how to write a research paper on abortion

Abortion Research Paper: Example, Outline, & Topics

The long-standing debate surrounding abortion has many opponents and advocates. Groups known as Pro-Choice and Pro-Life argue which approach is better, with no easy solution in sight. This ethical complexity is what makes abortion a popular topic for argumentative writing. As a student, you need to tackle it appropriately.

Our specialists will write a custom essay specially for you!

If this task sounds daunting, read this guide by our custom-writing experts to get excellent writing tips on handling this assignment. You will also find here:

• abortion topics and prompts,
• a research paper outline,
• a free essay sample.
• 🤔 Why Is Abortion a Good Topic?
• ☑️ Research Paper Prompts
• 👨‍⚕️ Abortion Research Questions
• 📚 Research Topics
• 🔬 Before You Start
• ✍️ Step-by-Step Writing Guide

📋 Abortion Research Paper Example

🔍 references, 🤔 why is abortion a good research topic.

Abortion studies are a vast area of research and analysis. It touches upon numerous domains of life, such as politics, medicine, religion, ethics, and human rights perspectives.

Like gun control or euthanasia, the abortion debate offers no evident answers to what kind of regulation is preferable. According to a recent survey, 61% of US adults are in favor of abortion , while 37% think it should be illegal. The arguments from both sides make sense, and there is no “yes-no” solution.

All this makes investigating the abortion debate a valuable exercise to hone your critical analysis skills. It will teach you to back up your claims with sound evidence while giving credit to counterarguments. Besides, expanding the body of abortion research is beneficial for the American community and women’s rights.

☑️ Abortion Research Paper Prompts

The first step to writing a successful paper is choosing an appropriate topic. Abortion is surrounded by numerous legal, medical, ethical, and social debates. That’s why the choice of ideas is virtually endless.

Just in 1 hour! We will write you a plagiarism-free paper in hardly more than 1 hour

Don’t know where to start? Check out the prompts and creative titles below.

Should Abortion Be Legal: Research Paper Prompt 

You can approach this question from several perspectives. For example, propose a new legal framework for regulating eligibility for abortion. Some states allow the procedure under certain circumstances, such as a threat to a woman’s health. Should it be made legal in less extreme situations, too?

Anti-Abortion Research Paper Prompt

The legal status of abortions is still disputed in many countries. The procedure’s most ardent opponents are Catholic religious groups. In an anti-abortion paper, you may list ethical or faith-based claims. Focus on the right-to-life arguments and give scientific evidence regarding embryo’s rights.

Abortion and Embryonic Stem Cell Research Prompt   

Stem cell research is a dubious issue that faces strong opposition from ethical and religious activists. Here are some great ideas for an essay on this topic:

• Start by explaining what stem cells are.
• Outline the arguments for and against their use in research.
• Link this discussion to the status of abortion.

Abortion Law Research Paper Prompt

If you get an abortion-related assignment in your Legal Studies class, it’s better to take a legislative approach to this issue. Here’s what you can do:

Receive a plagiarism-free paper tailored to your instructions. Cut 15% off your first order!

• Study the evolution of abortion laws in the US or other countries.
• Pinpoint legal gaps.
• Focus on the laws’ strengths and weaknesses.

Abortion Breast Cancer Research Prompt

Increasing research evidence shows the link between abortion and breast cancer development . Find scholarly articles proving or refuting this idea and formulate a strong argument on this subject. Argue it with credible external evidence.

Abortion Ethics Research Paper Prompt 

Here, you can focus on the significance of the discussion’s ethical dimension. People who are against abortion often cite the ethics of killing an embryo. You can discuss this issue by quoting famous thinkers and the latest medical research. Be sure to support your argument with sound evidence.

👨‍⚕️ Questions about Abortion for Research Paper

• How does technology reframe the abortion debate?
• Is there new ethics of abortion in the 21 st century?
• How did the abortion debate progress before the Roe v. Wade decision?
• How is the abortion debate currently being shaped on social media?
• How do abortion rights advocates conceptualize the meaning of life ?
• Can the abortion debate be called a culture war?
• What are women’s constitutional abortion rights?
• How does abortion reshape the concept of a person?
• How does the abortion debate fit in the post-Socialist transition framework of the European community?
• Where does the abortion debate stand in the politics of sexuality?

📚 Abortion Topics for Research Paper

• The changing legal rhetoric of abortion in the US.
• Constructing abortion as a legal problem.
• Regendering of the US’ abortion problem.
• Evolution of public attitudes to abortion in the US.
• Choice vs. coercion in the abortion debate.
• Abortion and sin in Catholicism.
• Artificial wombs as an innovative solution to the abortion debate.
• Religious belief vs. reason in the abortion debate.
• Introduction of pregnant women’s perspectives into the abortion debate: dealing with fetal abnormalities.
• The role of ultrasound images in the evolution of women’s abortion intentions.

🔬 Research Papers on Abortions: Before You Start

Before discussing how to write an abortion paper, let’s focus on the pre-writing steps necessary for a stellar work. Here are the main points to consider.

Abortion Research Design 

Before you start exploring your topic, you need to choose between a qualitative and quantitative research design:

💬 Qualitative studies focus on words and present the attitudes and subjective meanings assigned to the concept of abortion by respondents.

Get an originally-written paper according to your instructions!

🧪 Quantitative studies , in turn, focus on numbers and statistics. They analyze objective evidence and avoid subjective interpretations.  

Pick a research design based on your research skills and the data you’re planning to analyze:

• If you plan to gain insight into people’s opinions, attitudes, and life experiences related to abortion, it’s better to go for an interview and qualitative analysis.
• If you have a survey and want to focus on descriptive statistics, it’s better to stick to quantitative methods .

Abortion Research Paper Outline Format

Next, it’s time to choose the format of your paper’s outline. As a rule, students use one of the 3 approaches:

You can learn more about these formats from our article on how to write an outline .

Choosing Headings & Subheadings

A strong title can save your paper, while a poor one can immediately kill the readers’ interest. That’s why we recommend you not to underestimate the importance of formulating an attention-grabbing, exciting heading for your text.

Here are our best tips to make your title and subheadings effective:

• A good title needs to be brief. It’s up to 5 words, as a rule. Subheadings can be longer, as they give a more extended explanation of the content.
• Don’t be redundant. Make sure the subheadings are not duplicating each other.
• Mind the format. For instance, if your paper is in the APA format, you need to use proper font size and indentation. No numbering of headings and subheadings is necessary as in the outline. Ensure the reader understands the hierarchy with the help of heading level distinctions.

Components of an Effective Outline

According to academic writing conventions, a good outline should follow 4 essential principles:

• Parallelism . All components of your outline need to have a similar grammatical structure. For example, if you choose infinitives to denote actions, stick to them and don’t mix them with nouns and gerunds.
• Coordination . Divide your work into chunks with equal importance. This way, you will allocate as much weight to one point as to all the others. Your outline’s sections of similar hierarchy should have equal significance.
• Subordination . The subheadings contained within one heading of a higher order should all be connected to the paper’s title.
• Division . The minimum number of subheadings in each outline heading should be 2. If you have only one point under a heading, it’s worth adding another one.

Use this list of principles as a cheat sheet while creating your outline, and you’re sure to end up with well-organized and structured research!

Abortion Research Paper Outline Example

To recap and illustrate everything we’ve just discussed, let’s have a look at this sample abortion outline. We’ve made it in the decimal format following all effective outlining principles—check it out!

• History of abortion laws in the USA.
• Problem: recent legal changes challenge Roe vs. Wade .
• Thesis statement: the right to abortion should be preserved as a constitutional right
• The fundamental human right to decide what to do with their body.
• Legal abortions are safer.
• Fetuses don’t feel pain at the early stages of development.
• Abortion is murder.
• Fetuses are unborn people who feel pain at later stages.
• Abortion causes lifelong psychological trauma for the woman.
• Roe vs. Wade is a pro-choice case.
• The constitutional right to privacy and bodily integrity.
• Conclusion.

✍️ Abortion Research Paper: How to Write

Now, let’s proceed to write the paper itself. We will cover all the steps, starting with introduction writing rules and ending with the body and conclusion essentials.

Abortion Introduction: Research Paper Tips  

When you begin writing an abortion paper, it’s vital to introduce the reader to the debate and key terminology. Start by describing a broader issue and steadily narrow the argument to the scope of your paper. The intro typically contains the key figures or facts that would show your topic’s significance.

For example, suppose you plan to discuss the ethical side of abortion. In this case, it’s better to structure the paper like this:

• Start by outlining the issue of abortion as a whole.
• Introduce the arguments of pro-choice advocates, saying that this side of the debate focuses on the woman’s right to remove the fetus from her body or leave it.
• Cite the latest research evidence about fetuses as living organisms, proceeding to debate abortion ethics.
• End your introduction with a concise thesis statement .

Thesis on Abortion for a Research Paper

The final part of your introduction is a thesis—a single claim that formulates your paper’s main idea. Experienced readers and college professors often focus on the thesis statement’s quality to decide whether the text is worth reading further. So, make sure you dedicate enough effort to formulate the abortion research paper thesis well!

Don’t know how to do it? These pro tips will surely help you write a great thesis:

Abortion Research Paper Body

Now, it’s time to proceed to the main body of your paper. It should expand on the main idea in more detail, explaining the details and weighing the evidence for and against your argument.

The secret of effective writing is to go paragraph by paragraph . Your essay’s body will have around 2-5 of them, and the quality of each one determines the value of the whole text.

Here are the 4 easy steps that can help you excel in writing the main part of your essay:

• Start each paragraph with a topic sentence. It functions as a mini-thesis statement and communicates the paragraph’s main idea.
• Then, expand it with additional facts and evidence. It’s better to back that information with external sources, showing that it’s not your guesswork. Make sure you properly analyze the citations and show how they fit into your broader research.
• A paragraph should end with a concise wrap-up. Write a concluding sentence restating the topic sentence or a transition linking to the next section.

Research Papers on Abortions: Conclusion

The conclusion of an abortion paper also plays a major role in the overall impression that your paper will produce. So, how do you make it interesting?

Instead of simply restating the thesis and enumerating your points, it’s better to do the following:

• Focus on the broader implications of the issue you’ve just discussed.
• Mention your study’s limitations and point out some directions for further research.
• It’s also a good idea to include a call to action , which can help create a sense of urgency in the readers.

Abortion Articles for Research Paper & Other Sources

Every research paper ends with “works cited” or a reference page enumerating the sources used for the assignment. A rule of thumb is to cite credible, authoritative publications from governmental organizations and NGOs and academic articles from peer-reviewed journals. These sources will make your research more competent and professional, supporting your viewpoint with objective scientific information.

Here are some databases that can supply top-quality data to back the abortion-related claims in a research paper:

Feel free to check these databases for studies related to your subject. It’s best to conduct preliminary research to see whether your topic has enough supporting evidence. Also, make sure there are plenty of new studies to back your arguments! Abortion is a fast-changing field of research, so it’s best only to use publications no more than 5 years old.

To learn more about credible research sources, check out our guide on choosing reliable websites .

We’ve taught you all you need to write a well-researched and thoughtful abortion paper. Finally, we want to give you an example of an essay on the topic “ Should Abortion Rights Be Preserved? ” Check it out to gain inspiration.

Now you know all the details of abortion paper writing. Use our tips to choose a topic, develop sound arguments, and impress your professor with a stellar piece on this debatable subject!

❓ Abortion Research Paper FAQs

• First, you need to pick a debatable topic about abortion and develop a thesis statement on that subject.
• Next, choose the arguments to support your claim and use external evidence to back them up.
• End the paper with a concise wrap-up.
• Begin your introduction with a catchy fact or shocking statistics on the issue of abortion.
• Ask a rhetorical question to boost your readers’ interest.
• Cite a famous person’s words about the pros and cons of legal abortion.

To compose a strong opening for your abortion essay, make sure to provide some background and context for further discussion. Explain why the debate about abortions is so acute and what the roots of the problem are.

There are many interesting topics related to abortion, spanning the areas of sociology, ethics, and medicine. You can focus on the progression of the abortion debate along with civil rights or discuss abortion from a feminist perspective.

You can choose between qualitative and quantitative approaches for your abortion research. Hold a survey among women and report the findings of your qualitative study in a short report. Or, you can measure factual information in numbers and conduct quantitative research.

• The Ultimate Guide to Writing a Research Paper: Grammarly
• Scholarly Articles on Abortion: Gale
• Unintended Pregnancy and Abortion Worldwide: Guttmacher Institute
• Why Abortion Should Be Legal: News 24
• Pro and Con: Abortion: Britannica
• Organizing Academic Research Papers: The Introduction: Sacred Heart University
• How to Write a Thesis Statement for a Research Paper: Steps and Examples: Research.com
• Abortion: American Psychological Association
• Writing a Research Paper: University of Wisconsin-Madison
• Writing a Research Paper: Purdue University
• A Process Approach to Writing Research Papers: University of California, Berkeley
• What Is Qualitative vs. Quantitative Study?: Grand Canyon University
• Decimal Outlines: Texas A&M University
• Share to Facebook
• Share to Twitter
• Share to LinkedIn
• Share to email

What is the most important part of any essay or research paper? Of course, it’s the thesis statement—a sentence that expresses the paper’s main idea and guides the readers through your arguments. But where do you place the thesis? You’ve probably answered, “in the introduction.” However, that’s not all of...

If you’re a student, you’ve heard about a formal essay: a factual, research-based paper written in 3rd person. Most students have to produce dozens of them during their educational career.  Writing a formal essay may not be the easiest task. But fear not: our custom-writing team is here to guide...

Rhetorical analysis is never a simple task. This essay type requires you to analyze rhetorical devices in a text and review them from different perspectives. Such an assignment can be a part of an AP Lang exam or a college home task. Either way, you will need a solid outline...

Narrative essays are unlike anything you wrote throughout your academic career. Instead of writing a formal paper, you need to tell a story. Familiar elements such as evidence and arguments are replaced with exposition and character development. The importance of writing an outline for an essay like this is hard...

Discourse is the way people talk about any specific topic. It’s also the way in which language is used to convey social and historical meanings. Discourse analysis is the process that helps to understand the underlying message of what is being said. Sounds interesting? Keep reading to learn more.  This in...

A précis is a brief synopsis of a written piece. It is used to summarize and analyze a text’s main points. If you need to write a précis for a research paper or the AP Lang exam, you’ve come to the right place. In this comprehensive guide by Custom-Writing.org, you’ll...

A synthesis essay requires you to work with multiple sources. You combine the information gathered from them to present a well-rounded argument on a topic. Are you looking for the ultimate guide on synthesis essay writing? You’ve come to the right place! In this guide by our custom writing team,...

Do you know how to make your essay stand out? One of the easiest ways is to start your introduction with a catchy hook. A hook is a phrase or a sentence that helps to grab the reader’s attention. After reading this article by Custom-Writing.org, you will be able to...

A critical analysis essay is an academic paper that requires a thorough examination of theoretical concepts and ideas. It includes a comparison of facts, differentiation between evidence and argument, and identification of biases. Crafting a good paper can be a daunting experience, but it will be much easier if you...

