Induced Abortions in Ohio Ohio Department of Health OHIO An equal opportunity employer/provider

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1 OHIO 2013 Induced Abortions in Ohio Ohio Department of Health John Kasich, Governor Richard Hodges, Director of Health An equal opportunity employer/provider

2 Induced Abortions in Ohio, 2013 Prepared by: Statistical Analysis Unit Office of Vital Statistics John Paulson Health Services Policy Supervisor Donna L. Smith Researcher September, 2014 Induced Abortion Program Contact Persons Statistical Analysis Unit Data Analysis John Paulson Donna L. Smith Quality Assurance Fetal Development Resources Directory on Request Hahn Lee Office of General Counsel Legislation Rachel Belenker Induced Abortions in Ohio

3 Table of Contents Induced Abortion Summary 1 Figure 1 Resident Induced Abortions, Ohio, Figure 2 Selected Characteristics of Resident Induced Abortions in Ohio, Figure 3 Induced Abortions Reported in Ohio, By County of Occurrence, Figure 4 Abortion Ratio and Abortion Rate, By year, Ohio Residents, Figure 5 Induced Abortion Rates per 1,000 Women By Age, Ohio Residents, Figure 6 Induced Abortion Ratio, By Age Group, Ohio Residents, Figure 7 Total Induced Abortions By Weeks of Gestation, By Year, Table 1 Induced Abortion Summary Table, Ohio, Table 2 Selected Characteristics of induced Abortions Reported in Ohio, Table 3 Resident Induced Abortions Reported in Ohio, By County of Residence, Table 4 Resident Induced Abortions Reported in Ohio, By County of Residence and Age, Table 5a Resident induced Abortions Reported in Ohio, By Selected Counties, Race, 16 and Broad Age Groups, 2013 Table 5b Resident Induced Abortions Reported in Ohio, By Selected Counties, Race, and Age, Table 6 Induced Abortions Reported in Ohio, By County of Occurrence, Table 7 Induced Abortions Reported in Ohio, By Method of Termination and County of Occurrence, Table 8a Total Induced Abortions Reported in Ohio, By Gestational age, Table 8b Method Used to Determine Gestational Age of Fetus, Ohio, Table 9 Resident Induced Abortions Reported in Ohio, By Age of Women Obtaining 25 Abortion and By Number of Prior Induced Abortions, 2013 Induced Abortions in Ohio i

4 Table 10a Total Induced Abortions in Ohio With Post- Abortion Complications, 26 By Type of Complication, 2013 (Data Source is Confidential Abortion Reporting Form ) Table 10b Total Induced Abortions in Ohio With Post-Abortion Complications, By 27 Type of Complication, 2013 (Data Source is Post-Abortion Care Report for Complications ) Table 11 Total Induced Abortions in Ohio With Post-Abortion Complications, By 28 Type of Complication and Gestation Period, 2013 (Data Source is Post-Abortion Care Report for Complications ) Table 12 Resident Induced Abortions by Zip Code of Patient, Ohio, Table 13 Contraceptive History at The Time of Conception and Contraception 36 Recommendations Provided at Discharge Table 14 Pregnancy History of Woman Who Obtained Induced Termination in Ohio, Table 15 Selected Medical Information From the Confidential Abortion Report, Ohio, Table 16 Type of Counseling Provided to Women Obtaining Terminations, Ohio, Table 17 Timing of Medical Exam for Terminations Performed, Induced, or 39 Attempted After 19 Completed Weeks Gestation, Ohio, 2013 Table 18 Viability Determination and Type of Testing Used to Determine 39 Viability for Terminations Performed, Induced, or Attempted After 19 Completed Weeks Gestation, Ohio, 2013 Appendix I Confidential Abortion Report Form 40 Appendix II Post-Abortion Care Report for Complications Form 42 ii Induced Abortions in Ohio

