Opacity in European abortion data: countries without statistics and foreigners whose origins are unknown
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- The EU does not know how many women have to travel between countries to get an abortion. There are no uniform or harmonised criteria in Europe for collecting information about abortions. Each country does it differently, and at least eight do not even collect data on how many foreign women have abortions on their territory.
- Two of them, Austria and Luxembourg, do not produce official abortion statistics. In Austria, this is because abortions can be carried out anonymously, and in Luxembourg, abortions on request are medically classified the same as spontaneous miscarriages.
- The European Commission also lacks data. The Directorate-General for Health says it has no information about European women travelling to other countries to terminate a pregnancy, and while Eurostat requests abortion data from Member States, it does not require residency details to be included, nor is the data submission mandatory.
- The lack of data and information revealed by Exporting Abortion shows that the investigation figures—more than 5,000 women in Europe travelling abroad each year for abortions—are just the tip of the iceberg. Despite the opacity, Exporting Abortion has managed to gather official statistics on non-resident women having abortions in 18 European countries, as well as specific breakdowns of European flows in 10 of them.
Exporting Abortion team
Friday 10 April of 2025
Most European laws only allow abortions in authorised medical centers. This is the case across most of the continent—at least, in countries where abortion is legal—although in some places like France, women are allowed to take abortion pills at home after a medical consultation. It’s also common for an administrative process to follow an abortion procedure. Health professionals are required to fill out an official form—defined by each country’s authorities—in which they report the abortion and complete a series of data points about the procedure and the woman who underwent it.
Then, the data from these forms is sent to the Ministry of Health or the relevant authority, and thanks to them, most countries produce official abortion statistics. These vary depending on what data is requested on the form. It’s common to ask, for example, how many children the woman already has, the method used for the abortion, or the reason for it. Some even request information about the woman’s employment and economic status or her ethnic group. In most countries—such as the UK, Spain or Germany—these forms must be filled out by the doctor or health professional performing the procedure and are completed anonymously and confidentially, preventing the woman from being identified.
Nevertheless, each country applies its own regulations, defines its own notification form, and requests the data it deems appropriate. There is no unified standard or European effort to harmonise the collection of this information. As a result, at least eight European countries do not record how many foreign women have abortions within their borders, as confirmed by Exporting Abortion. This happens either because such information is not requested in their forms or because they don’t produce public abortion statistics at all.
Portugal, Norway, and Italy do not collect data on whether women reside abroad. Malta doesn’t ask for the woman’s place of residence at all, wether it’s within their territory or outside. Poland also doesn’t collect such data as a separate category. These are, after all, the two EU countries with the most restrictive laws and thus among those with the fewest abortions performed. Latvia also does not request information about the woman’s residence. The situation is even more deficient in Austria and Luxembourg, which do not produce any official abortion statistics.
In these eight countries, not collecting this kind of information means they have no idea how many women have come from other countries to have abortions. Therefore, they are entirely unaware of the scope of this phenomenon. Something similar happens in Brussels. The European Commission stated in an official response to a request from Exporting Abortion that it has no documentation on European women travelling to other countries to access abortion.
This lack of knowledge is not just a statistical issue. The absence of data makes it impossible to understand what is happening with this phenomenon in Europe. And it doesn’t affect only those eight countries, as this is a cross-border issue. For example, it is known that women are travelling to some of these countries—such as Austria—to access abortion services, according to experts and women’s organisations interviewed by Exporting Abortion. Nevertheless, Austria is the only country in the study that does not collect any information about the women who have abortions within its borders.
The Austrian case can be explained by the country’s laws, which allow abortions to be carried out entirely anonymously. Doctors are not required to complete any form with data about these procedures. ‘Because they are a private service, abortions are not recorded. Moreover, the pro-choice movement here opposes collecting statistics, as anti-abortion groups could use them to their advantage’, gynecologist of the Vienna Health Network, Mirijam Hall, told Exporting Abortion.
