Abortion Accompaniment as Reproductive Justice: Rethinking Care on the Island of Ireland

Written by Anna Theresa Schmid

Photo by Diva Plavalaguna on Pexels

What image comes to mind when you hear the word “abortion”? Maybe it’s a woman staring at a positive pregnancy test, devastated. Or someone walking through protestors toward a clinic, face hidden from cameras. Maybe a sterile doctor’s office – fluorescent lights, silence. All of these images have a common thread: it’s a bleak situation, where the person at the centre is utterly alone.

Moving away from individualistic understandings of abortion

Particularly in Western societies, we tend to understand abortion as a private issue and rarely think about it as a shared experience. The dominant view of healthcare, and abortion in particular, is a deeply individualised one, focused on personal responsibility and medical authority. Across other parts of the world, though, and especially in Latin America, communal practices of abortion care have a long tradition, recently also becoming more present in research. For example, feminist groups in the region have shown how abortion accompaniment enables self-managed abortion in restrictive settings, transforming abortion care to be rooted in empathy and solidarity (Belfrage, 2024; Larrea & Veldhuis, 2025).

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