Termination-of-Pregnancy Rights and Foetal Interests in Continued Existence in South Africa: The Choice on Termination of Pregnancy Act 92 of 1996

Authors

  • Camilla Pickles University of Pretoria

DOI:

https://doi.org/10.17159/1727-3781/2012/v15i5a2530

Keywords:

Choice on Termination of Pregnancy Act, female autonomy, foetal interests, value of dignity, second-trimester termination of pregnancy

Abstract

The aim of this article is to demonstrate that, although South Africa has permissive termination-of-pregnancy legislation, to the extent that women can terminate first- and second-trimester pregnancies on demand and for socio-economic reasons, foetal interests are in fact taken into account. The system of female reproductive rights progressively shelters foetal interests, albeit to a limited extent. South Africa is in the process of successfully balancing the conflicting notions of female reproductive rights and foetal interests. The article discusses the "right to terminate a pregnancy" with reference to the Constitution, the Choice on Termination of Pregnancy Act 92 of 1996 and relevant case law.

 

On the topic of foetal interests, the article looks at the Choice on Termination of Pregnancy Act as legislative recognition of foetal interests since a woman's right to terminate her pregnancy is progressively limited as the pregnancy advances beyond the second trimester. The value of dignity justifies the recognition of foetal interests. Further, accepting that the Choice on Termination of Pregnancy Act limitedly protects foetal interests based on the value of dignity, the article questions why South Africa permits elective second trimester termination of pregnancies? Research indicates a need for second trimester terminations and the article discusses the position of a number of women seeking second trimester terminations.

 

The article draws to an end by looking at the case of S v Mshumpa as an example of the balancing process that is needed when dealing with female reproductive rights and foetal interests. This article demonstrates the constitutional setting of women's termination-of-pregnancy rights on the one hand, and foetal interests on the other. Further, it illustrates that these conflicting positions, rather than being deepened, are in fact balanced by legislation and relevant case law.

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References

Bibliography

Birenbaum 1996 SAJHR

Birenbaum J "Contextualising Choice: Abortion, Equality and the Right to Make Decisions" 1996 SAJHR 485-503

Bishop and Woolman "Freedom and Security of the Person"

Bishop M and Woolman S "Freedom and Security of the Person" in Woolman S et al (eds) Constitutional Law of South Africa (Juta Cape Town Revised Service 3 2011) 40-1-40-97

Boezaart (ed) Child Law

Boezaart T (ed) Child Law in South Africa (Juta Cape Town 2009)

Cohen and Sayeed 2011 JL Med and Ethics

Cohen G and Sayeed S "Fetal Pain, Abortion, Viability and the Constitution" 2011 JL Med and Ethics 235-242

Dworkin Life's Dominion

Dworkin R Life's Dominion: An Argument about Abortion, Euthanasia, and Individual Freedom (Knopf New York 1993)

Ford "Nothing and Not Nothing"

Ford M "Nothing and Not Nothing: Laws Ambivalent Response to Transformation and Transgression at the Beginning of Life" in Smith SW and Deazley D (eds) The Legal, Medical and Cultural Regulation of the Body: Transformation and Transgression (Ashgate Surrey 2009) 21-45

Grossman et al 2011 BMC Health Serv Res

Grossman D et al "Surgical and Medical Second Trimester Abortion in South Africa: A Cross Sectional Study" 2011 BMC Health Serv Res 224-232

Harries et al 2007 Reproductive Health

Harries J et al "Delays in Seeking an Abortion until the Second Trimester: A Qualitative Study in South Africa" 2007 Reproductive Health 7-14

Harries et al 2009 BMC Public Health

Harries H et al "Health Care Providers' Attitudes towards Termination of Pregnancy: A Qualitative Study in South Africa" 2009 BMC Public Health 296-306

Harries et al 2012 J Biosoc Sci

Harris J et al "The Challenges of Offering Public Second Trimester Abortion Services in South Africa: Health Care Providers' Perspectives" 2012 J Biosoc Sci 197-208

Kruuse 2009 THRHR

Kruuse HJ "'Fetal Rights?' The Need for a Unified Approach to the Fetus in the Context of Feticide" 2009 THRHR 126-136

Lee et al 2005 JAMA

Lee SJ et al "Fetal Pain: A Systematic Multidisciplinary Review of the Evidence" 2005 JAMA 947-954

McQuoid-Mason "Privacy"

McQuoid-Mason D "Privacy" in Stuart Woolman et al (eds) Constitutional Law of South Africa (Juta Cape Town Revised Service 3 2011) 38-1-38-43

Meredith Policing Pregnancy

Meredith S Policing Pregnancy: The Law and Ethics of Obstetric Conflict (Ashgate Aldershot 2005)

