HC Deb 17 October 1972 vol 843 cc11-29W
Mr. St. John-Stevas

asked the Secretary of State for Social Services (1) how many abortions have been notified as having been carried out under the Abortion Act in the fourth full year of operation of the Act from 27th April, 1971, and in the three months from 27th April, 1972, respectively;

  1. (2) what has been the annual percentage increase in the number of abortions notified during the first four years of the Abortion Act's operation;
  2. (3) how many abortions have been notified as being carried out, and what percentage of the total abortions notified the figures represent, during each of the first four 12-month periods of the operation of the Abortion Act and in the three months from 27th April, 1972, on the ground that continuation of the pregnancy would endanger the life of the pregnant woman, and that continuation would involve risk to the physical or mental health of the woman greater than if the pregnancy were terminated, respectively;
  3. (4) how many abortions have been notified as being carried out, and what 12 percentage of the total abortions notified the figures represent, during each of the first four 12-month periods of the operation of the Abortion Act and in the three months from 27th April, 1972, on the ground that continuation of the pregnancy would involve injury to the physical or mental health of any existing children of the pregnant woman's family greater than if the pregnancy were terminated;
  4. (5) how many abortions have been notified as being carried out, and what percentage of the total abortions notified the figures represent, during each of the first four 12-month periods of the operation of the Abortion Act and in the three months from 27th April, 1972, on the ground that there exists a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped;
  5. (6) how many emergency operations were notified as having been carried out in each of the four 12-month periods since the Abortion Act came into operation on 27th April, 1968, and in the three months from 27th April, 1972, on the grounds of saving life and safeguarding health, respectively;
  6. (7) how many abortions have been notified as having been carried out, and what percentage of the total abortions notified these represent, in each of the four 12-month periods since the Act came into operation on 27th April, 1968, and in the three months from 27th April, 1972, on single women, married women, widows, divorced or separated women, and women who already had borne children, respectively;
  7. (8) how many abortions were notified as having been carried out during each of the four 12-month periods since the Abortion Act came into operation, and in the three months from 27th April, 1972, on women of 12 and under, between the ages of 12 and 16, between the ages of 16 and 18, between the ages of 18 and 21, and over 21, respectively; and what percentages of the total abortions notified during each of these periods these figures represent;
  8. (9) what is the present rate of legal abortions per 100 live births, and in each of the years in which the Act has been 13 in operation, commencing with 27th April, 1968, respectively.

ABORTION ACT 1967—ENGLAND AND WALES
April, 1968–March, 1969 April, 1969–March, 1970 April, 1970–March, 1971 April, 1971–March, 1972 April, 1972–June, 1972
Abortions notified 33,598 60,558 88,915 141,132 39,190
Rate per 100 live births 4.1 7.7 11.2 18.4 Not available
Percentage increase of notified abortions over previous year 80.2 46.8 58.7
Numbers and percentages of abortions notified, according to grounds—
(1, 2) Risk to life of woman, or risk of injury to physical or mental health of woman—
Number 25,835 46 234 70,279 110,589 30,778
Per cent. 76.9 76.3 79.0 78.3 78.5
(3) Risk of injury to physical or mental health of existing children—
Number 1,355 2,509 3,681 4,309 1,144
Per cent. 4.0 4.1 4.1 3.1 2.9
(4) Substantial risk of physical or mental abnormality in unborn child—
Number 1,038 1 175 1,247 1,396 342
Per cent. 3.1 1.9 1.4 1.0 0.9
(5, 6) Emergency operations on ground of risk to life of woman, or risk of injury to her physical or mental health—
Number 74 36 44 24 3
Grounds 2 with 4 (not included above)—
Number 564 827 934 1,162 308
Per cent. 1.7 1.4 1.1 0.8 0.8
Grounds 3 with others (not included above)—
Number 4,732 9,777 12,730 23,652 6,615
Per cent. 14.1 16.1 14.3 16.8 16.9
Numbers and percentages of abortions notified which were performed on—
Single Women—
Number 15,992 28,036 41,765 67,996 18,864
Per cent. 47.6 46.3 47.0 48.2 48.1
Married women—
Number 14,739 26,944 39,382 61,620 17,055
Per cent 43.9 44.5 44.3 43.7 43.5
Widowed, divorced and separated women—
Number 2,743 5,434 7,647 11,397 3,236
Per cent. 8.2 9.0 8.6 8.1 8.3
Women who had a previous live or still-birth, or a miscarriage (including not stated cases)—
Number 17,547 33,783 48,378 53,661* Not available
Per cent. 52.2 55.8 54.4 51.6* Not available

