Termination of Pregnancy as a Means to Reduce Maternal Mortality in Pregnant Women With Medical Comorbidities

Aziz, Michael M.; Calfee, Alexa; Albright, Catherine M.; Gladstein, Natalie; Houser, Molly

doi:10.1097/01.aoa.0000732372.38452.15

Cited by 2 publications

(3 citation statements)

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“…22,23 Ability to access timely abortion care is important for preventing maternal mortality among people with high-risk pregnancies because of comorbidities. 24 Regulations that restrict abortion, and the resulting closure of abortion clinics, cause people to have to travel further to access abortion care. 25,26 It is unknown whether misconceptions about abortion legality leads people to travel to another state to obtain an abortion or to forgo seeking a legal abortion from a licensed medical provider and instead attempt self-managed abortion.…”

Section: Discussionmentioning

confidence: 99%

Passage of abortion ban and women’s accurate understanding of abortion legality

Gallo

Casterline

Chakraborty

et al. 2021

American Journal of Obstetrics and Gynecology

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BACKGROUND: Legislative and judicial procedures related to banning abortion after 6 weeks of gestation in Ohio occurred from November 2018 to July 2019. These activities could have increased the belief that abortion has become illegal even though the 6-week abortion ban has never been in effect to date. OBJECTIVE: We sought to determine the prevalence and correlates of holding the belief that abortion is illegal in Ohio and to evaluate whether this belief increased over the time in which the 6-week abortion ban was introduced, passed twice, and then blocked in Ohio. STUDY DESIGN: We analyzed data from the first wave of the Ohio Survey of Women, a population-based survey of adult, reproductive-aged Ohioan women conducted from October 2018 to June 2019. During each of the 8 survey months, a median of 240 women (range, 70e761) completed the survey, including the survey question "Based on what you know or have heard, is it legal to get an abortion in your state?" We used multivariable logistic regression to assess the prevalence and correlates of believing that abortion is illegal in the state of Ohio. In addition, we used multinomial logistic regression to evaluate whether this belief increased over the interval during which women completed the survey, which roughly corresponded to the interval marked by legislative and judicial activities surrounding the 6-week abortion ban. RESULTS: Most of the 2359 participants understood that abortion is legal in the state of Ohio (64.0%) with the remainder believing it to be illegal (9.8%) or being unsure (26.2%). Correlates of believing abortion to be illegal included younger age, lower socioeconomic status, never married or married status, and black, non-Hispanic race and ethnicity. Being unsure about legality did not change over time; however, the proportion of women who believed that abortion is illegal increased from the first month (4.5%) to the last month (15.9%) of the study period. Each additional study month was associated with a 17% increase in the odds of believing abortion to be illegal, in both unadjusted and adjusted models (odds ratio, 1.17; 95% confidence interval, 1.08e1.27). CONCLUSION: Attempts to restrict abortion access could contribute to women mistakenly believing that abortion is illegal despite it being unsuccessful.

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Section: Discussionmentioning

confidence: 99%

Passage of abortion ban and women’s accurate understanding of abortion legality

Gallo

Casterline

Chakraborty

et al. 2021

American Journal of Obstetrics and Gynecology

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“…15 Pregnancy carries a far higher risk of morbidity and mortality than an abortion, and forced pregnancy will therefore put pregnant people at higher risk of maternal morbidity and mortality. 16,17 Countries that have restricted abortion access over the past 30 years have higher rates of abortion and unintended pregnancies compared to countries where abortion is legal and accessible. 9 Maternal morbidity and mortality in the United States is already highest in women of color and impacts people of lower socioeconomic status.…”

Section: Implications For Health Equity and Reproductive Justicementioning

confidence: 99%

“…And, prior to 1973, pregnant people in the United States were often forced to resort to unsafe abortions resulting in complications such as hemorrhage, sepsis, pelvic injury, and death 15 . Pregnancy carries a far higher risk of morbidity and mortality than an abortion, and forced pregnancy will therefore put pregnant people at higher risk of maternal morbidity and mortality 16,17 . Countries that have restricted abortion access over the past 30 years have higher rates of abortion and unintended pregnancies compared to countries where abortion is legal and accessible 9 …”

Section: Introductionmentioning

confidence: 99%

Post‐Roe emergency medicine: Policy, clinical, training, and individual implications for emergency clinicians

Samuels‐Kalow

Agrawal

Rodriguez

et al. 2022

Academic Emergency Medicine

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On June 24, 2022, the United States Supreme Court ruled on Dobbs v. Jackson Women's Health Organization and overturned Roe v. Wade, removing almost 50 years of precedent and allowed individual states to determine restrictions on abortion. While the state-level policy landscape remains fluid, the Guttmacher Institute reports that 26 states (half of the United States) are likely to ban access to abortion, if their trigger laws have not already done so, 1 with critical implications for pregnant patients, those with reproductive potential, and the clinicians who care for them.The emergency department (ED) is an important access point for reproductive healthcare. More than 900,000 ED visits each year are for early pregnancy loss, which does not include those presenting for

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Termination of Pregnancy as a Means to Reduce Maternal Mortality in Pregnant Women With Medical Comorbidities

Cited by 2 publications

References 0 publications

Passage of abortion ban and women’s accurate understanding of abortion legality

Passage of abortion ban and women’s accurate understanding of abortion legality

Post‐Roe emergency medicine: Policy, clinical, training, and individual implications for emergency clinicians

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