Between 2008 and 2014, the abortion rate declined from 19.4 to 14.6 in 1000 women aged 15-44 years,  with the Centers for Disease Control and Prevention reporting its lowest number of abortions in 2014.  Although the overall abortion rate has declined, this is not seen across all population groups, with higher rates of unintended pregnancy and abortion in disadvantaged groups.   This disparity suggests there is limited access to contraception for some women and adolescents, and points to the importance of addressing birth control with all patients at risk for unintended pregnancy.
Johns Hopkins University
AB has received research funding from Bayer and NICHD through Johns Hopkins University.
Dr Anne Burke would like to gratefully acknowledge Dr Ruth Lesnewski, a previous contributor to this topic.
Associate Professor of Family and Community Medicine
Associate Professor of Obstetrics and Gynecology
Family Medicine Department
University of New Mexico
LL declares that he has no competing interests.
Assistant Clinical Professor
UCSF and UCD
SG has served as an Implanon training specialist for Organon Inc.
Consultant in Sexual and Reproductive Health
Lewisham Primary Care Trust
Waldron Health Centre
LB was a member of the group that produced the 2006 Faculty of Sexual and Reproductive Health guidance on the management of women with vaginal discharge presenting in non-GU setting.
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