There were 247,703 conceptions leading to a legal abortion in 2022, a 13.1% rise on the 218,923 recorded in 2021, the ONS said.
The percentage of conceptions leading to legal abortions in England and Wales has reached a record high, according to official statistics.
Almost three in 10 conceptions ended in legal abortions in the two nations in 2022, up from around two in 10 a decade earlier.
The Office for National Statistics (ONS) said the percentage of conceptions leading to legal abortion was 29.7% in 2022, up from 26.5% a year earlier and 20.8% in 2012.
The percentage has generally been increasing for all age groups since 2015, the statistics body said.
There were 247,703 conceptions leading to a legal abortion in 2022, a 13.1% rise on the 218,923 recorded in 2021.
The British Pregnancy Advisory Service (Bpas) said lengthy waiting times for some forms of contraception as well as financial struggles faced by many could explain the rise.
Girls aged under 16 remained the age group with the highest percentage of conceptions leading to abortion, at 61.0%.
Women aged between 30 and 34 years old had the lowest percentage of conceptions leading to abortion in 2022, at around a fifth or 20.5%.
Women in their early 30s were the age group with the highest number of conceptions at 249,991.
Women aged over 40 years had a conception rate of 17.2 per 1,000 women in 2022, slightly below the record high of 17.3 per 1,000 women in 2021, the ONS said.
Katherine O’Brien, from the British Pregnancy Advisory Service (Bpas), said women are facing “significant barriers” in access to contraception, including long waiting times and difficulties securing appointments.
She added: “At Bpas, we regularly hear from women who are seeking an abortion after falling pregnant while waiting for repeat Pill prescriptions or coil insertions.
“Emergency contraception, while not a silver bullet to unplanned pregnancy rates, remains an underutilised resource in this country, with the majority of women not accessing this vital back-up method after an episode of unprotected sex.
“The Government has committed to improving access via pharmacies, but we need to see this medication reclassified so that it can be sold in a wider range of outlets, including supermarkets, so that women can access it as swiftly as possible when needed.”
She also noted interest rate hikes and increases in cost of living in 2022, which she said might have led to women and their partners having to make “sometimes tough decisions around continuing or ending a pregnancy”.
She added: “No woman should have to end a pregnancy she would otherwise have continued purely for financial reasons, and no woman should become pregnant because our healthcare system is failing to provide women with the contraception they want, when they need it.”
Government statistics published last year covering 2022 showed the number of abortions for women living in England and Wales was at a record level, having risen by almost a fifth in a year.
There were 251,377 abortions for women resident in the two nations in 2022, official figures from the Department of Health and Social Care (DHSC) showed.
This was the highest number since the Abortion Act was introduced almost 60 years ago and was a rise of 17% on the 2021 figure, the department said.
Taking medications at home, known as telemedicine, was the most common procedure, accounting for 61% of all abortions in 2022.
This was up nine percentage points since 2021, the DHSC said.
Temporary measures put in place during the pandemic approving the use of both pills for early medical abortion at home, without the need to first attend a hospital or clinic, were made permanent in England and Wales in 2022.

