was in distress, and I was with her afterward, and she asked: ‘This will happen soon, right? I want this problem to go away,’” Dr. Sobreviela recalled, saying the woman was going ahead with an abortion.

“And I said: ‘They’re not going to get rid of your problem, they will just get rid of your pregnancy,” she said. “‘The problem comes when the pregnancy is gone and you have to sit with yourself, with your own conscience. Just you and your conscience.’”

Roser Toll Pifarré contributed reporting from Barcelona.

BU KONUYU SOSYAL MEDYA HESAPLARINDA PAYLAŞ
ZİYARETÇİ YORUMLARI

Henüz yorum yapılmamış. İlk yorumu aşağıdaki form aracılığıyla siz yapabilirsiniz.

BİR YORUM YAZ
bahçe dekorasyonu evde ek gelir eskişehir haber sondakika haberleri magazin haberleri seo sorgulama site analiz seo analiz google sıra bulucu backlink sorgulama sunucu tarama çekiliş çekiliş sitesi Who is html kod şifreleme seo hacklink hacklink satış hacklink panel wordpress ücretsiz tema wordpress free themes wordpress free tema wordpress themes wordpress hacklink al kilo verme wso shell php shell hacklink hacklink panel hızlı seo hacklink seo nedir wso shell instagram takipçi hilesi instagram takipçi hilesi
bahçe dekorasyonu evde ek gelir eskişehir haber sondakika haberleri magazin haberleri seo sorgulama site analiz seo analiz google sıra bulucu backlink sorgulama sunucu tarama çekiliş çekiliş sitesi Who is html kod şifreleme seo hacklink hacklink satış hacklink panel wordpress ücretsiz tema wordpress free themes wordpress free tema wordpress themes wordpress hacklink al kilo verme wso shell php shell hacklink hacklink panel hızlı seo hacklink seo nedir wso shell
hacklink satışbacklink satışsite analizseo analizseo araclarıbacklinkcialis jelcialis fiyatlifta 20 mgviagra satın alviagra 100 mg fiyatviagra siparişcialis 5 mg fiyatsertleştirici haplarlifta hapkayganlaştırıcıbayan azdırıcıpenis büyütücülergeciktiricilerereksiyon haplarıpenis sertleştirici haplarpenis büyütme ürünlerisertleştirici ereksiyon haplarısancaktepe escorteskisehir escortalpu escortizmir escortankara escortmersin escorteskişehir escortgaziantep escortsakarya escortkayseri escortantalya escortistanbul escortbursa escortadana escortadıyamanescortafyon escortağrı escortaksaray escortartvin escortaydın escortamasya escortardahan escortbalıkesir escortbartın escortbatman escortbayburt escortbilecik escortbingöl escortbitlis escortbolu escortburdur escortçanakkale escortçankırı escortçorum escortdenizli escortdiyarbakır escortdüzce escortedirne escortelazığ escorterzincan escorterzurum escortgiresun escortgümüşhane escorthatay escortığdır escortısparta escortmaraş escortkarabük escortkars escortkastamonu escortkilis escortkırıkkale escortkırklareli escortkırşehir escortkocaeli escortkonya escortkütahya escortmalatya escortmanisa escortmardin escortmuğla escortmuş escortnevşehir escortniğde escortordu escortosmaniye escortrize escortsamsun escorturfa escortsiirt escortuşak escortsinop escortşırnak escortsivas escorttekirdağ escorttokat escorttrabzon escorttunceli escortvan escortyozgat escortyalova escortzonguldak escortkıbrıs escortpendik escortesenyurt escortzeytinburnu escortküçükçekmece escortbeşiktaş escorttuzla escortbeykoz escortfatih escortsancaktepe escortarnavutköy escortbağcılar escortümraniye escortbeyoğlu escortüsküdar escortesenler escortmecidiyeköy escortsarıyer escortetiler escortlevent escortbebek escortgaziosmanpaşa escortkartal escortbaşakşehir escortşişli escorthalkalı escortbahçelievler escortortaköy escorteyüp escortbahçeşehir escortkağıthane escorttaksim escortçekmeköy escortbayrampaşa escortbeylikdüzü escortkadıköy escortataşehir escortbakırköy escortataköy escortnişantaşı escortkozyatağı