Abortions are on the rise again

A new report reveals that the number of abortions in the United States has increased, reversing a 30-year decline.

Updated yesterday at 10:05 PM.

Pam Belloc
New York times

The rise began in 2017, and as of 2020, one in five pregnancies, or 20.6%, end in miscarriage, according to a report by the Guttmacher Institute, a research organization that supports the right to abortion. In 2017, 18.4% of pregnancies ended in miscarriage.

The institute, which collects data by calling every known US abortion service, said the number of abortions rose to 930,160 in 2020 from 862,320 in 2017. That number rose across all regions of the country: 12% in the West, 10% in the Midwest, 8% in the South, and 2% in the Northeast.

Overall, the abortion rate in 2020 rose to 14.4 per 1,000 women aged 15-44 from 13.5 abortions per 1,000 women in 2017, an increase of 7%, according to the report.

Over this period, the report states, births nationwide fell by 6%.

Few women get pregnant, and a greater percentage of those who become pregnant choose an abortion.

Extract from the Guttmacher Institute report

This new data comes as the Supreme Court is expected to issue a ruling soon that could effectively overturn the Roe v. Wade who made abortion legal in the United States nearly 50 years ago.

Evelyn Hochstein photos, Reuters Archives

Pro-choice activists gather outside the US Supreme Court in Washington on June 13 after the abortion rights document was leaked.

If that happens, about half of the states should ban or severely restrict abortion, while others are preparing to expand access to patients from states that make abortion impossible.

Abortion and family planning

The report suggests several reasons for the increase in the number of abortions, including trends that directly affect the poor and low-income, the populations most at risk of abortion, in recent years. Some states have expanded Medicaid coverage for abortion, according to the report, and abortion funds providing financial assistance to patients have grown in recent years.

Another factor may be the Trump administration’s policy to prevent groups that have received Planned Parenthood funding from mentioning an abortion option to patients, which has led Planned Parenthood and many state governments to reject such funding. This may have reduced access to other family planning services, including contraceptives, for low-income people, and led to more unwanted pregnancies, Guttmacher reports. Since then, the Biden administration has reversed the politics of the Trump era.

Access to abortion is protected despite restrictions and the epidemic

The surge in abortions came at a time when many conservative states were imposing restrictions. But the report says that while 25 states enacted 168 restrictions between 2017 and 2020, some were stopped due to legal challenges and many were enacted by states that already had many of the restrictions in place, so the new laws may not have any effect. Abortion.

At the same time, other countries have adopted 75 articles intended to protect or expand access to abortion.

These provisions included requiring insurance to cover abortion and allowing nurse practitioners, physician assistants and certified nurse midwives to provide certain abortion services, according to the report.

The data included most of the first year of the coronavirus pandemic. The report says that while access to abortion was disrupted in some states during this period, due to ban attempts, outbreaks, and restrictions on personal medical care, some states maintained access to abortion. Additionally, for part of 2020, a judge’s ruling allowed abortion pills, which account for more than half of all abortions nationwide, to be sent to patients — a practice the Food and Drug Administration made permanent in December 2021.

The report’s findings are consistent with the most recent data from the Centers for Disease Control and Prevention (CDC), which found a slight increase in the number of miscarriages from 2018 to 2019, the last year the CDC had data for it. The CDC data, which is collected from state health agencies, does not include information from the states of California, Maryland and New Hampshire.

The full version of this text was published in The New York Times.



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