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    About Half of U.S. Abortion Patients Report Using Contraception in the Month They Became Pregnant

    In 2014, about half (51%) of abortion patients in the United States reported that they had used a contraceptive method in the month they became pregnant, according to a new analysis by Guttmacher researcher Rachel Jones. This proportion represents a slight decrease from 54% of abortion patients in 2000, the last time these data were examined. The methods most commonly used by

    JANUARY 11, 2018 NEWS RELEASE

    About Half of U.S. Abortion Patients Report Using Contraception in the Month They Became Pregnant

    About Half of U.S. Abortion Patients Report Using Contraception in the Month They Became Pregnant Postabortion Contraceptive Counseling Can Help Individuals Prevent Future Unintended Pregnancies

    In 2014, about half (51%) of abortion patients in the United States reported that they had used a contraceptive method in the month they became pregnant, according to a new analysis by Guttmacher researcher Rachel Jones. This proportion represents a slight decrease from 54% of abortion patients in 2000, the last time these data were examined. The methods most commonly used by abortion patients in 2014 were condoms (24% of patients) and the pill (13%).

    “Contraceptive methods are highly effective at preventing unintended pregnancies, but no method—and no user—is perfect,” says Rachel Jones, author of the analysis. “Abortion patients should have access to the full range of contraceptive counseling and services to support them in preventing future unintended pregnancies.”

    Jones analyzed responses to the Guttmacher Institute’s 2000 and 2014 Abortion Patient Survey to determine which contraceptive method or methods U.S. abortion patients had been using during the month they became pregnant. Although the demographic characteristics of abortion patients changed substantially between 2000 and 2014, these new findings suggest that contraceptive use patterns among abortion patients were similar in both years.

    The share of abortion patients relying on condoms decreased between 2000 and 2014 (from 28% to 24%), and there was a small but significant increase in the share of patients who relied on withdrawal (from 7% in 2000 to 9% in 2014). Use of long-acting reversible contraceptive (LARC) methods among abortion patients increased from 0.1% in 2000 to 1% in 2014. Jones notes that as more and more U.S. women rely on these methods, a larger number of individuals will experience method failure. It is also possible that some abortion patients became pregnant shortly after they stopped using LARCs or other contraceptive methods.

    Abortion patients who were using contraception at the time they became pregnant account for a very small proportion of all U.S. contraceptive users. In 2014, about 37.8 million U.S. women aged 15–44 were using a contraceptive method. In contrast, only 471,000 abortions were provided to patients who reported they were using contraception in the month they became pregnant. Between 2000 and 2014, the overall number of abortions in the United States declined significantly, and available evidence suggests that improvements in contraceptive use contributed to the abortion decline.

    Although no contraceptive method is perfect, evidence from decades of research has found that contraception is effective at pregnancy prevention and it has numerous health, social and economic benefits. The analysis notes that abortion patients who were not using contraception at the time they became pregnant may benefit from receiving information during postabortion counseling about their risk of pregnancy, and all abortion patients could benefit from receiving information about the full range of contraceptive options available to them and how to use those methods consistently and correctly.

    “For many people seeking abortion care, having access to contraceptive services at the time of their procedure simply makes sense,” says Heather Boonstra, Guttmacher policy expert. “The fact that most abortions result from unintended pregnancy underscores the importance of ensuring patients are fully informed about their contraceptive options and get the ongoing contraceptive care they need.”

    “Reported Contraceptive Use in the Month of Becoming Pregnant among U.S. Abortion Patients in 2000 and 2014,” by Rachel Jones, is currently available online and will appear in a forthcoming issue of Contraception.

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    Rebecca Wind

    Guttmacher Institute

    212 248 1953

    [email protected]

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    RESEARCH ARTICLE

    Reported Contraceptive Use in the Month of Becoming Pregnant among U.S. Abortion Patients in 2000 and 2014

    Contraception RESEARCH ARTICLE

    Contraceptive Failure in the United States: Estimates from the 2006–2010 National Survey of Family Growth

    Perspectives on Sexual and Reproductive Health

    RESEARCH ARTICLE

    Contraceptive method use in the United States: Trends and characteristics between 2008, 2012 and 2014

    Contraception POLICY ANALYSIS

    Postabortion Contraception: Emerging Opportunities and Barriers

    Guttmacher Policy Review

    POLICY ANALYSIS

    Why Family Planning Policy and Practice Must Guarantee a True Choice of Contraceptive Methods

    Guttmacher Policy Review

    REPORT

    Characteristics of U.S. Abortion Patients in 2014 and Changes Since 2008

    FACT SHEET

    Induced Abortion in the United States

    FACT SHEET

    Unintended Pregnancy in the United States

    TOPIC

    United States

    Abortion Contraception

    GEOGRAPHY

    Northern America: United States

    Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

    Source : www.guttmacher.org

    Who are the 1 in 4 American women who choose abortion?

