Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Acad Emerg Med. 2022 Dec;29(12):1414-1421. doi: 10.1111/acem.14609. Epub 2022 Nov 3.
In June 2022, the United States Supreme Court decision Dobbs v. Jackson Women's Health Organization overturned Roe v. Wade, removing almost 50 years of precedent and enabling the imposition of a wide range of state-level restrictions on abortion access. Historical data from the United States and internationally demonstrate that the removal of safe abortion options will increase complications and the health risks to pregnant patients. Because the emergency department is a critical access point for reproductive health care, emergency clinicians must be prepared for the policy, clinical, educational, and legal implications of this change. The goal of this paper, therefore, is to describe the impact of the reversal of Roe v. Wade on health equity and reproductive justice, the provision of emergency care education and training, and the specific legal and reproductive consequences for emergency clinicians. Finally, we conclude with specific recommended policy and advocacy responses for emergency medicine clinicians.
2022 年 6 月,美国最高法院推翻了罗诉韦德案的多布斯诉杰克逊妇女健康组织案裁决,推翻了近 50 年的先例,并允许对堕胎准入实施广泛的州级限制。来自美国和国际的历史数据表明,取消安全堕胎选择将增加怀孕患者的并发症和健康风险。由于急诊科是生殖保健的关键准入点,急诊临床医生必须为这一政策变化带来的政策、临床、教育和法律影响做好准备。因此,本文的目的是描述罗诉韦德案被推翻对健康公平和生殖正义、急诊护理教育和培训的提供,以及对急诊临床医生的具体法律和生殖后果的影响。最后,我们得出结论,为急诊医学临床医生提出了具体的政策和宣传建议。