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the long-term trend line of abortion rates in the united states has been declining for over 20 years. abortions are declining on a national level and the highest abortion rates, in terms of absolute numbers, are in the northeast. according to statistics from the national center for health statistics, 35.5% of women of reproductive age who live in the northeast have had an abortion. the national rate of abortion is only 19.7%. abortion rates are highest in new york (42.2%), new england (34.0%), and the middle atlantic states (32.2%). the south has slightly higher abortion rates than the northeast, with massachusetts (30.2%) and connecticut (28.0%) having higher rates of abortions than average in the region (19.9%).

from the years 1980-1981, there was a steep increase in the number of women attempting self-induced abortions. between 1980-1981, more than 10% of the women surveyed indicated that they had used an iud as a means to induce abortion. this number increased to over 30% between 1991-1992. abortion rates peaked in 1983, at 33 abortions per 1,000 women. since 1983, abortion rates have steadily decreased, with the highest abortion rate occurring in 1991 (26.7 abortions per 1,000 women). abortion rates decreased due to the increased use of iuds and less demand for abortions. women of reproductive age in the u.s. lived in an increasingly safe and healthy environment over the past 50 years and fewer women had unplanned pregnancies due to easier access to contraception.

iuds are the most effective and least invasive of the long-acting reversible contraceptives available. iuds are permanent, last up to 12 years, and cost less than $10. they are 97-99% effective. iuds are inserted by a physician into the uterus after three weeks of pregnancy. they usually stay in place for up to a year. iuds can be taken out at any time but once they are in place, they are effective for up to twelve years. newer versions of iuds are available in 21 mm, 27 mm, and 34 mm. the size depends on the age and size of a woman’s cervix. the 27 mm iud can be inserted in much easier but it is still difficult for women who have no cervix tissue. iuds can be given to women with or without their partner. women who are sterilized can receive an iud. 84d34552a1