This particularity of Austria means there is no way of knowing how many women travel to the country for an abortion. Still, Salah El-Najjar, medical director and gynecologist at the Woman & Health clinic in Vienna, says they see women from many different places: ‘We receive women from Poland, Hungary, Germany, Slovakia, the Czech Republic, and even from Arab countries like the United Arab Emirates; basically, from all over the world.’ Other Austrian doctors report similar situations. Exporting Abortion contacted the Ministry of Health to ask why no data is recorded, but the ministry did not respond.
The situation in Luxembourg is similar. At present, there are no public statistics or official data on terminations of pregnancy on request. But in this central European country, the reason is that, medically, abortions on request and spontaneous miscarriages have been coded the same way in hospitals. Therefore, it’s impossible to know how many abortions on request took place in the period analysed by Exporting Abortion, or how many involved women who lived abroad.
This lack of data is problematic, explains Céline Gérard, president of the Planning Familial association in Luxembourg: ‘Those figures would be the basis for determining the true level of access to abortion in our country and for proposing public health policies based on data, not feelings.’ Currently, this organisation is the only one that publishes statistics on terminations on request in Luxembourg. Planning Familial helps women access this right, primarily by facilitating access to medication abortions. From 2019 to 2023, 2,476 women in Luxembourg had abortions using this method with their support, according to their own data. The organisation also helps in other ways, including assisting women to travel abroad if they can no longer have an abortion in the country.
Planning Familial carries out this work due to the difficulties women may face in accessing abortion through Luxembourg’s public health system. Surgical abortions are only performed in hospitals. Medical abortions can be carried out in hospitals or through general practitioners, but the process is not straightforward. The doctor must sign an agreement with one of the authorised hospitals and personally go to the hospital pharmacy to obtain the abortion pills. For this reason, many doctors prefer to refer patients directly to the association.
But while in Austria pro-choice advocates are not fighting for collection of official data, in Luxembourg, they appear to have already achieved a change. In 2025, the country’s Ministry of Health changed the way abortions are medically coded so that spontaneous miscarriages and abortions at the woman’s request are now recorded under different codes. The ministry told Exporting Abortion that the change was made because they are aware of ‘the importance of better understanding and documenting the reality of abortion’ and of having ‘an appropriate database that allows for more accurate analysis.’
The tip of the iceberg
Exporting Abortion has revealed that more than 5,000 European women travel to other countries on the continent each year to access abortion services. But that number—estimated at no fewer than 5,860 for 2023—is just the tip of the iceberg. Countries like those already mentioned, which do not collect information on the issue, are preventing the true scale of this phenomenon from being known.
There’s the case of Portugal, Italy, Latvia, Malta, Poland, Norway, Luxembourg, and Austria, which do not know how many foreign women have abortions within their borders—but there’s more. Another 10 countries simply ask whether the woman undergoing the abortion resides abroad—without specifying which country, and thus making it impossible to know whether the flows are coming from within Europe or elsewhere—as is the case in Germany and Slovakia. Some, like Croatia and Hungary, collect data on the woman’s country of residence but do not make it publicly available, citing data protection or statistical confidentiality.
In total, at least 17 countries across the continent either do not know or do not disclose how many women from other European states have had abortions in their healthcare systems.
Despite the lack of official information from many countries, Exporting Abortion has compiled data on the movement of women travelling for abortions in 12 European countries. These include some of the most populous nations, like France and Spain. As a result—and primarily due to the use of official statistics—Exporting Abortion‘s data represents the first attempt to quantify this issue at a European level.
Disparity in criteria
According to Pedro Gullón, director General of Public Health and Equity in Health of the Spanish Ministry of Health it is interesting that ‘not only countries harmonise their own data, but it would be great if abortion rights existed everywhere. But a first step would be to have common data’.
For now, European states are far from being homogenised. The countries for which Exporting Abortion has been able to obtain official statistics that include specific flows—10 in total, excluding Germany and Austria, for which only partial data was obtained from organisations assisting Polish women in accessing abortions abroad—also show great disparity in how those statistics are compiled. Spain’s Ministry of Health agreed to disclose data on flows from any country in the world, a situation very similar to that of the United Kingdom, which publishes its information openly and directly.
