Ohio’s 2025 abortion report was published in March 2026 by the Ohio Department of Health (DOH). Abortions increased in the state in 2025 compared to 2024. Below, Charlotte Lozier Institute (CLI) summarizes the information in the abortion report published by the state.
The data published by Ohio does not include the number of abortions obtained by Ohio residents out of state or the number of self-managed abortions on women outside of the healthcare system. The report also does not contain the total number of mail-order abortion drugs obtained by Ohio residents prescribed by licensed providers in Ohio or in other states. In a separate section, CLI will describe data provided by both the Guttmacher Institute’s Monthly Abortion Provision Study (MAPS) and the Society of Family Planning’s (SFP) #WeCount project which details the number of mail-order abortions obtained by Ohio residents from in and out-of-state prescribers. In the past, Guttmacher has also published estimates on the annual number of state residents who traveled out of state to obtain an abortion. However, its 2025 estimates on out-of-state travel totals have not yet been released.
Ohio’s statute code defines abortion as “the purposeful termination of a human pregnancy by any person, including the pregnant woman herself, with an intention other than to produce a live birth or to remove a dead fetus or embryo…” (ORC §2919.11). In Ohio, abortion is prohibited after 21 weeks of gestation (or 19 weeks’ post-fertilization) (ORC §2919.201). Exceptions to the state’s abortion law include cases where a continued pregnancy would threaten the life or physical health of the mother. In November 2023, Ohio voters approved an amendment to the state’s constitution establishing a “right to one’s own reproductive medical treatment, including but not limited to abortion…” and “prohibit[ing] the state from directly or indirectly burdening, penalizing, or prohibiting abortion before an unborn child is determined to be viable…” After the passage of the amendment prohibiting the state from enforcing any abortion limits before viability (which the amendment failed to define), it is not clear whether any locations are performing abortions after 21 weeks. This could be because of a previous state law limiting abortion to 22 weeks, due to improvements in medicine that have moved the timeline for when preemies survive outside the womb into the early 20-weeks, or because late-term abortions are complex procedures that risk serious adverse events, including the death of the mother or the baby being born alive.
Statistics and Changes in Ohio Abortions, 2024-2025
The report does not contain information on Planned Parenthood’s abortion market share.
Abortion Totals and Trends
In 2025, there were 25,135 abortions reported in Ohio, an increase of 15% from 2024 when 21,829 abortions were performed in the state. Drug-induced abortions increased by 47% from the previous year, from 10,155 in 2024 to 14,916 in 2025, and made up 59% of the state’s abortion total in 2025 (Fig. 1). CLI estimates that Ohio’s 2025 abortion rate was 11 abortions per 1,000 women of childbearing age, an increase of 15% (Fig. 2).1 As of July 2026, 11 states have released 2025 abortion reports, three of which showed that abortions had increased from the year before.
State Report Summary
The majority of Ohio abortions (79%) were reported to have been performed on resident women, while 21% were obtained by nonresidents. The number of resident and nonresident women both increased from 2024 to 2025, by 6 and 67%, respectively. Ohio’s abortion report does not detail the specific states that nonresidents travel from to obtain abortions in Ohio.
Two percent of Ohio abortions were performed on girls ages 18 and younger (including 1% on girls under the age of 16). Thirty-three percent were performed on women ages 18 to 24, and 28% were performed on women ages 25 to 29. Thirty-four percent of the procedures were performed on women in their thirties, and 4% were performed on women aged 40 and older.
Ten percent of Ohio abortions were performed on women who had not graduated from high school, and 41% were performed on women with a high school diploma or its equivalent as their highest level of education. Nineteen percent were obtained by women with some college but no degree, and 22% were obtained by women who had received an associate degree or higher. Level of education was not reported for 9% of the abortions that occurred in Ohio.
Seventy percent of the abortions were obtained by unmarried women, and 10% by women who were married or separated from their spouses. Marital status was not reported for 20% of the abortions. Twenty-seven percent of the abortions were obtained by women with no previous pregnancies, 18% were performed on women with one prior pregnancy, and 53% were performed on women with two or more previous pregnancies. The number of previous pregnancies was unreported for 2% of the abortions.
Fifty-nine percent of the abortions were performed on women who reported no prior abortions, compared to 22% with one prior abortion and 17% with two or more prior abortions. Thirty-nine percent of the abortions were obtained by women with no living children, 24% with one child, and 35% with more than one child. The number of previous abortions and number of living children were each not reported for 2% of the women who obtained abortions. Seventy-six percent of the women who obtained abortions had never experienced a miscarriage while 16% had experienced one miscarriage and 5% had experienced two or more miscarriages. The number of previous miscarriages was not reported for 2% of the women who obtained abortions.
