Poland is planning to introduce a centralised register of pregnancies that would oblige doctors to report all pregnancies and miscarriages to the government. The proposed register would come into effect in January 2022, a year after Poland introduced a near-total ban on abortion. This has raised serious concerns among women’s rights activists, who believe that in light of the abortion ban, the register could be used to cause legal difficulties for women who have self-administered abortions. The draft legislation is part of a wide-ranging project to update the medical information system in Poland. “It’s about control, it’s about making sure that pregnancies end with birth,” Natalia Broniarczyk, an activist from Aborcyjny Dream Team told the Polish weekly Gazeta Wyborcza. The plan prompted online protests. A social media initiative titled “I’d like to politely report that I am not pregnant” encouraged Polish women to email photos of their used sanitary pads, tampons and underwear to the Polish ministry of health. The ministry has strongly denied the project amounts to a centralised pregnancy register, with a spokesperson saying the changes are simply part of wide-ranging digitalisation project that will update the way data about a multitude of conditions, including allergies, is stored. The spokesperson said doctors always had information on pregnancies, but before it was stored on paper by hospitals, rather than centrally by the government. The concerns of activists about the register grew considerably after a bill proposed by the government that would establish an “institute of family and demographics” passed first reading in the Polish parliament by one vote on Thursday. The institute would aim to monitor family policy, pass opinion on legislation and educate citizens on the “vital role of family to the social order” and the importance of “cultural-social reproduction” in the context of marriage. The institute would have access to citizens’ personal data and prosecutorial powers in the realm of family law, prompting worries it could be used to enforce the country’s strict abortion law. The project has drawn widespread criticism from Polish academics and civil rights advocates. “Maybe just call it the ‘Red Center of Rachel and Leah’,” a feminist organisation from Łódź said in an Instagram post, referencing Margaret Atwood’s dystopian novel The Handmaid’s Tale. In the novel the Rachel and Leah Center is a training facility for women designated to be “breeders” by the authoritarian regime. The committee of demographic researchers at the Polish Academy of Sciences has issued a statement expressing concerns that the “pro-natalist propaganda” would take precedent over scientific research at the institute. “The project aims exclusively to promote traditional model of family,” Adam Bodnar, Poland’s former ombudsman for citizen rights, told the Polish news website Oko.press. “It could also become a tool against those who fall outside this model, for example those who do not conform to heteronormative norms.”