COLUMBUS — The number of abortions performed in Ohio rose 1 percent last year, the first increase in five years.

The 20,893 reported last year was 221 more than in 2016, according to an annual report released Friday by the Ohio Department of Health. The number had been declining since 2013.

About 94 percent were obtained by Ohio women. Three fourths of abortions were performed in Ohio’s three largest urban centers: Cuyahoga, Franklin and Hamilton counties.

Most abortions, 87 percent, were obtained by women ages 20 to 39. Roughly 1 in 10 women were under the age of 20.

About 85 percent of women were never married, divorced, or widowed.

The report found that 87 percent of abortions were performed by 12 weeks of pregnancy. There were 454 abortions in 2017 involving pregnancies of 19 or more weeks of gestation, a decrease from the 508 reported in 2016.

Those on both sides of the abortion debate used the statistics to rally supporters.

"This latest report is an absolute tragedy," said Mike Gonidakis, president of Ohio Right to Life.

"Last year, 20,893 babies were killed, and yet the abortion industry praises this as a win for ’choice’. The abortion industry continues to stall our pro-life legislation with frivolous litigation. Additionally, in Ohio currently, there are two abortion clinics that are recklessly operating outside of the bounds of our state laws. These clinics refuse to hold to basic health and safety standards, and as a result, women and their unborn children are victimized. These clinics must be closed."

NARAL Pro-Choice Ohio Executive Director Kellie Copeland said: "It is fitting that this report, which shows 20,893 people need and receive abortion care in Ohio annually, was released today. The outcome of the [Brett] Kavanaugh nomination and Ohio’s gubernatorial election will determine whether abortion is criminalized in Ohio in the next year. If abortion is outlawed, 20,893 people would be forced to continue pregnancies against their will, or face criminal penalties for seeking the abortion care they need. Everyone deserves access to abortion without shame, stigma, or threat of criminal prosecution.