How Many Failed Abortions Result in Living Babies
Induced Ballgame in the The states
- Eighteen percent of pregnancies (excluding miscarriages) in 2017 concluded in ballgame.1
- Approximately 862,320 abortions were performed in 2017, down vii% from 926,190 in 2014.
- The ballgame rate in 2017 was 13.5 abortions per 1,000 women aged 15–44, down 8% from fourteen.6 per 1,000 in 2014.i This is the everyman rate ever observed in the United States; in 1973, the year abortion became legal, the rate was sixteen.3.2
- As of September 1, 2019, 29 states were considered hostile toward abortion rights, 14 states were considered supportive and seven states were somewhere in betwixt.3
- In 2019, 58% of U.S. women of reproductive age (nearly 40 million women) lived in states that were considered hostile to abortion rights. In contrast, 24 million women of reproductive age (35% of the total) lived in states that were supportive of abortion rights.3
WHO HAS ABORTIONS?
- At 2014 abortion rates, about i in four (24%) women will accept an abortion by age 45.4
- More than half of all U.Southward. abortion patients in 2014 were in their 20s: Patients anile xx–24 obtained 34% of all abortions, and patients aged 25–29 obtained 27%.v
- Adolescents made up 12% of abortion patients in 2014: Those aged xviii–19 accounted for viii% of all abortions, 15–17-year-olds for 3% and those younger than 15 for 0.ii%.5
- White patients accounted for 39% of abortion procedures in 2014, blackness patients for 28%, Hispanic patients for 25%, and patients of other races and ethnicities for 9%.5
- Seventeen per centum of abortion patients in 2014 identified themselves as mainline Protestant, xiii% as evangelical Protestant and 24% as Cosmic, while 38% reported no religious affiliation and the remaining 8% reported some other affiliation.5
- The vast majority (94%) of abortion patients in 2014 identified equally heterosexual or directly. Four percent of patients said they were bisexual; 0.three% identified equally homosexual, gay or lesbian; and ane% identified as "something else."5
- Fifty-ix percent of abortions in 2014 were obtained by patients who had had at least ane birth.v
- Some 75% of abortion patients in 2014 were poor (having an income below the federal poverty level of $xv,730 for a family of two in 2014) or low-income (having an income of 100–199% of the federal poverty level).v
- In 2014, xvi% of patients who obtained abortions in the United states were born outside the United States, a proportion comparable to their representation in the U.S. population (17% of women anile 15–44).five
- In 2014, 51% of ballgame patients were using a contraceptive method in the calendar month they became pregnant, virtually commonly condoms (24%) or a brusque-acting hormonal method (13%).6
PROVIDERS AND SERVICES
- In 2017, there were 808 clinics providing abortion services, a 2% increase from 2014. Even so, between 2014 and 2017, regional- and land-level disparities in abortion access grew: The number of clinics increased in the Northeast (by xvi%) and the West (by 4%) and decreased in the Midwest (past 6%) and the South (by 9%).1
- Seventy-two percent of clinics offered abortions up to 12 weeks' gestation in 2014, 25% upwardly to 20 weeks and ten% up to 24 weeks.7
MEDICATION Abortion
- In September 2000, the U.S. Food and Drug Administration approved mifepristone to be marketed in the United states for nonsurgical abortion. Currently, medication abortion is provided up to 10 weeks' gestation.
- Medication abortions accounted for 39% of all abortions in 2017, upwardly from 29% in 2014.1
- The bulk of medication abortions were offered in specialized clinics and in high volume facilities. In 2017, xxx% of clinics provided only medication abortion.1
- Medication abortions increased from 5% of all abortions in 2001 to 39% in 2017, fifty-fifty while the overall number of abortions declined.viii
SAFETY OF ABORTION
- A commission of the National Academies of Sciences, Engineering and Medicine reviewed the available evidence and confirmed in a 2018 report that ballgame is prophylactic and effective.9
- Exhaustive reviews by panels convened by the U.S. and U.k. governments have concluded that there is no association between abortion and breast cancer. There is also no indication that ballgame is a risk gene for other cancers.x
INSURANCE COVERAGE AND PAYMENT
- In 2014, the average amount paid for an ballgame with local anesthesia in a nonhospital setting at ten weeks' gestation was $508. The boilerplate paid for an early medication abortion (upward to 9 weeks' gestation) was $535.vii
- Most U.S. ballgame patients had health insurance in 2014. Thirty-5 per centum had Medicaid coverage, while 31% had private insurance.five All the same, insurance does non necessarily cover ballgame services; even when it does, patients may not utilize their coverage for a variety of reasons (for example, because they do not know their programme covers it, they are concerned about confidentiality or their provider does not have their program).11
- Overall, 53% of ballgame patients paid out of pocket for their process in 2014.5
- The Hyde Amendment currently bans the utilize of federal dollars for abortion coverage for people enrolled in Medicaid, the nation'southward main public health insurance programme for low-income individuals. Similar restrictions apply to other federal programs and operate to deny abortion care or coverage to people with disabilities, Native Americans, prison house inmates, poor and depression-income individuals in the District of Columbia, military personnel and federal employees.12
- Although the Hyde Amendment bars federal funds from beingness used to provide Medicaid coverage of abortion, states may use their own, nonfederal funds. Fifteen states have a policy requiring the state to provide abortion coverage under Medicaid.13
- In 2014, Medicaid was the second-most-common method of payment and was reported past 24% of ballgame patients. The overwhelming majority of these patients lived in the 15 states that allowed state funds to exist used to pay for abortion.5
- Xv pct of patients used private insurance to pay for the procedure. Most patients with private insurance (61%) paid out of pocket.5
TRAVEL AND LOGISTICAL BARRIERS
- In 2014, 65% of abortion patients traveled less than 25 miles ane fashion to obtain care, 17% traveled 25–49 miles, 10% traveled 50–100 miles and 8% traveled more 100 miles.14
- Greater distances to abortion facilities are associated with increased brunt on patients, including higher out-of-pocket costs for associated services such equally nutrient, lodging and child care; lost wages;15 increased difficulty getting to the clinic;16 delayed care;17 and decreased use of abortion services.eighteen
- Ballgame patients who lived in states with waiting period requirements and adolescents who lived in parental notification states traveled farther than those in states without such laws.14
- The proportion of abortion patients who traveled more 100 miles for services was twice as high amid those at or beyond xvi weeks of gestation every bit amongst those who were at 12 weeks' gestation or less (14% vs. 7%).14
- IfRoe v. Wadewere overturned or weakened, increases in travel distances would probable preclude 93,500 to 143,500 individuals each year from accessing ballgame care.xix
- If Roe v. Wade were overturned or weakened, abortion patients' average distance to the nearest facility would increment by 97 miles, from 25 to 122 miles.19
References
one. Jones RK et al., Abortion Incidence and Service Availability in the United states, 2017 , New York: Guttmacher Institute, 2019, https://www.guttmacher.org/report/abortion-incidence-service-availability-u.s.a.-2017.
