Other authors have written that illegality does not always mean that abortions are unsafe. In the United States in the 19th century, early abortions were relatively safe under the hygienic conditions in which midwives usually worked. : 25:4 :59 :223  Thirty-three states and the District of Columbia follow the federal standard and offer abortions only under the circumstances described in the Hyde Amendment. In 2018, more than half of women of reproductive age on Medicaid — more than 7 million women — lived in states that restrict abortion coverage. The acceptance of early abortion changed in the 19th century when Victorian sensibilities took hold. Until 1910, abortion — except in cases to save the mother`s life — was a criminal case in every state except Kentucky, where courts declared the procedure legally illegal. The new restrictions on abortion were caused by many factors, including changing social, class, and family dynamics in the early 19th century. Victorian Americans believed that abortion was a problem caused by upper-class white women who chose to start their families later and limit their size. Greater female independence was also seen as a threat to male power and patriarchy, especially as Victorian women increasingly volunteered outside the home for religious and charitable purposes.
Georgia, Kentucky, Louisiana, Mississippi and Ohio have passed so-called “fetal heartbeat” laws that prohibit abortions after six weeks of pregnancy. Fetuses do not yet have a heart in the sixth week of pregnancy, but six weeks is usually the time when doctors can begin to detect embryonic heart activity by ultrasound. Missouri passed an eight-week ban. Alabama voted to ban all abortions except to save a pregnant person`s life, with no exception for rape or incest. While conservative states banned abortion, progressive states like California, New York, and Massachusetts responded to Dobbs by passing laws that strengthened abortion rights. As a result, the U.S. has become even more divided over access to abortion health, with some states banning abortions and others expanding access to abortion-related health care, particularly in light of a December 2021 FDA policy change on the abortion drug mifepristone, which opened up abortion options via telemedicine. In addition to restrictive state laws, the Hyde Amendment and subsequent federal and state laws banning public funding for abortions continue to restrict access for low-income people who are disproportionately women of color. In 1929, the Infant Life Preservation Act was passed in Britain, which amended the Offences against the Person Act 1861 so that an abortion performed in good faith just to preserve the life of the mother was not a criminal offence.  In March 2019, the Trump administration enacted a national gag rule prohibiting U.S. clinics that receive Title X family planning funding from referring their patients for abortion health care.
Currently, 19 states require the prescribing clinician to be physically present when prescribing the abortion pill, while 29 states require that the clinician prescribing the abortion pill be a physician. None of these requirements are necessary because the abortion pill is extremely safe and effective. In May 2021, Texas passed a six-week abortion ban — called S.B. 8 — with a private app system that seeks to circumvent federal court review. S.B. 8 allows individuals to bring civil actions against anyone who knowingly “supports or promotes” an abortion. People who receive abortion treatment are exempt, but a wide range of others can be prosecuted, including abortion providers and clinic staff, friends and family who help the pregnant person with advice or money, and drivers who take people to their appointments. The law requires the courts to award plaintiffs at least $10,000 in damages from defendants. India enforced India`s Penal Code from 1860 to 1971, criminalizing abortion and punishing both practitioners and women who requested the procedure.
 As a result, women have died trying to obtain illegal abortions from unqualified midwives and “doctors.”  Abortion was legalized in 1971 under certain circumstances, but as one scientist, S. Chandrasekhar always has a higher risk of being injured or killed as a result of a botched abortion.  Anti-abortion activists claim that the requirements make abortion safer, but there is no evidence that this is true.