The woman must pay for an abortion performed on request, and abortions can only be performed in medical institutions that meet certain minimum standards. Sex-selective abortion is specifically prohibited, as are tests of the fetus's sex during the first ten weeks of pregnancy.[1] However, the ratio of males to females at birth was 109.8 over 2009-2011, an abnormally high number that, according to a report by the United Nations Population Fund, suggests sex selection is occurring.[2][3]