A. B. and C. v. Ireland
Encyclopedia
A, B and C v Ireland [2010] ECHR 2032 is a landmark case of the European Court of Human Rights
European Court of Human Rights
The European Court of Human Rights in Strasbourg is a supra-national court established by the European Convention on Human Rights and hears complaints that a contracting state has violated the human rights enshrined in the Convention and its protocols. Complaints can be brought by individuals or...

 on the right to privacy under article 8 ECHR
Article 8 ECHR
Article 8 of the European Convention on Human Rights provides a right to respect for one's "private and family life, his home and his correspondence", subject to certain restrictions that are "in accordance with law" and "necessary in a democratic society"....

. It held there is no right for women to an abortion, although it found that Ireland had violated the Convention by failing to provide an accessible and effective procedure by which a woman can have established whether she qualifies for a legal abortion under current Irish law.

Facts

Three anonymous women, recorded in the case as "A, B and C" travelled to the United Kingdom to have abortions, because they were unlawful in the Republic of Ireland.

A, thinking her partner was infertile, had fallen pregnant unintentionally. She was unmarried, unemployed, living in poverty, with an alcohol addiction and had four children, all in foster care and one disabled. At risk of post-natal depression and feeling a fifth child would risk her progress in becoming sober, she borrowed €650 from a money lender at a high interest rate to pay for travel and a private clinic in the UK, arriving secretly in the UK without telling her family or social workers or missing a contact visit with her children. On the returning train from Dublin she began bleeding profusely, was taken to hospital for a dilation
Dilation
Dilation refers to an enlargement or expansion in bulk or extent, the opposite of contraction. It derives from the Latin dilatare, "to spread wide".In physiology:* Pupillary dilation, dilation of the pupil of the eye...

 and curettage
Curettage
Curettage, in medical procedures, is the use of a curette to remove tissue by scraping or scooping.Curettages are also a declining method of abortion. It has been replaced by vacuum aspiration over the last decade....

 and suffered pain, nausea and bleeding for weeks thereafter but did not seek further medical advice. After the claim being made to the ECHR, she became pregnant again and gave birth to a fifth child, while struggling with depression. However she regained custody of two of her children.

B fell pregnant after her "morning after pill" failed. Two different doctors advised there was a risk of an ectopic pregnancy
Ectopic pregnancy
An ectopic pregnancy, or eccysis , is a complication of pregnancy in which the embryo implants outside the uterine cavity. With rare exceptions, ectopic pregnancies are not viable. Furthermore, they are dangerous for the parent, since internal haemorrhage is a life threatening complication...

, although she had found it was not. She borrowed a friend's credit card to book flights to the UK. To ensure her family would not find out, she listed nobody as her next of kin once in the UK and travelled alone. The clinic in the UK advised her to tell the Irish doctors she had had a miscarriage
Miscarriage
Miscarriage or spontaneous abortion is the spontaneous end of a pregnancy at a stage where the embryo or fetus is incapable of surviving independently, generally defined in humans at prior to 20 weeks of gestation...

. Two weeks after returning from Ireland she began to start passing blood clots, and sought follow up care in a clinic in Dublin related to the English clinic, rather than attending an ordinary doctor because of her uncertainty of abortion's legality in Ireland.

C had been undergoing chemotherapy
Chemotherapy
Chemotherapy is the treatment of cancer with an antineoplastic drug or with a combination of such drugs into a standardized treatment regimen....

 for cancer for 3 years. She had wanted children, but advice from doctor's indicated that a foetus could be harmed during any ongoing chemotherapy. The cancer went into remission and she unintentionally became pregnant. While consulting her general practitioner on the impact of the pregnancy on her health and life and tests for cancer on the foetus, she alleged that she received insufficient information due to the chilling effect of the Irish legal framework. She researched the issues on the internet alone. Because she was unsure about the risks, she decided to go to the UK for an abortion. She could not find a clinic for a medical abortion, since she was a non-resident and the need for a follow up, so she needed to wait a further 8 weeks for a surgical abortion. The abortion was incompletely performed. She suffered prolonged bleeding and infection, and alleged the doctors provided inadequate medical care, and her general practitioner failed to refer to the fact after subsequent visits that she was no longer visibly pregnant.

The Irish Constitution section 40.3.3 provides that "the State acknowledges the right to life of the unborn and, with due regard to the equal right to life of the mother, guarantees in its laws to respect, and, as far as practicable, by its laws to defend and vindicate that right." Ireland's laws state abortion is only allowed where continuation of pregnancy would put a woman's life (not merely health or other interests) at risk. A, B and C argued the restrictions violated their right to not be subject to degrading and humiliating treatment under article 3, their right to respect for their private lives under article, a right to an effective national remedy for these rights under article 13 and equal treatment in relation to Convention rights under article 14. C further alleged her right to life, given the danger resulting from prohibiting abortions, was violated under article 2. The Irish government chose to defend the case, its Attorney General Paul Gallagher
Paul Gallagher (barrister)
Paul Gallagher was Attorney General of Ireland from his appointment by President Mary McAleese in 2007 until 9 March 2011. He succeeded Rory Brady and was succeeded by Máire Whelan....

, pointing out that Ireland's laws had been endorsed in three referenda. He requested the dismissal of the case on the grounds that no domestic remedies had been sought by A, B or C and that there was no evidence that they interacted with verifiable legal or medical personnel or institutions in Ireland. The women were supported by a host of charities, while various anti-abortion campaigners intervened to support Ireland.

Judgment

The Court held that "Article 8 cannot... be interpreted as conferring a right to abortion". It nevertheless considered that Ireland had violated article 8 of the European Convention on Human Rights with regard to the third applicant, C. because it was uncertain and unclear whether she could have access to abortion in a situation where she believed that her pregnancy was life threatening. Rather than information being unavailable, the problem was that there was nowhere C could go to secure a legally authoritative determination of what her rights were in her situation. In this regard it noted the "significant chilling" effect of Irish legislation. All other complaints were dismissed. All of A, B and C's arguments that article 3 (right against inhuman and degrading treatment) as well as C's additional argument that article 2 (right to life) were violated were dismissed as "manifestly ill founded". The claims of A and B on the basis of article 8 were dismissed, because although it recognised the "serious impact of the impugned restriction on the first and second applicants" and that there was consensus 'amongst a substantial majority of the Contracting States' regarding the legality of abortion, the Court did "not consider that this consensus decisively narrows the broad margin of appreciation of the State." Thus Ireland had a broad margin of appreciation to maintain its existing laws where they were sufficiently clear. The Court did not consider it necessary to examine the applicants’ complaints separately under Article 14 of the Convention.

Significance

Contrary to the hopes or fears of various campaign groups that the case might become a pan-European clone of the US Supreme Court's landmark ruling in the case Roe v Wade, the European Court of Human Rights emphasised there is no straightforward right to an abortion under the Convention, and that member states have a broad margin of appreciation to prohibit abortion. However, given the violation of applicant C's right to privacy, the result is that Ireland may have to further clarify whether and under which circumstances an abortion may be performed to save the life of a pregnant woman.

See also

  • European Convention on Human Rights
    European Convention on Human Rights
    The Convention for the Protection of Human Rights and Fundamental Freedoms is an international treaty to protect human rights and fundamental freedoms in Europe. Drafted in 1950 by the then newly formed Council of Europe, the convention entered into force on 3 September 1953...

  • Article 8, ECHR
  • Roe v Wade

External links

Documents

Commentaries
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