In Guinea, abortion is illegal unless the pregnancy poses a threat to the life or health of the pregnant woman or fetus, if it resulted from rape, or if the pregnant woman is a minor. Illegal abortions are punishable by fines and prison. Legal abortions require approval from doctors in the case of therapeutic abortion or ethics committees in the case of abortion from rape. Women's rights activists and journalists have advocated for reform.
The use of contraceptives is low, which leads to unwanted pregnancies and abortions, especially among adolescents. Rape is a frequent cause of abortion. Post-abortion care has been available in Guinea since the 1990s and is available at public facilities across the country. Nearly all of these facilities use manual vacuum aspiration, and most offer post-abortion family planning.