France, on the other hand, only provided the number of abortions performed on women from other European countries without breaking them down by nation, citing confidentiality and data protection concerns. Other countries only publish or report on specific flows into their territory. Ireland, for example, only releases data on women from Northern Ireland (UK) who obtain abortions in Irish clinics, also citing privacy concerns. The Netherlands—Europe’s top destination for abortion-related travel because of having the most protective legislation in the entire European Union—lists only five countries in its reporting forms. If the woman lives abroad but not in one of those five countries, the physician must mark a checkbox labeled ander land, meaning ‘other country.’
Country of residence: 'Unknown'
Many other countries include a checkbox to indicate that the woman resides abroad, but do not allow for the specification of a particular country. This, combined with the wide disparity in statistics between states, means that in many cases it is only possible to know how many foreign women seek abortions—but not which state or even which continent they come from. In many cases, the woman’s place of residence is simply listed as ‘unknown’. This usually happens because the national protocol is either inconsistent or unclear about how to record the residence of women who have undergone an abortion.
For example, Ireland reports that around 6% of abortions each year are performed on women whose residence is unknown. In Norway, the figure is about 2%. In these cases, it’s most common for the residency field on the form to have been left blank. This phenomenon occurs especially in countries where there are no separate fields to indicate the residence of women who live within the country and those who live abroad. Furthermore, in the case of nationals, it is often customary to request a more specific residency detail—such as municipality or postal code—which further complicates the issue.
Norway, for instance, only asks for the woman’s residence if she lives within the country. The Norwegian Institute of Public Health told Exporting Abortion that when the woman’s municipality of residence within Norway is missing, they cannot determine whether it’s because the woman lives abroad or because the form was simply filled out incorrectly.
In Portugal, the authorities do not request information on residence for foreign women, but they do for those residing in the country, and what some healthcare professionals do is record the place where the woman is staying, whether it is her permanent residence or temporary accommodation.
In Poland, there are two institutions that collect data on abortion: the Ministry of Health and the National Health Fund. The data from these two institutions differ from each other. Exporting Abortion has been informed by the National Health Fund (NFZ) that the Polish personal identification number (PESEL) or the right to benefits on another basis, e.g. the European Health Insurance Card (EHIC)—for European foreigners—, are included in the data collected from hospitals. With this information, the NFZ could compare abortion data with other databases to determine the place of residence of women, but it does not do so. They also do not record residence as a separate category. Therefore, it is not possible to obtain information about the place of residence of women in the case of Poland. However, due to the very restrictive abortion law, the number of women living abroad and having an abortion in Poland is probably negligible.
Germany, for its part, argues that the number of foreign women having abortions in the country is so low that it is not worth the statistical effort required to collect information on their country of origin. ‘The necessary technical implementation would be disproportionately demanding,’ the Federal Statistical Office told Exporting Abortion. Yet around 500 foreign women have abortions in Germany each year. Pedro Gullón disagrees with the German authorities: ‘Recording the country of residence is important to understand patient flows and to jointly debate how some countries ensure women’s rights when others do not.’
MEP and former Spanish Minister for Equality Irene Montero echoes this view: ‘One of the main problems when it comes to guaranteeing women’s rights is that data often simply do not exist.’ Montero insists that having quality data is essential: ‘They allow us to understand the reality that women face and the barriers they encounter in accessing those rights, so we can address them through public policy.’
Countries without data but with routes
Due to all these challenges, it is also important to examine the total figures for non-resident women who have had abortions in each country. This data is shared by many more countries and allows for a broader overview of the phenomenon across the continent. In fact, it shows that some countries have a percentage of abortions performed on non-resident women that is above average—even if they do not track where those women come from. For example, in Slovakia in 2023, 4.04% of the abortions in the country were performed on non-resident women. «We know that foreign women come to Slovakia to abort», said the head of the Slovak NGO Freedom of choice Adriana Mesochoritisová which advocates for reproductive rights.»]
«They come from Poland and Hungary because these two countries have the most restrictive abortion laws and we share borders with them. And we have Ukrainian women here as well». This country, despite having better abortion laws than Slovakia, is unable to ensure this right to its citizens because of the war.