    In an essay originally published by The Conversation, Luu Ireland writes about the abortion debate from the perspective of an obstetrician/gynecologist who understands the stories of the 1 in 4 women who choose abortion.

    Who are the 1 in 4 American women who choose abortion?

    Who are the 1 in 4 American women who choose abortion?

    By Luu Ireland, MD

    For The Conversation

    May 30, 2019

    A Planned Parenthood in St. Paul, Minnesota. Ken Wolter/shutterstock.com

    The abortion debate is at the center of U.S. political dialogue. Voices from both sides flood social media feeds, newspapers, radio and television programs.

    In the last year, attacks on reproductive rights sharply increased. In 2019, Georgia, Missouri, Ohio, Kentucky and Mississippi successfully passed so-called “heartbeat” bans to prohibit abortion as early as 6 to 8 weeks. Alabama is the first state to pass a complete abortion ban without exceptions for rape or incest. Due to ongoing legal challenges, these bans have yet to go into effect.

    One important group’s voice is often absent in this heated debate: the women who choose abortion. While 1 in 4 women will undergo abortion in her lifetime, stigma keeps their stories untold. As an obstetrician/gynecologist who provides full spectrum reproductive health care, I hear these stories daily.

    Unintended pregnancy

    In 2011, nearly half of pregnancies in the United States were unintended. This reflects a 6 percent drop in unintended pregnancies since 2008, largely due to Title X family planning programs and easier access to birth control.

    Unintended pregnancy remains most common among poor women, women of color and women without a high school education. Women living in poverty have a rate of unintended pregnancy five times higher than those with middle or high incomes. Black women are twice as likely to have an unintended pregnancy as white women.

    Barriers to contraception play a major role. Among women with unintended pregnancies, 54 percent were using no birth control. Another 41 percent were inconsistently using birth control at the time of conception.

    Forty-two percent of women with unintended pregnancy choose to end their pregnancies.

    The women who choose abortion

    Abortion is a routine part of reproductive health care. Approximately 25 percent of women in the U.S. will undergo an abortion before the age of 45. The Guttmacher Institute, a research and policy institute in New York City, has been tracking these data for the last 50 years.

    American women have abortions with similar frequency to women living in other developed nations. The bulk of abortion patients are in their 20s.

    Women of all races and ethnicities choose abortion. In 2014, 39 percent of abortion patients were white, 28 percent were black and 25 percent were Latinx. Similarly, women of all religious affiliations choose to end their pregnancies at similar frequencies.

    Most of these women understand what it means to parent a child. More than half of abortion patients in 2014 were already mothers.

    Poor women account for the majority of abortion patients. Fifty-three percent of women pay out-of-pocket for their abortion. The rest use private or state-funded insurance plans.

    Women choose abortion for multiple reasons. The most common reason cited is that pregnancy would interfere with education, work or ability to care for dependents.

    Financial stress also plays a major role in women’s decision-making. Seventy-three percent of women reported that they could not afford a baby at the time. Nearly half cited relationship difficulties or wanting to avoid single motherhood. More than a third of women felt their families were complete.

    Twelve percent chose abortion due to their own health problems. For example, one of my patients and her husband were thrilled to find out she was pregnant for the first time. Then she received the diagnosis of metastatic breast cancer. She had to choose between lifesaving chemotherapy and radiation or her pregnancy.

    Safety of abortion

    Nine in 10 women who receive abortions undergo abortion in the first trimester. Only 1.3 percent of abortions happen with pregnancies past 20 weeks of gestation.

    When performed legally by skilled practitioners, abortion is a safe medical procedure with a low complication rate. The risk of major complications – such as hospitalization, infection, blood transfusion or surgery – in first-trimester procedures is less than 0.5 percent.The risk of dying in childbirth is 14 times higher than the risk of dying from safe abortion.

    Studies show that abortion is not linked to long-term health complications, including breast cancer, infertility, miscarriage or psychiatric disorders. The American College of Obstetricians and Gynecologists, the nation’s leading professional organization of obstetricians and gynecologists, has reaffirmed the safety of abortion.

    Conversely, the negative impacts from abortion restrictions are well-documented. Women unable to obtain abortions are more likely live in poverty or depend on cash assistance, and less likely to work full-time.

    Since 2011, politicians have enacted over 400 pieces of legislation restricting this medical procedure.