Critical thinking is the process of evaluating and analyzing information. People who use it in everyday life are open to different opinions. They rely on reason and logic when making conclusions about certain issues. A critical thinking essay shows how your thoughts change as you research your topic. This type...

Process analysis is an explanation of how something works or happens. Want to know more? Read the following article prepared by our custom writing specialists and learn about: process analysis and its typesa process analysis outline tipsfree examples and other tips that might be helpful for your college assignment So,...

A visual analysis essay is an academic paper type that history and art students often deal with. It consists of a detailed description of an image or object. It can also include an interpretation or an argument that is supported by visual evidence. In this article, our custom writing experts...

The Ethical Dilemma of Abortion

Article sidebar.

Main Article Content

This paper discusses the extremely complex and important topic and dilemma of abortion.  Specifically, that the pro-life versus pro-choice dilemma is an imperative one that continues to cause ethical tensions in the United States.  For this reason, this issue and dilemma warrants close scrutiny.  It affects many major areas including ethics, religion, politics, law, and medicine.  Ethical theories and principles of the pro-life position and the pro-choice position will be contrasted.  This paper will further discuss the arguments in the context of Roe v. Wade and its impact on laws in the United States.  The general ethics of the pro-life argument and the pro-choice argument are founded on the issues of human rights and freedom.  Three main principles that the pro-life argument argues (the Human Rights Principle, the Mens Rea Principle, and the Harm Principle) will also be discussed.  This account will not include this author’s own prescriptive response (in the form of recommendations, best practices, or similar types of judgments) and therefore, this paper does not go beyond a purely comparative method.  Lastly, the Nuremberg Code, which was created at the Nuremberg Doctors’ Trial, will be discussed.  Specifically, the Nuremberg Code will be correlated in relation to laws in the United States, as well as contemporary bioethical debates, which are misleading when comparing the use of fetal tissue for transplants from abortions to experiments done during the Holocaust and crimes of Nazi biomedical science.

Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License .

Authors who publish with this journal agree to the following terms:

• Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a  Creative Commons Attribution License  that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
• Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See  The Effect of Open Access ).
• Student authors waive FERPA rights for only the publication of the author submitted works. Specifically: Students of Indiana University East voluntarily agree to submit their own works to The Journal of Student Research at Indiana University East , with full understanding of FERPA rights and in recognition that for this one, specific instance they understand that  The Journal of Student Research at Indiana University East is Public and Open Access. Additionally, the Journal is viewable via the Internet and searchable via Indiana University, Google, and Google-Scholar search engines.

Christina M. Robinson, IUE Graduate

Christina graduated from Indiana University East with a 3.911 GPA in May, 2021 with a B.S. in Psychology and a minor of Neuroscience as well as a minor of Women's and Gender Studies.  She continues her work as a Research Assistant through IUE and is also a Supplemental Instruction Leader.  Christina hopes to continue her education in a graduate school program in the near future!

• MJC Library & Learning Center
• Research Guides
• Abortion Research

Start Learning About Your Topic

Create research questions to focus your topic, featured current news, find articles in library databases, find web resources, find books in the library catalog, cite your sources, key search words.

Use the words below to search for useful information in books and articles .

• birth control
• pro-choice movement
• pro-life movement
• reproductive rights
• Roe v. Wade
• Dobbs v. Jackson Women's Health Organization (Dobbs v. Jackson)

Background Reading:

It's important to begin your research learning something about your subject; in fact, you won't be able to create a focused, manageable thesis unless you already know something about your topic.

This step is important so that you will:

• Begin building your core knowledge about your topic
• Be able to put your topic in context
• Create research questions that drive your search for information
• Create a list of search terms that will help you find relevant information
• Know if the information you’re finding is relevant and useful

If you're working from off campus , you'll be prompted to sign in if you aren't already logged in to your MJC email or Canvas. If you are prompted to sign in, use the same credentials you use for email and Canvas. 

Most current background reading 

• Issues and Controversies: Should Women in the United States Have Access to Abortion? June 2022 article (written after the Supreme Court overturned Roe v Wade) that explores both sides of the abortion debate.
• Access World News: Abortion The most recent news and opinion on abortion from US newspapers.

More sources for background information

• CQ Researcher Online This link opens in a new window Original, comprehensive reporting and analysis on issues in the news. Check the dates of results to be sure they are sufficiently current.
• Gale eBooks This link opens in a new window Authoritative background reading from specialized encyclopedias (a year or more old, so not good for the latest developments).
• Gale In Context: Global Issues This link opens in a new window Best database for exploring the topic from a global point of view.

Choose the questions below that you find most interesting or appropriate for your assignment.

• Why is abortion such a controversial issue?
• What are the medical arguments for and against abortion?
• What are the religious arguments for and against abortion?
• What are the political arguments for and against abortion?
• What are the cultural arguments for and against abortion?
• What is the history of laws concerning abortion?
• What are the current laws about abortion?
• How are those who oppose access to abortion trying to affect change?
• How are those who support access to abortion trying to affect change?
• Based on what I have learned from my research, what do I think about the issue of abortion?
• State-by-State Abortion Laws Updated regularly by the Guttmacher Institute
• What the Data Says About Abortion in the U.S. From the Pew Research Center in June 2022, a look at the most recent available data about abortion from sources other than public opinion surveys.

Latest News on Abortion from Google News

All of these resources are free for MJC students, faculty, & staff.

• Gale Databases This link opens in a new window Search over 35 databases simultaneously that cover almost any topic you need to research at MJC. Gale databases include articles previously published in journals, magazines, newspapers, books, and other media outlets.
• EBSCOhost Databases This link opens in a new window Search 22 databases simultaneously that cover almost any topic you need to research at MJC. EBSCO databases include articles previously published in journals, magazines, newspapers, books, and other media outlets.
• Facts on File Databases This link opens in a new window Facts on File databases include: Issues & Controversies , Issues & Controversies in History , Today's Science , and World News Digest .
• MEDLINE Complete This link opens in a new window This database provides access to top-tier biomedical and health journals, making it an essential resource for doctors, nurses, health professionals and researchers engaged in clinical care, public health, and health policy development.
• Access World News This link opens in a new window Search the full-text of editions of record for local, regional, and national U.S. newspapers as well as full-text content of key international sources. This is your source for The Modesto Bee from January 1989 to the present. Also includes in-depth special reports and hot topics from around the country. To access The Modesto Bee , limit your search to that publication. more... less... Watch this short video to learn how to find The Modesto Bee .

Browse Featured Web Sites:

• American Association of Pro-Life Obstetricians and Gynecologists Medical information and anti-abortion rights advocacy.
• American Congress of Obstetricians and Gynecologists Use the key term "abortion" in the search box on this site for links to reports and statistics.
• Guttmacher Institute Statistics and policy papers with a world-wide focus from a "research and policy organization committed to advancing sexual and reproductive health and rights worldwide."
• NARAL Pro-Choice America This group advocates for pro-abortion rights legislation. Current information abortion laws in the U.S.
• National Right to Life Committee This group advocates for anti-abortion rights legislation in the U.S.

Why Use Books:

Use books to read broad overviews and detailed discussions of your topic. You can also use books to find  primary sources , which are often published together in collections.  

Where Do I Find Books?

You'll use the library catalog to search for books, ebooks, articles, and more.  

What if MJC Doesn't Have What I Need?

If you need materials (books, articles, recordings, videos, etc.) that you cannot find in the library catalog , use our  interlibrary loan service .

Your instructor should tell you which citation style they want you to use. Click on the appropriate link below to learn how to format your paper and cite your sources according to a particular style.

• Chicago Style
• ASA & Other Citation Styles
• Last Updated: Apr 25, 2024 1:28 PM
• URL: https://libguides.mjc.edu/abortion

Except where otherwise noted, this work is licensed under CC BY-SA 4.0 and CC BY-NC 4.0 Licenses .

About Abortion

Narrow the topic.

• Articles & Videos
• MLA Citation This link opens in a new window
• APA Citation This link opens in a new window

• Is abortion immoral?
• How can Roe v. Wade be overturned?
• Should the "right of conscience" regulation apply to pharmacists?
• Should the rights of the unborn be more important than the rights of the mother?
• Is abortion justifiable after a rape?
• Is the fight against Planned Parenthood justified?
• Is partial birth abortion infanticide?
• Should Planned Parenthood be funded by the government?
• Next: Library Resources >>
• Last Updated: Feb 6, 2024 11:38 AM
• URL: https://libguides.broward.edu/abortion

• Boston University Libraries
• Abortion, Contraception, and Reproductive Rights

Citing Your Sources

• Background Sources
• Find Articles & More
• Find Films & Podcasts
• Primary Sources
• Data, Statistics & Public Opinion Sources
• Additional Resources

MLA (Modern Language Association) Style

Chicago style, apa (american psychological association) style.

Proper citation is an essential aspect of scholarship. Citing properly allows your reader or audience to locate the materials you have used. Most importantly, citations give credit to the authors of quoted or consulted information.

For detailed instructions on how to cite within the text of your paper, please consult a style manual listed below. 

Here are some  easy web options and more on zotero .

• MLA Formatting and Style Guide at Purdue OWL

• Purdue OWL (Online Writing Lab) Chicago Manual of Style

• Purdue OWL (Online Writing Lab) APA Style Introduction
• APA Reference examples

• << Previous: Additional Resources
• Last Updated: Apr 8, 2024 7:52 AM
• URL: https://library.bu.edu/abortion

Research Topic Starters

• Aggressive/Distracted Driving
• Climate Change
• Depression & Postpartum Depression
• E-Cigarettes and Vaping
• Freedom of Speech
• Gender Equity
• Gun Control
• Prescription Medication Abuse
• Psychological Disorders
• Systemic Racism
• Trigger Warnings

Contacting the STCC Library

STCC LIBRARY

Contact: Building 19, 2nd Floor Springfield Technical Community College One Armory Square Springfield, MA   01102

CIRC ULATION  EMAIL:  L [email protected]

CIRCULATION VOICEMAIL:  413-755-4532

EMAIL A LIBRARIAN :   [email protected]

Call a librarian:  (413)755-4549  

Library Staff available  during  Library  Hours

Library Databases

• Opposing Viewpoints in Context This link opens in a new window Issues include: Abortion; Abortion: Late Term; Abortion: Parental Consent; Reproductive Rights
• Search Terms
• Definitions
• Interest Groups
• Abortion & Reproductive Rights: Issue Overview From Issues & Controversies: Overviews and Pro/Con Arguments.
• Hastings Center: Abortion Bioethics Briefings including legal and ethical consideration of abortion.
• Medline Plus: Abortion Articles and information on abortion.
• Research Starters: Abortion Kaplan, C., Tischauser, L.V., Chara, P.J. Magill's Medical Guide (Online Edition), 2020.
• Research Starters: Fetal Rights Thomas, Susan L., Salem Press Encyclopedia, 2019
• To What Extent Should Women Be Allowed Access to Abortion in the United States? From Issues & Controversies: Overviews and Pro/Con Arguments.

Some search terms to use when searching databases for this topic:

Fetal Rights

Reproductive Rights

To narrow your topic, combine the search terms above with one of these terms / issues:

Morality 

Parental Consent

Religion 

Abortion : A surgical or medical procedure undertaken to intentionally terminate a pregnancy

• Medical : Using medicines such as mifepristone (RU-486) and misoprostol to end a pregnancy no later than 7-10 weeks
• Surgical: Removing the fetus and placenta from the mother's womb (uterus) using suction or D and C (dilation and curettage) procedure

Fetal rights:  The rights of any unborn human fetus, which is generally a developing human from roughly eight weeks after conception to birth

Fetal viability:  The point in the development of the human fetus when it has the capacity to survive outside the womb

Hyde Amendment:  Prohibits the use of federal funding for abortion services 

Late-term abortion :  Abortions performed after approximately twenty weeks gestation

Miscarriage:  When a pregnancy ends on its own before the 20th week of pregnancy, s sometimes called a spontaneous abortion

Reproductive Rights : The rights of individuals to decide whether to reproduce and have reproductive health

Roe v. Wade: The 1973 US Supreme Court ruled that the Constitution protects a woman's right to an abortion through the end of the first trimester, or the twelfth week of pregnancy

• 5 Facts About Safe, Legal Abortion That Don’t Get Enough Attention
• Abortion in the U.S.: Five key facts Abortion is very common in the U.S. and most Americans support a woman's right to an abortion.
• A Concise History of the US Abortion Debate
• The Dishonesty of the Abortion Debate Why we need to face the best arguments from the other side.
• Ethics and Abortion Two opposing arguments on the morality of abortion.
• Introduction to the Abortion Debate Sets out the major questions involved in the matter of terminating a pregnancy.
• Is the Future of Abortion Online? New drugs and online telemedicine services could provide access to safe abortion beyond borders and laws.
• An Overview of Abortion Law Provides an overview of abortion laws and public funding by state.
• These Are The Most Significant Supreme Court Cases About Abortion To Date A condensed history of Supreme Court rulings on abortion through 2018.
• Abortion: Planned Parenthood Facts about abortion.
• Just Facts: Abortion Includes information on the science of human development, women’s health, politics, taxpayer funding, parental consent, and more.
• Key Facts on Abortion Information from Amnesty International.
• Pew Research Center: Abortion Reports, fact sheets and statistics on all aspects of abortion including legal, political, social and religious.

• Abortion Statistics and Policies Information and statistics on women's health care, including utilization of services such as abortion, family planning, and reproductive health from the Kaiser Family Foundation.
• Reproductive Health: Data and Statistics CDC annual data on the number and characteristics of women obtaining legal induced abortions since 1969.

Pro-Choice Organizations

• Center for Reproductive Rights Uses the power of law to advance reproductive rights as fundamental human rights around the world.
• EMILY’s List A political organization that exclusively funds campaigns to get pro-choice Democratic women elected to office.
• Guttmacher Institute A primary source for research and policy analysis on abortion in the US tracking abortion statistics, legislation and policies at the federal and state level. It promotes access to abortion services and makes an evidence-based case against restrictions that limit access.
• National Abortion Federation Provides women, health care professionals, and policymakers access to factual information about abortion.
• National Abortion Rights Action League Focus is on protecting and expanding reproductive rights in America.
• National Network of Abortion Funds Seeks to remove financial and logistical barriers to abortion access.

Pro-Life Organizations

• National Right to Life Committee The oldest and largest national anti-abortion organization in the US. Through legislative and educational activity, works against induced abortion, infanticide, euthanasia and assisted suicide
• Susan B. Anthony List Their mission is to end abortion by electing national leaders and advocating for laws that save lives, with a special calling to promote pro-life women leaders.
• Pro-life Action League Seeks to prevent abortions through legal, nonviolent means, advocates the prohibition of abortion through a constitutional amendment and conducts demonstrations against abortion clinics and other agencies involved with abortion.
• << Previous: Home
• Next: Aggressive/Distracted Driving >>
• Last Updated: Jan 19, 2024 11:23 AM
• URL: https://libguides.stcc.edu/ResearchStarter

Home — Blog — Topic Ideas — 50 Abortion Essay Topics: Researching Abortion-Related Subjects

50 Abortion Essay Topics: Researching Abortion-Related Subjects

Abortion remains a contentious social and political issue, with deeply held beliefs and strong emotions shaping the debate. It is a topic that has been at the forefront of public discourse for decades, sparking heated arguments and evoking a range of perspectives from individuals, organizations, and governments worldwide.