All of this reinforces the fact that the 5,860 women counted by Exporting Abortion represent only the tip of the iceberg. For example, the flow of Danish women travelling to Sweden—where the law is more protective and allows free access to abortion up to week 18—has been reported by Swedish media such as Dagens Nyheter. However, Sweden does not publish official data that would reveal the full scale of this flow.
Exporting Abortion submitted a formal request to the Swedish National Board of Health and Welfare—the agency responsible for collecting abortion data from clinics across the country—but not even they hold this information. Some clinics may keep records independently, but the agency cannot request them ‘due to statistical regulations that prevent collecting this type of information for reasons of personal data protection,’ the agency explained. As a result, the form that clinics must fill out and send to the Swedish National Board of Health and Welfare includes only a field to indicate whether a woman lives abroad, without further detail.
These figures on abortions among non-resident women also show that Slovenia and the Netherlands were the countries with the highest percentage of abortions performed on foreign women in 2023, at 8.55% and 8.29% respectively. Once again, the explanation lies in abortion access and national laws. Slovenia, although it has legislation similar to Croatia’s, offers simpler and more protective access to abortion, and for that reason receives more than 200 women each year from its neighbouring country. The Netherlands is, outright, the country in Europe where the most foreign women go to have an abortion: in 2023, there were 3,261 cases.
In absolute terms, Spain comes next after the Netherlands, having received 1,775 foreign women in 2023—most of them, 1,517, were Europeans. Countries such as the United Kingdom and Slovakia also rank ahead of Slovenia in the total number of foreign women obtaining abortions. However, Slovakia has seen a year-on-year decrease in the number of foreign women coming to its clinics for abortions. This might happen because of improving helplines for Polish women in Poland, as confirmed by Adriana Mesochoritisová, head of Slovak NGO Freedom of Choice: «In Poland, NGOs help women to get the abortion pills and their professionals guide the women via a phone call to take the pill correctly».
Exporting Abortion has gathered data from 18 European countries on the number of abortions performed on non-resident women—compared to only 12 countries for women residing in a different European country. These figures reveal that on average, around 8,000 women undergo abortions each year in countries they do not live in.
In 2023, the figure was 7,960. Of these, 5,860 were European women who had to travel within the continent for an abortion, but for most of the remaining 2,100, it was not possible to determine their country of residence—states that do not disclose data on European women aborting in their territory are even less likely to do so for women from other continents. Likely, among those 2,100 are more European women who could not be counted as such. Between 2019 and 2023, Exporting Abortion documented 27,238 instances of women travelling within the continent for an abortion. The total number of foreign women—including non-Europeans—was 41,012.
No concern in Brussels
The position of some European countries is reflected in the approach taken by the European Commission. Brussels’ stance on abortion has consistently been to respect the autonomy and competences of Member States. According to Articles 6 and 168 of the Treaty on the Functioning of the European Union (TFEU), sexual and reproductive rights fall within national competence. Amending this framework to include such rights in the EU Charter of Fundamental Rights would require the unanimous agreement of all Member States—a goal pursued by the My Voice, My Choice movement. However, achieving this appears increasingly challenging in the current legislative term. At least, that is the view of reproductive rights organisations consulted by Exporting Abortion, based on the new composition of the EU’s advisory and governing bodies.
In fact, concerns about how women’s rights will be handled by the new European Commission have been present since the distribution of portfolios in the new term. In the previous Commission—also presided over by conservative German Ursula von der Leyen—women’s reproductive rights were under the Directorate-General for Health, headed by Cypriot Christian Democrat Stella Kyriakides. Health collaborated on these matters with Maltese Socialist Helena Dalli, the EU’s first Commissioner for Equality.
In the new term, Health has been assigned to Hungarian Olivér Várhelyi, a close ally of Hungary’s ultra-conservative Prime Minister Viktor Orbán. Progressive concerns over his handling of equality issues led to a split in the Commission’s Health mandate. Responsibility for women’s health and other vulnerable groups has been transferred to the Directorate-General for Preparedness, Crisis Management, and Equality, led by Belgian liberal Hadja Lahbib.
