Department of Obstetrics & Gynecology, Stanford University, Stanford, California, USA.
Curr Opin Obstet Gynecol. 2024 Dec 1;36(6):426-432. doi: 10.1097/GCO.0000000000000975. Epub 2024 Jul 10.
Dobbs v Jackson Women's Health Organization revoked the decades-old precedent that pregnancy termination is a constitutional right. This review article explores the research landscape describing the consequences of overturning Roe v Wade for patients and providers.
To date, fourteen states have enforced total bans on abortion, with seven more restricting abortion access to levels not seen since before Roe. Dobbs has had immediate and swift consequences from clinical, social and professional perspectives, with increases in maternal mortality and demand for long-acting and permanent contraception, matched by declines in both access to methotrexate and applications to Obstetrics & Gynecology training programs.
Eighteen million patients now live in states where abortion access is highly if not completely inaccessible. Abortion restrictions have profound implications beyond those desiring pregnancy termination; future research should continue to explore the ways Dobbs has affected clinical care, public health and social practices.
目的综述:多布斯诉杰克逊妇女健康组织推翻了长达数十年的先例,即堕胎是一项宪法权利。本文综述探讨了推翻罗诉韦德案对患者和医生的影响的研究现状。
最新发现:迄今为止,已有 14 个州全面禁止堕胎,还有 7 个州限制堕胎的范围,回到了罗诉韦德案之前的水平。从临床、社会和专业角度来看,多布斯案立即产生了迅速的影响,导致孕产妇死亡率上升,对长效和永久性避孕措施的需求增加,同时接受甲氨蝶呤治疗的机会和妇产科培训项目的申请减少。
总结:现在有 1800 万名患者生活在堕胎几乎无法获得或完全无法获得的州。堕胎限制的影响远远超出了那些希望终止妊娠的人;未来的研究应继续探讨多布斯案如何影响临床护理、公共卫生和社会实践。