39. 40. notably that the evidence of prior psychiatric examination is not necessary to establish the risk to mental health. The Protocol guarantees the right to terminate a pregnancy when the woman's life is threatened. Yet women’s lives are in danger when they have no access to legal security procedures, which obliges them to resort to unsafe, illegal abortions. Maternal mortality from abortions performed in unhealthy conditions is a high risk, particularly for adolescent girls who seek to terminate pregnancies through unqualified or unspecialized service providers, or through abortions that are induced using dangerous procedures, products and objects. Safe abortions may be required by women whose pregnancies pose risks to the life of the mother or the foetus. That is the case, for example, where it is demonstrated that the foetus which is developing suffers from deformities that are incompatible with survival, so being forced to carry the pregnancy to term would constitute cruel and inhuman treatment. This can also occur in women who need special medical treatment for heart disease, cancer or other diseases which may endanger the survival of the foetus. General obligations of the State: respect, protect, promote and fulfill rights 41. Article 14.1. a), b), c) and f) and Article 14 2. a) and (c)) impose four general obligations on State parties, like several provisions on human rights: respect, protect, promote and fulfill rights thereof. 42. The obligation to respect rights requires State parties to refrain from hindering, directly or indirectly, women's rights and to ensure that women are duly informed on family planning/contraception and safe abortion services, which should be available, accessible, acceptable and of good quality. 43. The obligation to protect requires State parties to take the necessary measures to prevent third parties from interfering with the enjoyment of women’s sexual and reproductive rights. Particular attention must be given to prevention, as regards the interference of third parties concerning the rights of vulnerable groups such as adolescent girls, women living with disabilities, women living with HIV and women in situations of conflict. The obligation entails the formulation of standards and guidelines containing the precision that the consent and involvement of third parties, including but limited to, parents, guardians, spouses and partners, is not required when adult women and adolescent girls want to access family planning/contraception and safe abortion services in the cases provided for in the Protocol. 44. The obligation to promote obliges State parties to create the legal, economic and social conditions that enable women to exercise their sexual and reproductive rights with regard to family planning/contraception and safe abortion, as well as to enjoy them. An essential step towards eliminating stigmatization and discrimination related to reproductive health includes, but is not limited to, supporting women's 12