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The Implementation Of The Czech National Council Act On Abortion

Original Language Title: provedení zákona ČNR o umělém přerušení těhotenství

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75/1986 Sb.


the Ministry of health of the Czech Socialist Republic

of 7 November. November 1986,

implementing the law of the Czech National Council No. 66/1986 Coll., on artificial

termination of pregnancy

467/1992: Sb.

The Ministry of health of the Czech Socialist Republic, determined by the

section 12 of the Act of the Czech National Council No. 66/1986 Coll., on an artificial interruption


Conditions for the artificial termination of pregnancy

§ 1

For health reasons, for that cannot be at the request of women abortion

pregnancy (contraindications), shall be read as

and health status of women), which greatly increases the risk to health

associated with the artificial termination of pregnancy, particularly inflammatory diseases,

b) abortion from which to run for six months, with the

except in cases where

1. the woman at least twice, or

2. the woman has reached 35 years of age, or

3. There is a reasonable suspicion that the woman became pregnant as a result of the criminal

activity that has been committed against it.

§ 2

(1) the list of diseases, syndromes and conditions, which are health reasons for

artificial termination of pregnancy, is listed in the annex to this Decree. After

the expiry of the twelve weeks of pregnancy can be artificially break length

pregnancy only if it is threatened by a woman's life or it's proven difficult to

damage to the fetus or the fetus is incapable of life.

(2) If abortion for genetic reasons, can be

abortion of pregnancy at the latest to achieve dvacetičtyř weeks


§ 3

(1) for health reasons, a woman with her consent, artificially interrupted

pregnancy, if this could be the initiative of the health care facility, or

its premises, if the medical reason.

(2) the Medical reasons for the artificial termination of pregnancy is entitled to

assess the head of Department of medical equipment for the industry

diseases include, or his authorized representative.

(3) if the abortion could be the initiative of the medical

device and a woman refuses to give its consent to it, it will do about the woman who

He rejects the artificial termination of pregnancy, a written statement (reverse).

How to discuss abortion

§ 4

(1) a female doctor of the medical device competent according to the place

permanent residence or the place of its women of the workplace or schools (hereinafter referred to as

"the doctor"), which the woman in writing requested the artificial termination of pregnancy,

a woman examined, determine the length of pregnancy, determine whether artificial interruption

pregnancy does not prevent health reasons (contraindications) and make a conclusion.

The length of gestation in completed weeks is calculated starting from the first day of the

the last menstrual period. Female medical facility shall confirm in writing that the

her doctor met with his conclusion and that it learned about the possible health

the consequences of abortion, as well as ways to use

the contraceptive methods and resources. ^ 1)

(2) for the submission of artificial termination of pregnancy and to the further procedure

the form request for abortion and reporting

abortion, ^ 2) on the review of conclusions of a physician request form

the review concluded the doctor. ^ 3) these forms are cast by a woman doctor.

(3) a woman may until the beginning of the performance of abortion take

their request or consent. This fact presents a physician in

medical documentation of the women.

§ 5

(1) the abortion at the request of women under the age of 16

years requires the consent of the legal representative, where appropriate, of which it has been

the education (hereinafter referred to as the "legal representative"); ^ 4) consent of the legal

representative requests to abortion the woman of

due to health reasons.

(2) If abortion should be legal consent

the representative, his consent in medical documentation.

Place of abortion information and responsibilities

health care workers

§ 6

(1) the doctor, or district or regional specialist for gynaecology

and midwifery, which reviewed the conclusion of a doctor appointed for the performance of artificial

termination of pregnancy ("performance"), catchment health facility

institutional care. On the wishes of women can identify other medical equipment

institutional care if this device will be accepted.

(2) medical device performance without delay; by the time of implementation

performance shall inform the woman when the submission of its application with the conclusion of a doctor or

Whoever his conclusion.

