Pregnancy And Induced Abortion Statistics - 2004
Washington StatePregnancy and Induced Abortion Statistics2004June, 2006For more information contact:Center for Health StatisticsPO Box 47814Olympia, WA 98504-7814360 236-4321Fax 360 753-4135Mary C. SeleckySecretary of Health
Center for Health Statistics, Pregnancy & Induced Abortion Statistics report staff:Joe Campo, Manager, (Research Services) (360) 236-4321Phyllis Reed, (Research Investigator) – Abortions (360) 236-4324Patricia Starzyk, (Research Investigator) - Births (360) 236-4323Gregory Newkirk, (IT Specialist), Research Services (360) 236-4332(Design Consultation)Office of Health PromotionAcknowledgements:We gratefully acknowledge the contributions of the many individuals who participate inthe reporting of birth, fetal death, and abortion data. Their contributions are essential tothe very important public health indicators contained in this report.Jude VanBuren, DrPH, MPH, RN, RSAssistant SecretaryEpidemiology, Health Statistics & Public Health LaboratoriesTeresa Jennings, MPAState Registrar and DirectorCenter for Health Statistics
Table of ContentsIntroduction .3Why are data on Induced Abortions and Pregnancy rates important? .3Data Reporting Issues .3Source of Pregnancy and Induced Abortion Data .4Additional Services.5Washington State Counties .6Overview.6Change Over Time .6Trend Table 1. Induced Abortions, Live Births, and Abortion Ratios, Washington State Residents, 198312004 . 71Trend Table 2. Pregnancy Statistics , Washington State Residents, 1983-2004. 81Trend Table 3. Teenage Pregnancy Rates by Age Group, Washington State Residents, 1980-2004 . 9Recent County Trends.101Trend Table 4. Induced Abortion Rates by County of Residence, Washington State, 1998-2004. 111Trend Table 5. Induced Abortion Rates with Ranks by County, Washington State Residents, 2000-2004 121Figure 1. General Fertility Rates , Washington State Residents Compared to National, 1981-2004. 13Figure 2. Washington State General Fertility Rates by County of Residence 2002 -2004 . 13Statistics Tables.17Table 1.Table 2.Table 3.Table 4.Table 5.Table 6.Pregnancy Outcomes of Residents by Woman’s Age, 2004. 171Age-Specific Rates and Abortion Ratios of Residents, 2004 . 17Induced Abortions of Residents by Selected Indicators, 2004 . 18Induced Abortions of Residents by Woman's Age and Weeks of Gestation, 2004 . 19Previous Live Births of Women Having Abortions by Age, Washington State Residents, 2004 . 20Previous Induced Abortions of Women Having Abortions by, Age Washington State Residents,2004 . 20Table 7. Induced Abortions by Woman's Age and Place of Occurrence or Residence, 2004. 21Table 8. Induced Abortions Occurring Within Washington State by Selected Indicators, 2004 . 22Table 9. Induced Abortions Occurring Within State by Type of Procedure and Weeks of Gestation, 2004 . 23Table 10. Induced Abortions with Complications Occurring Within State by Type of Procedure and Weeksof Gestation, 2004 . 23Table 11. Induced Abortions with Secondary Management Occurring Within State by Type, 2004 . 24Table 12. Induced Abortions with Secondary Management Occurring Within State by Type of SecondaryManagement and Weeks of Gestation, 2004 . 24Table 13. Induced Abortions with Complications Occurring Within State by Type of Complication andWeeks of Gestation, 2004 . 25Table 14. Induced Abortions with Complications Occurring Within State by Type of Complication andSecondary Management Procedure, 2004. 251Table 15. Birth and Abortion Indicators by County of Residence, 2004. 261Table 16. Total Pregnancies by Woman's Age and County of Residence, 2004 . 271Table 17. Age-specific Pregnancy Rates by County of Residence, 2004 . 28Table 18. Live Births by Woman's Age and County of Residence, 2004 . 291Table 19. Age-specific Live Birth Rates by County of Residence, 2004 . 30Table 20. Induced Abortions by Woman's Age and County of Residence, 2004 . 311Table 21. Age-specific Abortion Rates by County of Residence, 2004. 32Table 22. Percent of Pregnancies Terminated by Abortion by Woman's Age and County of Residence,2004 . 331Table 23. Abortion Ratio by Woman's Age and County of Residence, 2004 . 