Michigan’s abortion rate among nation’s highest. What you need to know.

Abortions in Michigan

Abortion rates are higher in Metro Detroit and southern Michigan, where there is better access to abortion clinics, which are in fewer than 10 of the state’s 83 counties.

Source: Michigan Department of Health and Human Services

August 2019: Planned Parenthood says 4,200 in Michigan at risk over abortion 'gag rule

The number of abortions in Michigan and nationwide has fallen dramatically in the past 25 years, but the state still has one of the highest abortion rates in the United States.

Nearly 1 in 5 pregnancies, excluding miscarriages, in Michigan ended in abortion in 2015, according to the U.S. Centers for Disease Control and Prevention.

The numbers are among those that undergird an emotional debate that has exploded in statehouses nationwide in the past few weeks, as lawmakers debate dramatic restrictions on abortion.

The moves follow a rightward shift to the U.S. Supreme Court following last year’s appointment of Justice Brett Kavanaugh, which stoked hopes of reversing the Roe v. Wade high court decision in 1973 that made abortion legal nationwide.

In 2015, only New York, Connecticut, Delaware and Massachusetts had higher rates of pregnancy that ended in abortion than Michigan, according to the latest data by the CDC. New York had the highest number; 1 in 4 pregnancies there ended in abortion in 2015.

Last week, Michigan’s Republican-controlled Legislature voted to ban a procedure known as dilation and evacuation, which comprised 7 percent of Michigan’s 26,594 total abortions in 2017.

Democratic Gov. Gretchen Whitmer vows a veto, while Right to Life Michigan has announced it intends to collect signatures to place the issue before voters.

Two other efforts, meanwhile, focus on what abortion opponents refer to as the fetal heartbeat. A citizen group, the Michigan Heartbeat Coalition, launched a ballot initiative Tuesday to prohibit abortion after the detection of a heartbeat. The measure includes 2-to-4 year prison sentences for providers who violate the ban.

Last week, Sen. Lana Theis, R-Brighton, proposed a bill that would require providers to determine whether fetal heartbeats exist before performing abortions. The bill requires providers to ask patients if they want to hear the heartbeat before moving forward with an abortion.

Few issues are as emotional as abortion. Here’s a look at the numbers and some of the arguments that frame the debate.

What is Dilation and Evacuation?

This procedure is used more often as the pregnancy progresses and the fetus grows. In Michigan in 2017, the outpatient procedure known as D&E was most often provided in the first part of the second semester, between 13 and 20 weeks. In this out-patient procedure, a provider dilates the cervix and uses forceps to remove the fetus in pieces.

The procedure was performed 1,777 times in Michigan in 2017 –  roughly half of all second-trimester abortions that year, according to data compiled by the Michigan Department of Health & Human Services.

To abortion opponents, the procedure is "dismemberment abortion,” which they call “barbaric.” The American College of Obstetricians and Gynecologists has said the procedure is safer to the mother in the second trimester than alternatives such as medication-induced abortions or another procedure known as “suction curretage.” That involves using suctioning and scraping instruments to end pregnancies.

An exchange in the Michigan House this month dramatically illustrated the divide.

State Rep. Vanessa Guerra, D-Saginaw, pressed Rep. Pamela Hornberger, R-Chesterfield, about the risks associated with the procedure.

“Is there a concern that, not being a doctor, perhaps you shouldn’t draft legislation that [ties] the hands of medical experience of the doctors who have the medical experience to do such work?” Guerra said.

Hornberger, who sponsored one of the bills, responded: “I’m concerned about children being ripped apart in the womb when there is an alternative method at every stage of pregnancy.”

Michigan's abortion rate among highest

Of the 46 states with comparable data, Michigan has the fourth highest abortion rate. Rates represent the number of abortions annually for each 1,000 women between ages of 15 and 44. (Note: California, Florida , Maryland and New Hampshire are not included.)

Rank State Rate
1 New York 22
2 Delaware 16
3 Connecticut 14.5
4 Michigan 14
5 Illinois 13.7
6 New Jersey 13.5
7 Pennsylvania 13.3
8 Massachusetts 13.1
9 Georgia 12.7
10 Washington 12.2

Source: Centers for Disease Control and Prevention

How common is abortion?

Less than it was a generation ago, but the rate is inching up in Michigan.

In 1982, the state had 43,512 abortions, a rate of about 20 abortions for every 1,000 women who were 15 to 44 years old, and it roughly mirrored a national decline.

In 2017, Michigan’s rate had fallen to 14 abortions for every 1,000 women, but was slightly up from previous years. The national rate was nearly 12 per 1,000 in 2015, the last year of available data.

Provider information by location isn’t available and rates vary dramatically in Michigan.

Wayne County had 10,218 abortions in 2017, or 29.4 per 1,000 women. That’s more than triple the rate in the Upper Peninsula.