5 Induced Abortion Summary Background The 2013 Annual Abortion Report presents information derived from both the Confidential Abortion Reports and Post-Abortion Care Reports for Complications for 2013 in Ohio (reporting forms are included as Appendices I and II). The Confidential Abortion Report form was revised effective January 1, The revised form allows for more detailed reporting for race (from single race to multi-race), education, termination method, as well as additional information for terminations performed after 19 weeks of completed gestation (see tables 17 and 18). Characteristics of Induced Abortions Reported in Ohio, 2013 Induced abortion statistics are available for Ohio dating back to Many trend comparisons in the 2013 Annual Abortion Report date back to A total of 23,216 induced pregnancy terminations were reported in Ohio for 2013, including 22,011 obtained by Ohio resident women (94.8%). Overall, since 2001 we ve noted a steady decline in terminations. When examined over the time period 2001 to 2013, the annual decline averaged approximately 1,150 per year. Approximately one in eight women who obtained abortions in 2013 were under 20 years of age, with another third between the ages of years of age (figure 2). While the age distribution of women obtaining abortions has remained relatively unchanged since 2001, the age-specific abortion rates for women under age 25 have steadily decreased (Figure 5). Approximately 89% of women who obtained an abortion were never married, divorced, or widowed. Eleven percent of procedures were obtained by married or separated women. Fifty-three percent of resident women who obtained abortions and for whom race was reported were White, 41% were African American, 3% were Asian/Pacific Islander, and 3% reported more than one race. Four percent of abortions were obtained by women of Hispanic origin. The 2013 Ohio abortion rate was 9.9 per 1,000 resident women ages years (figure 4). The most recent comparable rate for the US was higher at 14.6 per 1,000 women (year 2010). The 2013 Ohio abortion ratio was 161 abortions per 1,000 live births, down from 174 in Ohio s abortion ratio is also lower than the 2010 US abortion ratio of 228 abortions per 1,000 live births. Readers should note that resident abortion statistics in this report are limited to terminations occurring in Ohio; they do not include Ohio residents who obtained abortions outside Ohio. Over half of all induced abortions involved pregnancies of less than 9 weeks (57%), with approximately 28% involving pregnancies of 9-12 weeks (figure 2). The proportion involving abortions of less than 9 weeks increased from 42% in 1995, while the proportion between 9 and 12 weeks declined from 40% to 28% (figure 7). There were 319 abortions in 2013 involving pregnancies of 20 or more weeks. That represents a decrease from the 367 reported in 2012 and the 915 reported in The revised abortion reporting form requests method used to determine gestational age: ultrasound was used in 99% of cases. The vast majority of reported abortions were obtained in six major metropolitan areas of Ohio. Curettage was the most used method of termination (83% in 2013). That method has decreased since 2001, when 87% of terminations were by curettage. The revised form now asks for type of medication for non-surgical terminations. Mifepristone was reported for 855 abortions, followed by 581 terminations using misoprostol, and 163 terminations using methotrexate. Induced Abortions in Ohio 1

6 Figure 1. Resident Induced Abortions, Ohio, Figure 1. Resident Induced Abortions, Ohio, ,000 45,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5, Year Number 2 Induced Abortions in Ohio

7 Figure 2. Selected Characteristics of Resident Induced Abortions in Ohio, 2013 Race White (51.7% Black (42.4%) American Indian (0.2%) Asian/Pac. Isl. (2.9%) Multi Race (2.9%) Gestation <9 (57.1%) 9-12 (28.6%) (12.2%) (1.5%) 21+ (0.1%) Age < 18 (4.2%) (8.3%) (60.1%) (24.3%) 40+ (3.1%) Married Status Never Married (82.2%) Married (10.3%) Separated (2.6%) Divorced (5.7%) Widowed (0.2%) Excludes unknown unless otherwise stated Induced Abortions in Ohio 3

8 Figure 3. Induced Abortions Reported in Ohio, By County of Occurrence, 2013 Shelby 0.0% Allen 0.0% Summit 7.45% Montgomery 7.74% Lucas 6.51% Cuyahoga 38.93% Hamilton 17.97% Franklin 21.39% Greene 0.0% 4 Induced Abortions in Ohio

