Skip to main content

Patriarchy, Paternalism, and Politics of Reproductive Autonomy: Abortion Rights in Japan

  • Chapter
  • First Online:
Sustainability, Diversity, and Equality: Key Challenges for Japan

Part of the book series: Science Across Cultures: The History of Non-Western Science ((SACH,volume 13))

  • 281 Accesses

Abstract

While Japan ranks relatively high in overall health indicators with life expectancy and healthcare coverage, a plethora of problems exist when it comes to reproductive health. With the lack of comprehensive sexuality education, youth are at risk of experiencing sexual activity without essential knowledge. Furthermore, the dearth of access to reliable and affordable contraceptives, as well as the social stigma and various hurdles to obtain an abortion, impede women from exercising their sexual and reproductive autonomy. Focusing on the politics surrounding abortion, this chapter examines the structural mechanisms that obstruct people’s access to essential reproductive healthcare service. I argue that patriarchal notions in policy, conservative approach in education, and paternalism in medicine, along with the lack of respect for sexual and reproductive health and rights in all three fields, curtail people’s ability to exercise their agency in reproduction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Asai, H. (2020). Hōkatsuteki seikyōiku: jinken, sei no tayōsei, jendā byōdō o hashira ni [Comprehensive sexuality education: Human rights, sexual diversity, gender equality as the central theme]. Otsuki Shoten.

    Google Scholar 

  • Baiju, N., Acharya, G., D’Antonio, F., & Berg, R. C. (2019). Effectiveness, safety and acceptability of self-assessment of the outcome of first-trimester medical abortion: A systematic review and meta-analysis. BJOG: An International Journal of Obstetrics & Gynaecology, 126, 1536–1544.

    Article  Google Scholar 

  • Bunting, L., Tsibulsky, I., & Boivin, J. (2013). Fertility knowledge and beliefs about fertility treatment: Findings from the international fertility decision-making study. Human Reproduction, 28(2), 385–397.

    Article  Google Scholar 

  • Castro-Vázquez, G. (2006). The politics of viagra: Gender, dysfunction and reproduction in Japan. Body & Society, 12(2), 109–129.

    Article  Google Scholar 

  • Fujino, Y. (2021). Sengo Minshushugi ga Unda Yūsei Shisō [Eugenics from postwar democracy]. Rokka Shuppan.

    Google Scholar 

  • Fukuda, K. (2022). Kinkyū hininyaku eno akusesu o meguru nihon no genjō to kadai [Situations and challenges about access of emergency contraceptives in Japan]. Kokusai Jinken Hiroba, 161. Retrieved March 1, 2023, from https://www.hurights.or.jp/archives/newsletter/section4/2022/01/post-201921.html

  • Goto, A., Reich, R. R., & Aitken, I. (1999). Oral contraceptives and women’s health in Japan. Journal of American Medical Association, 282, 2173–2177.

    Article  Google Scholar 

  • Grossman, D., Grindlay, K., & Burns, B. (2016). Public funding for abortion where broadly legal. Contraception, 94(5), 453–460.

    Article  Google Scholar 

  • Hatcher, R. (2018). Contraceptive technology. Managing Contraception.

    Google Scholar 

  • Hirayama, M. (2019). Nihan de wa naze kindaiteki hininhō ga fukyū shinainoka. [Why and how modern contraceptive methods have not spread in Japan]. Meiji Daigaku Shinrishakaigaku Kenkyū, 14, 43–62.

    Google Scholar 

  • Kanazaki, M. (2005). Kenshō Nanao Yōgo Gakkō jiken: Seikyōiku kōgeki to kyōin tairyō shobun no shinjitsu [Examining the nanao special education school incident: the truth of the mass layoffs]. Gunjosha.

    Google Scholar 

  • Kimura, N. (2021). Hinin, chūzetsu o manabu: Jendā-ron no jugyō kara [Learning contraception and abortion: From a course on gender]. Hiroshima Shūdai Ronshū, 61(2), 139–153.

    Google Scholar 

  • Lerma, K., & Blumenthal, P. D. (2020). Current and potential methods for second trimester abortion. Clinical Obstetrics & Gynaecology, 63, 24–36.

    Google Scholar 

  • Matsumoto, A. (2005). Piru wa naze kangei sarenainoka [Why the Pill is not Welcomed]. Keiso Shobo.

    Google Scholar 

  • Miyasaka, Y. (2020). Hinin gensetsu to kazoku no shinmitsusei. Nihongata kindai kazoku no rekishi shakaigaku [Birth control discourses and family intimacy: Historical sociology of modern Japanese families]. Shoshi Kurarute.

    Google Scholar 

  • Motegi, T. (2018). Nihon [Japan]. In Hashimoto, N., Ikeya, H., & Tashiro, M. (Ed.), Kyōkasho ni miru sekai no seikyōiku [Sexuality education in the world from textbooks] (pp. 151–181). Kamogawa Shuppan.

    Google Scholar 

  • Nakajima, K. (2017). Hyōryū joshi: Ninshin SOS Tokyo no sōdan genba kara [Stray girls: From Tokyo crisis pregnancy hotline]. Asahi Shinsho.

