Abortion surveillance annual summary 1977
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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, 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 1969-1977 and updates previous Abortion Surveillance Reports. This issue provides: 1) demographic and epidemiologic data on

      legal abortions in 1977, 2) trends in the practice of legal abortion from 1974-1977, 3) abortion-related mortality data for the 6-year period 1972-1977, including types of procedures and death-to-case rates, 4) a comparison of risk factors and morbidity rates of suction curettage procedures associated with 2 types of cervical dilators—laminaria or rigid dilators—derived from CDC' s 4-year multicenter study of abortion complications, the Joint Program for the Study of Abortion/CDC (JPSA/CDC), 5) an outline of the Abortion Monitoring in Sentinel Hospitals (AMSH) project designed to monitor the health impact of the restriction of public funding for legal abortion—as of August 4, 1977, and 6) international comparisons of legal abortion.

      In 1977 the 50 states and the District of Columbia reported 1,079,430 abortions to the Center for Disease Control, a 9% increase over 1976. The national abortion ratio rose by 4%, from 312 per 1,000 live births in 1976 to 325 per 1,000 live births in 1977 , or almost 1 abortion for every 3 live births. The trend toward redistribution of abortions into states which had restrictive abortion laws before 1973 appears to have leveled off; the same proportion of women obtained procedures out of state (10%) as in 1976.

      SUGGESTED CITATION: Center for Disease Control: Abortion Surveillance 1977 Issued September 1979

      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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