Decree of the Ministry of Health of the Slovak Socialist Republic No. 72 / 1973 Coll.
Decree of the Ministry of Health of the Slovak Socialist Republic implementing Act No. 68 / 1957 Coll., on the artificial abortion of pregnancy
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Effective from 01.07.1973
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72
DECLARATION
Ministry of Health of the Slovak Socialist Republic
of 16 May 1973
implementing Act No. 68 / 1957 Coll., on artificial abortion
The Ministry of Health of the Slovak Socialist Republic, in agreement with the Ministry of Justice of the Slovak Socialist Republic pursuant to § 7 of Act No. 68 / 1957 Coll., on the artificially interrupted pregnancy and § 11 (3) of Act No. 20 / 1966 Coll., on the care of the health of the people, provides:
Preliminary provisions
In order to protect the health of women and to improve population development, it is necessary to carefully assess the health and other special considerations for the artificial cessation of pregnancy and to take responsible decisions on the authorisation of a woman in a socialist society.
Reasons for abortion
(1) The health grounds (indications) for abortion are set out in the Annex, which forms an integral part of this Decree.
(2) In particular, circumstances which may give rise to difficult conditions for the life of a woman or her children shall be considered as being of particular concern for the artificial interruption of pregnancy, in particular:
(a) age of a woman over 40,
(b) at least three living children;
(c) circumstances which suggest that pregnancy has been committed by rape or other criminal offence;
(d) a difficult situation arising from the pregnancy of an unmarried woman,
(e) the loss of the spouse or his severe medical condition;
(f) housing or financial distress seriously affecting the standard of living of the family, in particular minors;
(g) proven family disruption.
(3) For the reasons set out in points (e) to (g) of paragraph 2, artificial discontinuation of pregnancy may be permitted only exceptionally for married women without children or with one child.
(4) For the reasons set out in paragraph 2, abortion may not be authorised for foreign nationals who are not long-term in the Slovak Socialist Republic.
(1) Artificial termination of pregnancy may not be permitted if there are health reasons (contraindications) against artificial discontinuation of pregnancy:
(a) pregnancy over 12 weeks of age;
(b) acute or chronic illness, which substantially increases the risk of discontinuation of pregnancy,
(c) abortion carried out in the last 12 months.
(2) Artificial termination of pregnancy may also be permitted in contraindications if continued pregnancy would endanger the life of a woman.
(3) Women who, on the basis of a serological examination, have been shown or cannot be excluded to have had rubella in the first 12 weeks of pregnancy and could not have had this examination by the end of the 12th week of pregnancy may be permitted to stop pregnancy artificially until the end of the 16th week of pregnancy.
(4) Women who have or raise at least 4 children may be permitted to stop their pregnancy artificially even if their pregnancy has already been artificially interrupted in the last 12 months if at least 6 months have elapsed since its interruption.
(5) Artificial cessation of pregnancy for genetic reasons may be permitted even if pregnancy is 12 weeks or has been artificially interrupted during the last 12 months, but not later than the end of week 24 of pregnancy.
The overall health and social situation of the woman and her family and of women who have not yet given birth should be considered when assessing whether abortion is to be permitted, in particular the possible adverse effects on their health in view of the risk of infertility following the first interruption of pregnancy.
Interrugation Commission
(1) In order to decide on abortion, the District National Committees and the National Committees shall set up a Regional Interruption Commission (hereinafter referred to as "the Regional National Committees"). They may also set up multiple abortion commissions, as appropriate, for each hospital with a clinic.
(2) The Regional National Committees and the National Committee of the City of the Slovak Socialist Republic of Bratislava (hereinafter the "Regional National Committees") are set up in order to decide on appeals against decisions of the District Interruptions Committees.
(3) The District and Regional Interruptions Commission is the Administrative Commission under Section 57 of the National Committees Act. 1)
(1) County and regional abortion commissions are three members.
