Comprehensive Abortion Care: A Joint Call to Action from FIGO and ICM
Across healthcare systems worldwide, comprehensive abortion care continues to define both the strength of clinical practice and the depth of commitment to human rights. In their joint statement, the International Federation of Gynecology and Obstetrics (FIGO) and the International Confederation of Midwives (ICM) bring into focus a reality that healthcare professionals encounter daily: abortion care is not an isolated intervention, but part of a broader continuum that reflects quality, equity, and respect in medicine. The statement, available here: https://www.figo.org/resources/figo-statements/figo-icm-joint-statement-comprehensive-abortion-care, emphasizes that millions of unintended pregnancies occur every year, and while abortion is a common outcome, the conditions under which it is accessed remain deeply unequal, with unsafe procedures still contributing significantly to preventable maternal morbidity and mortality.
Within this landscape, obstetricians, gynecologists, and midwives are not merely service providers but central actors in shaping patient experiences and outcomes. Their role extends beyond the technical provision of care into counselling, ethical decision-making, and the protection of patient autonomy. Comprehensive abortion care, as described by FIGO and ICM, includes pre-abortion counselling grounded in evidence and free of coercion, the provision of both medical and procedural abortion methods, and the often-overlooked but critical dimension of post-abortion care, including the management of complications and access to effective contraception. These elements together form a continuum that must be accessible, timely, and respectful.
Yet the ability to provide such care is not guaranteed. The statement highlights persistent gaps in medical education, where abortion care is frequently marginalized or treated as a purely theoretical subject. As a result, many healthcare professionals enter practice without the competencies required to deliver safe and high-quality services. FIGO and ICM call for a shift that integrates abortion care into undergraduate and postgraduate training, ensuring that future providers are equipped not only with clinical skills but also with the ethical and communication capacities necessary for patient-centred care.
At the same time, the broader system in which care is delivered continues to present barriers that disproportionately affect adolescents, marginalized populations, and those in low-resource or humanitarian settings. The joint statement frames access to comprehensive abortion care as both a public health imperative and a matter of human rights, insisting that services must be accessible, affordable, non-discriminatory, and free from stigma. Integration with other sexual and reproductive health services, including contraception, maternal health, and sexual health education, is presented not simply as an efficiency measure but as a pathway toward continuity and dignity in care.
In this context, the responsibility of healthcare professionals extends beyond individual patient interactions. It includes advocacy, education, and the normalization of abortion as essential healthcare. The FIGO–ICM joint statement ultimately presents comprehensive abortion care not as a contested issue, but as a fundamental component of modern medicine that demands both technical excellence and unwavering commitment to patient rights.