![]() Interpretation: Among the 48 areas that reported data continuously during 2011–2020, overall decreases were observed during 2011–2020 in the total number, rate, and ratio of reported abortions. In 2019, the most recent year for which PMSS data were reviewed for pregnancy-related deaths, four women died as a result of complications from legal induced abortion. Among those that were eligible (≤9 weeks’ gestation), 63.9% of abortions were early medical abortions. In 2020, the highest percentage of abortions were performed by early medical abortion at ≤9 weeks’ gestation (51.0%), followed by surgical abortion at ≤13 weeks’ gestation (40.0%), surgical abortion at >13 weeks’ gestation (6.7%), and medical abortion at >9 weeks’ gestation (2.4%) all other methods were uncommon (<0.1%). By contrast, adolescents aged 13 weeks’ gestation remained consistently low (≤9.2%). Women aged 20–24 and 25–29 years accounted for the highest percentages of abortions (27.9% and 29.3%, respectively) and had the highest abortion rates (19.2 and 19.0 abortions per 1,000 women aged 20–24 and 25–29 years, respectively). In 2020, women in their 20s accounted for more than half of abortions (57.2%). From 2011 to 2020, the total number of reported abortions decreased 15% (from 727,554), the abortion rate decreased 18% (from 13.7 abortions per 1,000 women aged 15–44 years), and the abortion ratio decreased 9% (from 217 abortions per 1,000 live births). From 2019 to 2020, the total number of abortions decreased 2% (from 625,346 total abortions), the abortion rate decreased 2% (from 11.4 abortions per 1,000 women aged 15–44 years), and the abortion ratio increased 2% (from 195 abortions per 1,000 live births). Among 48 reporting areas with data each year during 2011–2020, in 2020, a total of 615,911 abortions were reported, the abortion rate was 11.2 abortions per 1,000 women aged 15–44 years, and the abortion ratio was 198 abortions per 1,000 live births. Results: A total of 620,327 abortions for 2020 were reported to CDC from 49 reporting areas. Abortion-related deaths from 2019 were assessed as part of CDC’s Pregnancy Mortality Surveillance System (PMSS). Census and natality data were used to calculate abortion rates (number of abortions per 1,000 women aged 15–44 years) and ratios (number of abortions per 1,000 live births), respectively. ![]() Of these, 48 reporting areas provided data each year during 2011–2020. For 2020, a total of 49 reporting areas voluntarily provided aggregate abortion data to CDC. Problem/Condition: CDC conducts abortion surveillance to document the number and characteristics of women obtaining legal induced abortions and number of abortion-related deaths in the United States.ĭescription of System: Each year, CDC requests abortion data from the central health agencies for the 50 states, the District of Columbia, and New York City. ![]()
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