The complexity of abortion stems from its intersection with fundamental human rights, ethical principles, and societal norms. It raises questions about the sanctity of life, individual autonomy, gender equality, and public health, making it a challenging yet critically important subject to explore and analyze.

This guide provides a comprehensive overview of the significance of choosing the right abortion essay topics and abortion title ideas , offering valuable insights and practical advice for students navigating this challenging yet rewarding endeavor. By understanding the multifaceted nature of abortion and its far-reaching implications, students can make informed decisions about their topic selection, setting themselves up for success in producing well-researched, insightful, and impactful essays.

Choosing the Right Abortion Essay Topic

For students who are tasked with writing an essay on abortion, choosing the right topic is essential. A well-chosen topic can be the difference between a well-researched, insightful, and impactful piece of writing and a superficial, uninspired, and forgettable one.

This guide delves into the significance of selecting the right abortion essay topic, providing valuable insights for students embarking on this challenging yet rewarding endeavor. By understanding the multifaceted nature of abortion and its far-reaching implications, students can identify topics that align with their interests, research capabilities, and the overall objectives of their essays.

Abortion remains a contentious social and political issue, with deeply held beliefs and strong emotions shaping the debate on abortion topics . It is a topic that has been at the forefront of public discourse for decades, sparking heated arguments and evoking a range of perspectives from individuals, organizations, and governments worldwide.

List of Abortion Argumentative Essay Topics

Abortion argumentative essay topics typically revolve around the ethical, legal, and societal aspects of this controversial issue. These topics often involve debates and discussions, requiring students to present well-reasoned arguments supported by evidence and persuasive language.

• The Bodily Autonomy vs. Fetal Rights Debate: A Balancing Act
• Exploring Abortion Rights: An Argumentative Analysis
• Gender Equality and Reproductive Freedom in the Abortion Debate
• Considering Abortion as a Human Right
• The Impact of Abortion Stigma on Women's Mental Health
• Abortion: A Controversial Issue
• Persuasive Speech Outline on Abortion
• Laughing Matters: Satire and the Abortion Debate
• Abortion Is Bad
• Discussion on Whether Abortion is a Crime
• Abortion Restrictions and Women's Economic Opportunity
• Government Intervention in Abortion Regulation
• Religion, Morality, and Abortion Attitudes
• Parental Notification and Consent Laws
• A Persuasive Paper on the Issue of Abortion

Ethical Considerations: Abortion raises profound ethical questions about the sanctity of life, personhood, and individual choice. Students can explore these ethical dilemmas by examining the moral implications of abortion, the rights of the unborn, and the role of personal conscience in decision-making.

Legal Aspects: The legal landscape surrounding abortion is constantly evolving, with varying regulations and restrictions across different jurisdictions. Students can delve into the legal aspects of abortion by analyzing the impact of laws and policies on access, safety, and the well-being of women.

Societal Impact: Abortion has a significant impact on society, influencing public health, gender equality, and social justice. Students can explore the societal implications of abortion by examining its impact on maternal health, reproductive rights, and the lives of marginalized communities.

Effective Abortion Topics for Research Paper

Research papers on abortion demand a more in-depth and comprehensive approach, requiring students to delve into historical, medical, and international perspectives on this multifaceted issue.

Medical Perspectives: The medical aspects of abortion encompass a wide range of topics, from advancements in abortion procedures to the health and safety of women undergoing the procedure. Students can explore medical perspectives by examining the evolution of abortion techniques, the impact of medical interventions on maternal health, and the role of healthcare providers in the abortion debate.

Historical Analysis: Abortion has a long and complex history, with changing attitudes, practices, and laws across different eras. Students can engage in historical analysis by examining the evolution of abortion practices in ancient civilizations, tracing the legal developments surrounding abortion, and exploring the shifting social attitudes towards abortion throughout history.

International Comparisons: Abortion laws and regulations vary widely across different countries, leading to diverse experiences and outcomes. Students can make international comparisons by examining abortion access and restrictions in different regions, analyzing the impact of varying legal frameworks on women's health and rights, and identifying best practices in abortion policies.

List of Abortion Research Paper Topics

• The Socioeconomic Factors and Racial Disparities Shaping Abortion Access
• Ethical and Social Implications of Emerging Abortion Technologies
• Abortion Stigma and Women's Mental Health
• Telemedicine and Abortion Access in Rural Areas
• International Human Rights and Abortion Access
• Reproductive Justice and Other Social Justice Issues
• Men's Role in Abortion Decision-Making
• Abortion Restrictions and Social Disparities
• Racial and Ethnic Disparities in Abortion Access
• Alternative Approaches to Abortion Regulation
• Political Ideology and Abortion Policy Debates
• Public Health Campaigns for Informed Abortion Decisions
• Abortion Services in Conflict-Affected Areas
• Healthcare Providers and Medical Ethics of Abortion
• International Cooperation on Abortion Policies

By exploring these topics and subtopics for abortion essays , students can gain a more comprehensive understanding of the multifaceted nature of the abortion debate and choose a specific focus that aligns with their interests and research objectives.

Choosing Abortion Research Paper Topics

When selecting research paper topics on abortion, it is essential to consider factors such as research feasibility, availability of credible sources, and the potential for original contributions.

Abortion is a complex and multifaceted issue that intersects with various aspects of society and individual lives. By broadening the scope of abortion-related topics, students can explore a wider range of perspectives and insights.

• Abortion Social Issue
• Exploring the Complexity of Abortion: Historical, Medical and Personal Perspectives
• Abortion: A Comprehensive Research
• An Examination of Abortion and its Health Implications on Women
• Abortion Introduction
• Comparative Analysis of Abortion Laws Worldwide
• Historical Evolution of Abortion Rights and Practices
• Impact of Abortion on Public Health and Maternal Mortality
• Abortion Funding and Access to Reproductive Healthcare
• Role of Misinformation and Myths in Abortion Debates
• International Perspectives on Abortion and Reproductive Freedom
• Abortion and the UN Sustainable Development Goals
• Abortion and Gender Equality in the Global Context
• Abortion and Human Rights: A Legal and Ethical Analysis
• Religious and Cultural Influences on Abortion Perceptions
• Abortion and Social Justice: Addressing Disparities and Marginalization
• Anti-abortion and Pro-choice Movements: Comparative Analysis and Impact
• Impact of Technological Advancements on Abortion Procedures and Access
• Ethical Considerations of New Abortion Technologies and Surrogacy
• Role of Advocacy and Activism in Shaping Abortion Policy and Practice
• Measuring the Effectiveness of Abortion Policy Interventions

Navigating the complex landscape of abortion-related topics can be a daunting task, but it also offers an opportunity for students to delve into a range of compelling issues and perspectives. By choosing the right topic, students can produce well-researched, insightful, and impactful essays that contribute to the ongoing dialogue on this important subject.

The 50 abortion essay ideas presented in this guide provide a starting point for exploring the intricacies of abortion and its far-reaching implications. Whether students are interested in argumentative essays that engage in ethical, legal, or societal debates or research papers that delve into medical, historical, or international perspectives, this collection offers a wealth of potential topics to ignite their curiosity and challenge their thinking.

We use cookies to personalyze your web-site experience. By continuing we’ll assume you board with our cookie policy .

Social Issue: Abortion

• Basic Info (Facts, Books)
• Scholarly Articles
• Opinions & Arguments

Finding Opinions and Arguments about Abortion

We are all biased.  That is, we all have our own personal biases - our beliefs about ourselves, the world around us, and what 'authorities' and sources of information we are likely to listen to, trust and believe. These beliefs are so much a part of us that we often don't question them.

However...part of learning how to be a good debater, how to write an effective argument paper, or how to create a convincing presentation about a controversial topic, is to take the time to learn about and understand all sides of an argument (and there are often more than just two!). Sometimes this information may challenge our own long-held beliefs, even make us uncomfortable - but it is good if we can explore it anyway.

To get you started, we have included a few top, online sources showing various sides of the abortion debate. The tab titles indicate the general biases of those particular stakeholders. 

When you know you will be exploring inevitably biased information, you may also want to review:  Checking on the Reliability of Online Information

Biases, opinions, arguments, & analysis.

• Balanced (Showing Both Sides of the Debate)
• For Abortion ('Pro-Choice')
• Against Abortion ('Pro-Life')
• ProCon: Should Abortion Be Legal? Website. Both pro and con arguments concerning abortion from ProCon.org.
• Pew Research Center: Abortion Website. Pew Research Center reports and data on views toward abortion in the United States and around the world.
• The Abortion Diary Multiple Podcasts. "The Abortion Diary creates a safe and supportive environment for all people to share their personal, unmediated abortion experiences and the complex decision making process surrounding the choice to have an abortion."
• Abortion Onscreen Website. Results of a project investigating the history of abortion plotlines in film and on television.
• A Better Way to Talk about Abortion Video. Ted Talk by Aspen Baker. "In this personal, thoughtful talk, Aspen Baker makes the case for being neither “pro-life” nor “pro-choice” but rather "pro-voice" — and for the roles that listening and storytelling can play when it comes to discussing difficult topics." (10:58)
• My Abortion. My Life.: The Podcast Multiple Podcasts. "My Abortion, My Life is changing the conversation by creating safe spaces for sharing abortion stories and having nuanced, respectful conversations about abortion experiences."
• When Abortion Was Illegal: Untold Stories Video. A 1992 American short documentary film directed by Dorothy Fadiman, consisting of first person stories which reveal the physical, emotional and legal consequences of having or providing an abortion when it was a criminal act. (28:22)
• Abortion and Personhood: What the Moral Dilemma Is Really About The landmark Roe v. Wade decision, handed down by the United States Supreme Court in 1973, touched off a divide deep within the American culture that shows little signs of healing. The reason is not necessarily that people have intransigent views when it comes to abortion. Instead, the issue is genuinely hard to grapple with, even from a moral standpoint, as Harvard Law Professor and bioethicist Glenn Cohen explains. (Video, 7 min.)
• Planned Parenthood: Abortion Website. Planned Parenthood delivers vital reproductive health care, sex education, and information to millions of people worldwide.
• National Abortion Federation Website. The National Abortion Federation provides standards of care, protocols, and clinical education about abortion to health care professionals.
• NARAL Pro-Choice America Website. Fights for access to abortion care, birth control, paid parental leave and protections from pregnancy discrimination.
• Family Research Council: Abortion Website. Family Research Council's mission is to advance faith, family, and freedom in public policy and the culture from a Christian worldview.
• March for Life Website. This group's mission is to 'end abortion by uniting, educating, and mobilizing pro-life people in the public square.' Sponsors a march on Washington, D.C. annually on the anniversary of the Roe vs. Wade decision.
• National Right to Life Website. Founded in 1968, National Right to Life is the nation's oldest and largest pro-life organization.
• Stephanie Gray: "Abortion: From Controversy to Civility" (Talks at Google) Video. Stephanie Gray, well-known anti-abortion speaker and author, applies the Socratic method and storytelling to the debate surrounding abortion, inviting the audience to be "pro-conversation" on a topic that can be one of the most divisive, and demonstrates that it is possible to be gracious and respectful when encountering different ideas. (1:03:50)
• << Previous: News
• Next: Citations >>
• Last Updated: Dec 20, 2023 5:09 PM
• URL: https://libguides.framingham.edu/c.php?g=904384

Important conclusions from abortion studies

• PMID: 12287992

In general, it can be concluded that the initiative on the determinants and consequences of induced abortion has shown some important patterns. For example, induced abortion is not restricted to adolescents but occurs also within marriage to limit family size. Induced abortion is prevalent both where family planning services are available and contraceptive prevalence is high as well as where family planning is not common, but for different reasons. In the former, motivation to limit family size is high and women would use any option if contraception fails or an unwanted pregnancy occurs. In the latter case, induced abortion forms part of a mix of incipient fertility regulation alternatives, most of which are traditional and of little effectiveness but including some use or improper use of modern methods. Few abortion seekers, and among them even fewer adolescents, were using a modern contraceptive at the time the pregnancy started. High use of traditional methods in some countries leads to abortion as women/couples fail to follow proper instructions with regards to the safe period. Unsafe clandestine abortions are more likely to be sought by poorer women and by adolescents. The findings of this research are increasingly being used to question the legal status of abortion in countries where the law is restrictive, or to strengthen family planning efforts in order to reduce abortion incidence.

• Abortion, Induced*
• Demography*
• Evaluation Studies as Topic*
• Family Planning Services
• Prevalence*
• Research Design

Abortion Essay Example

05 January, 2020

11 minutes read

Author:  Elizabeth Brown

Composing essays is a must during your college studies. Sometimes, you might get a topic that you aren’t fully aware of. Or, you can fail to grasp the idea of what a particular essay topic requires you to reveal in your essay. An abortion essay, for example, has become one of the very on-going issues these days. Professors believe that elaborating an essay on such a topic can help a student learn how to develop appropriate arguments and ideas, even in the most sensitive essays. If you experience any difficulty with the abortion essay writing, you just need to take a few points into account. Regardless of your title, which can be either why abortion should be supported or why abortion should be illegal essay, you can master your writing just by acknowledging several essential facts about it.

Abortion Essay: Definitions, Goals & Topics

An abortion argumentative essay reveals the arguments for or against pregnancy termination. The main peculiarity of such an essay is that one can write it from different points of view. While one may strongly feel like composing an abortion arguments essay and advancing their positioning in terms of healthcare and research, others may think of this essay in terms of psychology and sociology. Regardless of the stance, it is necessary to carry out some preliminary research and make sure you operate on both your arguments and data accurately. 

Abortion essays require the essay writer to stay tolerant and open-minded. The topic, the selection of arguments, vocabulary – all of these indicators should not offend people who are sensitive to the outlined topic. 

All in all, the ultimate goal of an argumentative essay on abortion is to present the topic and provide arguments for and against it. It is likewise essential to give an insight into the subject, reveal its current state, and include most recent findings. 

Abortion Essay Titles 

When composing a title for an abortion essay, the first critical thing to keep in mind is transparency. The title should not create confusion or offend the reader. To select a title you would like to develop in your essay, decide whether you know why abortion is wrong essay, or if you favor supporting the topic. Here are some of the topics that will be easy to elaborate on in your essay about abortion:

• Reasons why women in underdeveloped countries are inclined to abortions
• Potential health hazard as a consequence of abortion
• How different countries approach abortions 
• The reasons why calling abortion murder is inappropriate
• Depriving a woman of the right to make an abortion is equal to depriving a woman of her freedom

Abortion Essay Structure  

As you have already learned, a classical essay comprises three parts: an introduction, several body paragraphs (3-5), and concluding remarks. The abortion essay isn’t an exception. But a structure of an abortion essay should be very specific as it contains several fundamental points that differ from other essay types. 

Introduction 

First, you need to define abortion as soon as you start writing an abortion essay. Even though almost everyone in the world knows what abortion is, it is essential to state its interpretation. Later, you can mention recent findings or events that fairly make an abortion a topic of heated debate. At the end of an introduction, your primary task is to demonstrate your attitude to the topic. Namely, you need to write a short thesis statement that will mention your opinion. For instance, a thesis statement can be: “Should society decide for women what to do with their lives and bodies?”. 

