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[Editorial] Abortion: access and safety worldwide

44% of the world’s annual 227 million pregnancies are unintended, of which 56% end in abortion, 32% in an unplanned birth, and 12% in miscarriage. These estimates—from a modelling study authored by the Guttmacher Institute and the University of Massachusetts and published by The Lancet Global Health—form the basis of a Guttmacher report on global abortion published on March 20. This analysis was last performed in 2009, since when the rate of unintended pregnancy and abortion in high-income countries has fallen significantly, concurrent with both an increase in the rate of modern contraception usage and a decrease in the number of unintended pregnancies ending in abortion.