The future of medication abortion in a post-Roe world

Aiken, Abigail R.A.; Upadhyay, Ushma D.

doi:10.1136/bmj.o1393

Cited by 14 publications

(8 citation statements)

References 15 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings from the early COVID-19 pandemic highlight the greater impacts likely for pregnant people in areas of the country who live far from a clinic that remains open and scheduling appointments. As during the pandemic, the availability of medication abortion post -Dobbs – at clinics, through telehealth, and self-sourced over the internet – will be critical to providing safe and effective options for those experiencing service disruptions due to their geographic location [29] , [30] , [31] .…”

Section: Discussionmentioning

confidence: 99%

“…We used March 2020 for total abortions and medication abortion analyses to reflect when shelter-in-place orders were imposed; we used April 2020 for trimester analyses to allow time for delay to appear. Time is a continuous measure of months from January 2018 through May 2020 ([ 1 ]to [29] ). The variable time since pandemic onset is given as 0 for months January 2018 through February 2020 and continuous [ 1 , 2 , 3 ] beginning March 2020, delayed by one month for trimester analyses.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Geographic disparities in disruptions to abortion care in Louisiana at the onset of the COVID-19 pandemic

Berglas

White²,

Schroeder³

et al. 2022

Contraception

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Geographic disparities in disruptions to abortion care in Louisiana at the onset of the COVID-19 pandemic

Berglas

White²,

Schroeder³

et al. 2022

Contraception

View full text Add to dashboard Cite

“…In producing both national and state estimates, we assume that no induced abortions are received. This is unlikely -especially in the short term -since travel for abortion is already substantial (Bearak and Jones 2022;White et al 2022), a robust infrastructure of abortion funds is dedicated to supporting pregnant people's travel to states that will not immediately ban abortion, and many providers and organizations support safe selfmanaged medication abortion (Aiken et al 2020Aiken and Upadhyay 2022). However, the degree to which people will be able to safely terminate pregnancies via travel and abortion self-management is unknown and very difficult to predict -especially given the challenges providers in many states are already facing as states banned abortion and clinics closed in anticipation of Roe's reversal, the clustered geographical distribution of the states that have banned or will ban, and ongoing state-level efforts to criminalize travel for abortion.…”

Section: Limitationsmentioning

confidence: 99%

The maternal mortality consequences of losing abortion access

Stevenson¹,

Root²,

Menken³

2022

Preprint

View full text Add to dashboard Cite

We update estimates of the maternal mortality impact of no abortions occurring in the U.S. following the recent release of new national and state abortion incidence data for 2020. This estimate quantifies the increase in maternal deaths that would occur after a total abortion ban solely due to the greater mortality risk of continuing pregnancy to term compared to having an abortion. We estimate the number of additional U.S. maternal deaths by race/ethnicity that would be caused if no abortion occurred, following previously published procedures and using published 2020 statistics on maternal mortality, births, and abortions. After the first year of no abortion occurring, we estimate increased exposure to the risks of pregnancy would cause an increase of 210 maternal deaths per year (24% increase), from 861 to 1071. The increase would be greatest among non-Hispanic Black people, for whom it would be 39%. We also estimate, by state, the number of additional maternal deaths caused by no abortion occurring in the 26 U.S. states that either have banned or the Guttmacher Institute estimates will soon ban abortion. We find that increases in some states would be as great as 29%, while in others, because of already extremely low abortion rates and numbers, less than 1 additional death would be expected. Banning abortion will likely change maternal mortality in ways beyond exposing more people to the existing risks of maternal death; any increase in maternal mortality due to these changes would be in addition to our estimates.

show abstract

“…Self-management of medical abortion with the use of mifepristone and misoprostol is effective, safe, and recommended by the World Health Organization. It is often the only method available in settings where abortion is illegal, facilitated outside the system by pro-abortion collectives—as is the case in Poland, Brazil, and Nigeria 234. The availability of medical abortion will undoubtedly mitigate some of the worst effects of the draconian laws in the US, allowing at least some women to carry out their own abortion at home.…”

mentioning

confidence: 99%

“…Of the nearly one million abortions done in the US in 2019, fewer than half were performed with the use of medication 5. The lack of systemic support will be a barrier and a cause of distress for many 4. Even in the well regulated UK context, women described the need for more assistance in the course of their self-administered medical abortions 6…”

mentioning

confidence: 99%