According to a new report, the number of abortions in the US has increased in the last three decades.

According to a report by the Guttmacher Institute, one in five pregnant women end up in abortion as of 2020.

According to the institute, the number of abortions increased to over one million in 2020 from over one million in the previous year. The number went up by 12 percent in the West, 10 percent in the Midwest, 8 percent in the South and 2 percent in the Northeast.

The abortion rate went up in 2020 to 14.2 abortions per 1,000 women ages 15 to 44 from 13 abortions per 1,000 women in the previous year.

According to the report, fewer people were getting pregnant and a larger proportion chose to have an abortion as a result.

The Supreme Court is expected to issue a ruling soon that could overturn the law that has made abortion legal in the US for 50 years. If that happens, about half of the states are expected to quickly ban or sharply restrict abortion, while other states are getting ready to expand access for patients from states that don't allow it.

The population most likely to seek abortions in recent years are the poor and low-income. The report said that some states have expanded Medicaid coverage for abortions.

The Trump administration's policy of preventing programs that received Title X family planning money from mentioning the option of abortion to patients may have been one of the factors. According to the Guttmacher report, that may have reduced access to other family planning services for low income people. The Biden administration has stopped using the policy.

There was a time when many conservative states enacted restrictions on abortion. The report states that while 25 states enacted 168 restrictions, some were stopped by legal challenges and others were enacted by states that already had many restrictions.

Other states enacted 75 provisions to protect or expand abortion access, including by requiring insurance to cover abortion and by allowing nurse practitioners, physician assistants and certified nurse midwives to provide some abortion services.

Most of the first year of the coronaviruses was included. According to the report, there were attempts to ban abortion in some states and limits on in-person medical care in others. The FDA made permanent the practice of mailing abortion pills to patients in December of 2021.

According to the most recent data from the Centers for Disease Control and Prevention, there was a slight increase in the number of abortions last year. California, Maryland and New Hampshire aren't included in the C.D.C. data.