9 Figure 4. Abortion Ratio and Abortion Rate, By Year, Ohio Residents, Abortion Ratio Abortion Rate Abor. Ratio Abor. Rate Abortion ratio is number of abortions per 1,000 live births. Abortion rate is number of abortions per 1,000 women ages Induced Abortions in Ohio 5

10 Figure 5. Abortion Ratio and Abortion Rate, By Year, Ohio Residents, Figure 5. Abortion Ratio and Abortion Rate, By Year, Ohio Residents, Rate per 1, Abortion rate is number of abortions per 1,000 female population in specified age group. Age Group 6 Induced Abortions in Ohio

11 Figure 6. Induced Abortion Ratio, By Age Group, Ohio Residents, ,400 1,200 1, Ratio Abortion ratio is number of abortions per 1,000 live births in a specified age group. Age Group < Induced Abortions in Ohio 7

12 Figure 7. Total Induced Abortions By Weeks of Gestation, By Year, Figure 7. Total Induced Abortions By Weeks of Gestation, By Year, ,000 15,000 Number 10,000 5, Year <9 weeks 9-12 weeks weeks weeks 20+ weeks Unknown 8 Induced Abortions in Ohio

13 Table 1. Induced Abortion Summary Table, Ohio, 2013 Characteristics 2013 Percent Total Induced Abortions 23, Residence: Ohio Resident 22, Out-of-State Resident 1, Not Reported Age: Under , Years 8, , Age is Outside of Fertility Range Not Reported Race group: White 11, Black 9, American Indian Asian/Pacific Islander More than One Race Unknown Not Reported Hispanic: Non-Hispanic 20, Hispanic Unknown 1, Not Reported Level of Education: 8th Grade or Less to 12th Grade, No Diploma 3, High School Graduate or GED 8, Some College Credit, No Degree 5, Associate Degree 1, Bachelor Degree 2, Masters Degree Doctorate or Professional Degree Unknown 1, Not Reported Marital Status: Never Married 17, Married 2, Separated Divorced 1, Widowed Unknown 1, Not Reported Number of Living Children: None 7, One 6, Two or More 8, Not Reported Weeks of Gestation: Less than 9 Weeks 13, Weeks 6, Weeks 2, Weeks Weeks and Over Not Reported Induced Abortions in Ohio 9

14 Table 2. Selected Characteristics of Induced Abortions Reported in Ohio, Characteristic Residence Age Education Race Marital Status Number of Living Children Weeks of Gestation Number of Abortions Total Induced Abortions 23,216 25,473 24,764 28,123 28,721 29,613 30,859 32,936 34,128 34,242 Ohio Resident 22,011 24,080 23,250 26,322 26,959 27,672 28,921 30,809 31,210 31,391 Out-of-State Resident ,393 1,511 1,801 1,762 1,941 1,938 2,127 2,918 2,851 Under 15 Years ,074 1,132 1,500 1,629 1,781 2,059 2,088 2,124 2, ,936 2,255 2,367 3,009 3,114 3,363 3,317 3,515 3,743 3, Years 8,004 8,623 8,545 9,562 9,739 9,945 10,182 11,123 11,502 11, Years 5,806 6,204 6,014 6,636 6,547 7,192 7,355 7,720 7,968 7, Years 3,693 3,993 3,640 3,937 4,021 3,835 4,081 4,333 4,687 4, Years 1,919 2,163 1,949 2,244 2,389 2,245 2,535 2,741 2,708 2, Years Years & Older Age is Outside of Fertility Range 27 Not Reported Less than Grade Grade ,321 13,932 15,155 17,276 17,830 18,389 18,880 20,515 20,911 21,222 One or More College Years 9,566 10,177 8,789 9,857 8,956 10,105 10,719 11,064 11,810 11,763 None/Unknown 1,057 1, White 11,796 13,109 13,340 15,127 15,683 16,019 17,221 18,724 19,673 19,952 Black 9,075 9,694 9,178 10,528 10,647 11,064 11,073 11,683 12,070 12,028 Asian/Pacific Islander Other/Unknown/Not Reported 1,709 1,973 1,636 1,814 1,781 1,930 1,872 1,834 1,662 1,531 Never Married 17,738 19,618 19,224 21,876 22,078 22,630 23,157 24,571 25,595 25,489 Married 2,295 2,514 2,632 2,813 2,990 3,172 3,621 3,936 4,199 4,366 Separated ,080 1,146 Divorced 1,282 1,405 1,334 1,558 1,630 1,712 1,826 2,174 2,296 2,462 Widowed Unknown 1,261 1, ,101 1,171 1,284 1,286 1, No Children 7,871 8,323 7,657 9,598 9,890 10,211 10,974 11,488 9,415 9,007 One Child 6,168 6,841 6,658 7,578 7,932 8,210 8,499 9,040 9,505 9,535 Two or More Children 8,168 9,027 8,577 9,709 9,888 10,093 10,233 10,899 11,263 11,515 Not Reported 1,009 1,282 1,872 1,238 1,011 1,099 1,153 1,519 3,945 4,185 Less than 9 Weeks 13,128 14,364 14,105 16,283 16,264 16,663 17,023 17,955 19,549 19, Weeks 6,624 7,220 6,909 7,672 7,971 8,257 8,855 9,862 9,547 9, Weeks 2,925 3,176 2,897 3,223 3,390 3,629 3,589 3,699 3,755 3, Weeks Weeks and Over Not Reported Induced Abortions in Ohio

