Associations between state policies, race, ethnicity and rurality, and maternal mortality and morbidity following the United States Supreme Court Dobbs v. Jackson Women's Health Organization ruling

Williams, Ashley; Chaturvedi, Rahul; Pollalis, Isabella; Ibarra-Cobarru, Jose; Aaronson, Jaime; White, Robert S.

doi:10.1016/j.bja.2022.08.016

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…However, political will creates political agendas and through regulation and funding, sets the parameters for other system dimensions and opportunities to either perpetuate disparities or mitigate them. Recent restrictions to access to sexual and reproductive health services 58 , 59 underscore the urgency of primordial and quaternary prevention.…”

Section: Discussionmentioning

confidence: 99%

Activating Life Course Theory through a Whole System Prevention Framework to Address the Wicked Problem of Maternal and Infant Morbidity and Mortality

Lafave

Clemmons

Kotelchuck

et al. 2023

Community Health Equity Research & Policy

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Background Racial/ethnic disparities in maternal and infant morbidity and mortality (MIM&M) is a wicked problem that is reinforced and perpetuated by our system[s] of care. Life Course Theory (LCT) helps to explain drivers of health disparities, but its application is challenged. An upstream approach that promotes systemic change requires the implementation of an expanded prevention framework that includes primordial and quaternary prevention. Research Design We developed an innovative expanded Whole System Prevention Framework (WSPF) that incorporates LCT, prevention (including primordial and quaternary prevention) and systems thinking. Study Sample We implemented this new conceptual Framework with two Healthy Start community partnerships through training, service mapping, and strategic planning to address upstream drivers of MIM&M. Data Collection and Analysis Service mapping revealed few Healthy Start upstream activities/services with the predominance being delivered downstream at the program (microsystem) level. Results Service mapping provided a snapshot of the current service distribution of services across the systems. The preponderance were primary, secondary and tertiary prevention activities (75.5% and 65.6%) delivered at the program level (58.2% and 68%), revealing opportunities for upstream strategies to promote equity. The implementation process provided a new way to frame strategic planning and develop upstream strategies to promote health equity and reduce MIM&M. Conclusion The Whole System Prevention Framework and its implementation methodology could be applied to address other wicked problems.

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Section: Discussionmentioning

confidence: 99%

Activating Life Course Theory through a Whole System Prevention Framework to Address the Wicked Problem of Maternal and Infant Morbidity and Mortality

Lafave

Clemmons

Kotelchuck

et al. 2023

Community Health Equity Research & Policy

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“…38 Maternal mortality rates are higher in those states with restrictive abortion statuses among all racial groups. 39 In other countries with prohibitive abortion laws, there are known increases in maternal mortality due to complications of self-abortion and increased reporting and prosecution of people who may present with miscarriages rather than self-induced abortions. 40 Similarly, in the United States, of the cases that have been investigated and prosecuted for self-managing or helping someone obtain an abortion, charges are more likely to be seen in POC compared to non-Hispanic whites.…”

Section: Unique Issues For People Of Colormentioning

confidence: 99%

“…38 Maternal mortality rates are higher in those states with restrictive abortion statuses among all racial groups. 39 …”

Section: Unique Issues For People Of Colormentioning

confidence: 99%

Dobbs Versus Jackson: Epilepsy, Reproductive Health, and Abortion

et al. 2023

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On June 24, 2022, Dobbs vs Jackson Women’s Health Organization was decided by the Supreme Court effectively overturning the former precedent of Roe v. Wade. This ruling has direct consequences for the care of persons with epilepsy of childbearing potential. Now more than ever we need to provide informed and comprehensive care to our patients with epilepsy who are particularly vulnerable to the impact of this legislation on their reproductive decision-making. Important areas to understand include (1) the current state of affairs on abortion in the United States; (2) contraception options, their effectiveness, and interactions with anti-seizure medications (ASM); (3) teratogenic effects and adverse neurocognitive outcomes of ASMs; (4) folic acid supplementation; (5) the effect on perinatal and pediatric care; and (6) unique issues related to people of color.

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“…3 There have also been data highlighting the maternal health outcome disparities between restrictive versus protective states regarding abortion policies, and how the recent Supreme Court Dobbs versus Jackson ruling could further exacerbate outcomes. 4 Due to the immense variation in state COVID-19 policies and implementation dates, we examined state policy-based performance during the pandemic and its association with severe maternal morbidity and mortality, stratified by race, ethnicity, and rurality.…”

mentioning

confidence: 99%

Associations between COVID-19 State Policies and Maternal Mortality and Morbidity

Williams

Chaturvedi²,

Abramovitz

et al. 2023

Am J Perinatol

Self Cite

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Associations between state policies, race, ethnicity and rurality, and maternal mortality and morbidity following the United States Supreme Court Dobbs v. Jackson Women's Health Organization ruling

Cited by 7 publications

References 5 publications

Activating Life Course Theory through a Whole System Prevention Framework to Address the Wicked Problem of Maternal and Infant Morbidity and Mortality

Activating Life Course Theory through a Whole System Prevention Framework to Address the Wicked Problem of Maternal and Infant Morbidity and Mortality

Dobbs Versus Jackson: Epilepsy, Reproductive Health, and Abortion

Associations between COVID-19 State Policies and Maternal Mortality and Morbidity

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