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      Over the past 25 years, "surveillance"—including collection, analysis, and dissemination of epidemiologic information—has become applicable 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 both the emerging importance of abortion as a public health issue and the absence of national abortion statistics, the Family Planning Evaluation Division (FPED) in 1969 initiated continuous epidemiologic surveillance of abortion in the United States. The objectives of this surveillance are twofold: 1) to document the number and characteristics of women obtaining abortions, 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 1969-1978 and updates previous Abortion Surveillance Reports. This issue provides: l) demographic and epidemiologic data on legal abortions in 1978, 2) trends in the practice of legal abortion from 1972-1978, 3) data on abortion-related mortality for the 7-year period 1972-1978, 4) an analysis of behavioral risk factors related to abortion deaths, 5) conclusions from the Abortion Monitoring in Sentinel Hospitals project designed to measure the health impact of restricting public funds for legal abortion, 6) a comparison of oxytocin augmentation in saline and PGF2a instillation procedures derived from CDC's 4-year multicenter study of abortion complications, the Joint Program for the Study of Abortion/CDC, 7) international comparisons of legal abortion, and 8) a reference list of FPED publications relating to abortion.

      In 1978 the 50 states and the District of Columbia reported 1,157,776 legally induced abortions to the Center for Disease Control, a 7% increase over 1977. The national abortion rate rose from 22 per 1,000 females aged 15-44 in 1977 to 23 in 1978. The national abortion ratio increased by 7%, from 325 to 347 per 1,000 live births, or more than 1 abortion for every 3 live births.

      SUGGESTED CITATION: Centers for Disease Control: Abortion Surveillance 1978 Issued November 1980

      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. Current Family Planning Evaluatin Divison aboration-related publications -- Foreign translations of summary.
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