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Defining ‘Abortion’

A call for clarity

Bibliographic Data

ID21702362
AuthorsNicholas Colgrove (0000-0003-0506-353X, Augusta University, corresponding author)
Year2025
Volume46
Issue2
Pages137-175
Publication date2025-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMetamedicine (JOURNAL)
Journal identifiersISSN: 0166-2031 • E-ISSN: 1573-1200
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11017-025-09706-5
PMID40120033
OpenAlexW4408743976
LanguageEN
Citations received2
References cited31

In Dobbs v. Jackson , the Supreme Court found that ‘the Constitution does not confer a right to abortion.’ Rather, individual states must determine whether a right to abortion exists. Following Dobbs , state abortion laws have diverged significantly. This has generated confusion over what the law permits. Consequently, some pregnant women reportedly have not received timely treatment for life-threatening conditions. Clear guidance on abortion policy is essential, therefore, since continued confusion risks lives. Sweeping calls to improve patient access to abortion will not provide clear guidance, however, since ‘abortion’ is defined differently across jurisdictions. In fact, there are six variables to consider when defining ‘abortion’: (1) the definition of ‘pregnancy,’ (2) whether prescribing abortifacients counts as an abortion, (3) whether abortion successfully terminates pregnancy, (4) whether abortion has some characteristic intention, (5) whether providers must know that they likely will harm fetuses, and (6) whether providers must know that their patients are pregnant. States address each variable differently, so ‘abortion’ means different things across jurisdictions. One may respond that legislators are solely to blame for confusion here, since medical experts, by contrast, possesses a clear definition of ‘abortion.’ Not so. ‘Abortion’ is defined inconsistently throughout the medical literature too. As such, both legal and medical domains would benefit from careful discussions of ‘abortion.’ Attending to the six variables identified here is a good starting place. In this essay, I suggest how best to think about each and propose a definition of ‘abortion’ well-suited for developing clear abortion policy in a polarized society

Abortion · Abortion law · Alternative medicine · Blame · Confusion · Family medicine · Family planning · Harm · Medical abortion · Misoprostol · Philosophy of medicine · Political science · Population · Pregnancy · Psychiatry · Supreme court · Homicide, Infanticide, and Child Abuse · Law · Medicine · Psychology · Reproductive Health and Contraception · Reproductive Health and Technologies

  • Correspondence on “defining ‘abortion’”

    Open Access•Nicholas Colgrove•Metamedicine•2026

  • Clarifying the definition of ‘abortion’ in law and clinical practice

    Open Access•Johnny Sakr•Metamedicine•2026

  • Defending Life

    Open Access•Francis J Beckwith•Defending Life•2007

  • The Rights of Women

    Erika Bachiochi•The Rights of Women•2021

  • Dobbs v Jackson Women’s Health Organization

    Lilo Martini•Zeitschrift für kritik - recht -…•2022

  • Abortion policies at the bedside

    Alicia E Hersey, Jai-Me Potter-Rutledge et al.•Journal of Medical Ethics•2024

  • Does overruling Roe discriminate against women (of colour)

    Joona Räsänen, Claire Gothreau et al.•Journal of Medical Ethics•2022

  • Procreative loss without pregnancy loss

    Hannah Carpenter, Omar Bouazza Ariño et al.•Journal of Medical Ethics•2024

  • Dueling Definitions of Abortifacient

    Open Access•Claire Horner, Lisa Campo-Engelstein et al.•The Hastings Center Report•2020

  • The American Journal of Public Health

    Alfred Yankauer•American Journal of Public Health•1979

Unique citing works2
Citations per year2
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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