Despite this apparent attempt to preserve the equality agenda within health policy, Lahbib’s department does not appear to prioritise women’s reproductive rights. The Commission’s draft roadmap on equality for the new legislative term—which is still pending approval—mentions ‘reproductive rights’ only once, and only as part of a general diagnosis of the challenges faced by European women in terms of ‘a lack of comprehensive information on sexual and reproductive health services and products, and lack of access to them where provided for under national legislation.’ However, the issue is not mentioned at all when outlining the Commission’s priorities for the 2024–2029 period.
The European Parliament, for its part, voted in April 2024 to include abortion in the EU Charter of Fundamental Rights. But such resolutions from Parliament are not binding. «At this stage, the resolution is a political document rather than a binding law,» confirms Andrea Erdösová, expert on medical law. To amend the Charter—which holds the status of a treaty—an intergovernmental conference (IGC) would have to be convened. For this kind of procedure, all 27 Member States must support the change in order for it to move forward—something that currently seems unlikely, given the regression in abortion access in several EU countries.
But there are actors working to mobilise the Member States. The movement My Voice, My Choice (MVMC) has gathered over one million signatures in support of a European Citizens’ Initiative calling on the European Commission to create a financial mechanism that allows EU citizens to obtain an abortion in another country if it is denied in their home country. ‘The EU cannot force countries to change their laws, but it could create a model that allows women to travel abroad for the best care,’ says Veronika Povž, the campaign’s communications director.
As Exporting Abortion shows, even without such a mechanism, the data already proves that European women are travelling abroad for abortion care. ‘Those with enough money can travel for an abortion—there’s always a way for them. But it’s the marginalised groups and those who can’t afford it who suffer the most,’ says Povž.
So far, the Commission appears to pay little attention to the matter. Exporting Abortion submitted a request for access to documents addressed to the Directorate-General for Health—the body that held the relevant competencies at the time—asking for ‘any and all documents’ in its possession containing ‘information on European women who travel to a country other than their own to access abortion.’ The Commission responded by stating it had no documents containing such information.
This investigation also submitted a request asking the same institution for ‘all correspondence sent or received by the Directorate-General with various Member States concerning abortion and women’s access to it in the EU or in Member States.’ It was sent on November 4 of last year. More than five months later, the Commission has not replied, despite the legal deadline for a response being 15 working days, and despite the Treaty on the Functioning of the EU recognising citizens’ right to request and access documents from EU institutions.
No response for Eurostat
The one EU body that does hold some information on abortions in Europe is the European Statistics Office (Eurostat). It is considered one of the Directorates-General of the Commission and is responsible for collecting and producing data on the EU’s economy and society and promoting the harmonisation of statistics among Member States. But that harmonisation has yet to reach abortion data.
Eurostat requests data and statistics every year from the 27 EU Member States. Some are mandatory, others voluntary. According to the Office itself, as told to Exporting Abortion: ‘Most data collections are mandatory and countries are required to supply the data.’ But abortion falls under the voluntary category, meaning countries can decide whether or not to collect and submit the information. Many choose not to. Once again, this reflects a lack of commitment from Member States to addressing the issue collectively and to standardising the criteria each country uses.
Eurostat requests two specific statistics from countries: the annual number of abortions by the woman’s age, and another showing the annual number of abortions by age and by number of previous live births. The last time the Office reviewed submissions was for the years 2020 and 2021. Only 11 of the 27 Member States had complied fully with the requests. Among those that did not submit information were some of the usual suspects—Denmark, Estonia, and, unsurprisingly, Austria and Luxembourg.
It is EU legislation that typically defines which data collections Eurostat must compile and whether Member States are required to submit them. The implementing regulation on demographic statistics—which would encompass abortion—makes no mention of any data relating to terminations of pregnancy. EU institutions have decided that abortion data is not significant enough to be categorised as mandatory. And even among the two voluntary variables Eurostat has chosen to request, there is no trace of any data regarding the woman’s country of residence.