(2) The Regional National Committees are elected to each Regional Interrugation Commission
(a) a President from among the members of the National Committee, usually from the members of the Health and Social Commission;
(b) one member of staff working in the fields of family and youth care (social workers, psychologists, sociologists, lawyers, etc.),
(c) one doctor, the head of the women's ward of the hospital with the clinic.
(3) Regional National Committees are elected to the Regional Interrugation Commission
(a) a President from among the members of the National Committee, usually from the members of the Health and Social Commission;
(b) one member of staff working in the field of family and youth care (social workers, psychologists, sociologists, lawyers, etc.),
(c) one doctor, a regional expert in gynecology and obstetrics.
(4) The Regional and Regional National Committees elect alternates for each member of the Interrugation Committee in a similar manner.
Procedure for examining an application for abortion
A woman who wishes to apply for an artificial termination of pregnancy will contact her doctor, who is obliged to draw particular attention to the possible harmful consequences of an artificial termination of pregnancy. If a woman insists on her request, she shall instruct her to proceed and issue her with the document and the pregnancy found.
The woman shall submit her application with the justification and supporting documents required to the Interrugation Commission in the district where she resides or where her place of work or school is situated. If the Commission does not comply with the request, it shall inform the woman of the possibility of lodging an appeal with the Regional Interrugation Commission, and shall do so no later than three days after the date of notification of the decision.
The application and the appeal must be dealt with expeditiously and expeditiously so that the abortion can take place within 14 days of notification of the decision, but not later than 12 weeks after the date of the commencement of pregnancy, unless the abortion can take place after 12 weeks of pregnancy.
The Interrugation Commission shall, if necessary, invite to its action the man who, according to the woman's statement, caused the pregnancy and the parents of girls or boys under the age of 18.
For artificial abortion permitted for the reasons set out in Section 2 (2), the abortion commission provides for a supplement from 200 KCs to 800 KCs for partial coverage of the nursing costs. In exceptional cases, the surcharge may be waived. (2)
Pregnancy is artificially interrupted in the hospital's women's ward of a hospital with a clinic whose head is a member of an abortion committee, or a hospital with a clinic determined by an abortion commission. In the maternity ward, pregnancy can only be artificially interrupted if there are appropriate conditions.
Common and final provisions
The County and Regional Interruptions Commission shall each year analyse the causes for which women apply for abortion and shall discuss with the competent authorities of the national committees measures to address these causes.
Members of the Interrugation Committee and all participating workers shall be required to remain silent about the facts which they have learned when discussing an application for abortion; This obligation shall continue even after membership of the Commission has ceased. The obligation of confidentiality shall cease if the woman gives her consent to the disclosure of the facts set out in the request for abortion. All documentation associated with abortion It must be treated in such a way that the facts listed therein are not disclosed.
(1) The artificial termination of pregnancy is reported by the medical institution where the interruption was carried out on the prescribed form. 3)
(2) Any doctor who finds that a woman treated has been interrupted in a manner other than that laid down in the provisions on abortion must report such a case to the competent public safety authorities unless it is known that the report has already been submitted. The same goes for deaths following illegal abortion.
Directive No 28 / 1966 of the Ministry of Health of the Ministry of Health on the procedure for abortion is hereby repealed.
This Decree shall take effect on 1 July 1973.
Minister:
Prof. MUDr. Mateíček, DrSc.
Annex to Decree No 72 / 1973 Coll.
List of diseases, syndromes and conditions that are medical indications for abortion
1. INTERNAL
a) Heart and vascular system disorders
Chlopene defects, in particular mitral stenosis and aortic insufficiency, with limited cardiac performance, or such defects, which, prior to pregnancy, showed signs of circulatory weakness, heart attack, major circulation emboli or acute pulmonary oedema.
Acute or evolutionary inflammatory heart disease (myocarditis, endocarditis, evolutionary rheumatism).
Heart muscle infections.
Any cardiac disease that occurs by the end of 12 weeks of pregnancy is arrhythmias (atrial agitation or agitation, cardiac syncope), venous congestion or cyanosis.
Congenital heart defects with disorders of the blood circulation, in particular cyanosis and aortic coarctation, with a clear overpressure on the upper extremities.
