The combined result of these trends and safer procedures means that fewer women are dying from unsafe abortion.
As access to health care overall improves and national governments increasingly prioritize implementing World Health Organization (WHO) guidelines, access to quality postabortion care also improves. Women increasingly use medication abortion methods-primarily the drug misoprostol alone, as it is typically more available in these contexts than the method of mifepristone and misoprostol combined. In highly restrictive contexts, clandestine abortions are now safer because fewer occur by dangerous and invasive methods. Furthermore, the reach of safe services has been extended by allowing trained, midlevel health professionals to provide abortion in many countries. The development and application of clinical guidelines and standards have likely facilitated the provision of safe abortion. Implementing access under expanded legal grounds can take many years however, with political will, change can be achieved much more quickly. Moreover, 24 added at least one of three additional grounds: in cases of rape or incest, or when the fetus is diagnosed with a grave anomaly. Since 2000, 28 countries changed their abortion law-all but one expanding legal grounds to allow abortions to protect a woman’s health, for socioeconomic reasons or without restriction as to reason. Nonetheless, some countries with broadly liberal laws have increasingly added restrictions that chip away at access to legal procedures these include the United States and several countries in the former Soviet Bloc or zone of influence. In contrast, broadly liberal laws are found in nearly all countries in Europe and Northern America, as well as in several countries in Asia. The vast majority (93%) of countries with such highly restrictive laws are in developing regions. As of 2017, 42% of women of reproductive age live in the 125 countries where abortion is highly restricted (prohibited altogether, or allowed only to save a woman’s life or protect her health). Laws fall along a continuum from outright prohibition to allowing abortion without restriction as to reason. Adolescent abortion rates in countries in developed regions are fairly low (e.g., 3–16 per 1,000 women aged 15–19) and have been declining steadily in many of these countries comparable data are unavailable for developing regions. In much of the world, 20–24-year-old women tend to have the highest abortion rate of any age-group, and the bulk of abortions are accounted for by women in their twenties. 
Abortions occur as frequently in the two most-restrictive categories of countries (banned outright or allowed only to save the woman’s life) as in the least-restrictive category (allowed without restriction as to reason)-37 and 34 per 1,000 women, respectively.Both subregions are made up of former Soviet Bloc states where the availability of modern contraceptives increased sharply after political independence-exemplifying how abortion goes down when use of effective contraceptives goes up.
By far, the steepest decline in abortion rates occurred in Eastern Europe, where use of effective contraceptives increased dramatically the abortion rate also declined significantly in the developing subregion of Central Asia.The abortion rate declined significantly in developed regions since 1990–1994 however, no significant change occurred in developing regions. As of 2010–2014, an estimated 36 abortions occur each year per 1,000 women aged 15–44 in developing regions, compared with 27 in developed regions.It also looks at unintended pregnancy, its relationship to abortion, and the impact that both have on women and couples who increasingly want smaller families and more control over the timing of their births. This report provides updated information on the incidence of abortion worldwide, the laws that regulate abortion and the safety of its provision. The situation of induced abortion has changed markedly over the past few decades.
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