If you decide to support abortion in the essay, you may write the body part in the following way: 2-3 paragraphs supporting abortion + one counter-argument against abortion. Remember to provide arguments and support them, not just admit that abortion is good or bad. 

Conclusion 

When writing a conclusion, briefly summarize everything you mentioned in the text. You should come back to the thesis you mentioned in the introduction while writing it. Don’t forget to mention your own vision and attitude to a problem. 

Best Tips For Writing Abortion Essay 

Research comes first.

First of all, explore what is already said and written on the topic of abortions. Namely, don’t just read what people say and don’t make conclusions based on what image abortion has in the media. Instead, you may refer to recent research, speeches, and scientific papers by people whose findings are objective and not based on their subjective, emotional perception. Afterward, try to figure out what your attitude on the topic of abortions is. Are you an opponent of the topic, or would you rather support it? 

Pay attention to introduction

An introduction is the most fundamental part of the whole paper. If writing an introduction seems to be too complicated, just refer to scientific papers. Find an attention-grabbing statement and feel free to use it in your paper. If possible, try to paraphrase it. 

Think of the implications

Suppose you decided to write an essay as an opponent of abortions. Think of some possible implications that termination of pregnancy may have. Also, consider the hazard of continuing an unwanted pregnancy. Doing so is essential if you want to strengthen your arguments. 

Be flexible

Since such a topic might be extremely sensitive, it is vital not to be critical. It isn’t a good idea to get emotional or, what is worse, judgemental in your paper. Demonstrate that even though you support a particular argument, you don’t exclude that the opposite argument may also hold true. 

Abortion Essay Examples  

Abortion implies a termination of pregnancy by removing the embryo from a woman’s uterus prior to its birth. Uncountable controversies and criticism have increasingly surrounded the topic of abortion. Even though most developed countries officially carry out a lot of abortions annually, this medical procedure is actively discussed in many countries. Today, a lot of people believe that pregnancies are terminated by women who are either underaged, poor, or promiscuous. A woman who terminates her pregnancy can also be mature, having kids already, married, happy, and wealthy. Women make this step due to multiple reasons. Should society take control over a female body and decide her and her kid’s fate, and does the prohibition of abortion indeed decrease the abortion rate?

Official prohibition of abortions isn’t likely to reduce the abortion rate. For example, gambling and prostitution have long ago been prohibited in many countries in the world. However, this doesn’t mean that the people don’t gamble and that particular women don’t make their living by engaging in prostitution. The same concerns abortions. Once abortions are prohibited on a state level, women will be left with nothing but a decision to find a person who will carry out an abortion illegally. Or, what is worse, women might induce a miscarriage on their own if they can’t find a specialist. While a medical abortion procedure is a safe way to terminate  pregnancy, the latter is not. The risk of terminating pregnancy elsewhere or even at home might be incompatible with life. A lot of women die because of an unsuccessful pregnancy termination, which is way worse than a safe abortion in a medical institution.  

A lot of infants in the US die during the first years, months, if not days of their life. This happens as a result of an inborn pathology. Pathology is usually diagnosed during pregnancy screenings. Since such screenings are performed at an early pregnancy phase, a woman can terminate pregnancy once such pathology is identified. The fact of the matter is that many pathologies are incompatible with life too. For each mother, watching her kid dying and knowing that she cannot help, even if she had all the money in the world, is devastating. And that’s even worse for a suffering child. This leads to the conclusion that terminating a pregnancy is the most humane decision in such a situation. 

Prohibiting abortions often equals to forcing a woman to give birth to a child she does not want. The reasons for such an unwillingness are uncountable. First, a woman might not be mature enough, she might have kids already and no money to afford this child. Besides, her pregnancy might be a mistake not because of her fault. Indeed, 2 in 1000 women in the US are raped annually. Why should a woman be judged by her decision to terminate pregnancy which is a result of a sexual assault? Even in cases when no sexual assault took place, it is still irrelevant to shame a woman and criticize her for knowing what will be better for her. It is better to terminate a pregnancy than to give life to a child who will never be loved and secure and be an unsuitable fit for a woman at the same time. 

Terminating pregnancy, on the other hand, is not just depriving an unborn child of a right to live a life he or she deserves. Regardless of the woman’s motives, she imposes risks on her health. First of all, an abortion undermines a woman’s emotional and mental health. Additionally, it might set risks for her physical health. Indeed, she might reduce her chances of getting pregnant again or increase further pregnancy complications. Besides, 7 in every 100 women face a risk of having parts of a fetus remaining in her womb. 

Overall, abortion is solely a woman’s issue. It should not have anything to do with politics, religion, and disgrace. Bringing a child to the world is the responsibility of a woman who has enough grounds for making an appropriate decision. Although terminating a pregnancy might bring severe health risks, it erases the problems that might be even more severe, such as watching a child suffer and not being able  to give them a childhood they deserve. 

Write an Abortion Essay with HandmadeWriting 

Composing an abortion essay might sometimes be a challenging assignment. However, this topic is vast and extensively discussed. The latter allows you to refer to multiple ideas and get access to a multitude of insights to generate your own understanding of a topic. But if you find it problematic to compose an abortion essay – you can get it done with HandmadeWriting . Even if you merely lack inspiration, we will take care of your paper. Just hand in your paper instructions and enjoy your spare time while our writers are crafting your essay. Getting a paper done in such short time frames has never been easier.

A life lesson in Romeo and Juliet taught by death

Due to human nature, we draw conclusions only when life gives us a lesson since the experience of others is not so effective and powerful. Therefore, when analyzing and sorting out common problems we face, we may trace a parallel with well-known book characters or real historical figures. Moreover, we often compare our situations with […]

Ethical Research Paper Topics

Writing a research paper on ethics is not an easy task, especially if you do not possess excellent writing skills and do not like to contemplate controversial questions. But an ethics course is obligatory in all higher education institutions, and students have to look for a way out and be creative. When you find an […]

Art Research Paper Topics

Students obtaining degrees in fine art and art & design programs most commonly need to write a paper on art topics. However, this subject is becoming more popular in educational institutions for expanding students’ horizons. Thus, both groups of receivers of education: those who are into arts and those who only get acquainted with art […]

May 3, 2024

Abortion Restrictions Are Spreading, even though Science Shows They’re Harmful

“We should not make it harder for people to access abortion,” says a researcher who has studied the impacts on people who seek the procedure and are denied

By Meghan Bartels

Aleksandr Kirillov/Getty Images

In the nearly two years since the U.S. Supreme Court overturned federal abortion rights in the case Dobbs v. Jackson Women’s Health Organization , restrictions on the health care procedure have expanded, particularly across the South.

Currently, 14 states have banned abortion outright, and 11 have restricted it to 22 weeks or less after a person’s last period. Most recently, Florida tightened its restrictions on May 1. Arizona had been expected to ban nearly all abortions in coming weeks, but because the 1864 law that strict ban was based on was repealed this week, the strict ban will apply only temporarily. The state is expected to revert to a previous 15-week ban later this year. As restrictions have spread, the distances that people living in parts of the Midwest and most of the South need to travel to reach an abortion facility are increasing. Simultaneously, reproductive rights opponents are looking to use an 1873 law called the Comstock Act , which outlaws mailing “obscene” material, to further limit abortions—and perhaps to target contraception. This November up to 15 states may vote on abortion rights.

When people want an abortion and can’t get one, the results can harm the physical, emotional and financial health of both parent and child. Some of the strongest evidence comes from a project conducted from 2008 to 2016 that is known as the Turnaway Study. The study followed pregnant people seeking abortion for five years and compared those who got an abortion in their first or second trimester with those who were denied one because they were farther along in their pregnancy than the clinic they visited would allow.

On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing . By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.

Diana Greene Foster, a demographer at the University of California, San Francisco, developed the study in the mid-2000s after a Supreme Court case restricted access to abortion because of the then common belief that getting an abortion caused depression—a belief that had no evidence and that her study and others have discredited. “We really needed reliable data,” Foster says. Today’s abortion restrictions ignore both science and public opinion, she says. Scientific American talked with Foster to understand what has happened since Dobbs , how abortion affects people’s health and what’s at stake in the upcoming elections.

[ An edited transcript of the interview follows. ]

When people decide they want an abortion and are denied care, what happens next? How many people find a different route to get an abortion or opt for adoption?

In the Turnaway Study, about 20 percent of the people who were denied abortions managed to get one somewhere else. Those people were a little earlier in pregnancy, so there was some place they could go that would treat them. But if you’re denied an abortion at the end of the second trimester, there are so few places you can go that most people [in that situation] have carried the pregnancy to term.

When people who were denied an abortion gave birth, we found, just under 10 percent placed that child for adoption. More people considered it, but adoption is not an easy thing. When we talked later to two of the people who made that decision, they both had had unwanted pregnancies again, and neither chose adoption again. And the people who did place the child for adoption are the group that’s most likely to say they still wish they could have had the abortion. Carrying a pregnancy to term and surrendering a child is not at all easy. It’s often taken for granted by people who think that the solution to abortion is adoption; they overlook how difficult that is.

And do you have any sense of whether that breakdown has been changing since Dobbs?

I don’t know—that will be super interesting, and we just don’t have the data yet. Often, I think, people want to say, “Oh, Dobbs happened in June of 2022, so we should see effects in 2022.” But people who are pregnant in 2022 most likely delivered in 2023 if they delivered, and data from 2023 aren’t immediately available in 2024. We don’t have a lot of the vital statistics or adoption data. The data on abortions have been made available—some of them are estimates, but they do seem to show that there’s been an increase in abortion, not a decrease.

Why would that be?

There’s been a huge amount of money and attention put into helping people get their abortions. And I think that was, like, rage donations after Dobbs . I don’t know if that’s sustainable . And then these innovations in getting people access to medication abortion [through the drug mifepristone] almost certainly made a big difference as well.

How do the financial and social consequences of abortion denial ripple down to the children that resulted from such cases over the course of their life?

An American scientist working with Czech scientists followed kids born in what is now the Czech Republic in the 1960s because their mom was denied an abortion by a hospital panel. He showed the kids born of pregnancies where the mom was denied [compared with children whose parent didn’t request an abortion] had worse outcomes for 35 years. But that’s a little dated and a different context.

In the Turnaway Study we followed people for five years. If you ask women why they want an abortion, 60 percent of them are already mothers, and many say that they want an abortion to take care of the kids they already have. And we see worse outcomes for those kids who are born despite these concerns in terms of achievement of developmental milestones and economic security within the family.

And then we looked at kids who were born because the mom was denied an abortion and the next kid born to someone after they had received an abortion—so if someone gets an abortion but then becomes pregnant within the five years of the study and carries that pregnancy to term. You see economic hardship that is concentrated among the kids born because of abortion denial but also worse maternal bonding.

How is the study relevant to the post- Dobbs landscape?

Pregnant people are really determined [to get an abortion] when they’re not ready to have the baby. So we shouldn’t be surprised by the lengths people will go to end that pregnancy.

When Dobbs happened, I really thought a lot of people wouldn’t be able to get their abortions, and I’ve been surprised that there isn’t more evidence that people aren’t getting abortions. I’m also surprised that people aren’t harming themselves to end their pregnancy—maybe the data just haven’t come in yet. I expected that to happen because I knew people would be desperate, and I didn’t appreciate how fast the word would get out about medication abortion access and how much money was put into helping people travel.

There’s been a lot of chatter about enforcing the Comstock Act to target both abortion- and contraception-related materials sent by mail. How could that affect the abortion landscape?

I certainly am not so familiar with this kind of arcane law and why it would still be enforceable. But it would be a big problem if people couldn’t send any medical supplies or pills through the mail. Reducing people’s access to safe care seems like it will further encourage people to do things that are dangerous, and the Turnaway Study is clear about how determined people are to end pregnancies when they don’t want to be pregnant. So we should not make it harder for people to access abortion.

I assume that reducing access to contraception would also increase the number of people who look for abortions.

Yeah, that’s a good assumption. People often rightly think that the risk of pregnancy is low. So lots of people have sex without intending to make a baby. And usually, even if they don’t use a contraceptive method, they usually don’t get pregnant. But there’s a chance of it, and restricting access to contraception makes it more likely people will become pregnant. And I don’t think it makes it very likely they will stop having sex.

How does public opinion see the science on this?

I am kind of surprised, given how much stigma is in our society about abortion, that public opinion is so firmly on the side of trusting people with their decisions. Most people haven’t done the work I’ve done to know that lots of people become pregnant when they aren’t ready and that when they decide to have an abortion, they’re doing it because they feel that it’s best for themselves and their kids and their future kids or their life trajectory. I am amazed that public opinion [in support of abortion] is as strong as it is, given that I don’t know that that message has fully disseminated. I think people see it as a battle between individual decision-making and government decision-making and, on that basis alone, feel that abortion rights are correct. [ Editor’s Note: A 2023 Gallup poll found that 85 percent of Americans believe abortion should be legal under either certain or any circumstances .]

What have you been working on since the Turnaway Study wrapped up?

I am leading a study about the end of Roe [the 1973 case that protected abortion rights nationwide], which has been recruiting people as clinics close—the last people who received abortions in their state compared with people who sought abortions after. We’ve also been recruiting through hotlines to get people who are trying to get help to travel for abortions, and we’re continuing the recruitment for that. That work suggests that in states with bans, women are getting their abortions but at a significant delay of about a week.

The Safety and Quality of Abortion Care in the United States (2018)

Chapter: 1 introduction, 1 introduction.

When the Institute of Medicine (IOM) 1 issued its 1975 report on the public health impact of legalized abortion, the scientific evidence on the safety and health effects of legal abortion services was limited ( IOM, 1975 ). It had been only 2 years since the landmark Roe v. Wade decision had legalized abortion throughout the United States and nationwide data collection was just under way ( Cates et al., 2000 ; Kahn et al., 1971 ). Today, the available scientific evidence on abortion’s health effects is quite robust.

In 2016, six private foundations came together to ask the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine to conduct a comprehensive review of the state of the science on the safety and quality of legal abortion services in the United States. The sponsors—The David and Lucile Packard Foundation, The Grove Foundation, The JPB Foundation, The Susan Thompson Buffett Foundation, Tara Health Foundation, and William and Flora Hewlett Foundation—asked that the review focus on the eight research questions listed in Box 1-1 .

The Committee on Reproductive Health Services: Assessing the Safety and Quality of Abortion Care in the U.S. was appointed in December 2016 to conduct the study and prepare this report. The committee included 13 individuals 2 with research or clinical experience in anesthesiology,

___________________

1 In March 2016, the IOM, the division of the National Academies of Sciences, Engineering, and Medicine focused on health and medicine, was renamed the Health and Medicine Division.

2 A 14th committee member participated for just the first 4 months of the study.

obstetrics and gynecology, nursing and midwifery, primary care, epidemiology of reproductive health, mental health, health care disparities, health care delivery and management, health law, health professional education and training, public health, quality assurance and assessment,

statistics and research methods, and women’s health policy. Brief biographies of committee members are provided in Appendix A .

