BMJ 2025; 389 doi: https://doi.org/10.1136/bmj.r1243
16 June 2025
Jonathan Lord, Nicola Packer, Tonia Antoniazzi, Janet Barter, Lesley Regan
Decriminalisation needed to protect women from persecution
Abortion is still a criminal offence in England and Wales, with access to abortion permitted under specific circumstances defined in the Abortion Act 1967. One of us (Nicola Packer) was recently acquitted after standing trial in England having been accused of an illegal abortion.1 The high profile case has highlighted deficiencies in the current legal framework, underscoring the need for decriminalisation.2
Packer was the sixth woman to have appeared in court since December 2022 charged with ending her own pregnancy, although around 100 have endured the trauma of criminal investigation in the past five years.34 In November 2020 she took abortion medication (mifepristone and misoprostol), prescribed over the phone during covid-19 lockdown. The gestation limit for most abortions in England is up to 24 weeks of pregnancy, and 10 weeks for self-administered medical abortion at home. Packer delivered the fetus at home unaware that she had been beyond 10 weeks’ gestation, with the head circumference and an examination by an obstetrician suggesting it was 22-24 weeks.
Continued: https://www.bmj.com/content/389/bmj.r1243