In Brazil, an abortion debate pits feminists against the church

Critics say the country’s abortion ban jeopardizes the health of Black and poor women.

Rio de Janeiro, Brazil – In 2019, Mariana Leal de Souza, a 39-year-old Black woman living outside Brazil’s largest city, Sao Paulo, was having a hard time coping with the suicide of her teenage son when she was confronted with more difficult news: She was pregnant.

“I couldn’t believe it,” the social worker told Al Jazeera during a recent video call. “Mentally and financially, I wasn’t ready for another pregnancy after the loss of my son.”

She decided to terminate, but there was a problem: Brazil’s Penal Code permits abortion only if the pregnancy is the result of rape, puts the mother’s health at risk or doctors diagnose severe malformations to the fetus. None of these applied to Leal de Souza.

So she enlisted the help of three close friends, one of whom had connections to an underground supplier of Cytotec, a medication originally intended for ulcers but repurposed by low-income women in Latin America as a means to terminate unwanted pregnancies. Pooling their resources, they came up with $150 to buy the medication.

But the experience was agonizing. As Leal de Souza recalled: “It felt as though my body was expelling everything. I experienced chills, intense abdominal pain and bleeding.” She assumed these were standard complications and tried to tough it out, but the ensuing weeks brought her no respite.