This chapter describes the context for the study and the scope of the inquiry. It also presents the committee’s conceptual framework for conducting its review.

ABORTION CARE TODAY

Since the IOM first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized controlled trials (RCTs), systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances ( Ashok et al., 2004 ; Autry et al., 2002 ; Bartlett et al., 2004 ; Borgatta, 2011 ; Borkowski et al., 2015 ; Bryant et al., 2011 ; Cates et al., 1982 ; Chen and Creinin, 2015 ; Cleland et al., 2013 ; Frick et al., 2010 ; Gary and Harrison, 2006 ; Grimes et al., 2004 ; Grossman et al., 2008 , 2011 ; Ireland et al., 2015 ; Kelly et al., 2010 ; Kulier et al., 2011 ; Lohr et al., 2008 ; Low et al., 2012 ; Mauelshagen et al., 2009 ; Ngoc et al., 2011 ; Ohannessian et al., 2016 ; Peterson et al., 1983 ; Raymond et al., 2013 ; Roblin, 2014 ; Sonalkar et al., 2017 ; Upadhyay et al., 2015 ; White et al., 2015 ; Wildschut et al., 2011 ; Woodcock, 2016 ; Zane et al., 2015 ). With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed ( Chen and Creinin, 2015 ; Jatlaoui et al., 2016 ; Lichtenberg and Paul, 2013 ). For example, the use of dilation and sharp curettage is now considered obsolete in most cases because safer alternatives, such as aspiration methods, have been developed ( Edelman et al, 1974 ; Lean et al, 1976 ; RCOG, 2015 ). The use of abortion medications in the United States began in 2000 with the approval by the U.S. Food and Drug Administration (FDA) of the drug mifepristone. In 2016, the FDA, citing extensive clinical research, updated the indications for mifepristone for medication abortion 3 up to 10 weeks’ (70 days’) gestation ( FDA, 2016 ; Woodcock, 2016 ).

Box 1-2 describes the abortion methods currently recommended by U.S. and international medical, nursing, and other health organizations that set professional standards for reproductive health care, including the American College of Obstetricians and Gynecologists (ACOG), the Society of Family Planning, the American College of Nurse-Midwifes, the National Abortion Federation (NAF), the Royal College of Obstetricians and Gynaecologists (RCOG) (in the United Kingdom), and the World

3 The terms “medication abortion” and “medical abortion” are used interchangeably in the literature.

Health Organization ( ACNM, 2011 , 2016 ; ACOG, 2013 , 2014 ; Costescu et al., 2016 ; Lichtenberg and Paul, 2013 ; NAF, 2017 ; RCOG, 2011 ; WHO, 2014 ).

A Continuum of Care

The committee views abortion care as a continuum of services, as illustrated in Figure 1-1 . For purposes of this study, it begins when a woman, who has decided to terminate a pregnancy, contacts or visits a provider seeking an abortion. The first, preabortion phase of care includes an initial clinical assessment of the woman’s overall health (e.g., physical examination, pregnancy determination, weeks of gestation, and laboratory and other testing as needed); communication of information on the risks and benefits of alternative abortion procedures and pain management options; discussion of the patient’s preferences based on desired anesthesia and weeks of gestation; discussion of postabortion contraceptive options if desired; counseling

and referral to services (if needed); and final decision making and informed consent. The next phases in the continuum are the abortion procedure itself and postabortion care, including appropriate follow-up care and provision of contraceptives (for women who opt for them).

A Note on Terminology

Important clinical terms that describe pregnancy and abortion lack consistent definition. The committee tried to be as precise as possible to avoid misinterpreting or miscommunicating the research evidence, clinical practice guidelines, and other relevant sources of information with potentially significant clinical implications. Note that this report follows Grimes and Stuart’s (2010) recommendation that weeks’ gestation be quantified using cardinal numbers (1, 2, 3...) rather than ordinal numbers (1st, 2nd, 3rd...). It is important to note, however, that these two numbering conventions are sometimes used interchangeably in the research literature despite having different meanings. For example, a woman who is 6 weeks pregnant has completed 6 weeks of pregnancy: she is in her 7th (not 6th) week of pregnancy.

This report also avoids using the term “trimester” where possible because completed weeks’ or days’ gestation is a more precise designation, and the clinical appropriateness of abortion methods does not align with specific trimesters.

Although the literature typically classifies the method of abortion as either “medical” or “surgical” abortion, the committee decided to specify methods more precisely by using the terminology defined in Box 1-2 . The term “surgical abortion” is often used by others as a catchall category that includes a variety of procedures, ranging from an aspiration to a dilation and evacuation (D&E) procedure involving sharp surgical and other instrumentation as well as deeper levels of sedation. This report avoids describing abortion procedures as “surgical” so as to characterize a method more accurately as either an aspiration or D&E. As noted in Box 1-2 , the term “induction abortion” is used to distinguish later abortions that use a

medication regimen from medication abortions performed before 10 weeks’ gestation.

See Appendix B for a glossary of the technical terms used in this report.

Regulation of Abortion Services

Abortion is among the most regulated medical procedures in the nation ( Jones et al., 2010 ; Nash et al., 2017 ). While a comprehensive legal analysis of abortion regulation is beyond the scope of this report, the committee agreed that it should consider how abortion’s unique regulatory environment relates to the safety and quality of abortion care.

In addition to the federal, state, and local rules and policies governing all medical services, numerous abortion-specific federal 4 and state laws and regulations affect the delivery of abortion services. Table 1-1 lists the abortion-specific regulations by state. The regulations range from prescribing information to be provided to women when they are counseled and setting mandatory waiting periods between counseling and the abortion procedure to those that define the clinical qualifications of abortion providers, the types of procedures they are permitted to perform, and detailed facility standards for abortion services. In addition, many states place limitations on the circumstances under which private health insurance and Medicaid can be used to pay for abortions, limiting coverage to pregnancies resulting from rape or incest or posing a medical threat to the pregnant woman’s life. Other policies prevent facilities that receive state funds from providing abortion services 5 or place restrictions on the availability of services based on the gestation of the fetus that are narrower than those established under federal law ( Guttmacher Institute, 2017h ).

Trends and Demographics

National- and state-level abortion statistics come from two primary sources: the Centers for Disease Control and Prevention’s (CDC’s) Abortion

4 Hyde Amendment (P.L. 94-439, 1976); Department of Defense Appropriations Act (P.L. 95-457, 1978); Peace Corps Provision and Foreign Assistance and Related Programs Appropriations Act (P.L. 95-481, 1978); Pregnancy Discrimination Act (P.L. 95-555, 1977); Department of the Treasury and Postal Service Appropriations Act (P.L. 98-151, 1983); FY1987 Continuing Resolution (P.L. 99-591, 1986); Dornan Amendment (P.L. 100-462, 1988); Partial-Birth Abortion Ban (P.L. 108-105, 2003); Weldon Amendment (P.L. 108-199, 2004); Patient Protection and Affordable Care Act (P.L. 111-148 as amended by P.L. 111-152, 2010).

5 Personal communication, O. Cappello, Guttmacher Institute, August 4, 2017: AZ § 15-1630, GA § 20-2-773; KS § 65-6733 and § 76-3308; KY § 311.800; LA RS § 40:1299 and RS § 4 0.1061; MO § 188.210 and § 188.215; MS § 41-41-91; ND § 14-02.3-04; OH § 5101.57; OK 63 § 1-741.1; PA 18 § 3215; TX § 285.202.

TABLE 1-1 Overview of State Abortion-Specific Regulations That May Impact Safety and Quality, as of September 1, 2017

a Excludes laws or regulations permanently or temporarily enjoined pending a court decision.

b States have abortion-specific requirements generally following the established principles of informed consent.

c The content of informed consent materials is specified in state law or developed by the state department of health.

d In-person counseling is not required for women who live more than 100 miles from an abortion provider.

e Counseling requirement is waived if the pregnancy is the result of rape or incest or the patient is younger than 15.

f Maximum distance requirement does not apply to medication abortions.

g Some states also exempt women whose physical health is at severe risk and/or in cases of fetal impairment.

h Some states have exceptions for pregnancies resulting from rape or incest, pregnancies that severely threaten women’s physical health or endanger their life, and/or in cases of fetal impairment.

SOURCES: Guttmacher Institute, 2017b , c , d , e , f , g , h , i , 2018b .

Surveillance System and the Guttmacher Institute’s Abortion Provider Census ( Jatlaoui et al., 2016 ; Jerman et al., 2016 ; Jones and Kavanaugh, 2011 ; Pazol et al., 2015 ). Both of these sources provide estimates of the number and rate of abortions, the use of different abortion methods, the characteristics of women who have abortions, and other related statistics. However, both sources have limitations.

The CDC system is a voluntary, state-reported system; 6 , 7 three states (California, Maryland, and New Hampshire) do not provide information ( CDC, 2017 ). The Guttmacher census, also voluntary, solicits information from all known abortion providers throughout the United States, including in the states that do not submit information to the CDC surveillance system. For 2014, the latest year reported by Guttmacher, 8 information was obtained directly from 58 percent of abortion providers, and data for nonrespondents were imputed ( Jones and Jerman, 2017a ). The CDC’s latest report, for abortions in 2013, includes approximately 70 percent of the abortions reported by the Guttmacher Institute for that year ( Jatlaoui et al., 2016 ).

Both data collection systems report descriptive statistics on women who have abortions and the types of abortion provided, although they define demographic variables and procedure types differently. Nevertheless, in the aggregate, the trends in abortion utilization reported by the CDC and Guttmacher closely mirror each other—indicating decreasing rates of abortion, an increasing proportion of medication abortions, and the vast majority of abortions (90 percent) occurring by 13 weeks’ gestation (see Figures 1-2 and 1-3 ) ( Jatlaoui et al., 2016 ; Jones and Jerman, 2017a ). 9 Both data sources are used in this chapter’s brief review of trends in abortions and throughout the report.

Trends in the Number and Rate of Abortions

The number and rate of abortions have changed considerably during the decades following national legalization in 1973. In the immediate years after

6 In most states, hospitals, facilities, and physicians are required by law to report abortion data to a central health agency. These agencies submit the aggregate utilization data to the CDC ( Guttmacher Institute, 2018a ).

7 New York City and the District of Columbia also report data to the CDC.

8 Guttmacher researchers estimate that the census undercounts the number of abortions performed in the United States by about 5 percent (i.e., 51,725 abortions provided by 2,069 obstetrician/gynecologist [OB/GYN] physicians). The estimate is based on a survey of a random sample of OB/GYN physicians. The survey did not include other physician specialties and other types of clinicians.

9 A full-term pregnancy is 40 weeks.

national legalization, both the number and rate 10 of legal abortions steadily increased ( Bracken et al., 1982 ; Guttmacher Institute, 2017a ; Pazol et al., 2015 ; Strauss et al., 2007 ) (see Figure 1-2 ). The abortion rate peaked in the

10 Reported abortion rates are for females aged 15 to 44.

1980s, and the trend then reversed, a decline that has continued for more than three decades ( Guttmacher Institute, 2017a ; Jones and Kavanaugh, 2011 ; Pazol et al., 2015 ; Strauss et al., 2007 ). Between 1980 and 2014, the abortion rate among U.S. women fell by more than half, from 29.3 to 14.6 per 1,000 women ( Finer and Henshaw, 2003 ; Guttmacher Institute, 2017a ; Jones and Jerman, 2017a ) (see Figure 1-2 ). In 2014, the most recent year for which data are available, the aggregate number of abortions reached a low of 926,190 after peaking at nearly 1.6 million in 1990 ( Finer and Henshaw, 2003 ; Jones and Jerman, 2017a ). The reason for the decline is not fully understood but has been attributed to several factors, including the increasing use of contraceptives, especially long-acting methods (e.g., intrauterine devices and implants); historic declines in the rate of unintended pregnancy; and increasing numbers of state regulations resulting in limited access to abortion services ( Finer and Zolna, 2016 ; Jerman et al., 2017 ; Jones and Jerman, 2017a ; Kost, 2015 ; Strauss et al., 2007 ).

Weeks’ Gestation

Length of gestation—measured as the amount of time since the first day of the last menstrual period—is the primary factor in deciding what abortion procedure is most appropriate ( ACOG, 2014 ). Since national legalization, most abortions in the United States have been performed in early pregnancy (≤13 weeks) ( Cates et al., 2000 ; CDC, 1983 ; Elam-Evans et al., 2003 ; Jatlaoui et al., 2016 ; Jones and Jerman, 2017a ; Koonin and Smith, 1993 ; Lawson et al., 1989 ; Pazol et al., 2015 ; Strauss et al., 2007 ). CDC surveillance reports indicate that since at least 1992 (when detailed data on early abortions were first collected), the vast majority of abortions in the United States were early-gestation procedures ( Jatlaoui et al., 2016 ; Strauss et al., 2007 ); this was the case for approximately 92 percent of all abortions in 2013 ( Jatlaoui et al., 2016 ). With such technological advances as highly sensitive pregnancy tests and medication abortion, procedures are being performed at increasingly earlier gestational stages. According to the CDC, the percentage of early abortions performed ≤6 weeks’ gestation increased by 16 percent from 2004 to 2013 ( Jatlaoui et al., 2016 ); in 2013, 38 percent of early abortions occurred ≤6 weeks ( Jatlaoui et al., 2016 ). The proportion of early-gestation abortions occurring ≤6 weeks is expected to increase even further as the use of medication abortions becomes more widespread ( Jones and Boonstra, 2016 ; Pazol et al., 2012 ).

Figure 1-3 shows the proportion of abortions in nonhospital settings by weeks’ gestation in 2014 ( Jones and Jerman, 2017a ).

Abortion Methods

Aspiration is the abortion method most commonly used in the United States, accounting for almost 68 percent of all abortions performed in 2013 ( Jatlaoui et al., 2016 ). 11 Its use, however, is likely to decline as the use of medication abortion increases. The percentage of abortions performed by the medication method rose an estimated 110 percent between 2004 and 2013, from 10.6 to 22.3 percent ( Jatlaoui et al., 2016 ). In 2014, approximately 45 percent of abortions performed up to 9 weeks’ gestation were medication abortions, up from 36 percent in 2011 ( Jones and Jerman, 2017a ).

Fewer than 9 percent of abortions are performed after 13 weeks’ gestation; most of these are D&E procedures ( Jatlaoui et al., 2016 ). Induction abortion is the most infrequently used of all abortion methods, accounting for approximately 2 percent of all abortions at 14 weeks’ gestation or later in 2013 ( Jatlaoui et al., 2016 ).

Characteristics of Women Who Have Abortions

The most detailed sociodemographic statistics on women who have had an abortion in the United States are provided by the Guttmacher Institute’s Abortion Patient Survey. Respondents to the 2014/2015 survey included more than 8,000 women who had had an abortion in 1 of 87 outpatient (nonhospital) facilities across the United States in 2014 ( Jerman et al., 2016 ; Jones and Jerman, 2017b ). 12 Table 1-2 provides selected findings from this survey. Although women who had an abortion in a hospital setting are excluded from these statistics, the data represent an estimated 95 percent of all abortions provided (see Figure 1-3 ).

