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    The substantial dangers of abortion performed outside the medical system, an eventuality that seems unavoidable given the available anthropologic and demographic evidence, are Induced Abortion in the United States 299 sometimes weighed in ethical decisions as well (Jacobson 1988). Another question concerns the woman’s responsibility for conception and the embryo thus engendered. Induced abortion may be performed by a lay attendant, attempted by the pregnant woman herself, or carried out by a physician or other medically trained and licensed professional health care provider. In point of fact, however, many realities constrain women’s control over sexual activity and contraception.

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