South Dakota Abortion Statistics
State abortion statistics from the leading public and private sources.
Abortion statistics for the state of South Dakota are collected by the South 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 South Dakota, visit: Abortion Stories (South Dakota)
LEGAL STATUS OF ABORTION IN South Dakota
In 2022—following the reversal of Roe v. Wade, elective abortion became illegal in South Dakota. An abortion shall only be permitted if it is deemed necessary to preserve the life of the mother. The performance of an illegal abortion in South Dakota is Class 6 felony.
SOURCE: Codified Law 22-17-5.1
STATE-LEVEL DATA
Total Abortions (2024): 0
The South Dakota Department of Health reports that 0 abortions took place in South Dakota during 2024. This number includes abortions performed on out-of-state residents but does not include abortions performed on South Dakota residents in other states.
Total Abortions (2023): 0
The South Dakota Department of Health reports that 0 abortions took place in South Dakota during 2023. This number includes abortions performed on out-of-state residents but does not include abortions performed on South Dakota residents in other states.
GUTTMACHER DATA
Estimated Total Abortions (2025): 440
The Guttmacher Institute asserts that approximately 440 telehealth abortions took place in South Dakota during 2025. Though it is illegal to have an abortion in South 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 South Dakota abortion estimates by selected year.| 2025 | 2024 | 2023 | 2020 | 2017 | 2014 | 2011 | 2008 | 2005 |
|---|---|---|---|---|---|---|---|---|
| 440 | 340 | 100 | 130 | 500 | 550 | 600 | 850 | 790 |
Estimated Abortion Percentage (2025): 4%
In 2025, an estimated 4% of pregnancies in South 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): 2.5
The Guttmacher Institute estimates that the 2025 abortion rate for South Dakota was 2.5. Their estimated 2025 abortion rate across the entire United States was 16.6. The table below compares South Dakota abortion rates by selected year.
| 2025 | 2024 | 2023 | 2020 | 2017 | 2014 | 2011 | 2008 | 2005 | |
|---|---|---|---|---|---|---|---|---|---|
| SD | 2.5 | 2.0 | 0.6 | 0.8 | 3.1 | 3.5 | 3.9 | 5.6 | 5.1 |
| 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 South 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 South 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 South Dakota. Across the entire United States there are 1.1 abortion clinics for every 100,000 women of reproductive age.
Abortion Clinics in South Dakota (2025): 0
In 2025, the Guttmacher Institute reports that there were 0 abortion clinics in South Dakota and 0 facilities that performed abortion. The table below compares total South Dakota abortion facilities by selected year.
| 2025 | 2024 | 2020 | 2017 | 2014 | 2011 | 2008 | 2005 |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 2 | 2 | 2 | 2 | 2 |
SOURCE: https://states.guttmacher.org/policies/south-dakota/abortion-policies
CDC DATA
Total Abortions (2022): 137
The Centers for Disease Control (CDC) reports that 137 abortions took place in South Dakota during 2022. This number includes abortions performed on out-of-state residents but does not include abortions performed on South Dakota residents in other states. The table below compares South Dakota abortion totals by year.
| 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 |
|---|---|---|---|---|---|---|---|---|---|
| 192 | 125 | 414 | 382 | 497 | 472 | 444 | 551 | 601 | 634 |
| 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|
| 192 | 125 | 414 | 382 | 497 |
| 2016 | 2015 | 2014 | 2013 | 2012 |
|---|---|---|---|---|
| 472 | 444 | 551 | 601 | 634 |
Abortion Percentage (2022): 1.2%
In 2022, 1.2% of pregnancies in South 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 South Dakota abortion percentages by year.
| 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | |
|---|---|---|---|---|---|---|---|---|---|---|
| SD | 1.7% | 1.1% | 3.5% | 3.1% | 3.9% | 3.7% | 3.5% | 4.3% | 4.7% | 5% |
| 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 | |
|---|---|---|---|---|---|
| SD | 1.7% | 1.1% | 3.5% | 3.1% | 3.9% |
| U.S.* | 16.9% | 16.5% | 16.2% | 15.8% | 15.5% |
| 2016 | 2015 | 2014 | 2013 | 2012 | |
|---|---|---|---|---|---|
| SD | 3.7% | 3.5% | 4.3% | 4.7% | 5% |
| U.S.* | 15.4% | 15.7% | 16.0% | 16.5% | 17% |
Out-of-State Abortion Percentage (2022): 10%
The Centers for Disease Control (CDC) reports that 10% of the abortions that took place in South 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)
