Katherine Kortsmit, PhD1,2; Tara C. Jatlaoui, MD1; Michele G. Mandel1; Jennifer A. Reeves, MD1; Titilope Oduyebo, MD1; Emily Petersen, MD1; Maura K. Whiteman, PhD1 (View writer affiliations)

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Abstract

Problem/Condition: audioeditorfree.com conducts abortion security to document the number and characteristics of women obtaining legal induced abortions and variety of abortion-related deaths in the joined States.

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Period Covered: 2018.

Description that System: Each year, audioeditorfree.com requests abortion data from the central health agencies because that 50 states, the ar of Columbia, and new York City. For 2018, 49 reporting areas voluntarily provided aggregate abortion data come audioeditorfree.com. Of these, 48 report areas provided data every year during 2009–2018. Census and also natality data were offered to calculation abortion prices (number that abortions per 1,000 ladies aged 15–44 years) and ratios (number that abortions every 1,000 live births), respectively. Abortion-related deaths from 2017 were assessed as part of audioeditorfree.com’s pregnancy Mortality Surveillance mechanism (PMSS).

Results: A full of 619,591 abortions for 2018 to be reported to audioeditorfree.com from 49 reporting areas. Amongst 48 reporting locations with data each year during 2009–2018, in 2018, a total of 614,820 abortions were reported, the abortion rate was 11.3 abortions every 1,000 females aged 15–44 years, and the abortion ratio was 189 abortions per 1,000 live births. Indigenous 2017 come 2018, the total variety of abortions and also abortion rate boosted 1% (from 609,095 complete abortions and from 11.2 abortions per 1,000 females aged 15–44 years, respectively), and also the abortion ratio raised 2% (from 185 abortions every 1,000 live births). From 2009 come 2018, the total number of reported abortions, abortion rate, and abortion ratio diminished 22% (from 786,621), 24% (from 14.9 abortions every 1,000 women aged 15–44 years), and 16% (from 224 abortions per 1,000 live births), respectively.

In 2018, females in your 20s accounting for more than half of abortions (57.7%). In 2018 and during 2009–2018, women aged 20–24 and 25–29 year accounted for the greatest percentages that abortions; in 2018, castle accounted because that 28.3% and also 29.4% that abortions, respectively, and also had the greatest abortion prices (19.1 and also 18.5 per 1,000 ladies aged 20–24 and also 25–29 years, respectively). By contrast, teenagers aged 13 weeks’ gestation continued to be consistently low (≤9.0%). In 2018, the greatest proportion the abortions were performed by surgical abortion at ≤13 weeks’ gestation (52.1%), adhered to by early medical abortion at ≤9 weeks’ gestation (38.6%), surgical abortion in ~ >13 weeks’ gestation (7.8%), and medical abortion at >9 weeks’ gestation (1.4%); every other approaches were uncommon (Top








References

Smith JC. Abortion surveillance report, hospital abortions, annual an overview 1969. Atlanta, GA: united state Department that Health, Education, and Welfare, Public health Service, wellness Services and Mental health Administration, nationwide Communicable disease Center; 1970.Fritz MA, Speroff L. Clinical gynecologic endocrinology and also infertility: Philadelphia, PA: Wolters Kluwer Health; 2012.Mifeprex (mifepristone) . Brand-new York, NY, Danco Laboratories; 2016.Paul M, Lichtenberg ES, Borgatta L, Grimes DA, Stubblefield PG, Creinin MD. Management of unintended and abnormal pregnancy: substantial abortion care. Oxford, England: Blackwell publishing Ltd.; 2009.audioeditorfree.com. Abortion surveillance, 1972. Atlanta, GA: us Department that Health, Education, and also Welfare, Public health and wellness Service; audioeditorfree.com; 1974.audioeditorfree.com. Abortion surveillance, 1977. Atlanta, GA: united state Department the Health, Education, and also Welfare, Public wellness Service, audioeditorfree.com; 1979.Creinin MD, Edwards J. Beforehand abortion: surgical and also medical options. Curr Probl Obstet Gynecol Fertil 1997;20:1–32.Nippita S, Paul M. Abortion. In: Hatcher RA, Nelson AL, Trussell J, et al, eds. Contraceptive technology, 21st ed. Brand-new York, NY: Ayer company Publishers, Inc.; 2018:779–827.Daniels K, Abma J. Present contraceptive status among women age 15–49: united States, 2015–2017. NCHS Data short 2018;327:1–8.
TABLE 1. Number, percentage, rate,* and ratio† of reported abortions — selected reporting areas, unified States, 2009–2018YearSelected report areas§Continuously report areas¶No.No. (%)**RateRatio
2009789,217††786,621 (99.7)14.9224
2010765,651762,755 (99.6)14.4225
2011730,322727,554 (99.6)13.7217
2012699,202696,587 (99.6)13.1208
2013664,435661,874 (99.6)12.4198
2014652,639649,849 (99.6)12.1192
2015638,169 636,902 (99.8)11.8188
2016623,471623,471 (100.0)11.6186
2017612,719609,095 (99.4)11.2185
2018619,591614,820 (99.2)11.3189

