First a look at the Good Old Days

JAMA July 29, 1939 has maternal mortality statistics from 1933-1937:

Year 
Septic 
Abortion Deaths
non-septic
Abortion Deaths
Total Maternal
Deaths
1933
2037
640
12885
1934
2204
570
12859
1935
2167
602
12544
1936
1801
680
12182
1937
1531
582
10769

Following WW2 there was an improvement in antibiotics and techniques and the Baby Boom led also to improvements in Obs/Gyn medical techniques and protocols.

"Legalized abortion: Effect on national trends of maternal and abortion-related mortality (1940 through 1976)."
(Am J Obstet Gynecol, September 15, 1978, vol. 132, no. 2, p. 211-214.)

Year  

Deaths
1940
1470
1945
744
1950
263
1955
224
1960
251
1965
201


The Suction Aspiration technique, inroduced in Europe in the early to mid 1960s began to be used in US hospitals in the late 60s once more improving the safety of the procedure.

We can then check the first legalized phase for comparison

 Based on Christopher Tietze, M.D." Induced Abortion: A World View", 1983 . New York: The Population Council, 1983).
 
 
Year 
Legal Abortions
performed
Deaths 
Legal Abortions
Deaths 
Illegal Abortions

1970
1971
 
36
54
109
  65
 
1972
 
24
  41
 
1973
  615,831
25
  21

1974
  763,476
26
   7

1975
  854,853
29
   4

1976
  988,267
11
   3

1977
1,079,430
17
   4

1978
1,157,776
  9
   7

1979
1,251,921
18
   0

1980
1,297,606
  9
   2

       

NOTE
One thing we can do with this chart is estimate the number of illegal abortions performed.

In 1973 eg there were 615,831 legal abortions and these resulted in 25 deaths and the deaths from illegal abortions numbered 21.  Since in truth the abortion providers both legal and illegal were at that time pretty similar in skill we could anticipate that there were also ~600,000+ illegal abortions performed or in total ~1,200,000 abortions in 1973.  There really was not an increase in the number of abortions performed by legalizing - just a huge decrease in women's deaths from them, as the skill, and surroundings in which abortions were performed, improved.


[*For a more complete treatment of these numbers refer to Those Pre Roe Numbers - again! ]

Some abortion opponents claim the declining mortality numbers are the result of improved antibiotics but this alone just won't cut it I'm afraid. Not particularly in examining the numbers from the 1970's.

Look at - Mortality Rates From Legal Abortion and Childbirth, expressed as maternal deaths per 100,000 abortions and per 100,000 live births, according to the Center for Disease Control / Alan Guttmacher Institute archives.

Quoted in Andrews and McMeel, The Universal Almanac, Kansas City, 1990, page 220.

    Year               Mortality/Abortions      Mortality/Births
1970 19.0 16.0
1971 11.0 14.9
1972 4.1 15.2
1973 3.4 12.5
1974 2.9 12.4
1975 2.8 10.3
1976 0.9 10.2
1977 1.3 9.8
1978 0.6 9.7
1979 1.2 8.0
1980 0.6 7.5
1981 0.4 7.2
1982 0.8 7.9
1983 0.7 8.0
Those claiming improved technology, or medications, or technique, or training were the cause of the decrease in mortality folowing Roe need to explain why the numbers of deaths from abortions plummeted by comparison with the slow decline in the number of deaths from childbirth.

In fact the last time it was more dangerous to have an abortion than to carry to term in the US was 1970 - three years before Roe.

What these charts very accurately shows is that the one result of legalizing abortion is that the mortality rate from the procedure plummeted.

If  you're really interested in learning the reason for this decline in mortality get a copy of :

Journal of the American Medical Association 1992 Dec 9;268(22):3231-9

Induced termination of pregnancy before and after Roe v Wade. Trends in the mortality and morbidity of women. Council on Scientific Affairs, American Medical Association.
 

"The mortality and morbidity of women who terminated their pregnancy before the 1973 Supreme Court decision in Roe v Wade are compared with post-Roe v Wade mortality and morbidity...Deaths from illegally induced abortion declined between 1940 and 1972 in part because of the introduction of antibiotics to manage sepsis and the widespread use of effective contraceptives. Deaths from legal abortion declined fivefold between 1973 and 1985 (from 3.3 deaths to 0.4 death per 100,000 procedures), reflecting increased physician education and skills, improvements in medical technology, and, notably, the earlier termination of pregnancy."


What has become clear is that if you are really interest in something other than handing over the 'abortion business' to what we would ordinarily call 'organized crime' which will inevitably result in a return to frequent deaths, as it did in Romania and Poland when they reversed their policy, then what we must do is keep it in the hands of legally trained medical professionals.

Let us never forget.

Eileen
 
 
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