(3) on abortion at the request of women between the ages of sixteen

18 ^ 5) shall inform the medical facilities of its legal

representative shall immediately after you perform the exercise orally or in an appropriate manner

by written notification into their own hands.

§ 7

Medical equipment, in which it was artificially interrupted pregnancy

reports on the fifth day of each month reporting ^ 2) Regional Institute

national health statistical processing. A similar message is sent by the

This equipment to the district for the specialist gynaecology and obstetrics

the competent according to the place of permanent residence of a woman.

§ 8

All workers are obliged to maintain the confidentiality of the

the facts, which are studied in the context of an artificial interruption

pregnancy, and conserve the legitimate interests of women.

§ 9


§ 10

Abortion support

(1) for a temporary stay ^ 6) does not consider the stay of foreigners who work in

bodies and organizations based in the Czech Socialist Republic,

where appropriate, the members of the families of workers of those authorities and organizations stay

students and other foreigners who have residence permits for foreigners

According to special regulations, ^ 7) or Interstate agreements.

Medical facilities has the duty to require the submission of the relevant

document. ^ 8)

(2) cancelled

§ 11

Regulation (EEC)

The yield of the Ministry of health is hereby repealed CZECHOSLOVAKIA from 26 March. May 1977

REF. LP/2 -251-10.5.1977 # 3/1977 p. MZ CZECHOSLOVAKIA about payment for the examination and

control of hormonal and intrauterine contraceptives, registered in the

the amount of the 2/1978 Sb.

§ 12

The effectiveness of the

This Decree shall enter into force on 1 January 2000. January 1987.


Prof. MUDr. Prokopec CSc. v.r.

Č. 1

Decree No 75/1986 Sb.

The list of diseases, syndromes, and States that there are health reasons to the


1. internal

and) heart disease and vascular system

Valvular stenosis, especially the mitral and aortic insufficiency with

by limiting the performance of the heart or those that occurred before the

pregnancy manifestation of circulatory weakness to attack the lungs, to emboliím

to the great circulation or acute oedema of the lungs. Acute or evolutivní

inflammatory diseases of the heart (myocarditis, infectious endocarditis,

rheumatic fever).

Heart attacks the heart muscle.

All heart disease, which occurs in the end of the 12. of the week

pregnancy to arrhythmias (constant or oscillation of the fibrillation, cardiac syncope), to

venous urinary or cyanóze.

Congenital heart disease with renal circulation, especially defects with cyanosis

and koarktace of the aorta with clear pressure on the upper extremities.

Conditions after heart surgery and major vessels for congenital or acquired heart

defects, if not reached full correction of the defects and normalization

hemodynamic conditions.

Hypertension resistant to therapy with a high diastolic pressure.

Large degree, complex varicose affecting especially the landscape

the genitals and lower extremity, foot ulcers with proběhlými and tromboflebitidami.

May be safely proven cardiomyopathy.

For a lighter heart disease that shows no signs of progression, it is necessary to

consider whether the mother will be able to sufficiently protect the effort (household,

work, care of the child, especially in the first years of 2-3, if the

the family more young children needed supervision and night).

b) lung diseases

Lung disease with a restriction of respiratory function (pulmonary insufficiency,

bronchiectasis, chronic bronchitis, emphysema).

Chronic pulmonary infection.

(c) renal disease)

Chronic Glomerulonephritis in particular with active inflammatory


Chronic Glomerulonephritis accompanied by nephrotic syndrome or

hypertensive crises, syndrome.

Pyelonephritis with restriction of renal function.

Nephrotic syndrome.

Polycystic kidneys.

Genetically determined nephropathy (e.g. metabolic tubular syndromes)

each kidney disease, where there is a reduced glomerular filtration rate permanently

below 50%.

(d) the creation of the blood of diseased States)

Hemorrhagic disease, where it can be during childbirth and in the post-natal period to expect serious


All hemoblastózy and hemoblastómy.

Myeloproliferative conditions.

Hemolytic anemia.