15 Table 2. Selected Characteristics of Induced Abortions Reported in Ohio, (Part 2) Residence Age: Education Race Marital Status Number of Living Children Weeks of Gestation Characteristic Percentage Distribution Total Induced Abortions Ohio Resident Out-of-State Resident Under 15 Years Years Years Years Years Years Years & Older Age is Outside of Fertility Range 0.1 Not Reported Less than Grade Grade Or More College Years None/Unknown White Black Asian/Pacific Islander Other/Unknown/Not Reported Never Married Married Separated Divorced Widowed Unknown No Children One Child Two or More Children Not Reported Less than 9 Weeks Weeks Weeks Weeks Weeks & Over Not Reported Not Reported Induced Abortions in Ohio 11

16 Table 3. Resident Induced Abortions Reported in Ohio, By County of Residence, Table Restricted to Abortions Obtained By Ohio Residents Residence OHIO 22,011 24,080 23,250 26,322 26,955 27,672 28,921 30,809 31,210 31,391 Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga 5,499 5,663 5,828 6,598 6,794 7,056 6,986 7,252 7,412 7,565 Darke Defiance Delaware Erie Fairfield Fayette Franklin 3,448 3,771 3,529 3,448 3,604 3,526 4,381 4,683 4,601 4,678 Fulton Gallia Geauga Greene Guernsey Hamilton 2,232 2,500 2,374 2,785 2,728 3,125 2,990 3,112 2,999 3,172 Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Lake Lawrence Induced Abortions in Ohio

17 Table 3. Resident Induced Abortions Reported in Ohio, By County of Residence, Table Restricted to Abortions Obtained By Ohio Residents Residence Licking Logan Lorain Lucas 949 1,189 1,239 1,565 1,565 1,434 1,356 1,803 1,633 1,603 Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery 1,158 1,101 1,096 1,367 1,394 1,439 1,420 1,616 1,531 1,632 Morgan Morrow Muskingum Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit 1,229 1,301 1,352 1,428 1,469 1,601 1,660 1,742 1,798 1,677 Trumbull Tuscarawas Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot Not Reported Induced Abortions in Ohio 13

18 Table 4. Resident Induced Abortions Reported in Ohio, By County and Age, 2013 Table Restricted to Abortions Obtained By Ohio Residents Age Group Residence Total < *Not Rep/Unclassifiable OHIO TOTAL Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga 5, ,917 1, Darke Defiance Delaware Erie Fairfield Fayette Franklin 3, , Fulton Gallia Geauga Greene Guernsey Hamilton 2, Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Lake Lawrence Induced Abortions in Ohio

