In Senegal, abortion is illegal unless the life of the mother is in danger. A medical exception requires a medical certificate. Senegal is one of the only countries whose criminal code completely bans abortion. Receiving an abortion is punishable by fines and prison. Abortion was banned in the colonial era. In 1967, an exception was made in the case of threat to life. In 2005, the National Assembly declared that women have a right to post-abortion care. Activists wanted this law to legalize abortion in the cases of rape or incest, but failed. In 2013, a group of NGOs called the Task Force formed with the goal of aligning Senegal's abortion law with the Maputo Protocol, which it had signed in 2004. The National Assembly considered a bill in 2024 that would guarantee legal access to medical abortion. International organizations have called for abortion law reform. Domestically, religious families and organizations influence widespread opposition to abortion due to Islamic beliefs.
Nearly all abortions in the country are unsafe. Many women perform self-induced abortions. Abortion pills are available through the black market. Some medical professionals provide or advertise illegal abortions. Post-abortion care (PAC) has been available since the 1990s, for which Senegal is known as the "PAC pioneer of West Africa". The Ministry of Health promotes the use of manual vacuum aspiration or misoprostol for PAC. Curettage remains common, despite not being recommended, as MVA is often difficult to access. PAC providers sometimes report clients to legal authorities, but most maintain patient confidentiality by implicitly labeling abortions as miscarriages. Senegal has a high rate of infanticide, which is often attributed to the lack of legal abortion. In the 2010s and 2020s, many infant corpses have been discovered in landfills and other places. Women charged with infanticide comprise over one-third of women who are arrested.