A couple of thoughts that may (I hope) help some of you out. When a women comes to her first prenatal visit, there is a standard questionaire that the physician and nurse (separately) are required to fill out with the patient. The questions deal with the mother's medical history and her social situation (married, single, who do you live with, history of domestic violence, is the father involved, etc). One of these questions is "do you intend on continuing the pregnancy and, if so, do you intend on keeping the baby when it is born?" It should go without saying that a woman who answers "yes" to these questions should not be offered the various alternatives to terminating her pregnancy. However, if she says "no", it is the physicians duty of informing (don't confuse this with performing) the patient of her options including elective abortion (be it surgical or medical...as long as it is legal according to your local regulations) and adoption. A smart person would realize that this question gives you an excellent opportunity to address the issue without having to crudely ask the patient "do you want to terminate?" In addition, please realize that you have every right to emphasize the course of action which, in your professional opinion, would best suit the patient. However, dont confuse emphasize with impose. Remember, you still HAVE to inform them of all of their options and refer them to those physicians that are willing to perform the therapy that they seek.
Now to address the student scenario. As a student, you should never be placed in a situation where you have to perform an abortion or refer a patient to an abortion center. These cases should be reserved for the residents/staff. If the situation does arise, you have every right (as a student) to refuse to perform the procedure on the basis of moral grounds. YOU CANNOT BE FAILED FOR REFUSING TO PERFORM AN ABORTION. If you are, I would strongly suggest you involve the Faculty, epartment Head, Dean of Students, Chancellor, lawyers, etc. for this would be a violation of your personal rights. Nobody could force you to perform an abortion, but you can be found liable if you prevented someone from obtaining one (i.e. by not referring, or by not properly counseling the patient on the available options)!
Hope this helps!