Conditions after heart surgery and large blood vessels for congenital or acquired heart defects.
Hypertensive illness at a stage of sustained hypertension with marked organ changes and diastolic pressure of 110 mm Hg and above.
Variation complex of large degree, mainly affecting the area of the native and lower limbs, with ulcerations and thrombophlebitis.
Cardiomyopathy with cardiac enlargement and pathological ECG.
Note: In the case of lighter cardiopathy, it is necessary to consider whether the mother will be able to protect herself sufficiently other exertions (household, employment, childcare, especially in the first 2-3 years, if there are more young children in the family who need supervision even at night).
b) Lung disease
Pulmonary diseases with reduced respiratory function (pulmonary insufficiency, bronchiectasis, chronic bronchitis, emphysis).
Chronic pulmonary infection.
The degree of functional lung damage shall be determined by the expert in the tuberculosis and respiratory diseases department.
(c) Renal impairment
Chronic glomerulonephritis, particularly with signs of active inflammatory process.
Chronic glomerulonephritis accompanied by nephrotic or hypertensive syndrome.
Pyelonephritis with limited renal function.
Nephrotic syndrome.
Polycystic kidneys.
Genetically contingent nephropathy (e. g. metabolic tubular syndromes), any kidney disease associated with a significant decrease in renal function.
d) Diseases of blood production
Bleeding diseases where severe bleeding can be expected at birth and in six weeks.
All hemoblastosis and hemoblastoma.
Wood depression.
Hemolytic anemia.
Proven transmission of heavy forms of haemophilia or Renduovy-Oslerovy-We-ber disease.
(e) indigestion
Complicated cholelithiasis (biliary cirrhosis, choledocholithiasis, gallbladder empyme, cholangitis, pancreatitis).
Recurrent pancreatitis and pancreatitis.
The ulcer disease.
Ulcerative colitis.
Status of denutrics caused by digestive diseases.
Chronic parenchymatous liver disease.
Post-infectious jaundice status up to 2 years of age or if signs of hepatic impairment are present.
(f) Endocrine disorders
Basedow's disease.
Struma with mechanical consequences, especially retrosternal strum with compression of cervical veins.
Hyperthyroidism based on advice from an endocrine specialist.
Hypophysis adenoma with mechanical consequences, especially with a risk of vision.
Hyperparathyroidism.
Diabetes mellitus: at bilateral loading (diabetes of both parents or in both families); with a tendency to acidosis; not responding to insulin treatment; diabetes accompanied by some complications, particularly vascular in juvenile forms, in reabortions and in the death of the foetus or other birth complications.
Addison's disease: after preparation in a professional institution to prevent the addison crisis.
Adenomas of the adrenal gland.
Other endocrinopathy based on examination and recommendations of the expert institute.
(g) Infections
In the first 12 weeks of pregnancy transmissible to the fetus and causing its malformations and changes in development.
(h) Metabolic disorders
Arturitis urica.
Lipid disorders.
Thesaurismosis.
2.
Extensive abdominal hernia, diaphragm and hiate hernia, if the woman disagrees with surgery.
Post-stress syndromes after gastric resection and postcholecystectomy.
Recurrent ileus.
Surgically treated congenital anomalies of the colon and rectum.
Extensive benign abdominal and pelvic tumors.
Conditions after organ surgery internal secretion.
Lung resection states with a reduction in lung capacity.
Lung actinomycosis and pulmonary abscesses.
Advanced organic changes in peripheral vessels.
True and false aortic aneurysms and large pelvic and limb arteries; arteriovenous aneurysm.
Anatomically benign malformation of the brain vessels.
3. UROLOGICAL
The condition after removal of the kidney, or if one kidney is missing (agenesis), or if it is atrophied (hypoplasia) in case of functional insufficiency of the other kidney.
Kidney cystitis.
Haematuria from unknown causes.
Double-sided nephrolithiasis, although details are not fixed and often spontaneously leave both kidneys (urate urolithiasis).
Papillomatosis of the bladder.
Hydronephrosis.
