Characteristics of Induced Abortions Reported in Michigan
Division for Vital Records & Health Statistics
Michigan Department of Health & Human Services
A total of 27,339 induced abortions were reported in Michigan in 2019, which was a 2.3 percent increase from the total of 26,716 reported in 2018 and a 44.3 percent decrease since 1987 (the year with the largest number of induced abortions). (See Table A.)
Michigan residents received 94.7 percent of the induced abortions that occurred in Michigan in 2019. This proportion decreased by 1 percent to that which was observed in previous years.
In 2019, over half of the resident women receiving abortions had no previous induced abortions. In general, from 1985 through 2019, 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 23.8 percent in 2019. The proportion of women who had no previous induced abortion has generally declined, falling from 59.5 percent in 1985 to 51.3 percent in 2019.
In 2019, 84.7 percent of the Michigan women who obtained an induced abortion were not married, a 2.3 percent increase from the 82.4 percent reported in 1985. (See Table B-2.)
65.4 percent of the resident women obtaining induced abortions in 2019 had a previous term pregnancy. Of the women who had a previous term pregnancy, 39.2 percent in 2019 had at least two or more term pregnancies. (See Table 8.)
The majority of Michigan residents receiving induced abortions (36.2 percent) were under 25 years of age, while 8.7 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 89.5 percent of all induced abortions in 2019, the most frequent source of referral for induced abortion services was a family member or a friend (5.9 percent), followed by other (2.2 percent) and a physician (2.1 percent). (See Table 7.)
Among all induced abortions reported in 2019 in Michigan (including both residents and non‑residents), 87.4 percent involved pregnancies of 12 weeks or less. (See Table B-1.)
Suction and Medical (Non-Surgical) are the two most frequent procedures with 49.7 percent and 42.5 percent respectively among all induced abortions reported in Michigan. (See Table 18.)
Starting in 2014, the proportion of induced abortions performed in freestanding clinics increased from 25.1 percent (2013) to 43.9 percent (2014) and 91.2 percent in 2019. In the meantime, the proportion of induced abortions performed in a physician's office decreased from 74.2 percent (2013) to 55.4 percent (2014) and 2.8 percent in 2019. The change of location is almost certainly a result of Act 499 of 2012. The act placed new requirements of abortion providers. The number of abortions performed in Michigan in these years are about the same. (See Table B-1.)
Most abortion reports indicate no immediate complications. In 2019 immediate complications were reported in 6 cases and in 48 cases between 2016-2018. The average three-year rate of 2016-2018 was 6.0 complications per 10,000 induced abortions performed. (See Table 22.)
In 2019, self-pay was indicated as the source of payment for most induced abortions (94.3 percent). (See Table 16.)
In 2019, ultrasound was the most common method reported for confirming the pregnancy (93.2 percent). (See Table 19.)
Information on complications subsequent to an abortion was collected for the first time in 2000. 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. 67 reports of subsequent complications were submitted in 2019. (See Table 27.)
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 2019, 40.4 percent were white, 50.9 percent were black, 2 percent were Asian/Pacific Islander and about 3.6 percent were American Indian, multracial or of some other race. In 2019, 3.7 percent 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 2019 that were received by the Department of Health & Human Services on or before January 31, 2020. Definitions of the terms used are given in the footnotes of the individual tables, where necessary.
Important Note: Beginning in 2016, the Michigan Division for Vital Records & Health Statistics changed the standard for gestational age from a calculation based on the last menstrual period, to the obstetric/clinical estimate of gestational age. Abortion statistics based on the obstetric estimate are more comparable to abortion statistics provided by the NCHS and are consistent with the CDC's Induced Termination of Pregnancy guidelines.