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Sexual and reproductive health (SRH) has increasingly gained importance in the field of international human rights law. The work of the United Nations (UN) bodies, in particular the recently adopted General Comment 22 (GC 22), has been instrumental in signalling the importance of the SRH legal framework and in setting clear guidelines to steer countries into enacting/modifying/repealing national laws in order to comply with their international obligations vis-à-vis SRH. Although within the region Uruguay is regarded as a pioneer in terms of women's status and rights, including sexual and reproductive health and rights, evidence points to a number of challenges. This article explores the extent to which the Uruguayan abortion law complies with the country's international human rights obligations as conceptualised by GC 22. It uses the Uruguayan abortion law, its regulatory decree, and the highest administrative court's decision in Alonso et al v. Poder Ejecutivo as the main pivots for the discussion. The results reveal that - in spite of the praise it receives at the international level and the adoption of a less restrictive abortion law - Uruguay has fallen short in adopting a legal framework that complies with the international standards and guarantees effective access to abortion services. [ABSTRACT FROM AUTHOR]

Globally, abortion has largely been understood, researched, and regulated within a medico-legal paradigm. However, self-managed abortion (SMA) questions the centrality of the law and bio-medical paradigms, as well as the presumed individuality of abortion decision-making that it is predicated on. SMA offers an "enticing and hazardous" (Donnan & Magowan, 2009, p. 9) challenge to traditional legal and biomedical understandings of and approaches to abortion, as well as to social, religious, (pro)creative conventions. In this paper, we detail how abortion remains exceptionalised, setting conditions for "permissible transgressions". We explore how SMA fundamentally challenges and alters meanings of abortion, and its care and provision: from whose authority and knowledge is valued and centred, to the environments that abortion is possible in, to issuing a broader challenge around how abortion itself is understood and depicted, and how SMA, thus, represents a deliberate move towards new ways of making meaning and (re)imagining abortions. [ABSTRACT FROM AUTHOR]