Characteristics of Induced Abortions Reported in Michigan
Division for Vital Records & Health Statistics
Michigan Department of Health & Human Services
A total of 27,151 induced abortions were reported in Michigan in 2015, which was a 1.7 percent decrease from the total of 27,629 reported in 2014 and a 44.7 percent decrease since 1987 (the year with the largest number of induced abortions). (See Table A.)
Michigan residents received 95.7 percent of the induced abortions that occurred in Michigan in 2015. This proportion is similar to that which was observed in previous years.
In 2015, about 50% of the resident women receiving abortions had no previous induced abortions. In general, from 1985 through 2015, a gradual increase has been observed with the proportion of women reporting two or more induced abortions, going from 14.6 percent in 1985 to 24.8 percent in 2015. The proportion of women who had no previous induced abortion has generally declined, falling from 59.5 percent in 1985 to 49.9 percent in 2015.
In 2015, 89.3 percent of the Michigan women who obtained an induced abortion were not married, a 6.9 percent increase from the 82.4 percent reported in 1985. (See Table E.)
About 64 percent of the resident women obtaining induced abortions in 2015 had a previous term pregnancy. Of the women who had a previous term pregnancy, over 57 percent in 2015 had at least two or more term pregnancies. (See Table 8.)
The majority of Michigan residents receiving induced abortions (43.1 percent) were under 25 years of age, while 9.9 percent were less than 20 years old. These are much smaller proportions than the 64.6 and 30.6 percent observed, respectively, in 1985. (See Table B-2.)
Other than self-referral, which was reported for 86.2 percent of all induced abortions in 2015, the most frequent source of referral for induced abortion services was a family member or a friend (9.0 percent) and a physician (2.2 percent). (See Table 7.)
Among all induced abortions reported in 2015 in Michigan (including both residents and non‑residents), most involved pregnancies of 12 weeks or less (85.9 percent) and suction was the most frequent procedure at 64.3 percent. (See Table 17.)
Abortions performed in physicians' private offices represented 19.9 percent of all reported induced abortions in 2015, those performed in freestanding outpatient surgical facilities comprised 79.6 percent, with the remainder occurring in hospitals and other facilities. (See Table 18.)
Most abortion reports indicate no immediate complications. In 2015 immediate complications were reported in 11 cases and in 33 cases between 2012-2014. The average three-year rate of 2012-2014 was 4.3 complications per 10,000 induced abortions performed. (See Table 20.)
In 2015, self-pay was indicated as the source of payment for most induced abortions (94.1 percent). (See Table 16.)
In 2015, ultrasound was the most common method reported for confirming the pregnancy (89.8 percent). (See Table 25.)
Information on complications subsequent to an abortion was collected for the first time in 2001. This information is required to be reported on a separate reporting form by any physician who provided care to a woman suffering from a physical complication that was the result of an abortion occurring within seven days of the abortion. 36 reports of subsequent complications were submitted in 2015. (See Table 26.)
Information on the race of the woman obtaining an induced abortion was collected for the first time in 2003. In 2011, Hispanic ancestry was first collected. Of the Michigan residents receiving abortions in 2015, 44.1 percent were white, 49.7 percent were black, 2.2 percent were Asian/Pacific Islander and about 1 percent were American Indian, multracial or of some other race. In 2015, 3.6 of the women obtaining an abortion were of Hispanic ancestry. (See Table 11.)
state of Michigan has established a mandatory reporting system for
induced abortions (MCL 333.2835). According to this law, abortion
reports are not allowed to contain any common identifiers that would
make it possible to identify, in any manner or under any circumstances,
an individual who obtained or seeks to obtain an abortion. Abortion
reports are prepared and submitted to the Department of
Health & Human Services by the physician who performs the abortion. The reports are
not legal records; they are used only to produce statistical data
for health and medical purposes. The department is specifically mandated to prepare aggregated statistics of individual abortion reports on an annual basis.
The tables in this report are based on induced abortion reports for 2015 that were received by the Department of Health & Human Services on or before January 31, 2016. Definitions of the terms used are given in the footnotes of the individual tables, where necessary.