19 Table 4. Resident Induced Abortions Reported in Ohio, By County and Age, 2013 (Part 2) Table Restricted to Abortions Obtained By Ohio Residents Age Group Residence Total < *Not Rep/Unclassifiable Licking Logan Lorain Lucas Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery 1, Morgan Morrow Muskingum Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit 1, Trumbull Tuscarawas Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot Not Reported Induced Abortions in Ohio 15

20 Table 5a. Resident Induced Abortions Reported in Ohio, by Selected Counties, Race and Broad Age Groups, 2013 Table Restricted to Abortions Obtained By Ohio Residents Age Group County of Residence Race Total Under Not Rep/Unclassifiable TOTAL 22, ,822 13,126 5, OHIO White 10, ,367 2, Black 8, ,495 2, Oth/Unk 2, , TOTAL Allen White Black Oth/Unk TOTAL Ashtabula White Black Oth/Unk TOTAL Athens White Black Oth/Unk TOTAL Butler White Black Oth/Unk TOTAL Clark White Black Oth/Unk TOTAL Clermont White Black Oth/Unk TOTAL Columbiana White Black Oth/Unk TOTAL 5, ,268 1, Cuyahoga White 1, Black 3, , Oth/Unk TOTAL Delaware White Black Oth/Unk Induced Abortions in Ohio

21 Table 5a. Resident Induced Abortions Reported in Ohio, by Selected Counties, Race and Broad Age Groups, 2013 (Part 2) Table Restricted to Abortions Obtained By Ohio Residents Age Group County of Residence Race* Total Under Not Rep/Unclassifiable Erie TOTAL White Black Oth/Unk Fairfield TOTAL White Black Oth/Unk Franklin TOTAL 3, , White 1, Black 1, Oth/Unk Greene TOTAL White Black Oth/Unk Hamilton TOTAL 2, , White Black 1, Oth/Unk Hancock TOTAL White Black Oth/Unk Jefferson TOTAL White Black Oth/Unk Knox TOTAL White Black Oth/Unk Lake TOTAL White Black Oth/Unk Induced Abortions in Ohio 17

22 Table 5a. Resident Induced Abortions Reported in Ohio, by Selected Counties, Race and Broad Age Groups, 2013 (Part 3) Table Restricted to Abortions Obtained By Ohio Residents Age Group County of Residence Race* Total Under Not Rep/Unclassifiable Total Licking White Black Oth/Unk TOTAL Lorain White Black Oth/Unk TOTAL Lucas White Black Oth/Unk TOTAL Mahoning White Black Oth/Unk TOTAL Marion White Black Oth/Unk TOTAL Medina White Black Oth/Unk TOTAL Miami White Black Oth/Unk TOTAL 1, Montgomery White Black Oth/Unk TOTAL Portage White Black Oth/Unk Induced Abortions in Ohio

23 Table 5a. Resident Induced Abortions Reported in Ohio, by Selected Counties, Race and Broad Age Groups, 2013 (Part 4) Age Group County of Residence Race* Total Under Not Rep/Unclassifiable Richland Sandusky Scioto Seneca Stark Summit Trumbull Warren Wayne Wood Table Restricted to Abortions Obtained By Ohio Residents TOTAL White Black Oth/Unk TOTAL White Black Oth/Unk TOTAL White Black Oth/Unk TOTAL White Black Oth/Unk TOTAL White Black Oth/Unk TOTAL 1, White Black Oth/Unk TOTAL White Black Oth/Unk TOTAL White Black Oth/Unk TOTAL White Black Oth/Unk TOTAL White Black Oth/Unk * Oth/Unk includes Not Reported Not all counties are displayed in this table in order to prevent disclosure of confidential information. Induced Abortions in Ohio 19