* number of abortions per 1,­­000 women aged 15–44 years.† number of abortions per 1,000 live births.§ because that each offered year, excludes reporting areas that did not report that year’s abortion numbers to audioeditorfree.com: California (2009–2018), ar of Columbia (2016), Maryland (2009–2018), and new Hampshire (2009–2018).¶ For every years, excludes reporting locations that did not report abortion number every year throughout the duration of analysis (2009–2018): California, ar of Columbia, Maryland, and brand-new Hampshire. ** Abortions from locations that report every year throughout 2009–2018 as a percentage of all reported abortions for a offered year.†† This number is better than reported in the 2009 report due to the fact that of numbers subsequently listed by Delaware (Source: Pazol K, Creanga AA, Zane SB, Burley KD, Jamieson DJ. Abortion surveillance—United States, 2009. MMWR Surveill Summ 2012;61).




FIGURE. Number, rate,* and ratio† of abortions performed, by year — selected report areas,§ united States, 2009–2018
*

* variety of abortions every 1,000 ladies aged 15–44 years.

† variety of abortions per 1,000 live births.

§ Data room for 48 report areas; excludes California, ar of Columbia, Maryland, and new Hampshire.


TABLE 2. Number, rate,* and also ratio† of reported abortions, by report area of occurrence and also percentage of abortions obtained by out-of-state residents§ — joined States, 2018¶State/AreaAbortions reported by area the occurrence**Abortions obtained by out-of-state citizens No. RateRatioNo. (%)
Alabama6,4846.81121,029 (15.9)
Alaska1,2838.812717 (1.3)
Arizona12,4389.015448 (0.4)
Arkansas3,0695.383321 (10.5)
Colorado8,9757.71431,032 (11.5)
Connecticut9,29413.9268423 (4.6)
Delaware1,7409.7164236 (13.6)
District of Columbia††4,77125.35183,119 (65.4)
Florida70,23918.13172,653 (3.8)
Georgia33,91815.72695,558 (16.4)
Hawaii2,1218.012531 (1.5)
Idaho1,2573.75948 (3.8)
Illinois42,44116.92935,668 (13.4)
Indiana8,0376.298774 (9.6)
Iowa2,8494.875302 (10.6)
Kansas6,97212.41923,498 (50.2)
Kentucky3,2033.859489 (15.3)
Louisiana8,0978.71361,315 (16.2)
Maine1,9498.415881 (4.2)
Massachusetts18,25613.1264575 (3.1)
Michigan26,71614.22431,158 (4.3)
Minnesota9,9109.21471,014 (10.2)
Mississippi3,0055.181317 (10.5)
Missouri2,9102.540265 (9.1)
Montana1,6748.7145170 (10.2)
Nebraska2,0785.682246 (11.8)
Nevada8,81914.8247456 (5.2)
New Jersey§§22,93613.62271,304 (5.7)
New Mexico3,8479.7167853 (22.2)
New York77,44719.83427,514 (9.7)
New York City49,75926.84574,308 (8.7)
New York State27,68813.52363,206 (11.6)
North Carolina27,58113.52324,996 (18.1)
North Dakota1,1417.7107309 (27.1)
Ohio20,4259.21511,210 (5.9)
Oklahoma4,9906.5100368 (7.4)
Oregon8,73510.6207828 (9.5)
Pennsylvania30,36412.72242,124 (7.0)
Rhode Island2,81713.5268382 (13.6)
South Carolina4,6464.882227 (4.9)
South Dakota3822.43285 (22.3)
Tennessee10,8808.21352,063 (19.0)
Texas55,1409.21461,234 (2.2)
Utah3,0824.565187 (6.1)
Vermont1,20410.5222215 (17.9)
Virginia16,4749.8165935 (5.7)
Washington17,26411.5201934 (5.4)
West Virginia1,5074.783208 (13.8)
Wisconsin6,2245.797182 (2.9)
Total619,591NANANA

