A new report from the pro-abortion Guttmacher Institute estimates that more than 1.12 million babies were killed in abortions in 2025.
That is a heartbreaking figure that remained virtually unchanged from the previous year despite state-level restrictions following the 2022 Dobbs decision. It provides more evidence that pro-life states need to keep fighting mail-order abortions and President Donald trump and the FDA need to step in to reverse the Biden rule allowing them.
The analysis put the estimated total at 1,126,000 abortions in the U.S. in 2025 — “that’s pretty much unchanged from 2024,” according to Isaac Maddow-Zimet, a data scientist at the Guttmacher Institute.
Pro-life advocates have decried the persistent high number of abortions as a continuing tragedy, noting that it equates to more than 3,000 unborn children losing their lives each day.
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The report documented a decline in interstate travel for abortions, from about 170,000 in 2023 to 154,000 in 2024 and 142,000 in 2025. At the same time, telehealth abortions — essentially buying the abortion pill out of state— increased, rising to 91,000 abortion customers in states with total abortion bans in 2025, up from about 72,000 the prior year. That’s a lot of babies who could be saved with laws preventing such sales.
Maddow-Zimet attributed the drop in travel directly to the rise in telehealth: “It makes sense that we’d see a decline in travel. Because people accessing abortion care through telehealth in general then no longer need to travel for care. So it’s not surprising, per se, but it is the first time that we’ve been able to put out specific numbers showing this shift.”
The abortion pill now accounts for roughly two-thirds of all abortions nationwide.
The figures come more than three years after the Supreme Court’s Dobbs v. Jackson Women’s Health Organization ruling, which returned abortion to the states. In the states with abortion bans, pro-life advocates have criticized “shield laws” in permissive states that protect abortionists mailing pills and efforts to expand telemedicine, enabled by a 2023 FDA change allowing mifepristone prescriptions without an in-person visit.
Louisiana Attorney General Liz Murrill told a U.S. Senate committee in January that such out-of-state provision undermines state protections: “Until then, Louisiana’s efforts to protect mothers and their unborn children and to hold out-of-state abortion pill traffickers accountable for the harm they inflict will be all but futile.”