Proven to carry severe forms of hemophilia disease or Renduovy-


e) digestive system diseases

Complicated cholelithiasis (biliary cirrhosis, choledocholitiáza, empyema

gall bladder, cholangoitida, pancreatitis).

Recurrent pancreatitis, pankreatolitiáza.

Active or prolonged recurrent ulcer disease, gastroduodenal

Haemorrhagic (ulcerozní) proktokolitida and regional enterocolitis

(Crohn's disease).

Detectable denutrice induced by States of diseases of the digestive system.

Chronic parenchymatózní disease of the liver.

After an infectious hepatitis status within 1 year with signs of disorders of liver


f) endocrine disorders

Basedow's Disease.

Goiter with mechanical consequences especially retrosternální goiter with compression

neck veins.

Hyperthyreóza-metabolically unstable (all forms).

Nekompenzovaná hypothyroidism.

Hyperparat hyroidismus.

Adenomas of the adrenal glands.


Diabetes mellitus type I, if the diabetic has not during the period of conception or

in the first weeks of pregnancy ideally compensated.

Diabetes mellitus type I with complications (particularly vascular)

juvenile forms when repeated abortion and fetal death, but also

diabetes mellitus (juvenile type) without complications.

Type 2 diabetes mellitus. the type where you can expect a deterioration in pregnancy

the underlying disease.

Type 2 diabetes mellitus. type with complications (particularly vascular,


Diabetes mellitus I and II. two-sided (type diabetes

both parents or both families).

Gestational diabetes in a previous pregnancy (requiring application

insulin), if there are other risk factors, in particular, genetic

the load.

In all cases, diabetes I, II. and gestational DM, where inconclusive data

investigation of HbA1c, or some other indicator of the long-term compensation was

encountered a bad compensation at the time of conception (HbA1c levels greater than 10


Other endocrinopathy, based on examination of Vocational Institute.

g) infectious disease

When the disease: safely established teratogenitou or other risk to the

product such as rubella, Cytomegalovirus infection, toxoplasmosis,

varicela, AIDS is an interrupt can, in cooperation with the Department of genetic

up to 24. week of pregnancy. Infection with the possible teratogenitou or other

the potential risk to the fetus as the mumps, herpes simplex, EB virosa,

coxsackióza B, influenza with temperatures 40 degrees Celsius or more,

Lymphocytic choriomeningitida, parvovirosa, viral hepatitis (especially

Type B), listeriosis and the application of live vaccines.

h) metabolic disorders

DNA with repeated seizures or in patients persistently for this disease


Disorders of lipid metabolism biochemically demonstrated, in particular genetically

conditional or with speeches subsequent changes (such as organ.


Thesaurismosy proven histologically or biochemically.

2. Surgical

Large abdominal hernias and hiatal hernia, diaphragmatic, if a woman with


Postresekční syndrome after gastric resection and syndromes


Repeating hydrochloride.

Surgically treated with congenital anomalies of the colon and rectum.

Large benign tumors abdominal and pelvic cavities.

Conditions after lung resection a reduction in the functional lung capacity. Actinomycosis

Lung and pulmonary abscesses.

Advanced organic changes of the peripheral vessels.

The true and the false arteriovenous aneurysms of the aorta and large arteries

intra-abdominal and limb.

Malformation of cerebral vessels uniquely benign.

3. Urology

After the removal, kidney, or if one kidney is missing (agenezie)

or is only vestigial (hypoplasia) of the remaining functional insufficiency

the kidneys.

Renal Cystóza.

Pyelonephritis with restriction of renal function.

Haematuria from unknown causes.

Nephrolithiasis double-sided, even if they are not fixed and often free of

both kidneys at the same time spontaneously go-urate urolithiasis.

Papillomatosis bladder.


Other serious developmental deviations leading to a reduction in functional skills

the kidneys.

4. Orthopaedic

All hereditary birth defects osteoartikulárního apparatus.

Congenital hip dysplasia after from subluxation above.