Abbreviation: NA = no applicable. * number of abortions per 1,000 women aged 15–44 years.† number of abortions every 1,000 live births. § extr details ~ above the report area in i beg your pardon abortions were provided, cross-tabulated by the state of residence, are accessible at https://www.audioeditorfree.com/reproductivehealth/data_stats/Abortion.htm. ¶ Data indigenous 48 reporting areas; excludes 4 reporting locations (California, Maryland, new Hampshire, and also Wyoming) the did not report or did not accomplish reporting standards.** The complete abortions incorporate those with known and also unknown residence status. †† report to the main health firm is not required.§§ report to the central health agency is no required. Data are asked for from hospitals and licensed ambulatory treatment facilities only.


TABLE 3. Report abortions, through known period group and also reporting area of incident — selected report areas,* joined States, 2018State/AreaAge team (yrs)Total abortions report by recognized age15–1920–2425–2930–3435–39≥40No. (%)†No. (%)No. (%)No. (%)No. (%)No. (%)No. (%)No. (% of every reported abortions)§
Alabama24 (0.4)634 (9.8)1,997 (30.8)1,956 (30.2)1,104 (17.0)585 (9.0)181 (2.8)6,481 (100.0)
Alaska—¶154 (12.0)365 (28.4)355 (27.7)233 (18.2)131 (10.2)1,283 (100.0)
Arizona28 (0.2)1,126 (9.1)3,787 (30.4)3,471 (27.9)2,178 (17.5)1,380 (11.1)467 (3.8)12,437 (100.0)
Arkansas17 (0.6)290 (9.4)974 (31.7)879 (28.6)507 (16.5)315 (10.3)87 (2.8)3,069 (100.0)
Colorado26 (0.3)850 (9.5)2,619 (29.2)2,566 (28.6)1,663 (18.6)913 (10.2)327 (3.6)8,964 (99.9)
Connecticut24 (0.3)845 (9.3)2,489 (27.3)2,697 (29.6)1,738 (19.1)1,003 (11.0)305 (3.4)9,101 (97.9)
Delaware201 (11.6)516 (29.7)473 (27.2)314 (18.0)175 (10.1)1,740 (100.0)
District of Columbia**13 (0.3)437 (9.2)1,349 (28.3)1,461 (30.6)882 (18.5)460 (9.6)168 (3.5)4,770 (100.0)
Florida101 (0.1)5,370 (7.7)18,999 (27.1)20,643 (29.5)14,207 (20.3)7,899 (11.3)2,863 (4.1)70,082 (99.8)
Georgia74 (0.2)2,717 (8.0)9,523 (28.1)10,454 (30.8)6,443 (19.0)3,554 (10.5)1,153 (3.4)33,918 (100.0)
Hawaii200 (9.4)627 (29.6)567 (26.7)406 (19.1)227 (10.7)2,121 (100.0)
Idaho138 (11.0)411 (32.7)329 (26.2)200 (15.9)140 (11.1)1,256 (99.9)
Illinois††94 (0.3)3,223 (8.8)10,702 (29.3)11,043 (30.2)6,632 (18.1)3,729 (10.2)1,164 (3.2)36,587 (99.7)
Indiana22 (0.3)787 (9.8)2,513 (31.3)2,291 (28.5)1,381 (17.2)771 (9.6)272 (3.4)8,037 (100.0)
Iowa7 (0.2)283 (10.0)822 (28.9)785 (27.6)557 (19.6)282 (9.9)107 (3.8)2,843 (99.8)
Kansas15 (0.2)647 (9.3)2,221 (31.9)1,942 (27.9)1,152 (16.5)741 (10.6)254 (3.6)6,972 (100.0)
Kentucky14 (0.4)287 (9.0)933 (29.1)917 (28.6)601 (18.8)338 (10.6)113 (3.5)3,203 (100.0)
Louisiana18 (0.2)721 (8.9)2,400 (29.6)2,399 (29.6)1,508 (18.6)786 (9.7)265 (3.3)8,097 (100.0)
Maine194 (10.0)581 (29.8)527 (27.1)337 (17.3)228 (11.7)1,947 (99.9)
Massachusetts25 (0.1)1,256 (6.9)4,678 (25.6)5,283 (28.9)3,943 (21.6)2,276 (12.5)793 (4.3)18,254 (100.0)