Other severe developmental abnormalities leading to decreased kidney function.
4. Orthopaedic
Injury deformation of the pelvis, in the Crobáková pelvis, in the central luxation of the hip.
Symphysiolysis during childbirth.
lumbar and thoracic spine scoliosis with pelvic deformations.
Pelvic deformation at bone malacia and Morbus Paget.
Spondylolisthesis.
Subluxation and other hip deformities, or conditions after overcoming Morbus Perthes (it is necessary to consider whether the mother will be able to take proper care of her child when she is hardly mobile alone).
Double-sided hip ankylose.
Deformation arthritis of hip joints and lumbosacral.
Construction after extensive and complicated fractures of long bones and fractures of intraarticular large joints.
Systemic diseases (osteopsathyrosis, Morbus Albers-Schönberg), although only the father, chondrodystrofia fetalis, is affected by the disease.
Osteomalacia.
Abdominal muscle armour after poliomyelitis; palsy lower extremities.
Recurring chronic osteomyelitis of the pelvic bone and pitting osteomyelitis of other localisation.
Spastic polio.
Bone and joint tumours and processes similar to them capable of malignancy or threatening to locate them with pathological fractures.
5. REVMATOLOGICAL
Spondylartritis ankylopoetica - Morbus Bechvorev.
Polyarthritis progressiva.
(In chronic polyarthritis, account should be taken in particular of the course of the disease, its activity and its effect on treatment and its performance.)
Chronic floor with advanced deformities and especially visceral (renal) disabilities. Confusion disease (called collagenosis):
a) systemic lupus erythematosus - particularly evolutionary forms with lupus symptoms - nephritis,
(b) diffuse scleroderma - particularly progressive forms with signs of organ involvement,
(c) dermatomyositis with polymyositic syndrome and visceral changes,
(d) nodous polyarthritis.
Note: In chronic polyarthritis, particular consideration should be given to the course of the disease, its activity and its effects as well as its performance.
6.
All malignant tumors without distinction of location and condition after surgical removal or after treatment with radiation.
7. TUBERCULOSIS
(a) Pulmonary tuberculosis
(aa) All contagious forms of tbc, as well as all forms of tbc even without finding mycobacteria in the evolutionary phase (disintegration, seeding, infiltration) or in the resorption phase, when from complex treatment, especially anti-tuberculosis, cannot be expected to avert the risk of worsening maternal tuberculosis and cannot prevent infection of the child.
ab) All uninfected and inactive forms of tuberculosis which, despite proper treatment with antituberculosis, are at risk of reactivation or worsening as a result of pregnancy, particularly in young mothers; if the previous pregnancy has had an effect on the formation or worsening of tbc; if cardiac function is significantly reduced; in such complicated severe non-specific diseases, even if its degree itself is not an indication for abortion (diabetes mellitus).
(b) Extrapulmonary tuberculosis
Urological tbc:
(ba) Urotuberculosis with significant renal parenchymal loss followed by chronic renal insufficiency. The key factor is the degree of renal insufficiency.
(bb) Florida specific cystitis during renal tuberculosis, which persists despite treatment with antituberculosis and significantly depletes the patient (pollakiuria, nycturia).
(bc) Posttuberculosis nephropathy in which pregnancy could lead to decompensation. Functional fitness of the kidneys or solitary kidneys, as well as the incidence and degree of hypertonic disease, is a crucial factor.
Note: Every young person should be carefully assessed. The indication to stop pregnancy is also the contagious father if it is not possible to isolate it due to the difficult housing situation.
8.
Multiple cerebrospinal sclerosis and other demyelinating diseases (depending on the severity of the condition and picture of the disease).
Paraplegia and severe paraparesis of the lower limbs for organic causes.
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Regulation Information
| Citation | Decree of the Ministry of Health of the Slovak Socialist Republic No. 72 / 1973 Coll., implementing Act No. 68 / 1957 Coll., on the artificial abortion of pregnancy |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 29.06.1973 |
|---|---|
| Effective from | 01.07.1973 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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