However, the front-runner did not disclose what that punishment would be, during a town hall event with cable network MSBNC.
Mr Trump supports a ban on abortions, with certain exceptions.
Abortion has been legal in the United States since 1973 after a landmark Supreme Court ruling.
Once a Democrat, Mr Trump has been criticised for supporting abortion rights in the past.
Republican leaders have expressed concern about Mr Trump's prospects in the general election because polls shows that the New York businessman is extremely unpopular with female voters.
Democratic front-runner Hillary Clinton has been an outspoken critic of Mr Trump's stance on women's issues.
"Just when you thought it couldn't get worse. Horrific and telling," said Mrs Clinton after his latest comments.
Anti-abortion activists traditionally have avoided placing blame on women who undergo abortions, but have focused on those who perform the procedure.
In recent years, conservatives have sought to tighten restrictions on abortion clinics and doctors rather than seek an outright ban.
Abortion rights advocates say these measures are meant to restrict women's access to abortion. The new laws particularly pervasive in the conservative southern states.
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