In 2025, 42% of Ohio abortions were performed on white women. Thirty-nine percent were obtained by black women, and 3% by Asian or Pacific Islander women. Eighty-nine abortions (0.4%) were performed on Native American women, and 4% were performed on women of multiple races. Race was not reported for 11% of abortions. CLI estimates that the black abortion rate was 28 abortions per 1,000 women of childbearing age, over four times the white abortion rate of 6.0. Eighty percent of Ohio abortions were obtained by non-Hispanic women, while 9% were obtained by Hispanic women and 11% by women of unknown ethnicity.
Ohio allows multiple methods to be reported for each abortion. In 2025, there were 25,162 procedures used, compared to 25,135 abortions reported in the state. Fifty-nine percent of the abortions were drug-induced. Thirty-five percent were performed using suction curettage and 6% were performed using dilation and evacuation. Six abortions used dilation and extraction procedures (the same procedure used in a partial birth abortion), one was a hysterotomy abortion, and one was a hysterectomy abortion. Ohio’s partial birth abortion law, as well as federal law, prohibit the use of dilation and extraction unless the unborn baby is killed before being partially born. There were 20 abortions performed using other, unspecified surgical procedures.
Seventy-three percent of Ohio abortions occurred at eight weeks of gestation or earlier. Eighteen percent were performed between nine and 12 weeks, and 8% were performed between 13 and 19 weeks of gestation. One percent of abortions were performed at 20 weeks or later. The number of earlier abortions increased in 2025, with the number of abortions performed before nine weeks’ gestation increasing by 30%.
More than one method of determining gestational age could be reported for each abortion. Ultrasound was used to estimate gestational age for most abortions (72%), and the last menstrual period was used for 28%. A clinical exam was used in 0.3% of the cases, while some other means were used to calculate gestational age in 12 cases.
Beginning at 19 weeks of gestation, Ohio requires that doctors test to see if the unborn baby is viable. Of the 441 abortions performed at 19 weeks or later in 2024, two babies were viable, while 439 were not. Ultrasound was used to test viability in 432 cases, while genetic testing was used in four cases and amniocentesis was used in one case. The baby’s weight was used in 18 cases. More than one method of testing for viability may be reported.
In 2025, there were 16 abortions performed after 20 weeks’ post-fertilization (22 weeks of gestation). The report does not indicate the justification for these abortions or if they were performed because the woman’s life or a major bodily function was in danger. Fifty-four were reported to have a medical condition other than “good” at the time of their abortion, but the report does not state whether any of those women obtained abortions after 20 weeks’ post-fertilization.
In 2025, 63 abortion reporting forms indicated that the abortion had resulted in complications, compared to 58 forms in 2024.2 Multiple complications could be reported for each abortion, and 68 total complications were reported. There were 16 cases of hemorrhage, five cases of cervical laceration, four incomplete abortions, four failed abortions, one infection, one hematometra, one perforation of the uterus, and one death. Thirty-five cases of other, unspecified complications were also reported.
Ohio also received 195 post-abortion care report forms reporting 208 complications. In 2024, there were 186 post-abortion care report forms reporting 196 complications. In 2025, there were 81 incomplete abortions (when pieces of the unborn baby or placenta were retained in the uterus) and 75 failed abortions (typically referring to ongoing pregnancy). Infection occurred 16 times, hematometra 13 times, and hemorrhage 10 times. There was one case of a perforated uterus and 12 other, unspecified complications.
Ohio has an adverse event reporting system for drug-induced abortions; however, it is separate from the state’s annual abortion report released by the health department. When a complication arises from a drug-induced abortion, the doctor who administered the abortion drugs must report the complication to the Ohio State Medical Board and the health department.
Forty-eight percent of the abortions were performed on women who said they were not using contraception at the time they became pregnant, while 11% were performed on women who were using contraception. Contraceptive use was not reported for 41% of the abortions. Contraception was recommended after all abortions.
Ohio reports the type of counseling provided in advance of an abortion, and women can report having obtained multiple forms of counseling. Seventy-seven percent of the abortions were performed on women who had received medical counseling, and 0.3% each on women who had received psychological counseling and counseling from social services. Pastoral counseling was provided before 22 abortions, and 15 women received some other form of counseling. Twenty-three percent of the women who had abortions didn’t receive counseling.
Ohio administrative code requires that for all abortions performed at 14 weeks of gestation or beyond, written discharge instructions be given to the woman. In 2025, for 1,863 abortions, the woman was given the appropriate information. In 11 cases, the woman was not given such information.
A majority of Ohio’s abortions (74%) were performed in ambulatory surgical facilities. A quarter occurred in non-surgical clinics, and 232 abortions were performed in hospitals.