24 Table 5b. Resident Induced Abortions Reported in Ohio, by Selected Counties, Race and Age, 2013 Table Restricted to Abortions Obtained By Ohio Residents Age Group County Race* Total < (15-17) (18-19) Not Rep/ Unclassifiable OHIO Total 22, ,052 1,822 1,330 1,568 7,616 5,510 3,500 1, White 10, ,710 2,657 1, Black 8, ,175 2,320 1, Oth/Unk 2, Butler Total White Black Oth/Unk Cuyahoga Total 5, ,917 1, White 1, Black 3, Oth/Unk Franklin Total 3, , White 1, Black 1, Oth/Unk Greene Total White Black Oth/Unk Induced Abortions in Ohio

25 Table 5b. Resident Induced Abortions Reported in Ohio, by Selected Counties, Race and Age, 2013 (Part 2) Table Restricted to Abortions Obtained By Ohio Residents Age Group County Race* Total < (15-17) (18-19) Hamilton Lorain Lucas Montgomery Summit Not Rep/ Unclassifiable Total 2, White Black 1, Oth/Unk Total White Black Oth/Unk Total White Black Oth/Unk Total 1, White Black Oth/Unk Total 1, White Black Oth/Unk * Oth/Unk includes Not Reported Not all counties are displayed in this table in order to prevent disclosure of confidential information. Induced Abortions in Ohio 21

26 Table 6. Induced Abortions Reported in Ohio, by County of Occurrence, County of Occurrence TOTAL 23,216 25,473 24,764 28,123 28,721 29,613 30,859 32,936 34,128 34,242 35,319 35,830 37,464 Allen County Brown County Clark County Cuyahoga County 9,037 9,201 8,908 10,352 10,317 10,038 9,700 10,161 10,797 10,989 11,486 11,801 12,534 Erie County Franklin County 4,966 5,698 5,640 5,391 5,581 5,222 6,594 6,778 6,728 6,856 6,869 6,253 6,556 Greene County Hamilton County 4,171 4,601 4,363 4,995 4,825 5,663 5,114 5,583 6,051 6,431 6,392 6,961 7,216 Licking County Lucas County 1,511 1,960 2,318 2,563 2,548 2,338 2,212 2,851 2,691 2,425 2,383 2,366 2,445 Mahoning County ,049 1,132 Montgomery County 1,798 1,931 1,701 2,078 2,088 2,411 2,403 2,618 2,752 2,688 2,976 3,011 3,398 Shelby County Stark County Summit County 1,730 2,075 1,808 2,355 2,358 3,109 3,667 3,701 4,056 3,671 4,257 4,389 4,183 Ohio County Unknown Total 2013 abortions reported in Ohio by source: Ambulatory Surgical Facility = 23,127 Hospital = Induced Abortions in Ohio

27 Table 7. Induced Abortions Reported in Ohio, by Method of Termination and County of Occurrence, 2013 County of Occurrence Total Curretage Suction SURGICAL D & Ext D & Evac Hysterotomy Hysterectomy Other Surg Total Non-Surgical Mife- Pristone NON-SURGICAL Metho- Trexate Miso- Prostol Other Non-Surg Not Reported OHIO TOTAL 23,216 19, , , Allen Cuyahoga 9,037 6, , Franklin 4,966 4, Greene Hamilton 4,171 3, Lucas 1,511 1, Montgomery 1,798 1, Shelby Summit 1,730 1, Note: More than one method can be reported for a procedure. The majority of other surgical methods reported were illegible. The remaining other surgical methods appeared to be comments and were not actual methods. The following non-surgical methods were reported: KCL injection, laminaria, prostaglandin, ELLA, and Cyotec. Induced Abortions in Ohio 23

28 Table 8a. Total Induced Abortions Reported in Ohio, by Gestational Age, 2013 Gestational Age Number Percent Total Abortions Reported 23, Less than 9 Weeks 13, Weeks 6, Weeks 2, Weeks Weeks Weeks Not Reported Table 8b. Method Used to Determine Gestational Age of Fetus, Ohio, 2013 Method Number Percent Clinical Exam Last Menstrual Period 1, Ultrasound 23, Other Reported Method Not Reported Note: More than one method of estimation can be reported. The term twin was reported for 6 of the Other Reported Method cases. 24 Induced Abortions in Ohio