    Google Scholar 

  • Nakamura, E., Kobayashi, K., Sekizawa, A., Kobayashi, H., & Takai, Y. (2021). Survey on spontaneous miscarriage and induced abortion surgery safety at less than 12 weeks of gestation in Japan. The Journal of Obstetrics and Gynaecology Research, 47(12), 4158–4163.

    Article  Google Scholar 

  • Norgren, T. (2001). Abortion before birth control: The politics of reproduction in postwar Japan. Princeton University Press.

    Book  Google Scholar 

  • Ogino, M. (2008). Kazoku Keikaku eno Michi: Kindai Nihon no Seishoku o meguru Seiji [Path for family planning: Politics of reproduction in Japan]. Iwanami Shoten.

    Google Scholar 

  • Ogino, M. (2014). Onna no Karada: Feminizumu Igo [Women’s body: After feminism] Iwanami Shoten.

    Google Scholar 

  • Ōnishi, K. (2014). Kōteki iryō hoken niokeru shussan kyūfu: Genkin kyūfu omeguru seiji katei. Ohara Shakai Mondai Kenkyujo Zasshi, 663, 17–32.

    Google Scholar 

  • Parsons, J. A., & Romamis, E. C. (2021). Early medical abortion, equality of access, and the telemedical imperative. Oxford University Press.

    Book  Google Scholar 

  • Ponzetti, J. J., Jr. (2016). Evidence-based approaches to sexuality education: A global perspective. Routledge.

    Google Scholar 

  • Potts, M. (2003). Two pills, two paths: A tale of gender bias. Endeavour, 27(3), 127–130.

    Article  Google Scholar 

  • Sato, T., Kataoka, C., McKay, C., & Izumi, A. (2022). Teaching sexuality education to secondary students in Japan: Reflections from Japanese health education teachers. Sex Education, 22(6), 641–654.

    Article  Google Scholar 

  • Sekiguchi, A., Ikeda, T., Okamura, K., & Nakai, A. (2015). Safety of induced abortions at less than 12 weeks of pregnancy in Japan. International Journal of Gynecology & Obstetrics, 129, 54–57.

    Article  Google Scholar 

  • Sorano, S., Emmi, S., & Smith, C. (2021). Why is it so difficult to access emergency contraceptive pills in Japan? The Lancet Regional Health – Western Pacific, 7(1000095), 1–2.

    Google Scholar 

  • Takeda, S. (2017). Ninsanpu no jisatsu – sono jittai [Suicide by pregnant women]. Retrieved March 1, 2023, from Japan Association of Obstetricians and Gynaecologists website: http://www.jaog.or.jp/wp/wp-content/uploads/2017/11/11643745157d48555ead55ae19d42a0a.pdf

  • Tama, Y. (2006). “Kindai kazoku” to bodi poritikusu [“Modern family” and body politics]. Sekai Shisosha.

    Google Scholar 

  • Tanaka, M. (2020). Imin josei no sekushuaru ripurodakutibu herusu raitsu no jitsugen ni muketa kadai – Nihon de kurasu ryūgakusei to ginōjisshūsei no ninshin nikansuru ichikōsatsu. [Issues surrounding the realization of sexual and reproductive health and rights of immigrant women: Analysis of pregnancy among international students and technical trainees in Japan]. Kokusai Jenda Gakkaishi, 18, 64–85.

    Google Scholar 

  • Tashiro, M. (2003). Haisengo nihon niokeru junketsu kyōiku no tenkai to hensen [Development of abstinence education in post-war period]. In Hashimoto, N. & Henmi, M. (Ed.), Jendā to Kyōiku no Rekishi [History of gender na education] (pp. 213–239). Kawashima Shoten.

    Google Scholar 

  • Tschann, M., Ly, E. S., Hilliard, S., & Lange, H. L. H. (2021). Changes to medication abortion clinical practices in response to the COVID-19 pandemic. Contraception, 104, 77–81.

    Article  Google Scholar 

  • Tsukahara, K. (2014). Chūzetsu gijutsu to ripurodakutibu raitsu: Feminisuto rinri no shiten kara [Abortion technology and reproductive rights: From a feminist ethics perspective]. Keiso Shobo.

    Google Scholar 

  • Tsukahara, K. (2022). Nihon no chūzetsu [Abortion in Japan]. Chikuma Shobo.

    Google Scholar 

  • Tunc, T. (2008). Technologies of choice: A history of abortion techniques in the United States, 1850–1980. VDM Verlag.

    Google Scholar 

  • Zerubavel, E. (2006). The elephant in the room: Silence and denial in everyday life. Oxford University Press.

    Google Scholar 

Government and Organizational Materials

Newspaper Articles

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eiko Saeki .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Saeki, E. (2023). Patriarchy, Paternalism, and Politics of Reproductive Autonomy: Abortion Rights in Japan. In: Tanaka, K., Selin, H. (eds) Sustainability, Diversity, and Equality: Key Challenges for Japan. Science Across Cultures: The History of Non-Western Science, vol 13. Springer, Cham. https://doi.org/10.1007/978-3-031-36331-3_3

Download citation

Publish with us

Policies and ethics