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Abortion

Volume 696: debated on Wednesday 21 November 2007

asked Her Majesty's Government:

What is the current rate of abortion in England and Wales per 1,000 women aged 15 to 44 compared with other European countries. [HL21]

The information requested is set out in the following table.

Abortion rates for EU27 countries, latest year, where available.

Rate per 1,000 women aged 15-44

2004

2005

2006

Belgium

8.0

Bulgaria

26.1

Czech Republic

12.2

Denmark

14.3

Estonia

33.1

Finland

11.0

France

14.5

Germany

7.2

Hungary

23.4

Italy

9.1

Latvia

25.5

Lithuania

13.2

Malta

0.0

Netherlands

8.6

Poland

0.0

Romania

33.9

Slovakia

15.7

Slovenia

13.8

Spain

9.6

Sweden

20.2

United Kingdom

16.0

England and Wales

16.9

17.0

17.5

Sources and Notes

Belgium. Source: Federal Public Service of Public Health, Food Chain Safety and Environment.

Czech Republic. Source: Institute of Health Information and Statistics of CR (IHIS CR).

Denmark. Source: Vital statistics, Statistics Denmark.

Estonia. Source: Estonian Abortion Registry.

Finland. Source: Register on Induced Abortions and Sterilizations, STAKES.

France. The data are underestimated.

Germany. Source: Federal Statistical Office, Statistics of legal abortions.

Italy. Source: ISTAT.

Lithuania. Source: LHIC, annual report data.

Netherlands. Source: Chief Medical Officer of Public Health.

Spain. Source: Ministry of Health and Consumer Affairs.

Slovakia. Source: Institute of Health Information Statistics.

Slovenia. Source: Institute of Public Health of the Republic of Slovenia.

Sweden. Source: Report from each clinic to the National Board of Health and Welfare.

asked Her Majesty's Government:

What has been the annual percentage change in the number of conceptions that end in abortion for each year since 2000. [HL22]

The information requested is set out in the following table:

Annual statistics on abortions as a percentage of all conceptions (England and Wales) since 2000.

Conceptions—all ages

Year

Total (1,000's)

Percentage ending in abortion

Annual percentage point change from previous year

2000

767.0

22.7

0.1

2001

763.7

23.2

0.5

2002

787.0

22.5

-0.7

2003

806.8

22.5

0

2004

826.8

22.4

-0.1

2005

837.4

22.3

-0.1

asked Her Majesty's Government:

How many abortions on the grounds of rectifiable disabilities have occurred after 24 weeks’ gestation in the past 10 years. [HL186]

The number of abortions that are performed at 24 weeks’ gestation and over by principal medical condition if performed under Section 1(1)(d) of the Abortion Act 1967 are in the following tables. Abortions performed under this section are those where there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped. Medical conditions recorded under Section 1(1)(d) are coded using the International Statistical Classification of Diseases and Related Health Problems (10th edition) published by the World Health Organisation.

Principal medical condition for abortions performed under ground E, over 24 weeks’ gestation, residents, England and Wales, 1997-2002