29 Table 9: Resident Induced Abortions in Ohio, by Age of Women Obtaining Abortion And by Number of Prior Induced Abortions, 2013 Table Restricted to Abortions Obtained By Ohio Residents Prior Induced Abortion Age Group Total Not Reported Total Abortions 22,011 10,972 5,861 2, ,548 Under ,822 1, ,616 4,250 1, ,510 2,306 1, ,500 1,281 1, , Age is Outside of Fertility Range Not Reported Induced Abortions in Ohio 25

30 Table 10a. Total Induced Abortions in Ohio with Post-Abortion Complications, By Type of Complication, 2013 (Data source: Confidential Abortion Reporting Form, Box 23) Complication Type Number of Complications Percent of Abortions with Complications Perforation of Uterus % Cervical Laceration % Hemorrhage % Incomplete Abortion % Hematometra % Anesthetic % Failed Abortion % Infection % Death % Other % Total Number of Complications* 13 Not Applicable Total Abortions with One or More Complications % Note: One termination may have more than one reported complication. 26 Induced Abortions in Ohio

31 Table 10b. Total Induced Abortions in Ohio With Post-Abortion Complications, By Type of Complication, 2013 (Data Source: Post-Abortion Care Report For Complications, Box 8) Complication Type Number of Complications Percent of Abortions with Complications Perforation of Uterus % Cervical Laceration % Hemorrhage % Incomplete Abortion % Hematometra % Anesthetic % Failed Abortion % Infection % Death % Other % Total Number of Complications* 99 Not Applicable Total Abortions with One or More Complications % Note: An abortion may have more than one reported complication. Induced Abortions in Ohio 27

32 Table 11. Total Induced Abortions in Ohio With Post-Abortion Complications, By Type of Complication and Gestation Period, 2013 (Data Source: Post-Abortion Care Report For Complications, Box 4 and Box 8) Gestation Period Complication Type Total < 9 Wks 9-12 Wks Wks 20+ Wks Not Reported (Number of Complications) Perforation of Uterus Cervical Laceration Hemorrhage Incomplete Abortion Hematometra Anesthetic Failed Abortion Infection Death Other/Unreported Total Number of Complications* Total Abortions with One or More Complications Note: An abortion may have more than one reported complication. 28 Induced Abortions in Ohio

33 Table 12. Resident Induced Abortions by Zip Code of Patient, Ohio, 2013 Zip Code Total Zip Code Total Zip Code Total Zip Code Total Induced Abortions in Ohio 29

34 Table 12. Resident Induced Abortions by Zip Code of Patient, Ohio, 2013 (Part 2) Zip Code Total Zip Code Total Zip Code Total Zip Code Total Induced Abortions in Ohio

35 Table 12. Resident Induced Abortions by Zip Code of Patient, Ohio, 2013 (Part 3) Zip Code Total Zip Code Total Zip Code Total Zip Code Total Induced Abortions in Ohio 31

36 Table 12. Resident Induced Abortions by Zip Code of Patient, Ohio, 2013 (Part 4) Zip Code Total Zip Code Total Zip Code Total Zip Code Total Induced Abortions in Ohio

37 Table 12. Resident Induced Abortions by Zip Code of Patient, Ohio, 2013 (Part 5) Zip Code Total Zip Code Total Zip Code Total Zip Code Total Induced Abortions in Ohio 33

38 Table 12. Resident Induced Abortions by Zip Code of Patient, Ohio, 2013 (Part 6) Zip Code Total Zip Code Total Zip Code Total Zip Code Total Induced Abortions in Ohio

39 Table 12. Resident Induced Abortions by Zip Code of Patient, Ohio, 2013 (Part 7) Zip Code Total Zip Code Total Zip Code Total Zip Code Total Induced Abortions in Ohio 35