escortavcılar escortbüyükçekmece escortkurtköy escortiçerenköy escortbostancı escortşirinevler escorterenköy escortadana escortadıyaman escortafyon escortağrı escortaksaray escortamasya escortankara escortantalya escortardahan escortartvin escortaydın escortbalıkesir escortbartın escortbatman escortbayburt escortbilecik escortbingöl escortbitlis escortbolu escortburdur escortbursa escortçanakkale escortçankırı escortçorum escortdenizli escortdiyarbakir escortdüzce escortedirne escortelazığ escorterzincan escorterzurum escorteskişehir escortantep escortgiresun escortgümüşhane escorthakkari escorthatay escortığdır escortistanbul escortizmir escortkarabük escortkaraman escortkars escortkastamonu escortkütahya escortkayseri escortkıbrıs escortkilis escortkırıkkale escortkırklareli escortkırşehir escortkocaeli escortkonya escortmalatya escortmanisa escortmaraş escortmardin escortmersin escortmuğla escortmuş escortnevşehir escortniğde escortordu escortosmaniye escortrize escortsakarya escortsamsun escortsiirt escortsinop escortçorlu escortçerkezköy escortsivas escortmanisa escortizmir escorthatay escorterzurum escortbalikesir escorturfa escorttrabzon escorttekirdag escortsamsun escortsakarya escortordu escortmugla escortmersin escortmardin escortmaras escortmalatya escortkonya escortkocaeli escortkayseri escorteskisehir escortdiyarbakir escortdenizli escortbursa escortaydin escortantep escortankara escortadana escortkuvvet macunusertleştirici macunyapay kızlık zarısertleştirici ilaçlarserleşme haplarısertleştirici ereksiyon ilaçlarıereksiyon haplarıvajina daraltıcı kremeczane ereksiyon ilaçlarıpenis sertleştiricihacklinkwordpress ücretsiz temahacklink seowso shellwso shellwso shellhtml code encryptionhtml kod şifrelemeinstagram takipçi hilesiçekiliş sitesiserver scansunucu taramasite speed testsite hız testiseo newsgoogle newssite analysisseo analysisbacklink saleshacklink panelwordpress themeswordpress free temaWordpress Free Themeshtml kod şifrelemeWho isbacklink alsunucu taramapubg hile alTanıtım Yazısıseoseo sorgulaseo sorgulamaBest Gaming Monitorswireless earbudsshapermint bra reviewsBest Dog Crateraycon reviewsbest stethoscopeinstagram beğeni hilesiinstagram unfollowinstagram takipci satın alinstagram Followers Freeinsagram Free Followerssmm panelsmm panelinstagram takipci hilesiinstagram Followersinstagram free likesinstagram takipci hilesiinstagram takipci hilesiinstagram takipci hilesiinstagram takipci hilesibomonti escortgültepe escortbursa escortnisantasi escorttaksim escortkurtkoy escort bayanpendik escort bayantatto girlsoyun indirmakale programımeme küçültmeinstagram takipçi hilesibacklink albacklink satıştempobet1xbetrotabetjojobetsekabetbetisttempobet1xbetmobilbahisperabetmarsbahissuperbetincratosslotpaykwikastropaytempobetbetbooelexbetsultanbetbaymavicasinomaxirestbetsafirbetsafirbettempobetbetebet canlikadın newskadına özelworld newssex hikayeizmir escortmersin escortataşehir escortataşehir escortbeşiktaş escortesenler escortesenyurt escortfatih escortkadıköy escortkartal escortmaltepe escortpendik escortsarıyer escortpendik escortmaltepe escortkartal escortkadıköy escorttaksim escortsilivri escortşişli escortbağcılar escortbursa escortantalya escortankara escortadana escortgaziantep escortseo analysisistanbul escortviagra satın alviagra fiyatıdegrawso shellpendik escortc99 shelladana escortcanlı bahisadana eskortnevşehir escortbedava bonus veren bahis siteleribedava bonusdeneme bonusu30 tl bonus veren bahis sitelerihoşgeldin bonususex hikayeleriTürkçe Bahis Şirketlericanlı bahiskaçak iddaabahisbahis sitelerihoşgeldin bonusu veren bahis siteleriporno hikayeleristanbul escortc99 shellr57 shellbypass shellwebroot shellpendik