Original research article| Volume 85, ISSUE 6, P544-551, June 2012

Who has second-trimester abortions in the United States?



      Little is known about the characteristics of second-trimester abortion patients.

      Study Design

      Data come from a national sample of 9493 women obtaining abortions in 2008. Chi-square statistics and logistic regression were used to examine demographic characteristics of women having abortions at 13 or more weeks since last menstrual period (LMP) and women having abortions at 13���15 weeks LMP compared to 16+ weeks LMP.


      In 2008, 10.3% of abortions in the United States were 13 weeks LMP or later, including 4.0% at 16+ weeks. Groups most likely to have abortions at 13 weeks or later included black women, women with less education, those using health insurance to pay for the procedure and those who had experienced three or more disruptive events in the last year. Groups more likely to have an abortion at 16 weeks or later included black women, higher income women and those paying with health insurance.


      Black women and those with less education would most benefit from increased availability of first-trimester abortion services.


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        • Pazol K.
        • Gamble S.B.
        • Parker W.Y.
        • Cook D.A.
        • Zane S.B.
        • Hamdan S.
        Abortion surveillance - United States, 2006.
        MMWR Surveill Summ. 2009; 58: 1-35
        • Jones R.K.
        • Kooistra K.
        Abortion incidence and access to services in the United States, 2008.
        Perspect Sex Reprod Health. 2011; 43: 41-50
        • Bartlett L.A.
        • Berg C.J.
        • Shulman H.B.
        • et al.
        Risk factors for legal induced abortion - related mortality in the United States.
        Obstet Gynecol. 2004; 103: 729-737
        • Jones R.K.
        • Moore A.M.
        • Frohwirth L.F.
        Perceptions of male knowledge and support among U.S. women obtaining abortions.
        Wom Health Iss. 2011; 21: 117-123
        • Jones R.K.
        How commonly do US abortion patients report attempts to self-induce?.
        Am J Obstet Gynecol. 2011; 204: e1-e4
        • Jones R.K.
        • Kavanaugh M.L.
        Changes in abortion rates between 2000 and 2008 and lifetime incidence of abortion.
        Obstet Gynecol. 2011; 117: 1358-1366
        • Kost K.
        • Singh S.
        • Vaughan B.
        • Trussell J.
        • Bankole A.
        Estimates of contraceptive failure from the 2002 National Survey of Family Growth.
        Contraception. 2008; 77: 10-21
        • Jones R.K.
        • Kost K.
        Underreporting of induced and spontaneous abortion in the United States: An analysis of the 2002 National Survey of Family Growth.
        Stud Fam Plan. 2007; 38: 187-197
        • Jones R.K.
        • Zolna M.R.
        • Finer L.B.
        • Henshaw S.K.
        Abortion in the United States: Incidence and access to services, 2005.
        Perspect Sex Reproduc Health. 2008; 40: 6-16
        • Jones R.K.
        • Finer L.B.
        • Singh S.
        Characteristics of U.S. abortion patients, 2008.
        Guttmacher Institute, New York2010
        • Woo J.
        • Fine P.
        • Goetzl L.
        Abortion disclosure and the association with domestic violence.
        Obstet Gynecol. 2005; 105: 1329-1334
        • Silverman J.
        • Decker M.R.
        • McCauley H.L.
        • et al.
        Male perpetration of intimate partner violence and involvement in abortions and abortion-related conflict.
        Am J Pub Health. 2010; 100: 1415-1417
        • Van Bebber S.L.
        • Phillips K.A.
        • Weitz T.A.
        • Gould H.
        • Stewart F.
        Patient costs for medication abortion: results from a study of five clinical practices.
        Wom Health Iss. 2006; 16: 4-13
        • Finer L.B.
        • Frohwirth L.F.
        • Dauphinee L.A.
        • Singh S.
        • Moore A.M.
        Timing of steps and reasons for delays in obtaining abortions in the United States.
        Contraception. 2006; 74: 334-344
        • Drey E.A.
        • Foster D.G.
        • Jackson R.A.
        • Lee S.J.
        • Cardenas L.H.
        • Darney P.D.
        Risk factors associated with presenting for abortion in the second trimester.
        Obstet Gynecol. 2006; 107: 128-135