Mr. Alison

Following is the information available:

ABORTION ACT 1967—ENGLAND AND WALES
April, 1968–March, 1969 April, 1969–March, 1970 April, 1970–March, 1971 April, 1971–March, 1972 April, 1972–June, 1972
Numbers and percentages of abortions notified which were performed on women aged—
Under 16 years—
Number 770 1,339 1,915 2,933 678
Per cent. 2.3 2.2 2.2 2.1 1.7
16–19 years—
Number 5,019 10,225 15,620 25,431 6,867
Per cent. 14.9 16.9 17.6 18.0 17.5
20+ years—
Number 27,001 47,642 69,525 110,425 31,096
Per cent. 80.4 78.7 78.2 78.2 79.4
Not stated—
Number 808 1,352 1,855 2,343 549
Per cent. 2.4 2.2 2.1 1.7 1.4
*April-December, 1971 only.

Mr. St. John-Stevas

asked the Secretary of State for Social Services at the present rate of increase in the number of abortions notified, what are the projected figures for each year of the total number of abortions to 1980.

Mr. Alison

The varying rates of change in the numbers of abortions during the first four years of operation of the Act do not provide a basis on which significant projections can be made.

Mr. St. John-Stevas

asked the Secretary of State for Social Services what is the estimate of the annual number of illegal abortions carried out in each of the years since the Abortion Act came into operation.

Mr. Alison

I regret that this information is not available.

Mr. St. John-Stevas

asked the Secretary of State for Social Services (1) how many deaths have resulted from legal abortions in each of the four 12-month periods since

DEATHS FROM MATERNAL CAUSES, AND DEATH RATES PER 1,000 TOTAL BIRTHS, IN ENGLAND AND WALES
April, 1968 to March, 1969 April, 1969 to March, 1970 April, 1970 to March, 1971 April, 1971 to December, 1971
Deaths and death rates attributed to: 1
Legal abortions (ICD 640, 641):
Deaths 4 11 11 9
Rates 0.005 0.014 0.014 0.015
Illegal abortions (ICD 642):
Deaths 18 16 11 4
Rates 0.022 0.020 0.014 0.007
All maternal causes (ICD 630–678):
Death rates 0.233 0.194 0.187 0.160

the Abortion Act came into operation on 27th April, 1968; and what was the maternal mortality death rate in these periods from all causes, legal abortions, and illegal abortions, respectively;

  1. (2) how many deaths have resulted from illegal abortions in each of the four 12-month periods since the Abortion Act came into operation on 27th April, 1968;
  2. (3) how many abortions were notified as having been carried out on women whose normal place of residence was given as abroad during each of the four 12-month periods since the Act came into operation on 27th April, 1968, and in the three months from 27th April, 1972; and what were the countries of residence of the women involved;
  3. (4) what has been the number of illegitimate births in each of the years 1950 to 1972; and what percentages they represent of the total birth rate.

Mr. Alison

Following is the information:

NUMBERS OF ABORTIONS NOTIFIED IN EACH PERIOD WHICH WERE CARRIED OUT IN ENGLAND AND WALES ON WOMEN WHOSE USUAL ADDRESS WAS STATED TO BE OUTSIDE THE UNITED KINGDOM, THE CHANNEL ISLANDS, AND THE ISLE OF MAN
April, 1968 to March, 1969 April, 1969 to March, 1970 April, 1970 to March, 1971 April, 1971 to December, 1971
Country of residence:
Austria 11 11 30 148
Belgium 38 206 657 1,878
Canada 208 347 229 56
Denmark 4 46 81 210
France 112 624 2,725 10,668
West Germany 964 1,744 3,902 12,242
Holland 66 199 950 558
Irish Republic 91 129 292 492
Italy 8 23 62 166
Norway, Sweden 5 27 82 107
Spain 11 27 55 174
Switzerland 18 54 121 357
United States of America 386 2,140 868 167
(Countries with fewer than 20 cases per year have been omitted).

