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      Over the past 25 years, the term "surveillance" has broadened to include the collection, analysis, and dissemination of epidemiologic information related not only to infectious disease but also to such diverse public health concerns as air pollution, cancer and birth defects, Rh hemolytic disease, and abortion. Recognizing the emerging importance of abortion as a public health issue and the absence of national abortion statistics, the Family Planning Evaluation Division (FPED) initiated epidemiologic surveillance of abortion in 1969. Since then, FPED has been compiling, analyzing, and distributing data on abortion in the United States. The objectives of this surveillance are twofold: 1) to document the number and characteristics of women obtaining abortion, and 2) to eliminate preventable mortality and morbidity related to abortion. The present report documents the most current data available to CDC for the years 1969-1976 and updates previous Abortion Surveillance Reports. This issue provides: 1) demographic and epidemiologic data on legal abortions in 1976, 2) trends in the practice of legal abortion from 1974-1976, 3) abortion-related mortality data for the 5-year period 1972-1976, including types of procedures and death-to-case rates, 4) a comparison of major morbidity rates of suction curettage procedures associated with the 2 types of anesthesia—general or local, derived from CDC's 4- year multicenter study of abortion complications, the Joint Program for the Study of Abortion/CDC (JPSA/CDC), and 5) international comparisons of legal abortion.

      In 1975 the 50 states and the District of Columbia reported 854,853 legal abortions to the Center for Disease Control, an increase of 12% over 1974. The national abortion ratio increased by 12% from 242 abortions per 1,000 live births in 1974 to 272 in 1975, representing more than 1 legal abortion for every 4 live births. The national abortion rate rose from 17 abortions per 1,000 women aged 15-44 in 1974 to 18 in 1975, an increase of 6%. The redistribution of legal abortions into states which had restrictive laws before 1973 continued in 1975. Concurrently, the trend noted in 1973 towards performance of abortions in a woman's state of residence continued in 1975, with 89% of women undergoing abortion in their home state, as compared with 87% in 1974 and 75% in 1973 (Summary Table).

      SUGGESTED CITATION: Center for Disease Control: Abortion Surveillance 1976 Issued August 1978

      Library of Congress Catalog Card No. 74-644021

    • Content Notes:
      I. Summary -- II. Number and characteristics of women receiving abortions -- III. Aboortion-related mortality -- IV. Aboortion-related morbidity -- V. International comparisons -- Vi. Foreign translations of summary.
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