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Abortion in New York City: Preliminary Experience with a Permissive Abortion Statute

On July 1, 1970, a new permissive abortion statute became effective in New York State, placing the problem of pregnancy termination in the hands of an ambivalent medical profession and an already overburdened medical care delivery system. The experience of the first eight months under the new law in New York City is reviewed. Residents of New York City are having abortions performed at an annual rate of 360 per 1,000 live births, and with very acceptable mortality rates (8 per 100,000 hospital-based abortions) and morbidity rates. It appears, from the initial experience reported, that the law is working well. The intent of the law has been implemented successfully. The incidence of problems resulting from illegal abortion has been reduced markedly. The volume of abortions requested has been absorbed within the existing medical care delivery system, and there seems to be no need to relegate abortional acts to nonphysicians. There has been little interference with educational programs in obstetrics and gynecology. The question of repeat abortion is beginning to be troublesome. The importance of keeping abortion in the “mainstream” of health care is emphasized.