The seasonality of abortion in Kentucky

Franklin, Tanya E.; Theisen, Graham; Salyer, Chelsea; Pinkston, Christina; Gunaratnam, Bakeerathan

doi:10.1016/j.contraception.2016.08.019

Cited by 11 publications

(13 citation statements)

References 12 publications

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“…Changes in the gestational duration at which Texas residents obtained abortion care were first assessed by comparing matched 6-month periods before (September 2020 through February 2021) and after implementation of SB 8 (September 2021 through February 2022), which would account for any seasonal variation in gestational duration at abortion. 16 The pre-SB 8 sample was limited to abortions that occurred in Texas, owing to incomplete gestational duration data for out-of-state abortions among Texas residents; abortions in Texas accounted for 96% of documented facilitybased abortions among Texas residents during this period. The post-SB 8 sample included in-state and out-of-state abortions among Texas residents for which individual-level data were available (97% of documented abortions for the period).…”

Section: Discussionmentioning

confidence: 99%

Association of Texas’ 2021 Ban on Abortion in Early Pregnancy With the Number of Facility-Based Abortions in Texas and Surrounding States

White

Sierra

Lerma

et al. 2022

JAMA

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ImportanceTexas’ 2021 ban on abortion in early pregnancy may demonstrate how patterns of abortion might change following the US Supreme Court’s June 2022 decision overturning Roe v Wade.ObjectiveTo assess changes in the number of abortions and changes in the percentage of out-of-state abortions among Texas residents performed at 12 or more weeks of gestation in the first 6 months following implementation of Texas Senate Bill 8 (SB 8), which prohibited abortions after detection of embryonic cardiac activity.Design, Setting, and ParticipantsRetrospective study of a sample of 50 Texas and out-of-state abortion facilities using an interrupted time series analysis to assess changes in the number of abortions, and Poisson regression to assess changes in abortions at 12 or more weeks of gestation. Data included 68 820 Texas facility–based abortions and 11 287 out-of-state abortions among Texas residents during the study period from September 1, 2020, to February 28, 2022.ExposuresAbortion care obtained after (September 2021–February 2022) vs before (September 2020–August 2021) implementation of SB 8.Main Outcomes and MeasuresPrimary outcomes were changes in the number of facility-based abortions for Texas residents, in Texas and out of state, in the month after implementation of SB 8 compared with the month before. The secondary outcome was the change in the percentage of out-of-state abortions among Texas residents obtained at 12 or more weeks of gestation during the 6-month period after the law’s implementation.ResultsBetween September 2020 and August 2021, there were 55 018 abortions in Texas and 2547 out-of-state abortions among Texas residents. During the 6 months after SB 8, there were 13 802 abortions in Texas and 8740 out-of-state abortions among Texas residents. Compared with the month before implementation of SB 8, the number of Texas facility–based abortions significantly decreased from 5451 to 2169 (difference, −3282 [95% CI, −3171 to −3396]; incidence rate ratio [IRR], 0.43 [95% CI, 0.36-0.51]) in the month after SB 8 was implemented. The number of out-of-state abortions among Texas residents significantly increased from 222 to 1332 (difference, 1110 [95% CI, 1047-1177]; IRR, 5.38 [95% CI, 4.19-6.91]). Overall, the total documented number of Texas facility–based and out-of-state abortions among Texas residents significantly decreased from 5673 to 3501 (absolute change, −2172 [95% CI, −2083 to −2265]; IRR, 0.67 [95% CI, 0.56-0.79]) in the first month after SB 8 was implemented compared with the previous month. Out-of-state abortions among Texas residents obtained at 12 or more weeks of gestation increased from 17.1% (221/1291) to 31.0% (399/1289) (difference, 178 [95% CI, 153-206]) during the period between September 2021 and February 2022 (P &lt; .001 for trend).Conclusions and RelevanceAmong a sample of abortion facilities, the 2021 Texas law banning abortion in early pregnancy (SB 8) was significantly associated with a decrease in the documented total of facility-based abortions in Texas and obtained by Texas residents in surrounding states in the first month after implementation compared with the previous month. Over the 6 months following SB 8 implementation, the percentage of out-of-state abortions among Texas residents obtained at 12 or more weeks of gestation significantly increased.

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Section: Discussionmentioning

confidence: 99%

Association of Texas’ 2021 Ban on Abortion in Early Pregnancy With the Number of Facility-Based Abortions in Texas and Surrounding States

White

Sierra

Lerma

et al. 2022

JAMA

View full text Add to dashboard Cite

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“…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. Season is a categorical variable indicating which quarter the abortion occurred to account for known seasonal trends in abortion [19] . In addition, patients’ home zip code and parish (county) were available on state ITOP forms, which were used for distance analyses.…”

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

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“…January was selected as the initiation time point because in Thailand, the rst cases of COVID-19 were o cially reported in this month [16] . Historical control of the same period was used because we aimed to mitigate the seasonality trend [17] . We excluded those who delivered before 22 weeks, underwent cesarean hysterectomy, and could not be contacted by telephone.…”

Section: Study Design and Populationmentioning

confidence: 99%

The prevalence of contraceptive use among postpartum women during the early phase of COVID-19 outbreak: A cross sectional study

Sathitloetsakun

Puangsricharoen

Phutrakool

et al. 2022

Preprint

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We investigated the prevalence of postpartum contraceptives during the COVID-19 outbreak and identify factors associated with contraceptive initiation. We reviewed the electronic medical records of 4506 postpartum women who delivered at King Chulalongkorn Memorial Hospital (KCMH) during the early phase of COVID-19 in Thailand and the historical cohort period. A total of 3765 women (83.6%), of which 1821 delivered during the pandemic and 1944 during the historical cohort period, were included in this study. The proportion of women who initiated modern contraceptives at six-week postpartum was comparable between the COVID-19 (73.4%) and historical cohort (75.3%) (p = 0.27) periods. The proportion of women who initiated highly effective contraception tended to be higher during the historical cohort period (22.5%) than during the COVID-19 period (19.7%) (p = 0.05). Accessing a six-week postpartum check-up was independently associated with highly effective contraceptive initiation, of which the adjusted odds ratio (OR) (95% confidence interval) was 3.01 (2.26 to 4.02). The findings highlight that the pandemic worsened the healthcare system by limiting access to postpartum check-ups, which contributed to fewer opportunities to initiate highly effective contraception.

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The seasonality of abortion in Kentucky

Cited by 11 publications

References 12 publications

Association of Texas’ 2021 Ban on Abortion in Early Pregnancy With the Number of Facility-Based Abortions in Texas and Surrounding States

Association of Texas’ 2021 Ban on Abortion in Early Pregnancy With the Number of Facility-Based Abortions in Texas and Surrounding States

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

The prevalence of contraceptive use among postpartum women during the early phase of COVID-19 outbreak: A cross sectional study

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