Zori Gaia, Case Stuart, Pyche Courtney, Beckman Linda
Department of Health Services Research, Management, and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL 32610, United States.
College of Public Health and Health Professions Dean's Office, University of Florida, Gainesville, FL 32610, United States.
Health Aff Sch. 2025 Aug 14;3(8):qxaf146. doi: 10.1093/haschl/qxaf146. eCollection 2025 Aug.
The United States has a high rate of maternal mortality compared to similar countries. Following the overturning of and federal protections to abortion, multiple US states have adopted new policies related to legal abortion access. No published scoping or systematic reviews have comprehensively examined existing literature related to state-level abortion policy and maternal mortality in the United States. This study seeks to assess the extent of evidence on the relationship between state-level abortion policy and maternal mortality in the United States.
The scoping review is guided by the Joanna Briggs Institute (JBI) methodology and had no publication date restriction to capture pre- and post- studies.
Ten articles met inclusion criteria, with years of analysis from 1959 to 2020. Studies consistently found that restrictive abortion policies are associated with increases in maternal mortality at the state level. Limitations with the ability to compare findings across studies should be considered.
Across published studies, policies that restrict access to abortion are consistently associated with increases in maternal mortality, underscoring the significant impact of policy decisions on maternal health outcomes. Future research with updated policy and health outcomes data is needed as the policy landscape evolves.
与其他类似国家相比，美国的孕产妇死亡率较高。在罗诉韦德案及联邦堕胎保护被推翻后，美国多个州出台了与合法堕胎相关的新政策。尚无已发表的范围综述或系统评价全面审视过美国州级堕胎政策与孕产妇死亡率相关的现有文献。本研究旨在评估美国州级堕胎政策与孕产妇死亡率之间关系的证据程度。
本范围综述以乔安娜·布里格斯研究所（JBI）的方法为指导，且无出版日期限制以纳入研究前后的文献。
10篇文章符合纳入标准，分析年份为1959年至2020年。研究一致发现，限制性堕胎政策与州级孕产妇死亡率上升相关。应考虑跨研究比较结果时存在的局限性。
在已发表的研究中，限制堕胎的政策始终与孕产妇死亡率上升相关，凸显了政策决策对孕产妇健康结果的重大影响。随着政策格局的演变，需要利用更新的政策和健康结果数据开展未来研究。
