WHO estimated in 2001 that every year, about 210 million women get pregnant, and that there are about 135 mililon live births. The remaining 75 million cases are miscarriages or induced abortions. About forty percent of pregnancies are unplanned, and about a fifth of the pregnant women decide to end the pregnancy early. This results in about 42 million abortions per year. About 20 million of these are legal, the rest are against the law. Most of the illegal abortions are performed by those who are not medically qualified, often with poor hygiene, which often threaten the lives of the women. The WHO estimated that about 47.000 women died in 2008 because of illegal abortions. This number was lower than the estimate of 1990, mainly because in South America, women opted to take drugs to end the pregnancy.