Offred's mother's time was similar to the current debate over abortion rights, with abortion being legal in many countries but recently made illegal in some states due to the overturning of Roe v Wade.
Her psychological state may be at risk in pregnancy, especially in cases of rape, as seen in chapter 13 where Janine had an abortion at 14 due to being gang raped.
Pro-life advocates argue that banning abortions doesn't end them from being carried out, it encourages 'back street abortionists' and women to have dangerous and fatal attempts at illegal abortion.
Many debate about whether abortions should be allowed after finding out of a serious deformity, with some arguing that a foetus with very minor deformities will begin to be aborted for the sake of appearance.
Offred states in chapter 20 that there are no scans in Gilead as 'what would be the point in knowing, anyways? You can't have it taken out, whatever it is must be carried to term'.
Those that accept abortion still debate over what is the latest time a foetus should be able to be aborted, as it is becoming increasingly possible to save premature babies earlier.