Key Takeaways
- In 2010-2014, approximately 45% of all induced abortions worldwide (31 million) were unsafe
- Globally, unsafe abortions numbered 25 million per year between 2010 and 2014, representing 44.7% of all abortions
- An estimated 23 million unsafe abortions occurred annually in developing regions from 2015-2019
- Complications from unsafe abortions lead to 47,000 maternal deaths annually worldwide
- Unsafe abortion accounts for 13% of all maternal deaths globally
- In 2014, unsafe abortions caused 8.2% of pregnancy-related deaths in developing regions
- Africa accounts for 62% of the world's unsafe abortion-related deaths
- In sub-Saharan Africa, 97% of abortions are unsafe, leading to 29% of global unsafe procedures
- Latin America has 91% unsafe abortions, with 4.6 million annually
- Women aged 15-19 account for 23% of unsafe abortions globally
- Adolescents under 20 experience unsafe abortion rates of 17 per 1,000 in Africa
- Rural women in developing countries have 50% higher unsafe abortion rates than urban
- Global unsafe abortion rates declined from 37 to 31 per 1,000 women (1990-2014)
- Safe abortion provision reduced unsafe rates by 43% in 7 countries
- Misoprostol introduction lowered unsafe abortion mortality by 30% in Latin America
Despite some progress, unsafe abortion remains a massive, deadly global health crisis.
Demographic Factors
- Women aged 15-19 account for 23% of unsafe abortions globally
- Adolescents under 20 experience unsafe abortion rates of 17 per 1,000 in Africa
- Rural women in developing countries have 50% higher unsafe abortion rates than urban
- Low-income women comprise 75% of those seeking unsafe abortions
- Unmarried women face 2.5 times higher risk of unsafe abortion
- In Africa, women with no education have unsafe abortion rates 3 times higher
- Nulliparous women account for 40% of unsafe abortion cases in Latin America
- Women aged 20-24 represent 30% of global unsafe abortions
- Poor women experience 90% of unsafe abortions in high-burden countries
- In Asia, secondary school-educated women have lower unsafe abortion incidence
- Indigenous women in Latin America have 2x unsafe abortion rates
- Refugees and migrants face 4x higher unsafe abortion risks
- Women in lowest wealth quintile account for 52% of unsafe abortions in Africa
- Adolescents contribute 11% of unsafe abortions in developing regions
- Employed women have 20% lower unsafe abortion rates than unemployed
- In sub-Saharan Africa, girls 15-19 have abortion rates of 37 per 1,000 pregnancies
- Women with secondary education have 45% fewer unsafe abortions
- Rural adolescents face 70% higher unsafe abortion morbidity
- Single mothers account for 35% of repeat unsafe abortions
- Women over 35 comprise 15% of unsafe abortion seekers globally
Demographic Factors Interpretation
Global Incidence
- In 2010-2014, approximately 45% of all induced abortions worldwide (31 million) were unsafe
- Globally, unsafe abortions numbered 25 million per year between 2010 and 2014, representing 44.7% of all abortions
- An estimated 23 million unsafe abortions occurred annually in developing regions from 2015-2019
- Between 2003-2008, 29.4 million unsafe abortions happened yearly worldwide
- In 2020, around 73 million induced abortions occurred globally, with over 29 million being unsafe
- Unsafe abortions account for 97% of all abortions in Africa
- 91% of abortions in Latin America and the Caribbean are unsafe
- Globally, 56% of all unintended pregnancies end in unsafe abortion in low-income countries
- From 1990-2014, the global unsafe abortion rate was stable at 31 per 1,000 women aged 15-44
- In Asia, unsafe abortions constituted 34% of all abortions in 2010-2014
Global Incidence Interpretation
Mortality Statistics
- Complications from unsafe abortions lead to 47,000 maternal deaths annually worldwide
- Unsafe abortion accounts for 13% of all maternal deaths globally
- In 2014, unsafe abortions caused 8.2% of pregnancy-related deaths in developing regions
- Sub-Saharan Africa sees 62% of global unsafe abortion deaths despite 29% of pregnancies
- The case-fatality rate for unsafe abortion is 220 deaths per 100,000 procedures in Africa
- Globally, unsafe abortion mortality ratio is 39 deaths per 100,000 live births
- In Latin America, 17% of maternal deaths are due to unsafe abortion
- From 2003-2009, unsafe abortions caused 13.3% of maternal mortality in developing countries