Michigan54 (0.2)2,265 (8.5)7,719 (29.0)8,651 (32.5)4,652 (17.5)2,450 (9.2)814 (3.1)26,605 (99.6)
Minnesota16 (0.2)793 (8.0)2,713 (27.4)2,775 (28.0)2,037 (20.6)1,193 (12.0)383 (3.9)9,910 (100.0)
Mississippi13 (0.4)285 (9.5)899 (29.9)932 (31.0)530 (17.6)276 (9.2)70 (2.3)3,005 (100.0)
Missouri14 (0.5)286 (9.8)861 (29.6)861 (29.6)542 (18.6)272 (9.4)73 (2.5)2,909 (100.0)
Montana183 (11.0)479 (28.7)468 (28.0)307 (18.4)172 (10.3)1,671 (99.8)
Nebraska9 (0.4)220 (10.6)663 (31.9)546 (26.3)360 (17.3)206 (9.9)74 (3.6)2,078 (100.0)
Nevada17 (0.2)713 (8.3)2,356 (27.5)2,444 (28.5)1,704 (19.9)982 (11.5)353 (4.1)8,569 (97.2)
New Jersey§§69 (0.3)2,023 (8.8)6,167 (26.9)6,779 (29.6)4,479 (19.5)2,507 (10.9)907 (4.0)22,931 (100.0)
New Mexico9 (0.2)502 (13.9)1,066 (29.4)932 (25.7)651 (18.0)328 (9.1)134 (3.7)3,622 (94.2)
New York168 (0.2)6,843 (8.9)20,723 (26.8)21,988 (28.5)15,272 (19.8)9,035 (11.7)3,221 (4.2)77,250 (99.7)
New York City108 (0.2)3,984 (8.0)12,833 (25.8)14,259 (28.7)10,238 (20.6)6,047 (12.2)2,288 (4.6)49,757 (100.0)
New York State60 (0.2)2,859 (10.4)7,890 (28.7)7,729 (28.1)5,034 (18.3)2,988 (10.9)933 (3.4)27,493 (99.3)
North Carolina72 (0.3)2,240 (8.4)7,550 (28.3)8,198 (30.7)4,987 (18.7)2,794 (10.5)840 (3.1)26,681 (96.7)
North Dakota103 (9.0)329 (28.8)332 (29.1)215 (18.8)116 (10.2)1,141 (100.0)
Ohio54 (0.3)1,884 (9.2)6,128 (30.0)6,206 (30.4)3,639 (17.8)1,912 (9.4)602 (2.9)20,425 (100.0)
Oklahoma25 (0.5)471 (9.4)1,507 (30.2)1,474 (29.6)904 (18.1)469 (9.4)135 (2.7)4,985 (99.9)
Oregon12 (0.1)809 (9.3)2,462 (28.2)2,415 (27.7)1,650 (18.9)1,028 (11.8)353 (4.0)8,729 (99.9)
Pennsylvania72 (0.2)2,529 (8.3)8,644 (28.5)9,252 (30.5)5,753 (18.9)3,191 (10.5)923 (3.0)30,364 (100.0)
Rhode Island218 (7.8)827 (29.6)814 (29.1)526 (18.8)294 (10.5)2,797 (99.3)
South Carolina14 (0.3)449 (9.7)1,360 (29.3)1,343 (28.9)814 (17.5)510 (11.0)156 (3.4)4,646 (100.0)
South Dakota0 (0.0)41 (10.7)112 (29.3)109 (28.5)79 (20.7)31 (8.1)10 (2.6)382 (100.0)
Tennessee22 (0.2)972 (9.0)3,241 (29.9)3,320 (30.6)1,981 (18.3)1,048 (9.7)270 (2.5)10,854 (99.8)
Texas112 (0.2)4,856 (8.8)16,187 (29.4)15,790 (28.6)10,322 (18.7)5,935 (10.8)1,938 (3.5)55,140 (100.0)
Utah6 (0.2)412 (13.4)946 (30.8)769 (25.0)511 (16.6)324 (10.6)102 (3.3)3,070 (99.6)
Vermont101 (8.4)358 (29.8)318 (26.5)220 (18.3)146 (12.1)1,202 (99.8)
Virginia16 (0.1)1,196 (7.3)4,499 (27.3)4,927 (29.9)3,226 (19.6)1,938 (11.8)649 (3.9)16,451 (99.9)
Washington36 (0.2)1,725 (10.0)4,722 (27.4)4,738 (27.5)3,288 (19.1)2,033 (11.8)706 (4.1)17,248 (99.9)
West Virginia5 (0.3)140 (9.3)459 (30.5)430 (28.5)266 (17.7)155 (10.3)52 (3.5)1,507 (100.0)
Wisconsin††17 (0.3)561 (9.3)1,839 (30.4)1,771 (29.3)1,080 (17.9)615 (10.2)159 (2.6)6,042 (100.0)
Total1,362 (0.2)53,180 (8.7)173,322 (28.3)179,620 (29.4)115,981 (19.0)65,893 (10.8)22,018 (3.6)611,376 (99.6)¶¶
Abortion rate***0.46.019.118.512.67.22.6
Abortion ratio†††872334271189126142218