    Access to safe and legal abortion is an essential part of health care. Most Americans agree. Sixty-four percent of Americans, regardless of pro-choice or pro-life status, would like to see the 1973 Roe v. Wade decision upheld. Another 79% want abortion to remain legal. As a physician, the health and livelihood of my patients depend on it.

    Source : www.umassmed.edu

    Facts About Abortion: Birth Control and Abortion

    Be wary when you hear the abortion industry suggesting ways to reduce abortion.

    /abort73

    Page Summary:

    Does Planned Parenthood really have an interest in reducing the number of abortions? Should we take them seriously when they suggest ways to eliminate one of their primary income streams? Birth control cannot replace abortion, and the abortion industry knows that full well.

    Planned Parenthood once had a page on its website titled "5 Ways to Prevent Abortion (And One Way That Won't Work)." According to that list, the best way to prevent abortion is to "Make contraception more easily available." That may seem a reasonable suggestion, but remember who's making it. Planned Parenthood performed 354,871 abortions in 2019.1 A first trimester surgical abortion costs up to $1,500.2 Second-trimester abortions cost even more. The average cost of a medical abortion is $504.3 If we assume an overall average cost of $1,000 per abortion, that means Planned Parenthood made roughly $350 million in abortion revenue in 2019. And that doesn't include the $510 million they received in private donations4—much of which is ideologically tied to abortion.

    Planned Parenthood likes to claim that abortion only represents 3% of its operations, but this is a numeric sleight of hand. According to their own published figures, 15% of their clients have an abortion,5 and abortion accounts for at least a third of their health center income. More to the point, of the pregnant women who come to Planned Parenthood for counseling, more than 97% have abortions.6 No more than 0.7% are referred for adoption.7 In light of these numbers, isn't it remarkable that Planned Parenthood thought itself credible enough to publish such a list in the first place?

    Abby Johnson spent eight years working for Planned Parenthood. She began as an idealistic college student who honestly believed they were helping reduce the overall frequency of abortion. She resigned as a jaded clinic director—weary of increasing corporate pressure to get her abortion revenue up. In her own words:

    “Abby,” I was told pointedly, “nonprofit is a tax status, not a business status.” I was ordered to get my priorities straight—which meant I had to get my revenue up. As the meeting continued, I sat there stunned...

    When I looked at the numbers, I did a double take. I noticed that the client goals related to family planning hadn’t changed much, but the client goals under abortion services had increased significantly...

    I came away from that meeting with the clear and distinct understanding that I was to get my priorities straight, that abortion was where my priorities needed to be because that was where the revenue was.8

    If Planned Parenthood really wanted to prevent abortions they could simply stop selling them, but that would negatively affect their bottom line. Instead, they declare that the best way to reduce our national reliance on abortion is to increase our national reliance on birth control—which happens to be another Planned Parenthood revenue stream. What is the one thing, according to Planned Parenthood, that won't prevent abortion? Making it illegal, based on the vacuous assertion that millions of illegal abortions were already happening each year prior to Roe vs Wade. This would all be laughable if the results were not so tragic.

    Planned Parenthood's conflict of interest notwithstanding, we are still left to ponder the question of birth control. Is contraception really the best way to prevent abortion? Would there actually be more abortions if Planned Parenthood didn't exist? After all, Planned Parenthood declares on its website that it prevents 560,000 unintended pregnancies a year,9 and the Guttmacher Institute tells us that 40% of unintended pregnancies are aborted.10 Do we say then that Planned Parenthood is preventing a quarter-million abortions each year? We certainly do not! These are hypothetical saves; they pale in comparison to the millions of living human beings who've already been torn to pieces by Planned Parenthood.

    In a 2010 report examining contraceptive use in the United States over the last 30 years, the Centers for Disease Control (CDC) reaches this conclusion:

    Contraceptive use in the United States is virtually universal among women of reproductive age… But that does not mean that contraceptive use in the United States is completely consistent or effective. One-half of all pregnancies in the United States are unintended, and the average probability of an unintended pregnancy in 12 months of contraceptive use in the United States is 12%, unchanged from 1995.11

    In the oral arguments for Dobbs v. Jackson Women's Health Organization, U.S. Solicitor General Elizabeth Prelogar declared that contraceptives do not and cannot mitigate the need for abortion. Her argument was as follows:

    Contraceptives existed in 1973 and in 1992, and still the Court recognized that unplanned pregnancies would persist… Contraceptive failure rate in this country is at about 10% using the most common methods. That means that (among) women using contraceptives, approximately one in ten will experience an unplanned pregnancy in the first year of use alone. About half the women who have unplanned pregnancies were on contraceptives in the month that that occurred, and so I think the idea that contraceptives could make the need for abortion dissipate is just contrary to the factual reality.

    Source : abort73.com

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