Denial of medical care often occurs with regard to reproductive and sexual health. Sometimes women themselves avoid the medical system for fear of being reported to the police or facing family violence due to having premarital sex or being the victims of sexual violence. In some parts of Latin America, with very strict anti-abortion laws, pregnant women avoid the medical system due to fear of being investigated by the authorities if they have a miscarriage, or a stillbirth, or other problems with the pregnancy. Prosecuting such women is quite common in places such as El Salvador.