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//www.fpa.org.uk/information/factsheets/documents_and_pdfs/detail.cfm?contentid=510 England and Wales (resident women)9
In 2005:
* the total number of abortions was 186,416, an increase of 0.4% over 2004 * the abortion rate was 17.8 per 1,000 women aged 15–44, the same as in 2004 * the abortion rate was highest, at 32.0 per 1,000, for women aged 20–24 * teenage abortion rates were the same as in 2004: the under-16 rate was 3.7 and the under-18 rate was 17.8 * 89% of abortions were carried out under 13 weeks gestation, and 67% under ten weeks * less than 2% were carried out over 20 weeks gestation. This percentage has remained fairly consistent over the last ten years * medical abortion accounted for one in four (24%) of all abortions, compared with 19% in 2004 * about one in three early abortions were medical: 30% of those carried out under ten weeks gestation * four out of five (84%) abortions were either provided or funded by the National Health Service (NHS), compared with 82% in 2004. NHS provision varied between primary care organisations (PCOs), and ranged from just over 50% to over 90% * nearly two-thirds (63%) of all NHS-funded abortions were carried out under ten weeks. This varied between PCOs, and ranged from 33% to 83%.
Scotland10
In 2005:
* the total number of abortions was 12,603, an increase of 1.2% over 2004 * the abortion rate was 11.9 per 1,000 women aged 15–44, compared with 11.8 in 2004 * the abortion rate was highest for women aged 16–19 (23.1) and 20–24 (22.9) * 92.3% of abortions were carried out under 14 weeks gestation, and 66.5% under ten weeks. This proportion has remained relatively stable over the last five years * about 0.5% were carried out over 20 weeks gestation * medical abortion accounted for 58.8% of all abortions, compared with 55.8% in 2004 * two out of three (66.6%) abortions carried out at under ten weeks, were medical. This varied between NHS Boards from 30% to 96% * the vast majority (99.1%) of abortions were NHS funded and carried out in NHS premises.
Northern Ireland (see separate factsheet on abortion in Northern Ireland for more detail)
Law
* The 1967 Abortion Act does not extend to Northern Ireland, and women from Northern Ireland are not entitled to an NHS abortion in Great Britain. * Abortion is only legal in exceptional circumstances – if the life or the mental or physical health of the woman is at serious or grave risk. In the absence of clear guidelines, the law remains ambiguous and the provision of abortion is often determined by the moral views of individual doctors or by an unwillingness to test the law. * In June 2001, fpa won the right to the first Judicial Review of medical practice relating to abortion and the provision of abortion services in Northern Ireland. The Review took place in March 2002 and in July 2002 Mr Justice Kerr concluded that the Department of Health, Social Services and Public Safety (DHSSPS) was not failing in its statutory duty to issue guidelines, but he thought it prudent if they did. fpa immediately lodged an appeal and in October 2004 Belfast High Court of Appeal ruled that the DHSSPS had failed to perform its statutory duties. In response to this, in 2005 the DHSSPS instigated a formal investigation into the provision of abortion services in Northern Ireland, which is ongoing.
Statistics
* In 2004/05, 64 women had a medical abortion in Northern Ireland (defined by the DHSSPS as ‘the interruption of pregnancy for legally acceptable, medically approved indications’)11. * No statistics are available to indicate the age of the women, the legal grounds, where the abortion was carried out, the stage of pregnancy or the type of abortion. * In 2005, 1,164 women travelled to England for an abortion9. This figure, based on the addresses given by clients, is likely to be an underestimate. * Over half (52%) of those travelling to England were in their twenties, and one in six (17.7%) were aged under 20. * 86% of these abortions were carried out under 13 weeks gestation and 60% under ten weeks.
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