Are Teens at Higher Risk for Abortion Complications?

Oct 24, 2011Abortion

Last updated: May 6, 2026

Data suggests that teenagers may face a higher risk of complications from induced abortion compared to older women. This increased risk is primarily attributed to biological factors, higher rates of undiagnosed infections, and a tendency to seek the procedure later in pregnancy.

  1. Increased Gestational Age

The most significant risk factor for teenagers is the timing of the procedure.

  • Delayed Care: Teens are more likely than older women to delay an abortion until after 12 weeks of pregnancy.
  • Escalating Mortality Risk: According to the American College of Obstetricians and Gynecologists (ACOG), the risk of death related to abortion increases by 38% for each additional week of gestation.
  1. Higher Prevalence of Sexually Transmitted Infections (STI) Pelvic Inflammatory Disease (PID)

Biological and behavioral factors in adolescents contribute to higher post-abortion infection rates:

  • Asymptomatic Infections: Teens are statistically more likely to have Chlamydia or other STIs at the time of the procedure.
  • Pelvic Inflammatory Disease (PID): If an abortion is performed while an active infection is present, it can lead to PID. This condition is linked to internal scarring, chronic pain, and an increased risk of future ectopic pregnancy or infertility.
  1. Biological and Behavioral Factors

Several unique factors can impact a teenager’s recovery and long-term reproductive health:

  • Physiological Factors: Higher estrogen levels and lower levels of protective antibodies in adolescents may play a role in how the body responds to the procedure and potential infections.
  • Lack of Follow-up Care: Teens who attempt to keep the procedure private are less likely to complete their post-abortion antibiotic regimen or attend essential follow-up exams, increasing the risk of undetected complications.

Abortion Statistics by Age Group

New York State represents a statistical sample of all U.S. abortions. Using New York’s most recent vital statistics, teenagers 19 and under represent approximately 8% of all women obtaining abortions, broken down as follows:

  • Ages 18–19: 5.8%
  • Ages 15–17: 2.6%
  • Younger than 15: .002%

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