Abortion Data and Ohio’s Heartbeat Law
As previously mentioned, Ohio’s 2019 heartbeat law went into effect immediately after the Dobbs decision was handed down on June 24, 2022. However, it was indefinitely blocked on September 14, 2022, and permanently blocked on October 24, 2024. While the law is no longer in effect, and hasn’t been since September 14, 2022, certain statutory and administrative reporting requirements under this law remain in effect and were included in the state’s 2025 abortion report. Despite this, for the majority of abortions (78%), it was not reported whether a fetal heartbeat had been detected. In 2024, it was reported for all abortions whether or not a fetal heartbeat had been detected. In 2025, of the 25,135 abortions reported to have been performed in Ohio, the question of fetal heartbeat was only answered in 5,484 cases. Of those, 4,480 abortions were performed after a fetal heartbeat was detected, and a fetal heartbeat was not detected for 1,004 abortions. Similarly, the medical necessity of an abortion was not reported for 82% of Ohio abortions. Of those that did report, 101 abortions were performed because of a medical necessity or emergency, while 4,363 were not. Of the 101 abortions performed because of a medical necessity or emergency, 67 medical conditions were specified, and 55 were labelled as “other.” More than one medical condition could be reported for a single patient, and the Ohio report did not specify how many women had a particular medical condition reported before the abortion. There were 28 cases of PPROM (premature rupture of the membrane), eight cases each of hemorrhage and cardiac disease, seven cases of “inevitable abortion,” five cases of preeclampsia, and four cases of diabetes. There was also one case each of multiple sclerosis and respiratory failure.
Abortions by County of Occurrence and Residence
Abortions in Ohio were performed in 12 of its 88 counties. The number of abortions occurring by county is as follows (in descending order):3
- Cuyahoga County – 6,954 abortions (3 abortion providers exist in the county)
- Franklin County – 4,843 abortions (3 abortion providers exist in the county)
- Hamilton County – 4,438 abortions (2 abortion providers exist in the county)
- Montgomery County – 2,508 abortions (1 abortion provider exists in the county)
- Summit County – 1,691 abortions (1 abortion provider exists in the county)
- Lucas County – 739 abortions (1 abortion provider exists in the county)
- Athens County – 90 abortions (1 abortion provider exists in the county)
- Delaware County – 57 abortions (1 abortion provider exists in the county and started performing abortions sometime in 2025, so some of these abortions may have occurred at a hospital or physician’s office not listed in the abortion provider database)
- Richland County – 34 abortions (1 abortion provider exists in the county)
- Fairfield County – 3 abortions (no abortion provider exists in Fairfield County, so the abortions most likely occurred at a hospital or physician’s office not listed in abortion provider databases)
- Shelby and Mahoning Counties – 1 abortion each (no abortion providers exist in these counties, so the abortions most likely occurred at a hospital or physician’s office not listed in abortion provider databases)
Three thousand seven hundred and seventy-six abortions were performed in an unknown county. Ohio’s report did note that “for telehealth prescriptions provided to Ohio residents, the occurrence county is [listed as] unknown/not reported.” It is unclear from the report how many of the abortions in the unknown/not reported category were telehealth abortions obtained by Ohio residents and how many were for abortions performed in truly unknown counties. The number of abortion facilities increased by one in both Franklin and Hamilton counties between 2024 and 2025. While still accounting for fewer abortions than other counties, Athens, Delaware, and Richland counties which had accounted for few abortions in 2024 (10, 3, and 1, respectively) significantly increased their abortion counts (90, 57, and 34 abortions, respectively).
The abortions by county of residence for Ohio residents who obtained abortions in Ohio (the top five counties of residence) were as follows (in descending order):4
- Cuyahoga – 4,653 abortions
- Franklin – 3,525 abortions
- Hamilton – 1,964 abortions
- Montgomery – 1,086 abortions
- Summit – 1,229 abortions
Breakdown of Abortion Providers in Ohio5
| # of brick-and-mortar locations | 14 |
| # of independent centers | 8 |
| # of Planned Parenthood centers | 6 |
| # of hospitals/doctors’ offices that perform abortions | 0 |
| # of abortion drug providers | 14 |
| # of abortion drug-only providers | 7 |
| # of surgical and abortion drug providers | 7 |
| Latest gestational age that a center performs surgical abortion | Through 21 weeks |
These abortion provider totals are current as of July 2026.