341Table 24. Abortions in Second Trimester or Later by Woman's Age and County of Residence, 2004 . 35Table 25. Repeat Abortions by Woman's Age and County of Residence, 2004 . 36Table 26. Out of State Residents by Washington State County of Occurrence, 2004. . 37Table 26a. Induced Abortion of Washington State Residents by Place of Occurrence in, 2004. 38Table 27. Fetal Deaths by Woman's Age and County of Residence, 2004. 39Table 28. Female Population by Age and County of Residence, 2004 . 40Appendix A: Technical Appendix .43How to Use Pregnancy and Abortion Data .43Why Read this Section?. 43Issues in Using the Data . 43Residence vs. Occurrence . 43Abortions Occurring in Washington & Abortions of Washington Residents During 2004. 44Numbers vs. Rates. 44Standards for Comparison of Rates. 45Unknowns . 46Small Numbers. 47Data Quality . 47Washington Pregnancy and Induced Abortion Statistics, 2004
Confidentiality.49Sources of Data. 50Collection Year .50Population .50Demographics . 50Age .50Race .50Hispanic Origin .51Abortion Complications and Secondary Management . 52Adjusted Abortion and Pregnancy Rates, 1992-1995 . 53Definitions . 54Induced Abortion Procedures:. 55Appendix B: Sample Certificates and Forms .61Birth Filing Form . 61Certificate of Fetal Death. 63Report of Induced Termination of Pregnancy . 65Washington Pregnancy and Induced Abortion Statistics, 2004
IntroductionWashington Pregnancy and Induced Abortion Statistics, 2004
IntroductionWashington State Pregnancy and Induced Abortion Statistics, 2004, publishedby the Center for Health Statistics of the Washington State Department ofHealth, contains tables on pregnancies—the sum of births, induced abortions,and fetal deaths—and more detailed information about induced abortions forcalendar year 2004.Why are data on Pregnancy rates important?Pregnancy data collected by the Department of Health help address issuesrelated to family planning, maternal and child health, and access to healthcare.Since 1993, the Department of Health has been engaged in changing policyand programs in support of reducing unintended pregnancies. Unintendedpregnancy refers to pregnancies that are unwanted or mistimed at the time ofconception. When pregnancies occur without planning or intent, there isless opportunity to prepare for an optimal outcome. Unintended pregnancyis a risk factor for late or inadequate prenatal care, exposure of the fetus toharmful substances, low birth weight and neonatal death. Unintendedpregnancy is also associated with other negative social outcomes such asreduced education and career attainment of the parents, welfare dependency,divorce and domestic violence.The Healthy People 2010 1 goal is to increase to at least 70% the proportionof pregnancies that are intended and to reduce the pregnancy rate to 43 per1000 women aged 15-17. The data in this report help evaluate preventionprograms and help monitor progress toward these national goals. WhileWashington has not yet met the HP 2010 goal for intended pregnancy, wehave met the HP2010 adolescent pregnancy goal. In 2004, the pregnancyrate was 28.5 per 1000 women 15-17 years old. This is a 53% decrease inthe teen pregnancy rate from the high of 59.0 pregnancies per 1000 teens15-17 in 1989. Moreover, only four Washington counties had teenpregnancy rates in 2002-2004 above the HP2010 goal.Why are data on Abortion rates important?Induced abortion data help planners decide if safe and adequate care is beingprovided to women obtaining abortions in Washington State and mayindicate a need for family planning services and sexual education.1U.S. Department of Health and Human Services. Healthy People 2010. 2nd ed. WithUnderstanding and Improving Health and Objectives for Improving Health. 2 vols.Washington, DC: U.S. Government Printing Office, November 2000.Washington Pregnancy and Induced Abortion Statistics, 20043
