1. SAM ROWLANDS DORSET HEALTHCARE BOURNEMOUTH UNIVERSITY WWW.SAMROWLANDS.NET ‘How can a state control swallowing?’: medical abortion and the law 23 March 2016

2. Congratulations! 23 March 2016 Medical accuracy Law in action Power in joint working Although remit was strictly UK and Ireland, is there a place for comparative law/global perspective?

3. Restrictive v liberalised laws in Europe Restrictive 1Andorra, Ireland, Malta, San Marino 2Isle of Man, Liechtenstein, Monaco, Northern Ireland, Poland Liberalised 3Cyprus, Finland, Guernsey, Iceland, Jersey, GB 4Albania, Austria, Belgium, Bosnia-Herzegovina, Bulgaria, Croatia, Czech Rep, Denmark, Estonia, France, Germany, Greece, Hungary, Italy, Kosovo, Latvia, Lithuania, Luxembourg, Macedonia, Moldova, Montenegro, Netherlands, Norway, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland 23 March 2016 www.fiapac.org/static/media/uploads/abortion_laws_around_the_world_sam_rowlands_rev_2015.pdf

4. Premises in Europe 23 March 2016 37 European jurisdictions with liberalised laws Overall trend in revision of laws to not specifying type of premises In Cyprus, although hospital still specified, law not enforced GB and Isle of Man are the only jurisdictions where premises are restricted de facto

5. Need for two signatures: first trimester abortions on ‘socioeconomic’ grounds 23 March 2016 37 European jurisdictions with liberalised laws Overall trend to omitting reference to two signatures where this was originally specified or making it only necessary for ‘medical’ grounds Still specified in Cyprus, GB, Guernsey and Isle of Man

6. Misoprostol at home - world view 23 March 2016 Apart from Supperstone, there is a New Zealand ruling about where pills are administered On 10 April 2003, Mr Justice Durie determined that both sets of pills must be administered on licensed premises ? No other rulings

7. Countries with MLPs in their statutes 23 March 2016 South Africa  Choice on Termination of Pregnancy Act 1996  Nurse and midwives (to 12 weeks only) Cambodia  Royal Kram 1997  Midwives Nepal  Country Code 2002  ‘Providers certified in safe abortion care’  In practice nurses and auxiliary nurse midwives (Samandari 2012)

8. Advanced Practice Clinicians in 13 US states 23 March 2016 Nurse practitioners, certified nurse-midwives and physician assistants can carry out abortions According to statute or rulings from state Department of Health, Attorney General’s office or state Nursing Board (Joffe & Yanow 2004) California, Colorado, Connecticut, DC, Illinois, Montana, New Hampshire, New York, Oregon, Rhode Island, Vermont, Washington and West Virginia (Guttmacher 2016)

9. Guyana 23 March 2016 Madam Justice George’s interpretation of the Termination of Pregnancy Act 1995 Court Order of 15 January 2016 Nurses, midwives and pharmacists can provide abortions (up to 8 weeks, medical abortion only) Doctors need to be notified

10. Task sharing 23 March 2016 Health worker roles in providing safe abortion care and post-abortion Contraception. WHO 2015

11. Women’s role in managing EMA (WHO 2015) 23 March 2016

12. Please join BSACP 23 March 2016 British Society of Abortion Care Providers www.bsacp.org.uk Inaugural meeting was 29 October 2015 Open to academics and students