Conditions after Perthesově disease with subsequent prearthrosou.

After juvenile epifyzeolýze of the bone of the thigh.

Spondylolysa, spondylolistesa.

Skoliosa of the thoracic and lumbar spine above 30th.

Pelvic deformity congenital (hypoplázie)

acquired (postraditional, Chrobakova, etc.)

Posttraumatic disorder with pelvis.

Deformation osteoarthritis bearing joints.

After extensive and complicated fractures with functional or

anatomical defect.

Juvenile rheumatoid arthritis, chronic progressive polyarthritida.

Hard to fault the stereotype of the walk.

Ankylózy large joints.

Post-traumatic conditions with major peripheral nerve palsy.

Systemic disease, metabolic osteopathy.

Conditions after poliomyelitis.

After the children's cerebral palsy.

Recurrent chronic osteomyelitis.

Musculoskeletal Tumors and similar malignant affections, potentially

magilní, relapsed or hard causing the problem as a result of


5. Rheumatic diseases

Spondylarthritida ankylosing-Morbus Bechterev M. Polyarthritida

progressivní "rheumatoid arthritis".

In chronic polyartritidách be taken into account, in particular, to the course

the disease, for its activity and ovlivnitelnosti treatment, as well as functional


Chronic gout with advanced deformations and particularly visceral disease


Rheumatic fever in the stage of activity, and at the time of the prevention of penicillin.

Diffuse diseases of Binder (so called kolagenózy)

and systemic lupus erythematosus), especially evolutivní forms with symptoms

lupus nephritis

b) sclerodermia difusa, especially progressive forms of organ


(c)) dermatomyosa with polymyositickým syndrome and viscerálními changes

d) polyarteritis features.

6. Cancer

a) malignant neoplasms and conditions after their removal the operational or

radiation treatment, which may adversely affect the pregnancy,

have an effect on the fetus, or threatening a woman in State of health,

(b)), carcinoma in situ, threatens the mother's health if.

7. Pneumologické

Tuberculosis and other mykobakteriózy

and Tuberculosis and other mykobakteriózy) respiratory system all forms of

tuberculosis or other mykobakteriózy in the evolutivní phase (decay, remembers,

infiltration) with finding and without finding Mycobacteria, if despite treatment

antituberkulotiky can be expected to worsen the disease during pregnancy

future mothers. All forms of tuberculosis or other mykobakteriózy in

resorption or inactive forms:

-at significantly reduced as a result of the basic function of the cardio-respiratory


-complicated other serious disease, although its degree of itself

is not in itself the indication for abortion of pregnancy (e.g., diabetes mellitus)

-If a previous pregnancy affect the deterioration of tuberkulózního

the disease.

Infectious forms of tuberculosis in persons living in a common household with the

future mother, which cannot be negativizovat antituberkulotickou and

You cannot ensure their isolation.

(b) the extrapulmonary Tuberculosis)

Tuberculosis of the kidney with a significant loss of renal parenchyma and chronic

insufficiency of the kidney.

Posttuberkulózní nephropathy, which may lead to pregnancy


Florid cystitis in renal-specific tuberkolóze that lingers

Despite treatment antituberkulotiky and raises the functional changes.

Non-specific diseases of the lungs and pleura

All the diseases of the lungs, complicated by limiting cardiorespiratory function,

that is crucial for the indication for termination of pregnancy. This restriction

may cause the following diseases:

-chronic obstructive lung diseases (chronic bronchitis, asthma

asthma, emphysema lungs, bronchiectasis)

-extensive Sarcoidosis


-diffuse pulmonary fibrosis and allergic Alveolitis

-extensive pleural adhesions.

Chronic inflammatory lung disease (eg. pulmonary abscess,


8. Neurologic

Multiple sclerosis and other demyelinating disease, cerebrospinal (in accordance with

the severity of the condition and the image of the disease).

Paraplegia and severe paraparézy in the lower limbs of the organic causes.

