多布斯裁决对俄勒冈州一家大型三级医疗中心堕胎服务的影响。
Impact of the Dobbs decision on abortion services from a large tertiary center in Oregon.
机构信息
Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States.
Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States.
出版信息
Contraception. 2024 Aug;136:110484. doi: 10.1016/j.contraception.2024.110484. Epub 2024 May 9.
OBJECTIVES
Evaluate the impact of the Dobbs vs Jackson decision on abortion care at an academic center in Oregon, a state with no legal restrictions on abortion.
STUDY DESIGN
Electronic health records from patients who received an abortion at Oregon's largest tertiary hospital were utilized to compare the years before and after Dobbs.
RESULTS
Monthly average abortions increased from 57.8 pre-Dobbs to 77.1 post-Dobbs (p = 0.001). This trend was associated with an increased proportion of out-of-state patients (14.3% vs 9.5%, p = 0.004) presenting with gestational duration ≥26 weeks (23.6% vs 3.7% in-state, p < 0.001).
CONCLUSIONS
The Dobbs decision resulted in increased utilization of hospital-based abortion care in a protective state.
IMPLICATIONS
This study reflects the critical role of protective states such as Oregon in preserving access to abortion services and the need for continued support to alleviate the impact of nationwide barriers to reproductive healthcare.
目的
评估多布斯诉杰克逊案对俄勒冈州一家学术中心堕胎护理的影响，该州对堕胎没有法律限制。
研究设计
利用俄勒冈州最大的三级医院接受堕胎的患者的电子健康记录，比较多布斯案前后的年份。
结果
多布斯案前每月平均堕胎数为 57.8 例，多布斯案后增加到 77.1 例（p=0.001）。这一趋势与外州患者比例的增加有关（14.3%比 9.5%，p=0.004），并伴有妊娠持续时间≥26 周的患者比例增加（23.6%比州内的 3.7%，p<0.001）。
结论
多布斯案的裁决导致在一个保护性的州，基于医院的堕胎护理利用率增加。
意义
本研究反映了像俄勒冈州这样的保护性州在维护堕胎服务获取方面的关键作用，以及需要继续提供支持，以减轻全国范围内生殖保健障碍的影响。
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