The Guttmacher survey found that most women who had had an abortion were under age 30 (72 percent) and were unmarried (86 percent) ( Jones and Jerman, 2017b ). Women seeking an abortion were far more likely to be poor or low-income: the household income of 49 percent was below the federal poverty level (FPL), and that of 26 percent was 100 to 199 percent of the FPL ( Jerman et al., 2016 ). In comparison, the

11 CDC surveillance reports use the catchall category of “curettage” to refer to nonmedical abortion methods. The committee assumed that the CDC’s curettage estimates before 13 weeks’ gestation refer to aspiration procedures and that its curettage estimates after 13 weeks’ gestation referred to D&E procedures.

12 Participating facilities were randomly selected and excluded hospitals. All other types of facilities were included if they had provided at least 30 abortions in 2011 ( Jerman et al., 2016 ). Jerman and colleagues report that logistical challenges precluded including hospital patients in the survey. The researchers believe that the exclusion of hospitals did not bias the survey sample, noting that hospitals accounted for only 4 percent of all abortions in 2011.

TABLE 1-2 Characteristics of Women Who Had an Abortion in an Outpatient Setting in 2014, by Percent

NOTE: Percentages may not sum to 100 because of rounding.

SOURCES: (a) Jones and Jerman, 2017b (n = 8,098); (b) Jerman et al., 2016 (n = 8,380).

corresponding percentages among all women aged 15 to 49 are 16 and 18 percent. 13 Women who had had an abortion were also more likely to be women of color 14 (61.0 percent); overall, half of women who had had an abortion were either black (24.8 percent) or Hispanic (24.5 percent) ( Jones and Jerman, 2017b ). This distribution is similar to the racial and ethnic distribution of women with household income below 200 percent of the FPL, 49 percent of whom are either black (20 percent) or Hispanic (29 percent). 15 Poor women and women of color are also more likely than others to experience an unintended pregnancy ( Finer and Henshaw, 2006 ; Finer et al., 2006 ; Jones and Kavanaugh, 2011 ).

Many women who have an abortion have previously experienced pregnancy or childbirth. Among respondents to the Guttmacher survey, 59.3 percent had given birth at least once, and 44.8 percent had had a prior abortion ( Jerman et al., 2016 ; Jones and Jerman, 2017b ).

While precise estimates of health insurance coverage of abortion are not available, numerous regulations limit coverage. As noted in Table 1-1 , 33 states prohibit public payers from paying for abortions and other states have laws that either prohibit health insurance exchange plans (25 states) or private insurance plans (11 states) sold in the state from covering or paying for abortions, with few exceptions. 16 In the Guttmacher survey, only 14 percent of respondents had paid for the procedure using private insurance coverage, and despite the disproportionately high rate of poverty and low income among those who had had an abortion, only 22 percent reported that Medicaid was the method of payment for their abortion. In 2015, 39 percent of the 25 million women lived in households that earned less than 200 percent of the FPL in the United States were enrolled in Medicaid, and 36 percent had private insurance ( Ranji et al., 2017 ).

Number of Clinics Providing Abortion Care

As noted earlier, the vast majority of abortions are performed in nonhospital settings—either an abortion clinic (59 percent) or a clinic offering a variety of medical services (36 percent) ( Jones and Jerman, 2017a ) (see Figure 1-4 ). Although hospitals account for almost 40 percent of facilities offering abortion care, they provide less than 5 percent of abortions overall.

13 Calculation by the committee based on estimates from Annual Social and Economic Supplement (ASEC) to the Current Population Survey (CPS) .

14 Includes all nonwhite race and ethnicity categories in Table 1-2 . Data were collected via self-administered questionnaire ( Jones and Jerman, 2017b ).

15 Calculation by the committee based on estimates from Annual Social and Economic Supplement (ASEC) to the Current Population Survey (CPS) .

16 Some states have exceptions for pregnancies resulting from rape or incest, pregnancies that endanger the woman’s life or severely threaten her health, and in cases of fetal impairment.

The overall number of nonhospital facilities providing abortions—especially specialty abortion clinics—is declining. The greatest proportional decline is in states that have enacted abortion-specific regulations ( Jones and Jerman, 2017a ). In 2014, there were 272 abortion clinics in the United States, 17 percent fewer than in 2011. The greatest decline (26 percent) was among large clinics with annual caseloads of 1,000–4,999 patients and clinics in the Midwest (22 percent) and the South (13 percent). In 2014, approximately 39 percent of U.S. women aged 15 to 44 resided in a U.S. county without an abortion provider (90 percent of counties overall) ( Jones and Jerman, 2017a ). Twenty-five states have five or fewer abortion clinics; five states have one abortion clinic ( Jones and Jerman, 2017a ). A recent analysis 17 by Guttmacher evaluated geographic disparities in access to abortion by calculating the distance between women of reproductive age (15 to 44) and the nearest abortion-providing facility in 2014 ( Bearak et al., 2017 ). Figure 1-5 highlights the median distance to the nearest facility by county.

17 The analysis was limited to facilities that provided at least 400 abortions per year and those affiliated with Planned Parenthood that performed at least 1 abortion during the period of analysis.

The majority of facilities offer early medication and aspiration abortions. In 2014, 87 percent of nonhospital facilities provided early medication abortions; 23 percent of all nonhospital facilities offered this type of abortion ( Jones and Jerman, 2017a ). Fewer facilities offer later-gestation procedures, and availability decreases as gestation increases. In 2012, 95 percent of all abortion facilities offered abortions at 8 weeks’ gestation, 72 percent at 12 weeks’ gestation, 34 percent at 20 weeks’ gestation, and 16 percent at 24 weeks’ gestation ( Jerman and Jones, 2014 ).

STUDY APPROACH

Conceptual framework.

The committee’s approach to this study built on two foundational developments in the understanding and evaluation of the quality of health

care services: Donabedian’s (1980) structure-process-outcome framework and the IOM’s (2001) six dimensions of quality health care. Figure 1-6 illustrates the committee’s adaptation of these concepts for this study’s assessment of abortion care in the United States.

Structure-Process-Outcome Framework

In seminal work published almost 40 years ago, Donabedian (1980) proposed that the quality of health care be assessed by examining its structure, process, and outcomes ( Donabedian, 1980 ):

• Structure refers to organizational factors that may create the potential for good quality. In abortion care, such structural factors as the availability of trained staff and the characteristics of the clinical setting may ensure—or inhibit—the capacity for quality.
• Process refers to what is done to and for the patient. Its assessment assumes that the services patients receive should be evidence based and correlated with patients’ desired outcomes—for example, an early and complete abortion for women who wish to terminate an unintended pregnancy.
• Outcomes are the end results of care—the effects of the intervention on the health and well-being of the patient. Does the procedure achieve its objective? Does it lead to serious health risks in the short or long term?

Six Dimensions of Health Care Quality

The landmark IOM report Crossing the Quality Chasm: A New Health System for the 21st Century ( IOM, 2001 ) identifies six dimensions of health care quality—safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. The articulation of these six dimensions has guided public and private efforts to improve U.S. health care delivery at the local, state, and national levels since that report was published ( AHRQ, 2016 ).

In addition, as with other health care services, women should expect that the abortion care they receive meets well-established standards for objectivity, transparency, and scientific rigor ( IOM, 2011a , b ).

Two of the IOM’s six dimensions—safety and effectiveness—are particularly salient to the present study. Assessing both involves making relative judgments. There are no universally agreed-upon thresholds for defining care as “safe” versus “unsafe” or “effective” versus “not effective,” and decisions about safety and effectiveness have a great deal to do with the context of the clinical scenario. Thus, the committee’s frame of reference for evaluating safety, effectiveness, and other quality domains is of necessity a

relative one—one that entails not only comparing the alternative abortion methods but also comparing these methods with other health care services and with risks associated with not achieving the desired outcome.

Safety—avoiding injury to patients—is often assessed by measuring the incidence and severity of complications and other adverse events associated with receiving a specific procedure. If infrequent, a complication may be characterized as “rare”—a term that lacks consistent definition. In this report, “rare” is used to describe outcomes that affect fewer than 1 percent of patients. Complications are considered “serious” if they result in a blood transfusion, surgery, or hospitalization.

Note also that the term “effectiveness” is used differently in this report depending on the context. As noted in Box 1-3 , effectiveness as an attribute of quality refers to providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse, respectively). Elsewhere in this report, effectiveness denotes the clinical effectiveness of a procedure, that

is, the successful completion of an abortion without the need for a follow-up aspiration.

Finding and Assessing the Evidence

The committee deliberated during four in-person meetings and numerous teleconferences between January 2017 and December 2017. On March 24, 2017, the committee hosted a public workshop at the Keck Center of the National Academies of Sciences, Engineering, and Medicine in Washington, DC. The workshop included presentations from three speakers on topics related to facility standards and the safety of outpatient procedures. Appendix C contains the workshop agenda.

Several committee workgroups were formed to find and assess the quality of the available evidence and to draft summary materials for the full committee’s review. The workgroups conducted in-depth reviews of the epidemiology of abortions, including rates of complications and mortality, the safety and effectiveness of alternative abortion methods, professional standards and methods for performing all aspects of abortion care (as described in Figure 1-1 ), the short- and long-term physical and mental health effects of having an abortion; and the safety and quality implications of abortion-specific regulations on abortion.

The committee focused on finding reliable, scientific information reflecting contemporary U.S. abortion practices. An extensive body of research on abortion has been conducted outside the United States. A substantial proportion of this literature concerns the delivery of abortion care in countries where socioeconomic conditions, culture, population health, health care resources, and/or the health care system are markedly different from their U.S. counterparts. Studies from other countries were excluded from this review if the committee judged those factors to be relevant to the health outcomes being assessed.

The committee considered evidence from randomized controlled trials comparing two or more approaches to abortion care; systematic reviews; meta-analyses; retrospective cohort studies, case control studies, and other types of observational studies; and patient and provider surveys (see Box 1-4 ).

An extensive literature documents the biases common in published research on the effectiveness of health care services ( Altman et al., 2001 ; Glasziou et al., 2008 ; Hopewell et al., 2008 ; Ioannidis et al., 2004 ; IOM, 2011a , b ; Plint et al., 2006 ; Sackett, 1979 ; von Elm et al., 2007 ). Thus, the committee prioritized the available research according to conventional principles of evidence-based medicine intended to reduce the risk of bias in a study’s conclusions, such as how subjects were allocated to different types of abortion care, the comparability of study populations, controls

for confounding factors, how outcome assessments were conducted, the completeness of outcome reporting, the representativeness of the study population compared with the general U.S. population, and the degree to which statistical analyses helped reduce bias ( IOM, 2011b ). Applying these principles is particularly important with respect to understanding abortion’s

long-term health effects, an area in which the relevant literature is vulnerable to bias (as discussed in Chapter 4 ).

The committee’s literature search strategy is described in Appendix D .

ORGANIZATION OF THE REPORT

Chapter 2 of this report describes the continuum of abortion care including current abortion methods (question 1 in the committee’s statement of task [ Box 1-1 ]); reviews the evidence on factors affecting their safety and quality, including expected side effects and possible complications (questions 2 and 3), necessary safeguards to manage medical emergencies (question 6), and provision of pain management (question 7); and presents the evidence on the types of facilities or facility factors necessary to provide safe and effective abortion care (question 4).

Chapter 3 summarizes the clinical skills that are integral to safe and high-quality abortion care according to the recommendations of leading national professional organizations and abortion training curricula (question 5).

Chapter 4 reviews research examining the long-term health effects of undergoing an abortion (question 2).

Finally, Chapter 5 presents the committee’s conclusions regarding the findings presented in the previous chapters, responding to each of the questions posed in the statement of task. Findings are statements of scientific evidence. The report’s conclusions are the committee’s inferences, interpretations, or generalizations drawn from the evidence.

ACNM (American College of Nurse-Midwives). 2011. Position statement: Reproductive health choices . http://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000087/Reproductive_Choices.pdf (accessed August 1, 2017).

ACNM. 2016. Position statement: Access to comprehensive sexual and reproductive health care services . http://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000087/Access-to-Comprehensive-Sexual-and-Reproductive-Health-Care-Services-FINAL-04-12-17.pdf (accessed August 1, 2017).

ACOG (American College of Obstetricians and Gynecologists). 2013. Practice Bulletin No. 135: Second-trimester abortion. Obstetrics & Gynecology 121(6):1394–1406.

ACOG. 2014. Practice Bulletin No. 143: Medical management of first-trimester abortion (reaffirmed). Obstetrics & Gynecology 123(3):676–692.

AHRQ (Agency for Healthcare Research and Quality). 2016. The six domains of health care quality. https://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html (accessed May 3, 2017).

Altman, D. G., K. F. Schulz, D. Moher, M. Egger, F. Davidoff, D. Elbourne, P. C. Gøtzsche, and T. Lang. 2001. The revised CONSORT statement for reporting randomized trials: Explanation and elaboration. Annals of Internal Medicine 134(8):663–694.

Ashok, P. W., A. Templeton, P. T. Wagaarachchi, and G. M. Flett. 2004. Midtrimester medical termination of pregnancy: A review of 1002 consecutive cases. Contraception 69(1):51–58.

Autry, A. M., E. C. Hayes, G. F. Jacobson, and R. S. Kirby. 2002. A comparison of medical induction and dilation and evacuation for second-trimester abortion. American Journal of Obstetrics and Gynecology 187(2):393–397.

Bartlett, L. A., C. J. Berg, H. B. Shulman, S. B. Zane, C. A. Green, S. Whitehead, and H. K. Atrash. 2004. Risk factors for legal induced abortion-related mortality in the United States. Obstetrics & Gynecology 103(4):729–737.

Bearak, J. M., K. L. Burke, and R. K. Jones. 2017. Disparities and change over time in distance women would need to travel to have an abortion in the USA: A spatial analysis. The Lancet Public Health 2(11):e493–e500.

Borgatta, L. 2011. Labor induction termination of pregnancy. Global library for women’s medicine . https://www.glowm.com/section_view/heading/Labor%20Induction%20Termination%20of%20Pregnancy/item/443 (accessed September 13, 2017).

Borkowski, L., J. Strasser, A. Allina, and S. Wood. 2015. Medication abortion. Overview of research & policy in the United States . http://publichealth.gwu.edu/sites/default/files/Medication_Abortion_white_paper.pdf (accessed January 25, 2017).

Bracken, M. B., D. H. Freeman, Jr., and K. Hellenbrand. 1982. Hospitalization for medical-legal and other abortions in the United States 1970–1977. American Journal of Public Health 72(1):30–37.

Bryant, A. G., D. A. Grimes, J. M. Garrett, and G. S. Stuart. 2011. Second-trimester abortion for fetal anomalies or fetal death: Labor induction compared with dilation and evacuation. Obstetrics & Gynecology 117(4):788–792.

Cates, Jr., W., K. F. Schulz, D. A. Grimes, A. J. Horowitz, F. A. Lyon, F. H. Kravitz, and M. J. Frisch. 1982. Dilatation and evacuation procedures and second-trimester abortions. The role of physician skill and hospital setting. Journal of the American medical Association 248(5):559–563.