Tumors of the brain, the spinal cord and their packaging.

A parasitic disease of the central nervous system.

Degenerative disease of the central nervous and heredodegenerativní

System (e.g. disease Friedreichova, Pierre-Marierova, Wilson,

Westphal-Strümpellova, Creutzfeldova-Jakob, Alsheimarova,

Gerstmmenův-Sträusslerův sy, amyotrophic lateral sclerosis).

All of myopathy.

Dystrofické myotonie.

Huntington's Disease.

Severe forms of vascular disease of the brain and spinal cord injury, and events.

Aneurysms and intracranial vascular malformations.

Funikulární myelózy.

Encephalitis, encephalitis and meningitis in acute condition and harder

the subsequent residual syndromes.


Severe forms of polyneuropathy.


Syringomyelie and syringobulbie.

Brain and spinal cord traumas with a distinct bearing symptomatologií, including

residual State of this type.

Athetosis duplex.

Primary cerebellar artrofie.

Dysbasia lordotica progressiva.

Familial periodic paralysis.

Heavier diskopatie lumbar.

Hard resistant neuralgia.

Epilepsy resistant to modern medical treatment.

Severe forms of cerebral palsy.


Severe secondary neurastenické syndromes.

Severe neuro-vegetative neurosis.

Severe forms of migraines with frequent bouts of nezvládnutelnými.

All acute and chronic intoxication with disabilities a peripheral or

the central nervous system.

All other nerve disease that is worse in the previous


9. The psychiatric

and Disease: women)


The heavier form of psychopathy, decompensation of psychopathy.

Heavier reactive mental with the danger of suicidia event. validated

hospital admissions.

Neuroses anxiety and obsessive.

Nerve heredofamilární disease with mental disorders.

(b)) of the disease occurring in one of the parents, especially the inherently portable:



The heavier form of psychopathy.

Serious sexual deviance.

(c) if the wife) gave birth to in connection with the same father already oligofrenní or otherwise

mentally stigmatized child.

d) Alcoholism or other drug addiction one of the parents, if the

also the characteristics of defects.

e) If a female actively treated in pregnancy or doléčována


10. Dermatovenerologické

and) skin

Penfigi and dermatitis herpetiformis.


Erythematosus acutus ev. disseminátus.

Dermatomyositida acute.


Impetigo herpetiformní.

Purpura deteriorating for pregnancy.

Mycosa fungoidní.

Xeroderma pigmentosum has.

Malignant melanoma.

Other malignant cutaneous neoplasms.

Serious and mean the development of skin defects.

Psoriasa pustulosní generalisovaná.

All severe extensive skin disease.

Conditions after severe burns on the breasts and around the genitals.

Chronic pruriginosní dermatosy with psychopatiemi.

b) Syphilis manifest all stages and forms of the syfilofobickými concerns about the

child health (for antibiotic screens).

Lymbogranuloma venereum.

11. Ophthalmic

and the optic tract and Disease) ocular manifestations of total disease

which can be artificial termination of pregnancy to prevent permanent damage to the

vision of the mother, if the damage cannot be avoided in other ways as

ophthalmological prevention (photocoagulation, kryopexe, etc.) or friendly

the leadership of childbirth (cesarean section).

These include, in particular:

recurrent inflammation of the retina and choroid, especially an unknown etiology and

demonstrably deteriorated earlier pregnancy.

Inflammation of the sítnicových paths with repeated bleeding.

High myopia with advanced degenerative changes of the retina and

choroid with bleeding or retinal detachment and vitreoretinal

with the danger of degeneration of retinal detachment.

In particular, diabetic retinopathy, and toxemické.

(b) the Familial and hereditary disease) of the retina, the optic nerve and

the diopter settings mechanism of the eye (cornea, lens), in which the genetic basis is

sufficiently proven predominantly hereditary and congenital glaucoma (need to

the expression of genetic counseling).

(c)) with familial Retinoblastoma occurrence or double-sided.

