Induction of foetal asystole refers to the medical procedure that intentionally causes the cessation of the foetal heart (cardioplegia). In the context of abortions at advanced gestations, cardioplegia is sometimes performed to ensure that the foetus is not delivered with any signs of life.¹ This approach is generally taken to comply with maternal requests, religious beliefs, to avoid any potential legal and ethical implications of a live birth, and for technical reasons. 

In many countries around the world, women and girls facing the need for abortion at advanced gestational ages encounter significant barriers to accessing safe services. These women and girls are among the most vulnerable, are often subject to heightened stigma and persecution, and experience more severe complications and higher mortality rates when forced to resort to unsafe abortion practices. 

As we mark the 20th anniversary of the adoption of the Protocol to the African Charter on Human and Peoples' Rights on the Rights of Women in Africa (Maputo Protocol), we, the undersigned organizations, commend achievements in advancing women and girls’ rights in the continent. This legal instrument has established a comprehensive framework that outlines the standards which states should follow in promoting and protecting women's rights.