North Dakota Abortion Statistics
State abortion statistics from the leading public and private sources.
Abortion statistics for the state of North Dakota are collected by the North Dakota Department of Health and reported to the Centers for Disease Control (CDC). The most recent abortion report available from the CDC is for 2022.
The Guttmacher Institute surveys U.S. abortion providers to tabulate state and nationwide abortion totals, but these are unofficial estimates. Only half of providers typically respond.
To learn more about abortion, visit: Prenatal Development, Abortion Procedures or Abortion Pictures
To read abortion stories from North Dakota, visit: Abortion Stories (North Dakota)
LEGAL STATUS OF ABORTION IN North Dakota
In 2022, elective abortion became illegal in North Dakota. This prohibition does not apply to the removal of a miscarried child. An abortion shall only be permitted if it is deemed necessary to preserve the life of the mother or if the pregnancy was caused by rape or incest. The performance of an illegal abortion in North Dakota is a class C felony. No woman upon whom an abortion is performed may be charged or convicted of a criminal offense in the death of her own unborn child.
SOURCE: HOUSE BILL NO. 1466
STATE-LEVEL DATA
Total Abortions (2023): 0
The North Dakota Department of Health reports that 0 abortions took place in North Dakota during 2023. This number includes abortions performed on out-of-state residents but does not include abortions performed on North Dakota residents in other states.
GUTTMACHER DATA
Estimated Total Abortions (2025): 390
The Guttmacher Institute asserts that approximately 390 telehealth abortions took place in North Dakota during 2025. Though it is illegal to have an abortion in North Dakota, a handful of states give sanctuary to online abortion “clinics” operating within their borders. These entities anonymously send abortion drugs through the mail into states where abortion is banned. As such, these totals cannot be confirmed or denied. The table below compares Guttmacher’s North Dakota abortion estimates by selected year.| 2025 | 2024 | 2023 | 2020 | 2017 | 2014 | 2011 | 2008 | 2005 |
|---|---|---|---|---|---|---|---|---|
| 390 | 280 | 100 | 1,170 | 1,160 | 1,260 | 1,250 | 1,400 | 1,230 |
Estimated Abortion Percentage (2025): 4%
In 2025, an estimated 4% of pregnancies in North Dakota ended in abortion. This number does not take into account miscarriages. It was arrived at by dividing Guttmacher's abortion estimate by the sum total of live births—as reported by the CDC—and estimated abortions.
Estimated Abortion Rate* (2025): 2.4
The Guttmacher Institute estimates that the 2025 abortion rate for North Dakota was 2.4. Their estimated 2025 abortion rate across the entire United States was 16.6. The table below compares North Dakota abortion rates by selected year.
| 2025 | 2024 | 2023 | 2020 | 2017 | 2014 | 2011 | 2008 | 2005 | |
|---|---|---|---|---|---|---|---|---|---|
| ND | 2.4 | 1.8 | 0.6 | 7.8 | 7.9 | 8.7 | 9.5 | 11.2 | 9.6 |
| U.S. | 16.6 | 16.6 | 16.0 | 14.4 | 13.5 | 14.6 | 16.9 | 19.4 | 19.4 |
*The abortion rate is the number of abortions per 1,000 women aged 15-44 years.
Percentage of All U.S. Abortions (2025): 0%
In 2025, approximately 0% of all U.S. abortions occurred in North Dakota.
Out-of-State Abortion Percentage (2025): NA
An estimate of the percentage of abortions performed on out-of-state residents was not made for North Dakota in 2024.
Abortion Clinic Density: 0
Based on the 2025 counts, there are 0 abortion clinics for every 100,000 women of reproductive age (15-44) in North Dakota. Across the entire United States there are 1.1 abortion clinics for every 100,000 women of reproductive age.
Abortion Clinics in North Dakota (2025): 0
In 2025, the Guttmacher Institute reports that there were 0 abortion clinics in North Dakota and 0 facilities that performed abortion. The table below compares total North Dakota abortion facilities by selected year.
| 2025 | 2024 | 2020 | 2017 | 2014 | 2011 | 2008 | 2005 |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 1 | 1 | 1 | 1 | 1 |
SOURCE: https://states.guttmacher.org/policies/north-dakota/abortion-policies
CDC DATA
Total Abortions (2022): 754
The Centers for Disease Control (CDC) reports that 754 abortions took place in North Dakota during 2022. This number includes abortions performed on out-of-state residents but does not include abortions performed on North Dakota residents in other states. The table below compares North Dakota abortion totals by year.
| 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 |
|---|---|---|---|---|---|---|---|---|---|
| 1,153 | 1,174 | 1,121 | 1,141 | 1,155 | 1,160 | 1,166 | 1,264 | 1,182 | 1,330 |
| 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|
| 1,153 | 1,174 | 1,121 | 1,141 | 1,155 |
| 2016 | 2015 | 2014 | 2013 | 2012 |
|---|---|---|---|---|
| 1,160 | 1,166 | 1,264 | 1,182 | 1,330 |
Abortion Percentage (2022): 7.3%
In 2022, 7.3% of pregnancies in North Dakota ended in abortion—compared to 16.6% of pregnancies nationwide.* This number does not take into account miscarriages. It was arrived at by dividing the state abortion ratio by the sum of the abortion ratio plus 1,000. The abortion ratio is the number of abortions that occurred per 1,000 lives births. The table below compares North Dakota abortion percentages by year.
| 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | |
|---|---|---|---|---|---|---|---|---|---|---|
| ND | 10.2% | 10.5% | 9.7% | 9.7% | 9.7% | 9.3% | 9.3% | 10% | 10.0% | 12% |
| U.S.* | 16.9% | 16.5% | 16.2% | 15.8% | 15.5% | 15.4% | 15.7% | 16.0% | 16.5% | 17% |
| 2021 | 2020 | 2019 | 2018 | 2017 | |
|---|---|---|---|---|---|
| ND | 10.2% | 10.5% | 9.7% | 9.7% | 9.7% |
| U.S.* | 16.9% | 16.5% | 16.2% | 15.8% | 15.5% |
| 2016 | 2015 | 2014 | 2013 | 2012 | |
|---|---|---|---|---|---|
| ND | 9.3% | 9.3% | 10% | 10.0% | 12% |
| U.S.* | 15.4% | 15.7% | 16.0% | 16.5% | 17% |
Out-of-State Abortion Percentage (2022): 29%
The Centers for Disease Control (CDC) reports that 29% of the abortions that took place in North Dakota were performed on out-of-state residents.
*U.S. averages are limited to reporting districts.
Parent Page:
- State Abortion Statistics: Comparative state abortion stats by rank, total, percentage, and clinics.
Related Entries:
- U.S. Abortion Statistics: Facts and figures relating to the frequency of abortion in the United States.
- U.S. Abortion Law: An overview of the history and legality of abortion in the United States.
- U.S. Abortion History: The 200-year history of abortion in America goes back well before 1973.
For Further Study:
- The Remarkably High Cost of Cheap Sex (Abort73 Blog)
- Does Poverty Lead to Abortion, or Does Abortion Lead to Poverty? (Abort73 Blog)
- The Law Can’t Make Abortion Safe; Birth Control Can’t Make Abortion Rare (Abort73 Blog)
- It’s All the Same: Why Early and Late-Term Abortion are Moral Equivalents (Abort73 Blog)
- The Moral Dilemma of Repeat Abortion (Abort73 Blog)
- Who is Most at Risk to Have an Abortion? (Abort73 Blog)
- Marriage, Contraception, and Unplanned Pregnancy (Abort73 Blog)
