CLACAI – Good Practice Guide for Abortion Care from 20 Weeks of Pregnancy

This document was developed within the framework of Los Tiempos del aborto (Times of abortion), an initiative of the Latin American Consortium Against Unsafe Abortion (Clacai).

About the document

Recognizing the diverse circumstances that lead people to require abortion care after 20 weeks, the Times of Abortion initiative by CLACAI has developed the Good Practice Guide for Abortion Care from 20 Weeks of Pregnancy. This document brings together experiences, evidence, and research from professionals across various disciplines and who operate in contexts where organizational conditions of the health system, legal frameworks, sociocultural factors, professional training, and community engagement vary.

Although relatively infrequent, abortions beyond 20 weeks of pregnancy do occur and require an enabling environment to be carried out with the necessary quality and care for all involved – both the person undergoing the procedure and the healthcare professionals providing the service.

We hope this guide may systematize quality of care practices in the provision of abortion services from 20 weeks of pregnancy in different countries of the world, in order to counter stigmatizing, technically inadequate, or abusive practices.

Access the Full Guide

The Guide is published in Spanish, Portuguese, and English, and executive summaries are available in Spanish, English, Portuguese, and French.

To access the entire document collection, go to: Los tiempos del aborto – Clacai.

Watch the Recording

On March 18, more than 200 participants from around the world joined the global launch webinar of the Good Practice Guide for the Care of Induced Abortion from 20 Weeks of Pregnancy.

The recording of the webinar is available on YouTube with original audio and simultaneous translation into French, Spanish, English, and Portuguese.

The session was moderated by Helena Paro, coordinator of the Abortion Times initiative of CLACAI, and featured contributions from Jean-Claude Mulunda, Program Director at Ipas RDC and Burundi; Daniel Grossman, Director of ANSIRH at the University of California; Claudia Iriarte, psychologist, feminist, and abortion companion in Argentina; Joanna Erdman, Professor of Law and Health Policy at Dalhousie University in Canada; and Mathew Reeves, Executive Director of the DuPont Clinic in Washington, D.C. Each of them reflected on the importance of the guide for their regions and areas of expertise. The event also provided an opportunity to exchange ideas with the authoring team, which includes Guillermo Ortiz, Helena Paro, Sonia Ariza, Agustina Ramón Michel, Mariana Romero, Natalia Acevedo, Damián Levy, and Ruth Zurbriggen.