numbers

ICD-10 Code 1 

Condition 

19972 

1998 

1999 

2000 

2001 

2002 

Total grounds E alone or with any other 

74

73

89

94

100

114

Q00-Q89 

Congenital malformations total

57

59

61

59

63

79

Q00-Q07

the nervous system total

31

26

36

35

27

42

Q00

anencephaly

1

1

2

3

2

2

Q01

encephalocele

0

1

1

0

0

1

Q02

microcephaly

1

1

5

0

2

1

Q03

hydrocephalus

15

8

5

17

4

9

Q04

other malformations of the brain

8

7

7

7

12

15

Q05

spina bifida

3

4

6

8

7

6

Q06-Q07

other

3

4

10

0

0

8

Q10-Q89

other congenital malformations total

26

33

25

24

36

37

Q10-Q18

the eye, ear, face and neck

0

0

0

0

0

0

Q20-Q28

the cardiovascular system

7

13

10

8

15

13

Q30-Q34

the respiratory system

0

0

1

0

3

4

Q35-Q37

cleft lip and cleft palate

0

0

0

0

1

0

Q38-Q45

other malformations of the digestive system

0

0

1

3

0

1

Q50-Q56

the genital organs

0

0

0

0

0

0

Q60-Q64

the urinary system

7

7

6

8

4

4

Q65-Q79

the musculoskeletal system

8

9

2

4

6

10

Q80-Q85

the skin, breast integument phakomatoses

0

0

0

0

0

1

Q86-Q89

other

4

4

5

1

7

4

Q90-Q99

Chromosomal abnormalities total

12

10

17

20

24

25

Q90

Down’s syndrome

5

4

4

5

11

7

Q910-Q913

Edwards’ syndrome

5

1

2

5

9

6

Q914-Q917

Patau’s syndrome

1

2

4

4

1

1

Q92-Q99

Other

1

3

7

6

3

11

Other conditions total

5

4

11

15

13

10

P00-P04

foetus affected by maternal factors

0

0

2

1

0

1

P05-P08

foetal disorders related to gestation and growth

3

1

4

8

7

2

P35-P39

foetus affected by congential infectious disease

1

1

0

2

1

0

P55

haemolytic disease of foetus and newborn

0

0

2

1

0

4

P832-P833

hydrop foetalis not due to haemolytic disease

1

2

1

2

5

0

O30

multiple gestation

0

0

0

0

0

0

O42

premature rupture of membranes

0

0

0

0

0

0

Z20-Z22

exposure to communicable disease

0

0

0

0

0

0

Z245

need for immunisation against rubella

0

0

0

0

0

0

Z80-Z84

family history of heritable disorder

0

0

2

1

0

3

1 ICD-10 codes are taken from the International Statistical Classification of Diseases and Related Health Problems (10th revision) published by the World Health Organisation (WHO).

2 Figures for 1997 include 10 cases for non-residents of England and Wales, in addition to 64 cases for residents of England and Wales. It is not possible to provide resident-only figures for disease categories for this year for reasons of confidentiality.

Section 1(1)(b): that the termination is necessary to prevent grave permanent injury to the physical or mental health of the pregnant woman (ground B).

Section 1(1)(c ): that the continuance of the pregnancy would involve risk to the life of the pregnant woman, greater than if the pregnancy were terminated (ground A)

Section 1(1)(d): that there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped (ground E).

Section 1(4): that the termination is immediately necessary to save the life (ground F) or to prevent grave permanent injury to the physical or mental health of the pregnant woman (ground G).

Principal medical condition for abortions performed under ground E, over 24 weeks’ gestation, residents, England and Wales, 2003-06 

 

 

 

 

numbers

ICD-10 code 1

Condition

2003 

2004 

2005 

2006

Total grounds E alone or with any other 2

 136

124

137 

136

Q00-Q89

Congenital malformations total

96 

91 

99

95

Q00-Q07

the nervous system total

 58

35

54

60

Q00

anencephaly

..

..

..

..

Q01

encephalocele

..

..

..

..

Q03

hydrocephalus

..

..

..

10

Q04

other malformations of the brain

12

11

14

24

Q05

spina bifida

16

..

..

..

Q02,Q06, Q07 3

other

 17

12

22

16

Q10-Q89

other congenital malformations total

 38

56

45

35

Q20-Q28

the cardiovascular system

18

23

12

13

Q30-Q34

the respiratory system

..

..

..

..

Q60-Q64

the urinary system

..

..

..

..

Q65-Q79

the musculoskeletal system

10

15

..

..

Q10-Q18, Q35-Q56 and Q80-Q89 3

other

..

..

15

..

Q90-Q99

Chromosomal abnormalities total

22

23

28 

25

Q90

Down’s syndrome

..

11

..

12

Q910-Q913

Edwards’ syndrome

..

..

..

..

Q914-Q917

Patau’s syndrome

..

..

..

..

Q92-Q99 3

other

10

..

10

..

Other conditions total

 14

10

10

16

P00-P04

foetus affected by maternal factors

..

..

..

..

P05-P08

foetal disorders relating to gestation and growth

..

..

..

..

P832-P833

hydrops foetalis not due to haemolytic disease

..

..

..

..

Z80-Z84

family history of heritable disorder

..

..

..

..

Other*

..

..

..

..

Footnote: From 2003 onwards, totals of fewer than 10 (between 0 and 9) are suppressed for reasons of confidentiality in line with the Office for National Statistics' guidance on the disclosure of abortion statistics (2005). In line with the guidance, three-year aggregate totals for 2003-05 have been produced where possible. This is the case for two groups: in 2003-05, there were 11 cases with a principal medical condition of the congenital malformations cleft lip and/or cleft palate (ICD10 Codes Q35-37) and 17 cases recorded as “other malformations of the digestive system” (ICD10 Codes Q38-45). Other conditions with suppressed data may be published in a 10-year aggregated table in the future.

1 ICD-10 codes are taken from the International Statistical Classification of Diseases and Related Health Problems (Tenth Revision) published by the World Health Organisation (WHO).

2 Over 24 week total includes abortions carried out under grounds A, B, F or G.

3 Codes listed under “other” have cases between 0 and 9 inclusive.

.. Fewer than 10 cases (between 0 and 9) or where a presented figure would reveal a suppressed value.

* Includes cases where insufficient detail was available to allocate an ICD10 code.