- Annually, 7 million women in developing countries suffer severe complications from unsafe abortions
- The lifetime risk of maternal death from unsafe abortion is 1 in 190 in Africa
- In 2015, unsafe abortions resulted in 23,000 deaths in Africa alone
- 30% of maternal deaths in Asia are attributable to unsafe abortion complications
- Globally, 5.9 million hospital admissions yearly due to unsafe abortion complications
- Case-fatality rate for unsafe abortion is 86 per 100,000 in Latin America
- In developing regions, unsafe abortion contributes to 4.7% of all disability-adjusted life years lost due to maternal conditions
- Sub-Saharan Africa has the highest unsafe abortion mortality rate at 510 deaths per 100,000 abortions
- In 2008, 56,500 women died from unsafe abortion complications globally
- Unsafe abortion deaths have declined 39% globally since 1990
- In Africa, unsafe abortions cause 620 deaths per 100,000 live births from maternal causes
- 18.5 million women treated annually for complications of unsafe abortion in developing countries
Mortality Statistics Interpretation
Regional Variations
- Africa accounts for 62% of the world's unsafe abortion-related deaths
- In sub-Saharan Africa, 97% of abortions are unsafe, leading to 29% of global unsafe procedures
- Latin America has 91% unsafe abortions, with 4.6 million annually
- In Asia, 64% of abortions are unsafe, totaling 10 million per year
- Central Africa reports 52 unsafe abortions per 1,000 women aged 15-49
- In Western Africa, unsafe abortion rate is 3.6 per 100 women aged 15-44
- South America has 32 unsafe abortions per 1,000 women
- Eastern Africa sees 39 unsafe abortions per 1,000 women aged 15-49
- In Latin America and Caribbean, 97% of abortion complications are from unsafe procedures
- Middle Africa has the highest unsafe abortion rate at 52 per 1,000 women
- In Southern Asia, unsafe abortions number 8 million annually
- Nigeria records over 1.25 million unsafe abortions yearly
- Ethiopia has an unsafe abortion rate of 29 per 1,000 women aged 15-44
- In Uganda, 39% of maternal deaths are from unsafe abortion
- Brazil sees 360,000 unsafe abortions annually
- India estimates 15.6 million abortions, 62% unsafe
- In Kenya, unsafe abortions cause 40% of maternal deaths
- Bangladesh reports 1.2 million unsafe abortions per year
- South Africa has 158,000 unsafe abortions annually
Regional Variations Interpretation
Trends and Interventions
- Global unsafe abortion rates declined from 37 to 31 per 1,000 women (1990-2014)
- Safe abortion provision reduced unsafe rates by 43% in 7 countries
- Misoprostol introduction lowered unsafe abortion mortality by 30% in Latin America
- From 1995-2014, global maternal deaths from unsafe abortion dropped 37%
- Post-abortion care access increased 20% in Africa (2000-2015)
- Legalization in Ethiopia reduced unsafe abortions by 50% since 2005
- Contraceptive use rise prevented 218 million unsafe abortions (1990-2014)
- In South Africa, safe services cut complications by 90% after 1996 law
- Global unsafe abortion incidence stable since 1990 despite population growth
- Task-sharing for abortion care reduced unsafe procedures by 25% in Asia
- From 2010-2020, unsafe abortion deaths fell 12% globally
- Nepal's liberalization saw unsafe abortion rates drop from 52 to 15 per 1,000
- Increased PAC facilities averted 1.5 million deaths (2003-2008)
- Contraception averted 61% of unintended pregnancies leading to unsafe abortions
- In Vietnam, safe abortion policies reduced complications by 80%
- Global trends show unsafe abortions shifting to less severe types (less skilled)
- Mexico City's legalization cut unsafe abortion hospitalizations by 52%
- Family planning investments prevented 2.5 million unsafe abortions yearly
- From 1990-2019, unsafe abortion proportion decreased from 50% to 45%
- Training midwives in abortion care reduced unsafe rates by 35% in pilots
- Unsafe abortions decreased 26% in Eastern Europe post-legalization
- In 2010-2014, unsafe abortion rates fell in 55% of countries analyzed
- Comprehensive sexuality education linked to 15% drop in adolescent unsafe abortions
- Telemedicine for abortion increased safe access, reducing unsafe by 40% in trials
- Global safe abortion advocacy stalled progress during COVID-19
- In Africa, unsafe abortion rates rose 12% from 1995-2014 due to stagnant services






