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Many teenagers and their parents talk together about contraception and decisions on abortion.


 Abortions performed in nonhospital clinics (about 60% of total U.S. abortions) seem to involve the same low risk of death as those performed in hospitals, according to the Center for Disease Control. Their data for 1974-1975 show that 23 women died from complications of first trimester abortions, 12 of which were performed in hospitals and 11 in clinics or physicians' offices. According to the Alan Guttmacher Institute, the risk of death in 1974-1975 was twice as high for women obtaining hospital abortions than for those aborted in clinics (2.1 and 1.0 deaths/100,000 abortions, respectively). However, they point out that women with serious preexisting medical conditions and those who elect to be sterilized at the time of the abortion generally obtain hospital abortions. Such women are thereby at greater risk. Among healthy women who were not sterilized at the same time, the risk of death was almost identical from hospital and nonhospital procedures. The most common causes of death were anesthesia complications, infection, hemorrhage, and pulmonary embolism, with no cause significantly more common in any one type of facility. It has been suggested that the mortality rate from first trimester abortions could be decreased even further by routine follow-up in the days after the abortion. More than 90% of women who died from early legal abortions exhibited symptoms within 3 days after the procedure.