Guttmacher and #WeCount Data6
In 2025, Guttmacher estimated that 32,850 abortions occurred in Ohio, while the state reported 25,135. Guttmacher’s estimated total was 31% higher than the abortion total reported by the state. To see the differences in Guttmacher’s Ohio estimates and the state’s reported totals, see below:
One possible explanation for the discrepancy in total abortions is that Guttmacher’s estimates include the number of abortions occurring at brick-and-mortar facilities and telehealth abortions, where abortion drugs are mailed to the woman or are picked up by the woman, while the state’s estimates most likely do not include the complete total. In response to a CLI email, the Ohio DOH claimed that the state’s reported abortion total included the number of mail-order abortion drugs sent within and into the state by in and out-of-state prescribers. However, data from the Society of Family Planning (SFP) provides more context. Their #WeCount project estimated that of the 36,540 abortions that occurred in the state in 2025, 22,600 were performed in person at brick-and-mortar facilities, and 13,850 were performed via mail-order abortion drugs.6 While Guttmacher’s occurrence total (32,820) is lower than #WeCount’s (36,540), it appears both totals do, in fact, include the number of mail-order abortion drugs sent to women residing in Ohio, while the state’s total most likely does not. Even if one assumed that all 3,776 unknown abortions mentioned by Ohio’s report above were all telehealth abortions, that number is still over 10,000 lower than #WeCount’s total. Using that 3,776 figure, the discrepancy between the state’s assumed telehealth total and #WeCount’s telehealth total (10,074) almost completely explains the total discrepancy between the state and #WeCount’s 2025 abortion totals (a difference of 11,405).
State Ranking
In 2024, CLI published a paper reevaluating abortion reporting across the country, with Ohio tied for 4th place. To further improve its reporting, Ohio could include the drug-induced abortion adverse events report in the annual abortion report that the health department publishes. Additionally, the state could detail the reasons for all the abortions that women obtain in Ohio, not just the medical conditions that implicate the state’s different gestational protections. Finally, the number of “unknowns” particularly in categories related to fetal heartbeat data increased significantly, therefore, Ohio could work to reduce the number of unknowns as it had in previous reports.
- National rates were calculated by the Guttmacher Institute. Ohio rates were calculated by CLI using the following formula: (total number of abortions performed in Ohio ÷ number of resident women ages 15-44 [based on most recent population estimates]) x 1,000. Rates may differ slightly from previous CLI articles due to revised population estimates. Population estimates were obtained from the CDC WONDER database. Estimates for 2005-2009 are intercensal estimates of the July 1 resident population. Estimates for 2010-2019 are Vintage 2020 postcensal estimates of the July 1 resident population. Estimates for 2020-2024 are Vintage 2024 postcensal estimates of the July 1 resident population. Estimates were produced by the U.S. Census Bureau and the National Center for Health Statistics. Rates for 2025 were calculated using the Vintage 2024 postcensal estimates because 2025 population estimates have not yet been released by the CDC.
- Statistics on abortion complications reported here represent a minimal number of deaths and complications, as this data is collected in a non-systematic and non-verifiable way. As such, this data cannot be used to calculate either an accurate abortion mortality rate or an accurate abortion complication rate for the state.
- The number of providers is included in this section not to imply that the abortions occurring in the mentioned counties were definitely performed by the providers in the county (as the report doesn’t include that information) but rather to give the reader some context about abortion access in the counties, generally. Provider totals do not include hospitals or physician offices not listed in databases that compile abortion provider locations in different states but do include Planned Parenthood locations, independent abortion centers, and hospitals/doctor’s offices included in databases like Abortion Finder and Ineedana.
- Abortions obtained by residents of the mentioned counties did not necessarily obtain the abortion in their county of residence.
- Provider totals do not include hospitals or physician offices not listed in databases that compile abortion provider locations in different states, but do include Planned Parenthood locations, independent abortion centers, and hospitals/doctor’s offices included in databases like Abortion Finder and Ineedana. Abortions are reported by the state as occurring in counties that don’t have any operative abortion centers. However, these counties have hospitals/doctor’s offices that perform abortions in certain cases but aren’t included in the aforementioned databases.
- The Guttmacher Institute notes that their monthly abortion totals by state are estimates and that each state’s estimate is within a range of uncertainty. Guttmacher’s data can be found in the CSV folder here(Summary_Table_Annual_2023_2024_2025). This information is updated as of July 17, 2026. #WeCount’s data can be found here by downloading the “Report data tables [.xlsx]” document. The #WeCount report specifies that the numbers included in their tables for abortions performed under shield laws only represent the number of women to whom abortion drugs were sent, not the number of drug-induced abortions that resulted from the mailed drugs. However, because #WeCount’s data is the only source of data that delineates the number of abortions by mode of provision (in-person, telehealth/mail order, and/or abortion drugs obtained under shield laws), their data is the best available. This information is updated as of July 17, 2026.
- This chart does not contain the number of drug-induced abortions reported in 2012. Ohio changed its abortion reporting formatting between 2011 and 2012, and the Ohio Department of Health was not able to confirm the number of drug-induced abortions reported in 2012.
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