The abortion rate has also continued to decline from a high of 27 per 1000women in 1989. In 2004, the rate was 18.9 per 1000 women of reproductiveage (15-44 yrs.). The adolescent abortion rate has also declined from 30.0per 1000 women 15-17 years old in 1989 to 12.9 per 1000 women 15-17years old in 2004.Data Reporting IssuesSource of Pregnancy and Induced Abortion DataData used to prepare this report come from Reports of Induced Terminationof Pregnancy, Certificates of Live Birth, and Certificates of Fetal Death.The forms for these reports and certificates are provided by the WashingtonState Department of Health. The following table describes who completesthe forms and where they are filed:Filing of Washington State Pregnancy-Related FormsFormCompleted byInitially Filed withAbortionLive BirthService ProviderHospital or BirthAttendantHospital or BirthAttendantState Dept. of HealthState Dept. of HealthFetal DeathLocal HealthJurisdictionFor each induced abortion performed in Washington State, specified nonidentified information about the patient, the procedure performed, and themedical complications must be reported to the Department of Health by theattending physician, hospital, or medical facility within one month of theabortion as required by Washington Administrative Code (WAC 246-490100). This WAC is based on the statutory authority vested in the Secretaryof the Department of Health to collect and utilize health-related data topromote and assess the quality and accessibility of health care throughoutthe state (RCWs 43.70.040 and 43.70.050). In addition, information aboutabortions performed in other states and in Canada for women who areresidents of Washington State is obtained through voluntary cooperativearrangements between vital records offices in most states and Canadianprovinces.Similarly, RCW 70.58 governs the registration and reporting of vitalstatistics and requires births and fetal deaths to be reported within a timelymanner. Birth and fetal death certificates are designed to gather informationthat meets federal reporting requirements of the National Center for HealthStatistics. A formal interstate exchange agreement governs the mutualWashington Pregnancy and Induced Abortion Statistics, 20044
exchange of information on births and fetal deaths between states andCanadian Provinces/Territories, so that events occurring to Washingtonresidents elsewhere are also reported to this state.Since 1992, hospitals or birth attendants have used the Electronic BirthCertificate (EBC) system to send birth records directly to the Department ofHealth instead of to registrars of local health jurisdictions. However, onJanuary 1, 2003, hospitals and birth attendants began using the Birth RecordRealtime Registration (BR3) system, a web-based reporting system thatallows almost instantaneous registration of births directly to the Center forHealth Statistics at the Department of Health. Data collected under the BR3for calendar year 2004 are reported in the 2004 Vital Statistics AnnualSummary.Additional ServicesAdditional tabulations of birth and fetal death data can be found in thepublication, Washington State Vital Statistics, published annually by the Centerfor Health Statistics. Birth and fetal death data are available on the Center’sCD-ROMs: Vital Registration System Annual Statistical Files, WashingtonState. The CD-ROMs contain data in ASCII format, detailed technicaldocumentation, and annual summary tables of births, deaths, and fetal deathsfor 1980-2004. To order a copy of a CD-ROM, call(360) 236-4327.All of the 1997-2004 tables for this report are available on the Internet, alongwith copies of this introduction, the overview and the appendices. To accessthis information, go to the DOH web page at www.doh.wa.gov, click on:¾ Health Data¾ Vital Statistics¾ Abortion/Pregnancy Rates¾ Data TablesThe Center also works with data users on a variety of levels: 1) to help usersformulate requests so they get the data they need; 2) to provide technicalconsultation about how to use or interpret data; 3) to perform special analysesto address a specific problem or need; and 4) to help users access raw data files.For more information, please call Joe Campo, Research Manager, Center forHealth Statistics, at (360) 236-4321.Washington Pregnancy and Induced Abortion Statistics, 20045
