Funny, if the abortions are properly done there doesn't seem to be much of a upper limit. When they did the old D&Cs in the 70s, sure, because those sharp metal curettes scraped too much off the endometrium - but suction abortion (standard since the early 90s) is much, much gentler. I already mentioned the Eastern European women I've seen who had a dozen abortions interspersed with their deliveries. The only real risk
could be cervical incompetence (if your doc's too quick with the dilators,
every time), but cerclage does exist, no? And besides, it would seem that 12 abortions would probably not cause as much physical risk as 12 babies. Preventing unplanned pregnancies is the real key, of course, but when she comes to you already pregnant, you can't go back in time and feed her Ortho-tricyclen. So if it's her tenth pregnancy, you do what? Make her have a baby instead, because you feel she's
way too irresponsible to deserve another abortion (but she'll clearly handle a baby just fine)?
Most women who get abortions do not get 7+, which seems to be your sticking point according to a previous post. Of the 2000-3000 women I've counseled, I estimate only about 80 had had five (or more) previous abortions. That doesn't seem to indicate "astronomical" abuse. Furthermore, those dysfunctional 14-year-olds usually want to keep their babies. One of them (in 7th grade, was held back twice) told me "I want to try to be a mom". I really felt like quoting Yoda at her ("Do or not do. There is no try.") but I bit my tongue and sent her home (her mom was trying to force her to abort).
Abortion patients, overall, are the ones who are MORE responsible - they are wise enough to know that they can't handle a baby.
The law is NOT the solution.
Abortion access actually has a negative correlation with unplanned pregnancy rates. Meaning that in those countries where access to abortion is easier, with fewer restrictions (Western Europe, Canada), unplanned pregnancy rates (and therefore abortion rates) are lower than in countries with worse access (U.S., Brazil, Peru). Yes, you'll start telling me universal healthcare has something to do with that - and you're right. But even
within the U.S., southern states with high restrictions on abortion have
higher unplanned pregnancy rates than do the more liberal northern states. Seem counterintuitive? Only because you are misattributing the cause of unplanned pregnancy. Women do
not (consciously or otherwise) think "I can just get an abortion, so I'll take risks). It is more complex than that and is linked to a half-dozen other factors - but abortion access is not one of them.
By "patient education" I assume you mean the contraception spiel I can give in my sleep; and you're right, it doesn't always work. However, a different kind of "patient education", namely great public schools and financially accessible universities,
would help reduce teen pregnancy a great deal. Girls are
much more careful when they have big dreams and plans (which a pregnancy would screw up).
Then again, what do I know. As someone pointed out, I'm just a lowly McGill med student with 5 years of clinical experience in women's health.