2. Jones RK and Jerman J, Ballgame incidence and service availability in the The states, 2011, Perspectives on Sexual and Reproductive Health, 2014, 46(1):3–14, doi:10.1363/46e0414.
3. Guttmacher Found, State Abortion Policy Landscape: From Hostile to Supportive, 2019, https://world wide web.guttmacher.org/article/2018/12/land-abortion-policy-mural-hostile-supportive.
4. Jones RK and Jerman J, Population group ballgame rates and lifetime incidence of abortion: Usa, 2008–2014, American Journal of Public Health, 2017, doi:10.2105/AJPH.2017.304042.
5. Jerman J, Jones RK and Onda T, Characteristics of U.Southward. Ballgame Patients in 2014 and Changes Since 2008, New York: Guttmacher Establish, 2016, https://www.guttmacher.org/written report/characteristics-us-abortion-patients-2014.
6. Jones RK, Reported contraceptive utilize in the calendar month of becoming significant among U.S. abortion patients in 2000 and 2014, Contraception, 2018, doi:10.1016/j.contraception.2017.12.018.
seven. Jones RK, Ingerick M and Jerman J, Differences in ballgame service commitment in hostile, middle-ground and supportive states in 2014, Women's Wellness Issues, 2018, doi:ten.1016/j.whi.2017.12.003.
8. Jatlaoui TC et al., Abortion surveillance—Us, 2013, Morbidity and Bloodshed Weekly Study, 2016, Vol. 65, No. SS-12, https://www.cdc.gov/mmwr/volumes/65/ss/ss6512a1.htm.
9. National Academies of Sciences, Engineering science and Medicine, The Safety and Quality of Abortion Intendance in the United states of america, 2018, http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=24950.
10. Boonstra Hard disk et al., Ballgame in Women'due south Lives, New York: Guttmacher Plant, 2006, https://world wide web.guttmacher.org/report/ballgame-womens-lives.
xi. Jones RK, Upadhyay UD and Weitz TA, At what cost?: payment for ballgame care past U.S. women, Women's Health Issues, 2003, 23(3):e173-e178.
12. Donovan One thousand, In real life: federal restrictions on ballgame coverage and the women they impact, Guttmacher Policy Review, 2017, 20:one–7, https://www.guttmacher.org/gpr/2017/01/existent-life-federal-restrictions-abortion-coverage-and-women-they-impact.
xiii. Guttmacher Institute, Country funding of abortion under Medicaid, State Laws and Policies (every bit of January 2018), 2018, https://www.guttmacher.org/state-policy/explore/state-funding-ballgame-nether-medicaid.
fourteen. Fuentes L and Jerman J, Distance traveled to obtain clinical abortion care in the United States and reasons for clinic choice, Periodical of Women's Wellness, 2019, https://doi.org/x.1089/jwh.2018.7496.
15. Gerdts C et al., Impact of clinic closures on women obtaining abortion services after implementation of a restrictive law in Texas, American Journal of Public Health, 2016, 106:857–864.
16. Upadhyay UD et al., Denial of abortion because of provider gestational age limits in the United States, American Journal of Public Wellness, 2014, 104:1687–1694.
17. White Thousand et al., Experiences accessing ballgame care in Alabama among women traveling for services, Women's Health Issues, 2016, 26:298–304.
18. Joyce T, Tan R and Zhang Y, Ballgame before & after Roe, Journal of Health Economics, 2013, 32:804–815.
xix. Myers C, Jones RK and Upadhyay UD, Predicted changes in ballgame access and incidence in a post-Roe world, Contraception, 2019, https://doi.org/x.1016/j.contraception.2019.07.139.
Figure 1: Trends in abortion
The U.South. ballgame charge per unit reached a historic low in 2017.
Source: reference 1.
Figure 2: When women have abortions
In 2016, ii-thirds of abortions occurred at 8 weeks of pregnancy or earlier, and 88% occurred in the offset 12 weeks.
Source: Calculated from the Centers for Affliction Control and Prevention's annual abortion surveillance summary, with adjustments for changes in states' reporting data.
Figure iii: Medication abortion
Every bit U.S. abortion numbers turn down, the share that are medication abortions rises steadily.
Source: reference one.
Source: https://www.guttmacher.org/fact-sheet/induced-abortion-united-states
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