Cates, Jr., W., D. A. Grimes, and K. F. Schulz. 2000. Abortion surveillance at CDC: Creating public health light out of political heat. American Journal of Preventive Medicine 19(1, Suppl. 1):12–17.

CDC (Centers for Disease Control and Prevention). 1983. Surveillance summary abortion surveillance: Preliminary analysis, 1979–1980—United States. MMWR Weekly 32(5): 62–64. https://www.cdc.gov/mmwr/preview/mmwrhtml/00001243.htm (accessed September 18, 2017).

CDC. 2017. CDC’s abortion surveillance system FAQs . https://www.cdc.gov/reproductivehealth/data_stats/abortion.htm (accessed June 22, 2017).

Chen, M. J., and M. D. Creinin. 2015. Mifepristone with buccal misoprostol for medical abortion: A systematic review. Obstetrics & Gynecology 126(1):12–21.

Cleland, K., M. D. Creinin, D. Nucatola, M. Nshom, and J. Trussell. 2013. Significant adverse events and outcomes after medical abortion. Obstetrics & Gynecology 121(1):166–171.

Costescu, D., E. Guilbert, J. Bernardin, A. Black, S. Dunn, B. Fitzsimmons, W. V. Norman, H. Pymar, J. Soon, K. Trouton, M. S. Wagner, and E. Wiebe. 2016. Medical abortion. Journal of Obstetrics and Gynaecology Canada 38(4):366–389.

Donabedian, A. 1980. The definition of quality and approaches to its assessment. In Explorations in quality assessment and monitoring. Vol. 1. Ann Arbor, MI: Health Administration Press.

Edelman, D. A., W. E. Brenner, and G. S. Berger. 1974. The effectiveness and complications of abortion by dilatation and vacuum aspiration versus dilatation and rigid metal curettage. American Journal of Obstetrics and Gynecology 119(4):473–480.

Elam-Evans, L. D., L. T. Strauss, J. Herndon, W. Y. Parker, S. V. Bowens, S. Zane, and C. J. Berg. 2003. Abortion surveillance—United States, 2000. MMWR Surveillance Summaries 52(SS-12):1–32. https://www.cdc.gov/mmwr/preview/mmwrhtml/ss5212a1.htm (accessed September 18, 2017).

FDA (U.S. Food and Drug Administration). 2016. MIFEPREX ® : Highligh ts of prescribing information. https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/020687s020lbl.pdf (accessed September 11, 2017).

Finer, L. B., and S. K. Henshaw. 2003. Abortion incidence and services in the United States in 2000. Perspectives on Sexual and Reproductive Health 35(1):6–15.

Finer, L. B., and S. K. Henshaw. 2006. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health 38(2):90–96.

Finer, L. B., and M. R. Zolna. 2016. Declines in unintended pregnancy in the United States, 2008–2011. New England Journal of Medicine 374(9):843–852.

Finer, L. B., L. F. Frohwirth, L. A. Dauphinee, S. Singh, and A. M. Moore. 2006. Timing of steps and reasons for delays in obtaining abortions in the United States. Contraception 74(4):334–344.

Frick, A. C., E. A. Drey, J. T. Diedrich, and J. E. Steinauer. 2010. Effect of prior cesarean delivery on risk of second-trimester surgical abortion complications. Obstetrics & Gynecology 115(4):760–764.

Gary, M. M., and D. J. Harrison. 2006. Analysis of severe adverse events related to the use of mifepristone as an abortifacient. Annals of Pharmacotherapy 40(2):191–197.

Glasziou, P., E. Meats, C. Heneghan, and S. Shepperd. 2008. What is missing from descriptions of treatment in trials and reviews? British Medical Journal 336(7659):1472–1474.

Grimes, D. A., and G. Stuart. 2010. Abortion jabberwocky: The need for better terminology. Contraception 81(2):93–96.

Grimes, D. A., S. M. Smith, and A. D. Witham. 2004. Mifepristone and misoprostol versus dilation and evacuation for midtrimester abortion: A pilot randomised controlled trial. British Journal of Obstetrics & Gynaecology 111(2):148–153.

Grossman, D., K. Blanchard, and P. Blumenthal. 2008. Complications after second trimester surgical and medical abortion. Reproductive Health Matters 16(31 Suppl.):173–182.

Grossman, D., K. Grindlay, T. Buchacker, K. Lane, and K. Blanchard. 2011. Effectiveness and acceptability of medical abortion provided through telemedicine. Obstetrics & Gynecology 118(2 Pt. 1):296–303.

Guttmacher Institute. 2017a. Fact sheet: Induced abortion in the United States. https://www.guttmacher.org/fact-sheet/induced-abortion-united-states (accessed November 10, 2017).

Guttmacher Institute. 2017b. Bans on specific abortion methods used after the first trimester. https://www.guttmacher.org/state-policy/explore/bans-specific-abortion-methods-used-after-first-trimester (accessed September 12, 2017).

Guttmacher Institute. 2017c. Counseling and waiting periods for abortion. https://www.guttmacher.org/state-policy/explore/counseling-and-waiting-periods-abortion (accessed September 12, 2017).

Guttmacher Institute. 2017d. Medication abortion. https://www.guttmacher.org/state-policy/explore/medication-abortion (accessed September 12, 2017).

Guttmacher Institute. 2017e. An overview of abortion laws. https://www.guttmacher.org/state-policy/explore/overview-abortion-laws (accessed September 12, 2017).

Guttmacher Institute. 2017f. Requirements for ultrasound. https://www.guttmacher.org/state-policy/explore/requirements-ultrasound (accessed September 12, 2017).

Guttmacher Institute. 2017g. State funding of abortion under Medicaid. https://www.guttmacher.org/state-policy/explore/state-funding-abortion-under-medicaid (accessed September 12, 2017).

Guttmacher Institute. 2017h. State policies on later abortions. https://www.guttmacher.org/state-policy/explore/state-policies-later-abortions (accessed September 12, 2017).

Guttmacher Institute. 2017i. Targeted regulation of abortion providers. https://www.guttmacher.org/state-policy/explore/targeted-regulation-abortion-providers (accessed September 12, 2017).

Guttmacher Institute. 2018a. Abortion reporting requirements. https://www.guttmacher.org/state-policy/explore/abortion-reporting-requirements (accessed January 22, 2018).

Guttmacher Institute. 2018b. Restricting insurance coverage of abortion. https://www.guttmacher.org/state-policy/explore/restricting-insurance-coverage-abortion (accessed January 24, 2018).

Hopewell, S., M. Clarke, D. Moher, E. Wager, P. Middleton, D. G. Altman, K. F. Schulz, and the CONSORT Group. 2008. CONSORT for reporting randomized controlled trials in journal and conference abstracts: Explanation and elaboration. PLoS Medicine 5(1):e20.

Ioannidis, J. P., S. J. Evans, P. C. Gøtzsche, R. T. O’Neill, D. G. Altman, K. Schulz, D. Moher, and the CONSORT Group. 2004. Better reporting of harms in randomized trials: An extension of the CONSORT statement. Annals of Internal Medicine 141(10):781–788.

IOM (Institute of Medicine). 1975. Legalized abortion and the public health . Washington, DC: National Academy Press.

IOM. 2001. Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

IOM. 2011a. Clinical practice guidelines we can trust. Washington, DC: The National Academies Press.

IOM. 2011b. Finding what works in health care: Standards for systematic reviews. Washington, DC: The National Academies Press.

Ireland, L. D., M. Gatter, and A. Y. Chen. 2015. Medical compared with surgical abortion for effective pregnancy termination in the first trimester. Obstetrics & Gynecology 126(1):22–28.

Jatlaoui, T. C., A. Ewing, M. G. Mandel, K. B. Simmons, D. B. Suchdev, D. J. Jamieson, and K. Pazol. 2016. Abortion surveillance—United States, 2013. MMWR Surveillance Summaries 65(No. SS-12):1–44.

Jerman, J., and R. K. Jones. 2014. Secondary measures of access to abortion services in the United States, 2011 and 2012: Gestational age limits, cost, and harassment. Women’s Health Issues 24(4): e419–e424.

Jerman J., R. K. Jones, and T. Onda. 2016. Characteristics of U.S. abortion patients in 2014 and changes since 2008 . https://www.guttmacher.org/sites/default/files/report_pdf/characteristics-us-abortion-patients-2014.pdf (accessed October 17, 2016).

Jerman, J., L. Frohwirth, M. L. Kavanaugh, and N. Blades. 2017. Barriers to abortion care and their consequences for patients traveling for services: Qualitative findings from two states. Perspectives on Sexual and Reproductive Health 49(2):95–102.

Jones, R. K., and H. D. Boonstra. 2016. The public health implications of the FDA update to the medication abortion label. New York: Guttmacher Institute. https://www.guttmacher.org/article/2016/06/public-health-implications-fda-update-medication-abortion-label (accessed October 27, 2017).

Jones, R. K., and J. Jerman. 2017a. Abortion incidence and service availability in the United States, 2014. Perspectives on Sexual and Reproductive Health 49(1):1–11.

Jones, R. K., and J. Jerman. 2017b. Characteristics and circumstances of U.S. women who obtain very early and second trimester abortions. PLoS One 12(1):e0169969.

Jones, R. K., and M. L. Kavanaugh. 2011. Changes in abortion rates between 2000 and 2008 and lifetime incidence of abortion. Obstetrics & Gynecology 117(6):1358–1366.

Jones, R. K., L. B. Finer, and S. Singh. 2010. Characteristics of U.S. abortion patients, 2008. New York: Guttmacher Institute.

Kahn, J. B., J. P. Bourne, J. D. Asher, and C. W. Tyler. 1971. Technical reports: Surveillance of abortions in hospitals in the United States, 1970. HSMHA Health Reports 86(5):423–430.

Kelly, T., J. Suddes, D. Howel, J. Hewison, and S. Robson. 2010. Comparing medical versus surgical termination of pregnancy at 13–20 weeks of gestation: A randomised controlled trial. British Journal of Obstetrics & Gynaecology 117(12): 1512–1520.

Koonin, L. M., and J. C. Smith. 1993. Abortion surveillance—United States, 1990. MMWR Surveillance Summaries 42(SS-6):29–57. https://www.cdc.gov/mmwr/preview/mmwrhtml/00031585.htm (accessed September 18, 2017).

Kost, K. 2015. Unintended pregnancy rates at the state level: Estimates for 2010 and trends since 2002. New York: Guttmacher Institute.

Kulier, R., N. Kapp, A. M. Gulmezoglu, G. J. Hofmeyr, L. Cheng, and A. Campana. 2011. Medical methods for first trimester abortion. The Cochrane Database of Systematic Reviews (11):CD002855.

Lawson, H. W., H. K. Atrash, A. F. Saftlas, L. M. Koonin, M. Ramick, and J. C. Smith. 1989. Abortion surveillance, United States, 1984–1985. MMWR Surveillance Summaries 38(SS-2):11–15. https://www.cdc.gov/Mmwr/preview/mmwrhtml/00001467.htm (accessed September 18, 2017).

Lean, T. H., D. Vengadasalam, S. Pachauri, and E. R. Miller. 1976. A comparison of D & C and vacuum aspiration for performing first trimester abortion. International Journal of Gynecology and Obstetrics 14(6):481–486.

Lichtenberg, E. S., and M. Paul. 2013. Surgical abortion prior to 7 weeks of gestation. Contraception 88(1):7–17.

Lohr, A. P., J. L. Hayes, and K. Gemzell Danielsson. 2008. Surgical versus medical methods for second trimester induced abortion. Cochrane Database of Systematic Reviews (1):CD006714.

Low, N., M. Mueller, H. A. Van Vliet, and N. Kapp. 2012. Perioperative antibiotics to prevent infection after first-trimester abortion. Cochrane Database of Systematic Reviews (3):CD005217.

Mauelshagen, A., L. C. Sadler, H. Roberts, M. Harilall, and C. M. Farquhar. 2009. Audit of short term outcomes of surgical and medical second trimester termination of pregnancy. Reproductive Health 6(1):16.

NAF (National Abortion Federation). 2017. 2017 Clinical policy guidelines for abortion care . Washington, DC: NAF.

Nash, E., R. B. Gold, L. Mohammed, O. Cappello, and Z. Ansari-Thomas. 2017. Laws affecting reproductive health and rights: State policy trends at midyear, 2017 . Washington, DC: Guttmacher Institute. https://www.guttmacher.org/article/2017/07/laws-affecting-reproductive-health-and-rights-state-policy-trends-midyear-2017 (accessed September 21, 2017).

Ngoc, N. T., T. Shochet, S. Raghavan, J. Blum, N. T. Nga, N. T. Minh, V. Q. Phan, B. Winikoff. 2011. Mifepristone and misoprostol compared with misoprostol alone for second-trimester abortion: A randomized controlled trial. Obstetrics & Gynecology 118(3):601–608.

Ohannessian, A., K. Baumstarck, J. Maruani, E. Cohen-Solal, P. Auquier, and A. Agostini. 2016. Mifepristone and misoprostol for cervical ripening in surgical abortion between 12 and 14 weeks of gestation: A randomized controlled trial. European Journal of Obstetrics & Gynecology and Reproductive Biology 201:151–155.

Pazol, K., A. A. Creanga, and S. B. Zane. 2012. Trends in use of medical abortion in the United States: Reanalysis of surveillance data from the Centers for Disease Control and Prevention, 2001–2008. Contraception 86(6):746–751.

Pazol, K., A. A. Creanga, and D. J. Jamieson. 2015. Abortion surveillance—United States, 2012. Morbidity and Mortality Weekly Report 64(SS-10):1–40.

Peterson, W. F., F. N. Berry, M. R. Grace, and C. L. Gulbranson. 1983. Second-trimester abortion by dilatation and evacuation: An analysis of 11,747 cases. Obstetrics & Gynecology 62(2):185–190.

Plint, A. C., D. Moher, A. Morrison, K. Schulz, D. G. Altman, C. Hill, and I. Gaboury. 2006. Does the CONSORT checklist improve the quality of reports of randomised controlled trials? A systematic review. Medical Journal of Australia 185(5):263–267.

Ranji, U., A. Salganicoff, L. Sobel, C. Rosenzweig, and I. Gomez. 2017. Financing family planning services for low-income women: The role of public programs. https://www.kff.org/womens-health-policy/issue-brief/financing-family-planning-services-for-low-income-women-the-role-of-public-programs (accessed September 9, 2017).

Raymond, E. G., C. Shannon, M. A. Weaver, and B. Winikoff. 2013. First-trimester medical abortion with mifepristone 200 mg and misoprostol: A systematic review. Contraception 87(1):26–37.

RCOG (Royal College of Obstetricians and Gynaecologists). 2011. The care of women requesting induced abortion (Evidence-based clinical guideline number 7). London, UK: RCOG Press. https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf (accessed July 27, 2017).

RCOG. 2015. Best practice in comprehensive abortion care (Best practice paper no. 2). London, UK: RCOG Press. https://www.rcog.org.uk/globalassets/documents/guidelines/best-practice-papers/best-practice-paper-2.pdf (accessed September 11, 2017).