Who gets abortions?

Mostly, women in their 20s, according to state figures.

Teenagers accounted for fewer than 1 in 10 Michigan abortions in 2017 - 2,320 of 25,757. (Twelve of those teens were married.)

Nearly 3 in 10 abortions were for women older than 30; 805 of those for women 40 and older.

 

Source: Michigan Department of Health and Human Services

In nearly half of the abortions in Michigan, women reported having at least one previous abortion. Nearly 1 in 4 reported more than one abortion.

In 2017, nearly 2 in 3 women getting abortions in Michigan and nationally reported previously giving birth.

When do women get abortions?

Among the abortions performed in 2017 in Michigan, 87 percent  were performed during the first trimester.

Two in five abortions were triggered by the prescription abortion pill; most others were done by “suction curretage,” a procedure in which a provider uses suctioning and scraping instruments to end the pregnancy.

Who pays?

Nearly 93 percent of the time, the costs in 2017 were not covered by insurance.

How dangerous is abortion?

Both nationally and in Michigan, complications appear to be rare.

In 2017, Michigan providers reported 14 immediate complications from abortions, including 11 from cervical laceration and hemorrhaging. That’s a rate of about 5.3 for every 10,000 abortions. An additional 15 complications were reported within seven days.

As a point of comparison, there are about 147 severe complications for every 10,000 births in 2015 nationally, according to a report in September by the U.S. Agency for Healthcare Research & Quality.

Staff Writer Mike Wilkinson contributed.

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Comments

Red
Wed, 05/22/2019 - 8:49am

Sigh...all of these restrictions will not curtail abortion. It will only curtail safe abortion. Furthermore, the involved women and/or the providers are being held accountable, while the male involved gets a free pass?
This, in a time where a rapist is entitled to parental rights, is simply absurd.

Matt
Fri, 05/24/2019 - 8:22am

Clearly you don't understand something. Maybe you think guys kidnap women and drag them in for an abortion? In that case prosecute them!

DI
Fri, 05/31/2019 - 10:03am

No, men aren't dragging women into clinics to force them to abort. But men are responsible for 100% of pregnancies, wanted or not. "The Holy Spirit did it" only worked once.

Fred
Thu, 06/13/2019 - 7:09pm

Toward your comment about men getting a free pass and Im not including rapist scum, but I wonder how many "fathers" are willing to take the baby and raise it but don't have any legal rights.

A N
Wed, 05/22/2019 - 9:30am

It doesn’t matter how many abortions are in any state it’s a women’s constitution right to decide what happens to her body. It’s interesting that we keep track of abortions, but pass laws against keeping track of gun deaths only what’s in a women’s womb matters the gun deaths are just collateral damage?

John
Wed, 05/22/2019 - 12:10pm

Race Demographics?

Pete
Wed, 05/22/2019 - 12:30pm

Are these numbers right? The opening claim stated something about 1 in 5 pregnancies ended in abortion (20%!), but the details say a rate of 14 per 1000...which is a much more reasonably expected 1.4%. Editors?

Laurie
Wed, 05/22/2019 - 3:32pm

That jumped out at me too! I think somebody doesn't know how to do math, or that is supposed to be 1 in 65, not 1 in 5.

Mike Wilkinson
Wed, 05/22/2019 - 4:05pm

Pete,

The number in the lead, 1in 5, is the number of abortions divided by the sum of the number of abortions and the number of live births. The 14 is a different metric, looking at abortions per 1000 women of childbearing age (15-44). Michigan is among the top in both.

Kelly
Wed, 05/22/2019 - 4:05pm

Pete is correct; the author confuses "per thousand" with "percent" multiple times in the article. Another example is the later claim that New York's 22 per thousand is "1 in 4".

Joel Kurth
Wed, 05/22/2019 - 8:17pm

Hi Kelly: 

Thanks for your comment. The article is correct. There are two different numbers. One measures overall outcomes of pregnancies. That shows 1 in 5 Michigan end in abortion. The other is how many women of childbearing age, in a particular year, has an abortion. That number is 14 in 1,000. It's obviously a much smaller number because every women of childbearing age does not get pregnant every year.

I hope that helps. If you have questions, please don't hesitate to reach out to Mike, Robin or me.

Joel Kurth/managing editor/jkurth@bridgemi.com

Todd
Wed, 05/22/2019 - 1:07pm

You left out the fact that more blacks are aborted than any other race.

Jean Kozek
Sat, 05/25/2019 - 7:53am

Is sex education taught in public schools? Is it abstinence only?

pat
Tue, 06/04/2019 - 2:56pm

The percentave of abortions in Michigan is 1 in 5, the occurrance of rape in Michigan, is one in 4-5, case closed.

John D
Thu, 06/13/2019 - 9:21am

Please break down the numbers by race.