An unprecedented wave of 400 receipt imposing limitations on the procedure were passed through states. And medical abortions, which involve acquisition pills instead of undergoing a surgical procedure, ended up being widely available.

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FILE - In this Jan. 18, 2019, paper photo, anti-abortion activists protest outside of the U.S. Can be fried Court, during the March because that Life in Washington. The number and rate of abortions across the unified States have plunged to your lowest levels because the procedure ended up being legal nationwide in 1973, according to brand-new figures exit Wednesday, Sept. 18. (AP Photo/Jose luis Magana, File)Read moreJose luis Magana / AP

A brand-new Guttmacher institute report exit on Wednesday outlines dramatic changes in the abortion landscape in between 2011 and 2017. The U.S. Abortion rate hit one all-time short - again. An unmatched wave of 400 receipt imposing restrictions on the procedure were passed by states. And also medical abortions, i beg your pardon involve taking pills instead of experience a surgical procedure, ended up being widely available.

The 48-page study document, which is used by policymakers and also activists top top both political parties of the debate, provides in-depth information by state and region about just how American women access abortion.

There shows up to it is in no clean pattern in between efforts to ban or restrict abortion and also the continuing decrease in abortion rates, which has been walking on for virtually 40 years. The decreases were seen throughout regions and also in states that are an ext supportive that abortion rights as well as those the are an ext restrictive.

"Antiabortion activists room going to shot to take credit transaction for this decline, however the truth don"t support their argument," Rachel Jones, major research scientist because that Guttmacher, which supports abortion rights, claimed in a call with reporters.

The report estimated the abortion rate in 2017, the most recent year studied, at 13.5 every 1,000 women eras 15 come 44. That compares with 14.6 in 2014 and also 16.9 in 2011 and is the shortest rate because the U.S. Supreme Court legalized abortion through the landmark decision Roe v. Walking in 1973.

In total, 862,320 abortions took place in 2017 at health-care facilities. About 339,640, or around 39 percent, that those were medical abortions, which involve taking pills come induce miscarriage together opposed to classic surgical abortion.

Guttmacher claimed it was difficult to pinpoint exactly what determinants are steering the declines however said there has actually been a decrease in pregnancies as well as "changes about abortion attitudes and also stigma, contraceptive use, sex-related activity, infertility and also self-managed abortion." Self-managed abortions are those the occur outside of health-care settings and also might incorporate the usage of medication, herbs or other techniques without the straight supervision of a medical professional.

Guttmacher detailed that 32 claims enacted restrictions throughout that time period, such as waiting periods, parental consent because that minors, and also requirements that patients do ultrasounds first. But almost every state had actually lower abortion prices regardless of even if it is the state had passed any kind of laws pertained to abortion access. And some says with brand-new restrictions saw their abortion prices go up.

Guttmacher logged almost 400 abortion restrictions passed by says from 2011 to 2017. Indiana - Vice president Mike Pence"s home state and also the one in i beg your pardon he offered as branch for four of those years - spread the most, 37. Kansas was close behind through 31, and Arkansas with 29.

Many that the new restrictions have actually never gone into effect or gone into impact temporarily due to court action. In April of this year, because that example, the Kansas can be fried Court blocked a regulation that prohibition the most common procedure for second-trimester abortions. It to be the first state to try to protect against this technique. And also in July, a commonwealth judge in Arkansas temporarily clogged three brand-new abortion restrictions consisting of one that calls for a physician performing an abortion to it is in board-certified, i beg your pardon would have actually likely led to the state"s just clinic having to close.

The U.S. Can be fried Court in might went in the other direction, upholding part of a regulation signed by Pence that needs fetal continues to be of an abortion to be hidden or cremated.

Like countless health-care studies, the data is a couple of years behind and also does not incorporate the influence of this year"s unprecedented state efforts to half abortion at six weeks - also in some instances without exception for rape and incest. The 2017 information also predates plenty of efforts by president Donald Trump"s administration, such as the changes to the title X family planning routine that motivated Planned Parenthood come refuse numerous dollars of funding from that source.

The Guttmacher report also provides a glimpse at exactly how deep the divide has grown in between states. In between 2011 and also 2017, the number of clinics went increase in the Northeast and West yet declined in the Midwest and South.

While every state in the United says is residence to an abortion clinic, 5 - phibìc Dakota, Kentucky, Mississippi, West Virginia and also Kansas - have only one. In contrast, California has 161, the many in the nation; new York, 113; Florida, 65; and new Jersey, 41.

The change in abortion rates shows dramatic state-by-state variation. In Virginia, it fell 41.5 percent, because that example, while the went up contempt in new Jersey and also Washington, ar of Columbia.

Guttmacher officials emphasized the while restrictions may no be impacting the overall numbers, they take it a toll fee on individuals.

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“Abortion constraints are coercive and cruel by design and also intended to impose a heavy financial and also emotional toll,” stated Herminia Palacio, Guttmacher president and also CEO.