ILLEGITIMATE LIVE BIRTHS AND RATESPER 1,000 TOTAL LIVE BIRTHS, ENGLAND AND WALES
Year Number Rate
1950 35,250 51
1951 32,771 48
1952 32,549 48
1953 32,503 47
1954 31,609 47
1955 31,145 47
1956 33,534 48
1957 34,562 48
1958 36,174 49
1959 38,161 51
1960 42,707 54
1961 48,490 60
1962 55,376 66
1963 59,104 69
1964 63,340 72
1965 66,249 77
1966 67,056 79
1967 69,928 84
1968 69,806 85
1969 67,041 84
1970 64,744 83
1971 65,397 84
1972 Not available Not available

Mr. St. John-Stevas

asked the Secretary of State for Social Services (1) how many abortions were carried out and what percentages of total abortions notified these figures represent in each of the four 12-month periods since the Act came into operation on 27th April, 1968, and in the three months from April, 1972, in National Health Service hospitals, approved places and other places, respectively;

(2) how many abortions were carried out in each of the four 12-month periods since the Abortion Act came into operation on 27th April, 1968, and in the three-month period from 27th April, 1972, at National Health Service hospitals, approved places and other places, respectively; and what percentages of total abortions carried out in these periods these figures represent, in the North West Metropolitan, South East Metropolitan, South West Metropolitan, London Teaching Hospitals, North East Metropolitan, Newcastle, Manchester, Birmingham, Wales, South West, East Anglia, Sheffield, Leeds, Oxford, Wessex, and Liverpool regions, respectively.

Mr. Alison

Available figures are as follows:

NUMBERS AND PERCENTAGES OF ABORTIONS NOTIFIED ACCORDING TO PLACE OF TERMINATION, IN ENGLAND AND WALES AND IN EACH HOSPITAL REGION APRIL, 1968—MARCH, 1969
Premises Newcastle Leeds Sheffield East Anglia North West Metropolitan North East Metropolitan South East Metropolitan South West Metropolitan Wessex
NHS Hospital No. 1,832 846 962 869 1,930 1,398 1,537 1,159 588
% 98.8 97.0 96.4 85.8 13.2 99.7 79.3 98.7 95.4
Approved Place No. 23 26 36 127 12,681 4 398 14
% 1.2 3.0 3.6 12.5 86.8 0.3 20.5 1.2
Other place No. 17 4 1 27
% 1.7 0.2 0.1 4.6
All premises No. 1,855 872 998 1,013 14,611 1,402 1,939 1,174 585
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Premises Oxford South Western Welsh Birmingham Manchester Liverpool London Teaching Hospitals Total, England and Wales
NHS Hospital No. 763 1,043 1,215 1,261 1,857 500 2,252 19,962
% 96.6 87.7 100.0 94.2 98.6 100.0 100.0 59.4
Approved place No. 6 146 72 27 13,560
% 0.8 12.3 5.4 1.4 40.4
Other place No. 21 6 76
% 2.7 0.4 0.2
Ail premises No. 790 1,189 1,215 1 339 1,864 500 2,252 33,598
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

APRIL, 1969—MARCH, 1970
Premises Newcastle Leeds Sheffield East Anglia North West Metropolitan North East Metropolitan South East Metropolitan South West Metropolitan Wessex
N.H.S. Hospital No. 3,016 1,641 2,164 1,283 3,529 2,531 2,971 1,900 988
% 99.0 96.7 94.3 86.9 15.1 99.7 74.5 99.4 92.7
Approved place No. 28 56 132 166 19,788 8 1,014 12 2
% 0.9 3.3 5.7 11.2 84.9 0.3 25.4 0.6 0.2
Other place No. 3 27 1 76
% 0.1 1.8 0.0 7.1
All premises No. 3,047 1,697 2,269 1,476 23,317 2,539 3,986 1,912 1,066
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Premises Oxford South Western Welsh Birmingham Manchester Liverpool London Teaching Hospitals Total, England and Wales
N.H.S. Hospital No. 1,349 2,427 2,425 2,118 3,700 1,041 3,913 36,996
% 95.7 87.7 100.0 54.0 98.8 100.0 100.0 61.1
Approved place No. 27 341 1,780 45 23,399
% 1.9 12.3 45.4 1.2 38.6
Other place No. 34 22 163
% 2.4 0.6 0.3
All premises No. 1,410 2,768 2,425 3,920 3,745 1,041 3,913 60,558
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

