The memory of that day is still very painful for Noura. She was in Cairo's City Stars Mall when she suddenly felt cramps, accompanied by heavy bleeding: "I sat down on the toilet. I felt something heavy flowing from my uterus. I put my hand under me to catch the blood."
Noura is not using her real name here. She had an unplanned pregnancy at the age of 23 while in an extramarital relationship with a man called Khaled.
After they realized she was pregnant, her boyfriend obtained abortion pills through friends. "It was too early for me to get married and become a mother," Noura remembers. Since abortions are forbidden in Egypt and punishable by law, she could only talk about it with her boyfriend and her roommate.
She witnessed the abortion of her embryo sitting on the shopping mall's toilet. "It was an incredibly brutal moment," she says, one she will never forget.
Talking about a taboo
Experiences like that had by Noura are what prompted feminist activist Ghadeer Ahmed Eldamaty to write them down. In her book "Abortion Tales — Women between Family, Love and Medicine," which was published in Arabic in late December 2022, she explains the circumstances in Egypt, describes the legal and medical situation and also lets numerous women like Noura speak openly.
"I want other women who have gone through an abortion, or are still facing one, to know that they are not alone," she says. "Motherhood is emphasized in our society, yet the topic of abortion is completely avoided. It is forbidden."
Eldamaty, now 32, demonstrated against the former regime in Cairo's Tahrir Square back in 2011. Women's rights were especially important to her, and over the years her interest in the issue of abortion grew.
Egypt's restrictive abortion laws
The Egyptian Initiative for Personal Rights and the Alliance for Realizing Sexual and Reproductive Justice describe Egypt as being one of the most restrictive countries in the world when it comes to abortion.
Egyptian law does not allow abortion, nor does it allow survivors of rape or incest to terminate an unwanted pregnancy. Only danger to the life of the expectant mother or fetus is a legal justification for terminating the pregnancy — and even this is only if the woman is married.
Articles 260 to 264 of the penal code stipulate penalties for women, doctors, midwives and pharmacists who perform or assist in illegal abortions or who sell abortion-inducing drugs. In Egypt, abortions were first criminalized in 1883 during the era of Muhammad Tawfiq Pasha, following the French criminal code of that time.
"These laws reflect the attitude toward women's bodies. Women have no say about whether they want to get pregnant or not, or whether they want to have an abortion," Azza Soliman told DW. She is a lawyer, feminist and chair of the board of trustees of the Center for Egyptian Women's Legal Assistance (CEWLA). Soliman has been fighting for women's rights for years and was arrested for this in 2016.
Bans don't prevent abortions
However, the fact that abortions are banned in Egypt does not prevent women from having one, whether they are married or not.
Research by the World Health Organization has shown that abortion bans or restrictions do not reduce the number of procedures. Rather, they lead to more women undergoing dubious or dangerous procedures that can endanger their lives.
"If something happens to a woman or there are medical errors, you can't take action against the doctor," Eldamaty says. There is also no follow-up care, she adds. Women are left alone with their pain and the possible consequences. In addition, "abortion is only possible if you have the financial means. They are often very expensive," she told DW.
According to WHO figures, about 39,000 women worldwide die each year as a result of unprofessional abortions. About 60% of these happen on the African continent, and 30% on the Asian continent. Reliable statistics on unsafe abortions in Egypt are not available.
"Unreliable statistics on unsafe abortion in nations where access to safe abortion is limited or non-existent prevents adequate research on the effects of abortion laws on women's health in the Middle East and North Africa area," Washington-based gender studies expert Habiba Abdelaal told DW.
Egypt is no exception to this rule. In all Middle Eastern and North African countries, abortions are permitted only if the life of the pregnant woman is in danger. Some countries, including Bahrain, Iraq, Jordan, Kuwait, Libya, Morocco and Oman, for example, also allow abortions if there is a risk to the physical health of the pregnant woman.
Abortions and local women's movements
In 1990, September 28 was proclaimed Safe Abortion Day. It is the international day of action for the right to safe and legal access to abortion. Eldamaty says that in the 1990s, the issue of sexual health and also abortion was taken up by several organizations in Egypt. But that has changed now, she says.
Abdelaal agrees. "Abortion is rarely at the top of local women's movements' agendas," she said. "This is probably due to a fear of retribution from conservative social groups that often attempt to regulate and constrain women and girls to fit stereotyped gender roles in society."
There are also frequent attempts to justify abortion bans on religious grounds, she said.
CEWLA's Soliman hopes that in the future the issue of abortion will be discussed more and in a wider context. "On a legal level, it is clear that the law needs to be changed," she said. "Abortions should not be banned. But we also need to talk more about women's sexual and reproductive rights on the medical and social level, and educate about the topic."
After her traumatic abortion, Noura had to pretend that everything was fine. The fear of social stigma or possible punishment was too great. A short time later, Khaled and she broke up.
Jennifer Holleis contributed to this article.
This article was originally published in German.