escortvigrandedegra 100 mgorcafilcialis nedircialis 20 mg eczane fiyatıcialis fiyatcialis 20 mgcialis 100 mgviagra fiyatliftalifta 5 mghardciscialis eczanecialis 5 mg fiyatıcialis 100 mg fiyatcialis 5 mgviagra fiyatlarıviagra satışonline eczane viagraviagra eczanecialis 20 mgcialis 100 mgcialis hapcialis 20cialis eczanecialis satışcialis fiyatlarıcialis fiyatıviagra fiyatviagra fiyatlarıviagra eczaneviagra satın alpfizer viagra satışonline eczane viagrapfizer viagra satın alviagra siparişviagra sipariş hattıviagra fiyat 2021online viagra siparişviagra fiyat 2021 eczaneviagra fiyat eczaneankara escortAnkara escort kızlarEscort ankaraankara escort bayanSincan escortSincan escort bayanEryaman escortEscort eryamanEscort sincanEtlik escortEtlik escort bayanKızılay escortantalya escortantalya escort bayanantalya escort bayanantalya escortankara escort bayanKeçiören escort bayanEscort ankaraKızılay escort bayanEryaman escort bayanEscort antalyaÇankaya escortEscort antalyaKeçiören EscortÇankaya escort bayanankara escortAnkara rus escortkartal escortcialis 5 mgkamagra satın alkamagrakamagra jelkamagra jel siparişkamagra siparişkamagra fiyatkamagra jel fiyatıkamagra fiyatıkamagra 100mgkamagra 100mg fiyatsüper kamagrakamagra nedirpendik escortkurtkoy escorttuzla escortkayseri escortmozrankGamelooplogsuz shell indirlitespeed bypass shellindoxploit shellphp shellgoogle sıra buluculitespeed bypass shellbacklink sorgulamaeryaman escortistanbul bayan escorthacklink satışbacklink satışhacklink panelhacklinkbingöl escorteskişehir escortkırklareli escortçekmeköy escortsultangazi escortbodrum escortkuşadası escortc99 shellc99 shelllifta 20 mgliftalifta 20lifta 20 mg nedirlifta nedirhacklink seokarşıyaka escortbuca escortalsancak escortkonak escortkuşadası escortbeylikdüzü escortbornova escortçeşme escortgöztepe escortçankaya escortankara escortankara escort bayanescort ankaraescort ankaraankara escort bayanankara escortankara escortankara escort bayanescort ankaraphp encodebase64 encodecialis fiyatcialis fiyatlarıcialis 20 mgcialiscialis 100 mgcialis 5 mgcialis satışviagra fiyatıPendik EscortTuzla EscortKartal EscortKurtkoy EscortMalatya EscortEryaman EscortÇankaya Escortkayseri escortadana escortamasya escortbartın escortbatman escortadıyaman escortbayburt escortartvin escortantalya escortaydın escortbalıkesir escortağrı escortafyon escortbilecik escortbingöl escortburdur escortbolu escortbursa escortçanakkale escortçorum escortdüzce escortedirne escortçankırı escortdiyarbakır escortdenizli escortelazığ escortgiresun escorthatay escortkaraman escortısparta escortmaraş escortkars escortkastamonu escortgümüşhane escorteskişehir escortkarabük escorterzincan escorterzurum escortkayseri escortkütahya escortkırıkkale escortkırklareli escortmardin escortkonya escortmuğla escortkocaeli escortmanisa escortmersin escortkırşehir escortmalatya escortmuş escortosmaniye escortnevşehir escortniğde escortsamsun escortordu escortrize escorturfa escortsakarya escortsinop escorttekirdağ escortyalova escortzonguldak escortyozgat escortsivas escorttunceli escorttrabzon escortuşak escorttokat escortvan escortşırnak escortsivas escortuşak escorttunceli escortkıbrıs escortkıbrıs escorttekirdağ escortyozgat escorttokat escortzonguldak escorttrabzon escortvan escortyalova escortantalya escortankara escortizleANKARA ESCORTviagra fiyatinstagram followers freeEreksiyon Haplarıorcafil 5 mgflynta 5 mglifta 5 mgflynta 20 mglifta 20 mgdegra fiyatdegra 100 mgsildegra 100 mgsildegrasinegravigrandevigrande 100 mgcombo 100 mgvigaroojeligrasisli escortankara escorteskişehir escortizmir escortantalya escorthurma escortkonyaaltı escortlara escortANKARA ESCORTankara escortANKARA BAYAN ESCORTistanbul escort