State Facts About Michigan National Background and Context .

Abortion is a common experience: At current rates, about three in ten • In 2011, 1.1 million American American women will have had an abortion by the time she reaches age women obtained abortions, 45. Moreover, a broad cross section of U.S. women have abortions. 58% producing a rate of 16.9 abortions of women having abortions are in their 20s; 61% have one or more per 1,000 women of reproductive children; 85% are unmarried; 69% are economically disadvantaged; and age. The rate is a decrease from 73% report a religious affiliation. No racial or ethnic group makes up a 2008, when the abortion rate was majority: 36% of women obtaining abortions are white non-Hispanic, 19.4 abortions per 1,000 women 30% are black non-Hispanic, 25% are Hispanic and 9% are of other 15-44. racial backgrounds. Contraceptive use is a key predictor of women's recourse to abortion. • In 2011, 29,190 women obtained The very small group of American women who are at risk of abortions in Michigan, producing a experiencing an unintended pregnancy but are not using contraceptives rate of 15.3 abortions per 1,000 account for more than half of all abortions. Many of these women did women of reproductive age. Some not think they would get pregnant or had concerns about contraceptive of these women were from other methods. The remainder of abortions occur among the much larger group states, and some Michigan of women who were using contraceptives in the month they became residents had abortions in other pregnant. Many of these women report difficulty using contraceptives states, so this rate may not reflect consistently. the abortion rate of state residents. The rate decreased 18% since Abortion is one of the safest surgical procedures for women in the 2008, when it was 18.6 abortions United States. Fewer than 0.5% of women obtaining abortions per 1,000 women 15-44. Abortions experience a complication, and the risk of death associated with abortion in Michigan represent 2.8% of all is about one-tenth that associated with childbirth. abortions in the United States.

In the 1973 Roe v. Wade decision, the U.S. Supreme Court ruled that a Where Do Women Obtain woman, in consultation with her physician, has a constitutionally Abortions? protected right to choose abortion in the early stages of pregnancy-that is, before viability. In 1992, the Court upheld the basic right to abortion • In 2011, there were 1,720 abortion providers in the United in v. Casey. However, it also expanded the ability States. This is a slight (4%) of the states to enact all but the most extreme restrictions on women's decrease from 2008, when there access to abortion. The most common restrictions in effect are parental were 1,787 abortion providers. notification or consent requirements for minors, limitations on public Thirty-five percent of these providers were hospitals, 19% funding, and unnecessary and overly burdensome regulations on abortion were abortion clinics (clinics facilities. where more than half of all patient visits were for abortion), 30% were Pregnancies and Their and 18% in abortions; the clinics where fewer than half of all Outcomes remaining 15% ended in visits were for abortion, and 17% miscarriage. were private physicians' offices. • In 2011, there were 6 million Sixty-three percent of all abortions pregnancies to the 63 million • In Michigan, 168,900 of the were provided at abortion clinics, women of reproductive age (15- 1,904,002 women of reproductive 31% at other clinics, 4% at 44) in the United States. Sixty- age became pregnant in 2011. hospitals and 1% at private seven percent of these 67% of these pregnancies resulted physicians' offices. pregnancies resulted in live births in live births and 17% in induced • In 2011, there were 41 abortion Restrictions on Abortion • The use of telemedicine for the providers in Michigan; 30 of performance of medication those were clinics. This • A woman must receive state- abortion is prohibited. represents a 11% decline in directed counseling that includes overall providers and a a 6% information designed to • The parent of a minor must decline in clinics from 2008, discourage her from having an consent before an abortion is when there were 46 abortion abortion and then wait 24 hours provided. providers overall, of which 32 before the procedure is provided. were abortion clinics. • Public funding is available for • Abortion is covered in private abortion only in cases of life • In 2011, 89% of U.S. counties insurance policies only in cases of endangerment, rape or incest. had no . 38% of life endangerment, unless an American women lived in these optional rider is purchased at an Definitions and Data Sources counties, which meant they additional cost. References for information contained in would have to travel outside their this fact sheet are available at county to obtain an abortion. Of • Health plans that will be offered http://www.guttmacher.org/pubs/sfaa/sfaa women obtaining abortions in in the state’s health exchange -sources.html 2008, one-third traveled more under the than 25 miles. can only cover abortion in cases when the woman's life is • In 2011, 86% of Michigan endangered, unless an optional counties had no abortion clinic. rider is purchased at an additional 36% of Michigan women lived in cost. these counties. • Abortion is covered in insurance policies for public employees only in cases of life endangerment.

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