12. Otolaryngology

Relative indication for termination of pregnancy is the otosklerosa,

and previous pregnancy) if the there was a greater reduction in hearing,

(b)) when you load the parent otosklerosou,

(c) due to a failure) if the hearing and other accompanying changes occurred to the

hard by the testimonies of the seduction theory: a psychiatrist and otologa.

Relative indication for termination of pregnancy is hereditary deafness or

heavy and medium heavy ear hearing loss heredodegenerativního

the origin of both, or one of the parents, when the Department of human genetics

determine the risk as too high due to the disability of the child.

13. Gynaecological and obstetric

Hyperemesis gravidarum, where are the organ changes.

Heavy late gestóza identified the previous pregnancy, especially if the

combined with hypertension and proteinuria.

Pathologies in the obstetric history:

-repeated atonické bleeding after delivery

-terminated after two births cesarean section

-After operative adjustment of the fixing and supporting apparatus, if a woman has two

live children.

Venter AGM diastázou resulting from the direct muscle after two births. The States

After operations for urinary frequency.

The irregularity of plodového eggs, baby with fetal erytroblastosou

or the risk of harm to a proven testing antibodies.

Conception after temporary castration X-RAYS, or if the female ovaries damaged RTG

radiation from other causes.

Conception between relatives in tribe directly or with siblings.

Conception to dokonaného 15. year of age.

Pregnancy after 40. a year of age.

The failure of intrauterine contraceptives.

14. Genetic

Serious hereditary diseases and developmental defects in the foetus is diagnosed

methods of prenatal diagnosis or pass their high risk.

Serious hereditary diseases and developmental defects, whose risk of foetal disability

fixed genetic testing exceeds 10%.

In semiletálních syndromes, or leading to the need of asylum care

exceptionally, when the risk lower.

Factors demonstrated mutagenic and teratogenic effects on the fetus,

in particular, the proven use of medications with mutagenic or teratogenic effect

professional exposure to chemicals with mutagenic or teratogenic

effect and excessive exposure to ionizing radiation.

Note: a woman shall present a certificate of the doctor who prescribed the medicine, with

indication of diagnosis, the date of issue of the recipe and the prescribed dose. When

professional exposure and exposure to ionizing radiation shall submit a testimonial,

that contains the data, and the dose of exposure. If the reason is the use of drugs,

submit the completed report on the adverse effect of the drug (SEVT 14 084 0).

1) section 8 of Act No. 66/1986 Coll., on abortion.

2) Form SEVT, skl. # 14 331 0.

3) Form SEVT, skl. # 14 331 1.

4) § 6 para. 1 of the law No. 66/1986 Coll.

5) § 6 para. 2 of the law No. 66/1986 Coll.

6) § 10 of the law No. 66/1986 Coll.

7) Ministry of Interior Decree No. 69/1965 Coll., shall be issued

more detailed provisions on residence of aliens in the territory of the Czechoslovak

the Socialist Republic.

8) Eg. residence permit for foreigners issued by the competent authority of the Corps

national security or licence issued by the Federal Ministry of

Foreign Affairs, outlined the purpose of the workers working in the travel

the document, when the staff allocation confirmation Department or organisation, in

which carries out his work.

9) section 30 of Act No. 20/1966 Coll. on health care of the people.

§ 66 Ministry of health Decree No. 42/1966 Coll. on the provision of

medical care.

10) Assessment of Czech and Slovak pricing Office price authority no.

1160/686/1981 about how to determine the retail price for hospital preventive care

paid foreign foreigners (no JKV 1005), reprinted in the amount

9-10/1981 p. MZ CZECHOSLOVAKIA and Bill No 1159/1005/1985 about the determination of the first

the appendix to the notice to ČCÚ and SCÚ no 1160/686/1981 to determine retail prices

for medical care paid for by the foreign foreigners (JKPOV 964),

reprinted in the amount of 7-9/1986, P. 1. MZ.