APRIL, 1970—MARCH, 1971
Premises Newcastle Leeds Sheffield East Anglia North West Metropolitan North East Metropolitan South East Metropolitan South West Metropolitan Wessex
N.H.S. Hospital No. 4,473 2,054 3,274 1,827 4,138 3,247 3,914 2,358 1,616
% 98.6 95.9 95.1 86.5 14.7 73.8 55.7 93.0 70.6
Approved place No. 50 87 168 246 23,941 1,152 3,114 178 561
% 1.1 4.1 4.9 11.6 85.3 26.2 44.3 7.0 24.5
Other place No. 12 39 2 111
% 0.3 1.8 0.0 4.9
All premises No. 4,535 2,141 3,442 2,112 28,079 4,399 7,030 2,536 2,288
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Premises Oxford South Western Welsh Birmingham Manchester Liverpool London Teaching Hospitals Total, England and Wales
N.H.S. Hospital No. 1,879 3,115 3,258 2,467 4,271 1,511 4,836 48,238
% 93.7 82.8 100.0 19.5 98.1 100.0 100.0 54.3
Approved place No. 79 647 10,136 81 40,440
% 3.9 17.2 80.3 1.9 45.5
Other place No. 48 25 237
% 2.4 0.2 0.3
All premises No. 2,006 3,762 3,258 12,628 4,352 1,511 4,836 88,915
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

APRIL, 1971—MARCH, 1972
Premises Newcastle Leeds Sheffield East Anglia North West Metropolitan North East Metropolitan South East Metropolitan South West Metropolitan Wessex
N.H.S. Hospital No. 4,883 2,328 4,146 2,528 4,777 3,550 4,678 2,223 1,920
% 99.3 95.6 93.9 84.2 10.0 28.8 35.4 27.3 49.5
Approved place No. 108 268 411 43,008 8,773 8,513 5,924 1,849
% 4.4 6.1 13.7 90.0 71.2 64.5 72.7 47.6
Other place No. 32 63 7 114
% 0.7 2.1 0.1 2.9
All premises No. 4,915 2,436 4,414 3,002 47,785 12,323 13,198 8,147 3,883
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Premises Oxford South Western Welsh Birmingham Manchester Liverpool London Teaching Hospitals Total, England and Wales
N.H.S. Hospital No. 2,170 3,887 3,826 2,523 5,296 1,969 5,538 56,242
% 91.0 78.1 100.0 16.5 97.6 55.5 100.0 39.9
Approved place No. 149 1,092 12,782 129 1,581 84,587
% 6.2 21.9 83.4 2.4 44.5 59.9
Other place No. 67 2 18 303
% 2.8 0.0 0.1 0.2
All premises No. 2,386 4,981 3,826 15,323 5,425 3,550 5,538 141,132
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

APRIL, 1972—MARCH, 1972
Premises Newcastle Leeds Sheffield East Anglia North West Metropolitan North East Metropolitan South East Metropolitan South West Metropolitan Wessex
N.H.S. Hospital No. 1,282 549 932 537 1,230 1,031 1,174 570 415
% 98.9 95.6 89.4 87.1 9.6 24.4 24.0 24.5 24.3
Approved place No. 25 111 57 11,526 3,188 3,719 1,760 1,258
% 4.4 10.6 9.2 90.4 75.6 76.0 75.5 73.6
Other place No. 14 23 1 36
% 1.1 3.7 0.0 2.1
All premises No. 1,296 574 1,043 617 12,756 4,219 4,894 2,330 1,709
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Premises Oxford South Western Welsh Birmingham Manchester Liverpool London Teaching Hospitals Total, England and Wales
N.H.S. Hospital No. 583 1,097 904 688 1,128 449 1,340 13,909
% 90.9 80.2 100.0 26.9 96.7 25.4 100.0 35.5
Approved place No. 48 270 1,869 39 1,322 25,192
% 7.5 19.8 72.9 3.3 74.6 64.3
Other place No. 10 5 89
% 1.6 0.2 0.2
All premises No. 641 1,367 904 2,562 1,167 1,771 1,340 39,190
% 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Mr. St. John-Stevas

asked the Secretary of State for Social Services what is the average time spent in hospital by National Health Service patients undergoing an abortion.

Mr. Alison

The median duration of stay for patients undergoing abortions in National Health Service hospitals in England and Wales in 1971 was 3½ days.