Washington State CountiesOverviewThe above map of Washington State counties is provided to help users identifythe location of counties discussed in this report.Change Over TimeData for the two major components of pregnancy—births and inducedabortions—are shown in Tables 1-3 for the past 20 years. Since the 1970s,when abortions were first reported, the number rose through the early 1980s,declined slightly, rose to a high of over 30,000 in 1991, and then declinedfor several years. In 2004, 24,568 abortions were reported for residents ofthe state, down by about 2.1% from 2003, when 25,106 abortions werereported for residents of the state. Reported abortions in 2003 decreasedfrom the 25,446 abortions reported in 2002. Abortions for 1992 through1995 shown in Tables 1 and 2 are estimates that reflect the addition ofbetween 1,200 and 1,350 previously unreported abortions each year; theseestimates differ from official counts in annual reports for prior years.Washington Pregnancy and Induced Abortion Statistics, 20046
Trend Table 1. Induced Abortions, Live Births, and Abortion Ratios, Washington State Residents, irths for 1980-1994 and abortions for 1980-1982 are based on revised annualstatistical datafiles and may not match numbers published in prior reports. Thesechanges occur in all subsequent tables in this report using data for those years.2Number of induced abortions per 1,000 live births.* Abortions for 1992-1995 are estimates that include: 1,262; 1,2
Washington Pregnancy and Induced Abortion Statistics, 2004 4 The abortion rate has also continued to decline from a high of 27 per 1000 women in 1989. In 2004, the rate was 18.9 per 1000 women of reproductive age (15-44 yrs.). The adolescent abortion rate has also declined from 30.0 per 1000
Washington Pregnancy and Induced Abortion Statistics, 2005 4 The abortion rate has also continued to decline from a high of 27 per 1000 women in 1989. In 2005, the rate was 18.5 per 1000 women of reproductive age (15-44 yrs.). The adolescent abortion rate has also declined from 30.0 per 1000
How to talk about abortion: a guide to rights-based messaging 3 Abortion procedures Abortion is the voluntary ending of a pregnancy.1 There are two main methods of safe abortion: medical abortion, where medication is
2019 Abortion Statistics Pennsylvania Department of Health 1 2019 ABORTION STATISTICS Executive Summary Pennsylvania has been monitoring and reporting on abortion data since 1975. This report is produced pursuant to Section 3214 of the Abortion Control Act, 18 Pa. C.S. § 3214(e)(1). In 2019
The American Constitution Society for Law and Policy Truth is Truth: U.S. Abortion Law in the Global Context 2 pregnancy.7 And many have enacted and expanded regulations targeting abortion providers and other barriers making abortion increasingly inaccessible.8 The result is a patchwork of access to abortion care across the United States,9 with restrict
Aug 06, 2016 · abortion earlier. Nearly 60% of women who experienced a delay in obtaining an abortion cite the time it took to make arrangements and raise money. Teens are more likely than older women to delay having an abortion until after 15 weeks of pregnancy, when the medical risks associated with abortion are significantly higher.
Septic abortion is a spontaneous or induced abortion complicated by fever, endometritis, and parametritis leading to generalized infection or sepsis. It is often the result of an unsafe abortion. Distinction between safe and unsafe abortion Safe abortion is a procedure and technique performe
Shostak, A. & McLouth, G. (1984). Men and Abortion: Lessons, Losses, and Love. New York: Praeger. USA 1000 75 Quantitative/ Qualitative 1000 at time of abortion procedure 75 months and often years after abortion 47% of clinic-day and 63% of post-abortion men agreed that men involved
this and other articles in this Volume. The dis-cussion in this article is limited to the relation-ship between these factors and the induction coil design. Current Flow in the Part Eddy currents are the primary source of power dissipation in most induction heat treat-ing applications. Eddy currents, just like all