* Data native 48 reporting areas; excludes four reporting areas (California, Maryland, brand-new Hampshire, and also Wyoming) the did no report, did not report by age, or did not meet reporting standards.† Percentages because that the individual ingredient categories could not include to 100% because of rounding.§ percent is calculated together the variety of abortions reported by known age divided by the amount of abortions reported by known and also unknown age. Worths ≥99.95% room rounded to 100.0%. ¶ Cells with a worth in the selection of 1–4 or cells the would enable for calculation of these little values have actually been suppressed.** reporting to the main health firm is not required.†† contains residents only. §§ reporting to the central health firm is not required. Data are requested from hospitals and licensed ambulatory treatment facilities only. ¶¶ Percentage based on a full of 613,681 abortions reported among the areas that met reporting criter for age.*** number of abortions derived by females in a given age group every 1,000 ladies in the same age group. Teens aged 13–14 year were offered as the denominator because that the team of adolescents aged ††† variety of abortions obtained by women in a given age group per 1,000 live births to ladies in the same age group. Because that the full abortion ratio only, abortions for women of unknown age were dispersed according come the circulation of abortions amongst women of recognized age.



* Data from 44 report areas; excludes eight reporting locations (California, district of Columbia, Florida, Maine, Maryland, brand-new Hampshire, Vermont, and Wyoming) the did no report, did not report through age, or walk not satisfy reporting standards for ≥1 year. By year, these reporting locations represent 87%–99% of all abortions reported by age to audioeditorfree.com during 2009–2018. † number of abortions acquired by women in a given age group per 1,000 females in the same period group. Adolescents aged 13–14 years were provided as the denominator for the team of teens aged § variety of abortions derived by women in a given period group every 1,000 live births to women in the same period group. For the total abortion proportion only, abortions for women of unknown period were spread according come the circulation of abortions among women of well-known age.

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Suggested citation for this article: Kortsmit K, Jatlaoui TC, Mandel MG, et al. Abortion monitoring — joined States, 2018. MMWR Surveill Summ 2020;69(No. SS-7):1–29. DOI: http://dx.doi.org/10.15585/mmwr.ss6907a1external icon.