ArticlePerspectives on sexual and reproductive health2022
Abortion incidence and service availability in the United States, 2020.
Article in Perspectives on sexual and reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06502158 (Mifepristone Versus Misoprostol for Cervical Preparation Prior to Procedural Abortion at 12 to 16 Weeks' Gestation in an Academic Medical Center), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Mifepristone Versus Misoprostol for Cervical Preparation Prior to Procedural Abortion at 12 to 16 Weeks' Gestation in an Academic Medical Center: a Randomized Controlled Pilot Trial
Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Weight and Procedural Abortion Complications: A Systematic Review.Obstetrics and gynecology · 2025Pooled it
- Efficacy of daily silodosin 8 mg as a potential reversible male contraceptive: A prospective placebo controlled study.International urology and nephrology · 2026Trial
- Abortion Policy as Structural Sexism: An Analysis of Shame-Inducing Counseling Laws and Birth Outcomes.Journal of health and social behavior · 2026Article
- Experiences of Perinatal Personnel With Values Clarification Workshops About Abortion.JAMA network open · 2026Article
- Methodological considerations for investigating the impact of abortion restrictions on outcomes using aggregate panel data.American journal of epidemiology · 2026Article
- Restrictive abortion policy climate is associated with increased depression symptoms among women in the United States: Findings from a 25-year longitudinal study.SSM. Mental health · 2026Article
- Temporal Trends in Pregnancy Rate, Live Birth Rates, and Rates of Gestational Outcomes, 2012-2023.O&G open · 2026Article
- Trends in Hospital Abortion During the First 2 Years of COVID-19 in Quebec, Canada: Results From a Population-Based Observational Study.Perspectives on sexual and reproductive health · 2025Observational
- State-Level Variation in and Barriers to Medicaid Abortion Coverage.JAMA network open · 2025Article
- Have Others Had This Experience? A Qualitative Analysis of Posts on Self-Managed Abortion to US-Based Reddit Community.Perspectives on sexual and reproductive health · 2025Article
- Explaining the sharp decline in birth rates in Canada and the United States in 2020.American journal of epidemiology · 2025Article
- The Role of Medication Abortion Provision in US States Without Total Abortion Bans, 2023.Perspectives on sexual and reproductive health · 2025Article
- Addressing Abortion Underreporting in Surveys with the List Experiment: Lifetime and Five-Year Abortion Incidence with Multivariate Estimation of Socio-demographic Associations in two U.S. States.Population research and policy review · 2025Article
- Measuring abortion in claims data: What is the state of the science?Contraception · 2025Review
- The limitations of using Medicaid administrative data in abortion research.Contraception · 2025Article
- Abortion Rate Increased And Birth Rate Decreased After Introduction Of Medicaid Abortion Coverage In Illinois.Health affairs (Project Hope) · 2025Article
- Article
- Changes in early abortion access among out-of-state abortion patients in Illinois, following public insurance coverage through state Medicaid: A brief research report.PLOS global public health · 2025Article
- Abortion access barriers shared in "r/abortion" afterSexual and reproductive health matters · 2024Article
- Examining service delivery patterns before and after implementation of a direct-to-patient telehealth service providing medication abortion in Australia.The Australian & New Zealand journal of obstetrics & gynaecology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study provides a baseline assessment of abortion incidence and service delivery prior to Roe v. Wade being overturned.
methodsWe collected information from all facilities known to have provided abortion services in the United States in 2019 and 2020. We examined abortion incidence by state, region and nationally and combined data on number of abortions with population data to estimate abortion rates. We also examined the number of abortion clinics, trends in medication abortion and service disruptions and changes in abortion protocols that occurred during the COVID-19 pandemic. We compare these findings to those of our prior Abortion Provider Census, which collected information for 2017.
resultsWe documented 930,160 abortions in 2020, an 8% increase from 2017. Between 2017 and 2020, abortion incidence increased in all four regions of the country and in a majority of states. The total number of clinics providing abortion care remained stable nationally but increased in the Midwest and the West and declined in the Northeast and South. There were 492,210 medication abortions in 2020, a 45% increase from 2017. A substantial minority of clinics adjusted protocols in response to COVID, most commonly adopting remote pre- and post-abortion counseling. DISCUSSION: This study did not address factors behind the increase in abortion. However, this report demonstrates that the need for abortion care was growing just prior to the overturning Roe v. Wade, and the impact of this decision will be even more far-reaching than previously expected.
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