Meyerson 1999 SALJ

Meyerson D "Abortion: The Constitutional Issues" 1999 SALJ 50-59

Morroni and Moodley 2006 SAJOG

Morroni C and Moodley J "Characteristics of Women Booking for First and Second Trimester Abortions at Public Sector Clinics in Cape Town" 2006 SAJOG 81-82

Myburgh Humanity and the Protection of the Unborn

Myburgh G Humanity and the Protection of the Unborn: A Jurisprudential Rationale for the Furtherance of the Anthropological Paradigm of International Law (LLM-dissertation UFS 2008)

Naudé 1999 SAJHR

Naude T "The Value of Life: A Note on Christian Lawyers Association of SA v Minister of Health" 1999 SAJHR 541-562

Ngwena 2004 JL Med and Ethics

Ngwena C "An Appraisal of Abortion Laws in Southern Africa from a Reproductive Health Rights Perspective" 2004 JL Med and Ethics 708-717

O'Sullivan "Reproductive Rights"

O'Sullivan M "Reproductive Rights" in Woolman S et al (eds) Constitutional Law of South Africa (Juta Cape Town Revised Service 3 2011) 37-1-37-28

Pickles 2011 THRHR

Pickles C "The Introduction of a Statutory Crime to Address Third-Party Foetal Violence" 2011 THRHR 546-566

Pillay 2011 Stell LR

Pillay R "The Beginning of Human Personhood: Is South African Law Outdated?" 2011 Stell LR 230-238

SAIRR South Africa Survey

South African Institute of Race Relations South Africa Survey 1996/1997 (SAIRR Johannesburg 1996)

Sarkin-Hughes 1993 THRHR

Sarkin-Hughes J "A Perspective on Abortion Legislation in South Africa's Bill of Rights Era" 1993 THRHR 83-94

Van Oosten 1999 SALJ

Van Oosten F "The Choice on Termination of Pregnancy Act: Some Comments" 1999 SALJ 60-76

WHO Unsafe Abortion

World Health Organisation Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008 (WHO Geneva 2008)

Woolman "Dignity"

Woolman S "Dignity" in Woolman S et al (eds) Constitutional Law of South Africa (Juta Cape Town Revised Service 3 2011) 31-1-36-75

Register of cases

Bernstein v Bester 1996 2 SA 751 (CC)

Brownfield v Daniel Freeman Marina Hospital Cal App 3d 405 (1989)

Christian Lawyers Association of SA v Minister of Health 1998 4 SA 1113 (T)

Christian Lawyers Association v Minister of Health 2005 1 SA 509 (T)

Dawood v Minister of Home Affairs; Shalabi v Minister of Home Affairs; Thomas v Minister of Home Affairs 2000 3 SA 936 (CC)

Minister of Home Affairs v Fourie; Lesbian and Gay Equality Project v Minister of Home Affairs 2006 1 SA 524 (CC)

National Coalition for Gay and Lesbian Equality v Minister of Justice 1999 1 SA 6 (CC)

Planned Parenthood of Southern Pennsylvania v Casey 505 US 833 (1992)

Roe v Wade 410 US 113 (1975)

S v Makwanyane 1995 3 SA 391 (CC)

S v Mshumpa 2008 1 SACR 126 (E)

Soobramoney v Minister of Health 1998 1 SA 765 (CC)

Register of legislation

Choice on Termination of Pregnancy Act 92 of 1996

Constitution of the Republic of South Africa 1996

Abortion and Sterilisation Act 2 of 1975

Register of internet sources

Health Systems Trust Date Unknown indicators.hst.org.za

Health Systems Trust Date Unknown TOPs by Gestational Age indicators.hst.org.za/healthstats/88/data/gedo [date of use 16 Nov 2011]

Human Rights Watch 2011 www.hrw.org

Human Rights Watch 2011 "Stop Making Excuses": Accountability for Maternal Health Care in South Africa www.hrw.org/reports/2011/08/08/stop-making-excuses-0 [date of use 3 Nov 2011]

Ngwena 2012 www.chr.up.ac.za

Ngwena C 2012 Using Human Rights to Combat Unsafe Abortion: What Needs to be Done? www.chr.up.ac.za/africlaw/charles_ngwenya.pdf [date of use 22 Jul 2012]

SAPS 2011 www.saps.gov.za

SAPS 2011 Crime Report 2010/2011 www.saps.gov.za/statistics/reports/crimestats/2011/crime_situation_sa.pdf [date of use 3 Nov 2011]

Published

01-06-2017

Issue

Section

Articles

How to Cite

Pickles, C. (2017). Termination-of-Pregnancy Rights and Foetal Interests in Continued Existence in South Africa: The Choice on Termination of Pregnancy Act 92 of 1996. Potchefstroom Electronic Law Journal, 15(5), 402-434. https://doi.org/10.17159/1727-3781/2012/v15i5a2530

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