Unwanted pregnant women will face a higher risk of maternal mortality, increased infertility and health disparity, as a result of the Supreme Court ruling on Roe v. Wade recently, health experts in the northeast said.
Infertility, legal abortion will affect the health of pregnant women in a number of ways, whether they will continue to try to have an abortion or continue to have an abortion. abdomenKathy Simmonds said, mataA health worker and researcher, who will join the North East Roux Center this summer.
“People will have abortions, whether legal or illegal,” Simmonds said. “If they can get it legally, they can have access to doctors who know how to do the job, provide medications and education, and guide patients through.”
Since July 1, abortions have been banned altogether in at least five states — Alabama, Arkansas, Missouri, Oklahoma and South Dakota — according to the Guttmacher Center. Abortion is observed in 20 states and Washington DC, while in other states it is not limited or uncertain.
In recent years, clinical abortion has become a safe procedure with less than 3% of people experiencing complications, while serious complications occur to less than 1% of patients, Simmonds said. Without any connection to a standardized medical system, attempts to control abortion or turn to unauthorized authors, pregnant women may become embroiled in controversy, even if they are taking abortion medication. and pregnancy without the guidance of health care professionals.
Post-Roe, Simmonds also anticipates future abortions. Roe v. Wade allows abortion up to the time of labor, which is scheduled to last in 24 to 28 weeks. With the development in pediatrics, the possibility of the fetus, when it can live outside the uterus, increased to 22 weeks, while most abortions in the United States – nine in 10 – occur in the first trimester of pregnancy, before 13. weeks of gestation. Abortion usually occurs under compulsion, Simmonds said, when a catastrophic event occurs for a person with a desired pregnancy. health condition or detecting a genetic issue — or when a caregiver, for example, detects a teenage pregnancy as a result of a miscarriage.
With new abortion bans and laws restricting the age of childbirth not far away, pregnant women will have the promise of legal abortion in another state and gather resources to travel, Simmonds said. This will result in more people facing the risk of major abortion complications.
“The sooner you can have an abortion, the safer it is, the less likely you are to have an abortion,” Simmonds said.
There is now more uncertainty about the gray line between termination of pregnancy and the implementation of a life-saving procedure if there is an ectopic pregnancy, for example, or a membrane rupture, which puts the mother at risk of infection.
“If you’re in the process of having an abortion, you may not be able to find ways to help you end the abortion quickly, which protects your health,” Simmonds said. “It’s an exciting, new place.”
Between the money needed to travel and the fear of what would happen if you traveled, if states chose to implement the legal consequences, there would be many people who could not have an abortion and would continue to do so. . an unintentional pregnancy, Simmonds said. This will affect the poor, the young and the fearful; undocumented immigrants; women in rural areas, without a car or in unsafe relationships, who will be restricted beyond their means to travel to another state.
“You are, in fact, creating a public health crisis instead of addressing it. And we are doing so in the face of public health inequality,” said Allison Bauer, assistant professor of education at Bouvé College of Health Sciences. North East, who specializes in public health and public health policy.
Health equity issues related to maternity care come from money, race, religion, region and gender, Bauer said.
“No one is telling men… to go get vaccinated,” she said.
Pregnancy to death and childbirth is 12 to 14 times more likely to be healthy, legal abortion, Simmonds said, as the United States is already embroiled in a maternal mortality crisis, which is affecting black women. In 2020, 861 women died as a result of cervical cancer nationwide, or 14.2% more than in 2019, according to the Centers for Disease Control. The maternal mortality rate for black women reached 55.3 percent per 100,000 live births, three times that of white and Hispanic women.
Bauer said the United States has the highest maternal mortality rate in any developed country in the world, Bauer said: in 2019, the U.S. birth rate reached 20.1 per 100,000. born alivewhile 3.2 in Germany, 3.9 in Austria, 5.3 in the Netherlands and 7.5 in Canada.
A study by Duke University estimated that stopping abortion in the United States altogether would lead to an increase in maternal mortality by 21 percent. white women and 33% of black women.
One of the leading causes of miscarriage, high rates of maternal mortality and mortality among black women regardless of income is racism, says Simmonds, who causes stress, high blood pressure and cortisol levels, which cause some negative effects on the body. Adverse pregnancy consequences include early birth, low birth weight, high blood pressure and postpartum heart attack.
If the hospitals that offer abortion are close, there will be unintended pregnancies and other health consequences, Bauer said, because these hospitals also offer birth and pregnancy care, sex education, prevention contraception and testing for sexually transmitted diseases. Closing will be limited health care access for some women and creating divisions across the country.
“If you are from New York, or California, or Massachusetts, you will have access. If you live in Alabama, or Mississippi, or Texas, you will not have access. Your health should not be guaranteed by you. .Pip number, “Bauer said.
Bauer said unplanned pregnancy is associated with poor birth control and, therefore, with more complications and negative consequences for pregnancy, Bauer said.
The Turnaway study, which followed 1,000 women after some of them had a chance to have an abortion, while others were barred, found that women who continued to have unwanted pregnancies were more likely to be poor, because they can go back. in their education and profession, being in trouble, or getting more debt. Living in poverty leads to poor health outcomes for adults and their children due to poor nutrition, poor breastfeeding, anxiety, low self-esteem and anxiety and other health problems.
Unwanted children are more likely to experience a lack of cooperation with their parents and to be hospitalized for mental illness than their siblings or other children who are scheduled to become pregnant.
This is a tragedy for individuals and for society as a whole, Simmonds said.
Bauer said unintentional pregnancy often occurs in violent relationships, which puts women at high risk of being the victim of a homicide, Bauer said. A study related to mortality files from the National Institutes of Health from 2018 and 2019 found that suicide is the leading cause of death during pregnancy and childbirth for women in the United States The study authors concluded that pregnancy causes and a great slaughter. risks for black women and girls girls 10 to 24 year olds in ethnic and tribal groups.
Simonds said so abortion the goal should be based on the weakest people to implement.
“The [Supreme Court’s] The decision further complicates the issues of injustice and underdevelopment that we have already faced in our country. health the result as a whole, “said Bauer.
North East University
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