Problem/condition: since 1969, CDC has performed abortion security to document the number and characteristics of females obtaining legitimate induced abortions in the joined States.
Reporting period covered: 2012.
description of system: every year, CDC request abortion data native the main health agencies of 52 reporting locations (the 50 states, the ar of Columbia, and new York City). The report areas provide this information voluntarily. Because that 2012, data were obtained from 49 reporting areas. For tendency analysis, abortion data to be evaluated native 47 areas that reported data every year during 2003-2012. Census and natality data, respectively, were provided to calculation abortion prices (number of abortions per 1,000 women) and also ratios (number that abortions every 1,000 live births).
Results: A full of 699,202 abortions to be reported to CDC for 2012. Of this abortions, 98.4% were from the 47 reporting locations that noted data every year during 2003-2012. Amongst these same 47 report areas, the abortion price for 2012 to be 13.2 abortions per 1,000 females aged 15-44 years, and the abortion ratio was 210 abortions every 1,000 live births. Native 2011 come 2012, the total number and also ratio of reported abortions lessened 4% and also the abortion rate decreased 5%. From 2003 to 2012, the total number, rate, and ratio of reported abortions reduced 17%, 18%, and 14%, respectively, and reached your lowest level in 2012 because that the entire duration of evaluation (2003-2012). In 2012 and also throughout the period of analysis, ladies in your 20s accounted because that the majority of abortions and also had the highest possible abortion rates; ladies in their 30s and older accounted for a much smaller percentage of abortions and also had lower abortion rates. In 2012, women aged 20-24 and 25-29 years accounted because that 32.8% and 25.4% of every abortions, respectively, and also had abortion prices of 23.3 and also 18.9 abortions per 1,000 women aged 20-24 and 25-29 years, respectively. In contrast, females aged 30-34, 35-39, and ≥40 year accounted because that 16.4%, 9.1%, and 3.7% of all abortions, respectively, and had abortion rates of 12.4, 7.3, and also 2.8 abortions per 1,000 women aged 30-34 years, 35-39 years, and also ≥40 years, respectively. Throughout the duration of analysis, abortion prices decreased amongst women age 20-24, 25-29, and 30-34 year by 24%, 18%, and also 10%, respectively, whereas they increased amongst women aged ≥40 years by 8%. In 2012, teenagers aged 13 weeks remained consistently short (≤9.0%). In 2012, amongst the 40 reporting areas that included medical (nonsurgical) abortion on their reporting form, a total of 69.4% of abortions to be performed through curettage at ≤13 weeks" gestation, 20.8% were performed by at an early stage medical abortion (a nonsurgical abortion at ≤8 weeks" gestation), and 8.7% to be performed through curettage in ~ >13 weeks" gestation; all other techniques were uncommon. Amongst abortions performed at ≤8 weeks" gestation that were default on the communication of gestational age for early medical abortion, 30.8% were completed through this method. The portion of abortions reported as early on medical abortions increased 10% indigenous 2011 to 2012. Deaths the women connected with complications from abortions for 2012 room being investigated as component of CDC"s pregnant Mortality surveillance System. In 2011, the many recent year for which data were available, two women were determined to have passed away as a result of complications from recognized legal induced abortions. No report deaths were connected with known illegal induced abortions.
Interpretation: among the 47 areas that reported data every year throughout 2003-2012, the notable decreases that emerged during 2008-2011 in the full number, rate, and ratio of reported abortions ongoing from 2011 to 2012 and resulted in historic lows for all three measures of abortion.
Public health actions: The data in this report can assist to identify groups of ladies at best risk because that abortion and can be provided to guide and also evaluate avoidance efforts.
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Because unintended pregnant is the significant contributor come abortion, and unintended pregnancies space rare among women who usage the most effective methods that contraception, increasing accessibility to and use the these approaches can help further mitigate the number of unintended pregnancies, and therefore abortions, performed in the united States.