Overview

• Official data show a 2.98% rise from 2023, with 78.74% of procedures in private clinics and 21.25% in the public network.
• The ministry demanded clear plans from autonomous communities, cited July warning letters, and signaled Alta Inspección audits with possible legal action for noncompliance.
• Marked regional gaps persist as Extremadura, Andalucía, Castilla-La Mancha, Madrid, and Murcia, plus Ceuta and Melilla, sent roughly 99% to 100% of cases to private centers, while Cantabria, Galicia, La Rioja, Baleares, and Catalunya perform most in public facilities.
• Most abortions occurred early in pregnancy, with 76.58% before eight weeks, and public providers leaned toward pharmacological methods while private clinics largely used surgical approaches.
• Catalunya accounted for 20% of cases and the highest rate at 14.89 per 1,000 women, the under‑20 cohort rose to 11,699 cases, and about 49% of women reported no contraceptive use at conception.