Roblin, P. 2014. Vacuum aspiration. In Abortion care, edited by S. Rowlands. Cambridge, UK: Cambridge University Press.

Sackett, D. L. 1979. Bias in analytic research. Journal of Chronic Diseases 32(1–2):51–63.

Sonalkar, S., S. N. Ogden, L. K. Tran, and A. Y. Chen. 2017. Comparison of complications associated with induction by misoprostol versus dilation and evacuation for second-trimester abortion. International Journal of Gynaecology & Obstetrics 138(3):272–275.

Strauss, L. T., S. B. Gamble, W. Y. Parker, D. A. Cook, S. B. Zane, and S. Hamdan. 2007. Abortion surveillance—United States, 2004. MMWR Surveillance Summaries 56 (SS-12):1–33.

Upadhyay, U. D., S. Desai, V. Zlidar, T. A. Weitz, D. Grossman, P. Anderson, and D. Taylor. 2015. Incidence of emergency department visits and complications after abortion. Obstetrics & Gynecology 125(1):175–183.

von Elm, E., D. G. Altman, M. Egger, S. J. Pocock, P. C. Gøtzsche, and J. P. Vandenbrouke. 2007. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. PLoS Medicine 4(10):e296.

White, K., E. Carroll, and D. Grossman. 2015. Complications from first-trimester aspiration abortion: A systematic review of the literature. Contraception 92(5):422–438.

WHO (World Health Organization). 2012. Safe abortion: Technical and policy guidance for health systems (Second edition). http://apps.who.int/iris/bitstream/10665/70914/1/9789241548434_eng.pdf (accessed September 12, 2017).

WHO. 2014. Clinical practice handbook for safe abortion. Geneva, Switzerland: WHO Press. http://apps.who.int/iris/bitstream/10665/97415/1/9789241548717_eng.pdf?ua=1&ua=1 (accessed November 15, 2016).

Wildschut, H., M. I. Both, S. Medema, E. Thomee, M. F. Wildhagen, and N. Kapp. 2011. Medical methods for mid-trimester termination of pregnancy. The Cochrane Database of Systematic Reviews (1):Cd005216.

Woodcock, J. 2016. Letter from the director of the FDA Center for Drug Evaluation and Research to Donna Harrison, Gene Rudd, and Penny Young Nance. Re: Docket No. FDA-2002-P-0364. Silver Spring, MD: FDA.

Zane, S., A. A. Creanga, C. J. Berg, K. Pazol, D. B. Suchdev, D. J. Jamieson, and W. M. Callaghan. 2015. Abortion-related mortality in the United States: 1998–2010. Obstetrics & Gynecology 126(2):258–265.

Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed.

The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.

READ FREE ONLINE

Welcome to OpenBook!

You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

Do you want to take a quick tour of the OpenBook's features?

Show this book's table of contents , where you can jump to any chapter by name.

...or use these buttons to go back to the previous chapter or skip to the next one.

Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

Switch between the Original Pages , where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

To search the entire text of this book, type in your search term here and press Enter .

Share a link to this book page on your preferred social network or via email.

View our suggested citation for this chapter.

Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

Get Email Updates

Do you enjoy reading reports from the Academies online for free ? Sign up for email notifications and we'll let you know about new publications in your areas of interest when they're released.

• Dissertation
• PowerPoint Presentation
• Book Report/Review
• Research Proposal
• Math Problems
• Proofreading
• Movie Review
• Cover Letter Writing
• Personal Statement
• Nursing Paper
• Argumentative Essay
• Research Paper
• Discussion Board Post

How To Write A Persuasive Essay On Abortion?

Table of Contents

Both sides of the discussion provide solid arguments, and both ideas have legs. And this makes the subject matter of abortion one of the best topics for persuasive essay .

The basics of a persuasive essay on abortion

The dictionaries define abortion as the termination of a pregnancy by removing embryo or fetus from the uterus before the end of its term. Miscarriage also falls under this description, however, when we talk about abortion, the first thing that comes to mind is the intended abolition of the unwanted pregnancy.

It is a tough topic for discussion, as the audience, on the whole, has an opinion concerning it already. The main task of the persuasive essay is to argue the audience into your point of view, but how on earth you can persuade a person who has developed an opinion based on personal experience?

Or how you can convince a devout believer of the truth of your words if you write about the necessity of legalization of abortions?

As you can see, the assignment is incredibly challenging, yet, not impossible. Teachers conceive this topic as one of the best ways to evaluate your ability to ram an argument home, so you will have to make every possible effort when writing this paper.

This subject matter deals with philosophical, religious, moral, medical, and ethical points. Thus, in order to create a compelling text, you will have to address all these aspects.

Core aspects of great abortion thesis statements

Abortion thesis statements are the quintessence of the papers so, usually, writers create them after thorough research of the issue and when the direction of the thought is already defined.

You can consider it as a very condensed outline as after reading a single thesis sentence, the reader can clearly see what you discuss in the text.

Thus, sometimes, the best time to write it is when the rough draft of the paper is almost ready.

Several steps should be taken to create a well-rounded thesis statement:

• Profound research of the subject matter.
• Time for crafting the best thesis .
• Search for a sufficient amount of facts that support the main idea.
• Check if your thesis is aligned with the rest of the text .

Here are some examples of thesis statements for a paper on abortion. You can use them as a source of inspiration for your own paper or as an example of how a great thesis should look like.

• The dangers and consequences of the backstreet abortions that can lead to woman’s death make legalization of abortions indispensable to life.
• The religious aspect is the only reason why people conceive abortion as a pro-choice and not a pro-life decision.
• As soon as the consensus on whether a developing embryo is equated with human life is reached, all the debates over the moral and legal aspects of abortion will be over.
• Psychological and physiological disorders that an unwanted pregnancy can cause justify the legalization of abortions.

The arguments for the persuasive essay on abortion is wrong

You can operate these arguments in a persuasive essay on abortion should be illegal:

• The medical procedure is a risky one. The possible immediate and long-term consequences are sterility, heavy bleeding, damage of the cervix or womb.
• Abortion is an irretrievable action so a woman can lament till her dying days. That may result in the clinical depression with gloomy implications up to suicide.
• Abortion increases the chances of contracting breast cancer.
• A woman who does not want to raise a child can give it up for adoption as many couples cannot have children for some reasons.
• For most cases, the unwanted pregnancy is the result of neglect of the contraceptives. Why should unborn children suffer because of the irresponsibility of a woman?
• Baby feels pain during the abortion, especially during the partial-birth abortion.
• There are no religions that justify abortion.
• Each and every life is valuable. But abortion values human’s life next to nothing.

Tip: When you write a persuasive essay on abortion pro-life, try to operate facts, not thoughts. Thus, you will sound more convincing.

How to support a persuasive essay on abortion pro-choice?

• The complications of pregnancy can have the same or even worse consequences rather than abortion.
• Abortion is justified if the fetus is diagnosed with heavy genetic defects.
• If parents are mentally disabled or carry severe heritable diseases, and it is possible to say for sure that the embryo is a carrier of a disease too, abortion has to be legal.
• The pregnancy as the result of a rape.
• There is still no agreement concerning the balance of a fetus and a person, so it is improper to apply laws and ethical standards to a developing life as to a human.

These arguments may help you make a persuasive essay on why abortion should be legal more convincing.

Still, do not forget that it is essential to add an argument with an opposite point of view to your text and then confute it.

How to create a neutral argument for a paper on abortion?

It may seem that such a burning issue can have only two points of view: pro or against. However, it is possible to write a neutral, unbiased, and still persuasive paper that will argue others into your point of view.

Such arguments are based on the facts and logic, they do not plead for sympathy or demand carriage of feminist postulates or the right for private life, etc.

These are the arguments that search for a sound compromise. For example:

• If the pregnancy endangers the woman’s life, abortion is acceptable.
• Abortion is acceptable if a fetus has a terminal sickness.

On balance…

We hope that this article helped you to figure out how such papers should be written so you won’t be scared by persuasive essay topics on abortion anymore. Once you’ve chosen the direction of thoughts, nothing will prevent you from creating a top-notch paper!

Don’t feel like being inspired by the topic of abortion? Luckily, we have trained pro’s here, who can do both, cope with any kind of essay… and fit into the deadline. Hit the button to learn more!

Structuring of an argumentative essay on euthanasia

Best Tips on How to Write a Descriptive Essay

HOW TO PREPARE AN ANNOTATED BIBLIOGRAPHY

Persuasive Essay Guide

Persuasive Essay About Abortion

Crafting a Convincing Persuasive Essay About Abortion

People also read

A Comprehensive Guide to Writing an Effective Persuasive Essay

200+ Persuasive Essay Topics to Help You Out

Learn How to Create a Persuasive Essay Outline

30+ Free Persuasive Essay Examples To Get You Started

Read Excellent Examples of Persuasive Essay About Gun Control

How to Write a Persuasive Essay About Covid19 | Examples & Tips

Learn to Write Persuasive Essay About Business With Examples and Tips

Check Out 12 Persuasive Essay About Online Education Examples

Persuasive Essay About Smoking - Making a Powerful Argument with Examples

Are you about to write a persuasive essay on abortion but wondering how to begin?

Writing an effective persuasive essay on the topic of abortion can be a difficult task for many students. 

It is important to understand both sides of the issue and form an argument based on facts and logical reasoning. This requires research and understanding, which takes time and effort.

In this blog, we will provide you with some easy steps to craft a persuasive essay about abortion that is compelling and convincing. Moreover, we have included some example essays and interesting facts to read and get inspired by. 

So let's start!

• 1. How To Write a Persuasive Essay About Abortion?
• 2. Persuasive Essay About Abortion Examples
• 3. Examples of Argumentative Essay About Abortion
• 4. Abortion Persuasive Essay Topics
• 5. Facts About Abortion You Need to Know

How To Write a Persuasive Essay About Abortion?

Abortion is a controversial topic, with people having differing points of view and opinions on the matter. There are those who oppose abortion, while some people endorse pro-choice arguments. 

It is also an emotionally charged subject, so you need to be extra careful when crafting your persuasive essay .

Before you start writing your persuasive essay, you need to understand the following steps.

Step 1: Choose Your Position

The first step to writing a persuasive essay on abortion is to decide your position. Do you support the practice or are you against it? You need to make sure that you have a clear opinion before you begin writing. 

Once you have decided, research and find evidence that supports your position. This will help strengthen your argument. 

Check out the video below to get more insights into this topic:

Step 2: Choose Your Audience

The next step is to decide who your audience will be. Will you write for pro-life or pro-choice individuals? Or both? 

Knowing who you are writing for will guide your writing and help you include the most relevant facts and information.

Paper Due? Why Suffer? That's our Job!

Step 3: Define Your Argument

Now that you have chosen your position and audience, it is time to craft your argument. 

Start by defining what you believe and why, making sure to use evidence to support your claims. You also need to consider the opposing arguments and come up with counter arguments. This helps make your essay more balanced and convincing.

Step 4: Format Your Essay

Once you have the argument ready, it is time to craft your persuasive essay. Follow a standard format for the essay, with an introduction, body paragraphs, and conclusion. 

Make sure that each paragraph is organized and flows smoothly. Use clear and concise language, getting straight to the point.

Step 5: Proofread and Edit

The last step in writing your persuasive essay is to make sure that you proofread and edit it carefully. Look for spelling, grammar, punctuation, or factual errors and correct them. This will help make your essay more professional and convincing.

These are the steps you need to follow when writing a persuasive essay on abortion. It is a good idea to read some examples before you start so you can know how they should be written.

Continue reading to find helpful examples.

Persuasive Essay About Abortion Examples

To help you get started, here are some example persuasive essays on abortion that may be useful for your own paper.

Short Persuasive Essay About Abortion

Persuasive Essay About No To Abortion

What Is Abortion? - Essay Example

Persuasive Speech on Abortion

Legal Abortion Persuasive Essay

Persuasive Essay About Abortion in the Philippines

Persuasive Essay about legalizing abortion

You can also read m ore persuasive essay examples to imp rove your persuasive skills.

Examples of Argumentative Essay About Abortion

An argumentative essay is a type of essay that presents both sides of an argument. These essays rely heavily on logic and evidence.

Here are some examples of argumentative essay with introduction, body and conclusion that you can use as a reference in writing your own argumentative essay. 

Abortion Persuasive Essay Introduction

Argumentative Essay About Abortion Conclusion

Argumentative Essay About Abortion Pdf

Argumentative Essay About Abortion in the Philippines

Argumentative Essay About Abortion - Introduction

Abortion Persuasive Essay Topics

If you are looking for some topics to write your persuasive essay on abortion, here are some examples:

• Should abortion be legal in the United States?
• Is it ethical to perform abortions, considering its pros and cons?
• What should be done to reduce the number of unwanted pregnancies that lead to abortions?
• Is there a connection between abortion and psychological trauma?
• What are the ethical implications of abortion on demand?
• How has the debate over abortion changed over time?
• Should there be legal restrictions on late-term abortions?
• Does gender play a role in how people view abortion rights?
• Is it possible to reduce poverty and unwanted pregnancies through better sex education?
• How is the anti-abortion point of view affected by religious beliefs and values? 

These are just some of the potential topics that you can use for your persuasive essay on abortion. Think carefully about the topic you want to write about and make sure it is something that interests you. 

Check out m ore persuasive essay topics that will help you explore other things that you can write about!

Tough Essay Due? Hire Tough Writers!

Facts About Abortion You Need to Know

Here are some facts about abortion that will help you formulate better arguments.

• According to the Guttmacher Institute , 1 in 4 pregnancies end in abortion.
• The majority of abortions are performed in the first trimester.
• Abortion is one of the safest medical procedures, with less than a 0.5% risk of major complications.
• In the United States, 14 states have laws that restrict or ban most forms of abortion after 20 weeks gestation.
• Seven out of 198 nations allow elective abortions after 20 weeks of pregnancy.
• In places where abortion is illegal, more women die during childbirth and due to complications resulting from pregnancy.
• A majority of pregnant women who opt for abortions do so for financial and social reasons.
• According to estimates, 56 million abortions occur annually.

In conclusion, these are some of the examples, steps, and topics that you can use to write a persuasive essay. Make sure to do your research thoroughly and back up your arguments with evidence. This will make your essay more professional and convincing. 

Need the services of a persuasive essay writing service ? We've got your back!

MyPerfectWords.com that provides help to students in the form of professionally written essays. Our persuasive essay writer can craft quality persuasive essays on any topic, including abortion. 

So, just ask our experts ' do my essay ' and get professional help.

Frequently Asked Questions

What should i talk about in an essay about abortion.

When writing an essay about abortion, it is important to cover all the aspects of the subject. This includes discussing both sides of the argument, providing facts and evidence to support your claims, and exploring potential solutions.

What is a good argument for abortion?

A good argument for abortion could be that it is a woman’s choice to choose whether or not to have an abortion. It is also important to consider the potential risks of carrying a pregnancy to term.

Write Essay Within 60 Seconds!

Caleb S. has been providing writing services for over five years and has a Masters degree from Oxford University. He is an expert in his craft and takes great pride in helping students achieve their academic goals. Caleb is a dedicated professional who always puts his clients first.

Paper Due? Why Suffer? That’s our Job!

Keep reading