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Change abortion law to save women’s lives

There is a misconception that only poor women from rural areas suffer from consequences of unsafe abortion. I am the living testimony of women from urban areas who suffer from the aftermath of backstreet abortions.

Despite living in Lilongwe, I suffered consequences of unsafe abortion.

It happened six years ago when I was breastfeeding my first child. Few months after delivery, I began using contraceptives.

When my baby was just seven months old, I was shocked to learn from a clinician that I was pregnant again.

“Impossible! It can’t be. How can I get pregnant when I am using contraceptives,” I argued.

“Contraceptives sometimes fail. You are pregnant because of contraceptive failure,” he said.

When I discussed the issue with my husband, we agreed to terminate the unplanned pregnancy.

Sadly for us, the clinician we consulted at a health facility refused to offer us the service.

“I do not want to jailed for inducing an abortion. What you are asking me is illegal,” said the clinician.

“If we were in Zambia or South Africa, I would have given you just four tablets and you could have a very safe abortion but here, in Malawi, it is illegal to do so,” the clinician said.

After failing to convince him to assist us, my husband said we had to visit a herbalist.

From the health facility, we headed straight to the herbalist who gave me a herbal concoction to drink. Few hours after drinking it, I started bleeding.

Bleeding accompanied by pain never stopped. Three days passed. The situation worsened and my husband decided to take me to the hospital.

He simply told the doctor that I had a miscarriage after accidentally slipping on the door steps.

It was while admitted to the hospital I realised that abortion was a huge problem. Almost a third of women who were admitted in the gynaecological ward had abortion complications. At the hospital everyone called it miscarriage complication.

Stories of fellow women who had undergone dangerous procedures at herbalists made me realise that restrictive laws do not prevent abortions. When a woman decides to terminate unwanted pregnancy nothing can stop her.

Malawi needs to liberalise its abortion laws because the only difference is that if hospitals can offer the services women will not be suffering from complications. If we stick to the current laws that criminalise abortion, women will continue flocking to herbalists, only to come back to the hospital with complications of unsafe abortions.

During my time in the ward I noticed that women with unsafe abortions complications were actually from all religions. We were all there – the Catholics, Presbyterians, Muslims, Pentecostals and Evangelicals – seeking post-abortal treatment.

The more I reflected on the issue of abortions as I waited for surgery, the more it dawned on me that restricting women’s access to safe and legal abortion only results in more injuries and deaths of women.

I challenge anyone who doubts about the magnitude of unsafe abortions in Malawi to walk into any gynaecological ward of our hospitals and find out how many women seek post-abortal care. The problem is real.

The shocking news paralysed me when my turn to have an operation came. The doctor told me that my womb was rotten because of the concoction I drank and the only solution was to have it removed.

I wept as I thought that I would never have another child again once my uterus removed. But I had no choice.

I hear that the Law Commission has come up with abortion law review recommendations. My message is simple. Let the new liberal abortion law be enacted.

It is incomplete to be talking about safe motherhood and maternal health without tackling unsafe abortion which is an elephant in the room in as far as issues of sexual and reproductive health are concerned. It is impossible to completely address maternal deaths in Malawi without addressing unsafe abortions challenge.

Let’s walk in the footsteps of Mozambique, Zambia, and South Africa which changed their abortion laws so that women can enjoy comprehensive sexual and reproductive health.

What is really wrong with us, Malawians that we can cling to archaic laws framed in 1800s?

Mozambique which was at war for over two decades has managed to quickly change their abortion laws while we are still debating the issue. Why are we still clinging to laws which are only succeeding in sending women to their early graves?

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