3 ms·
No mention of controlling for income level or access to healthcare, both lower in states with more abortion restrictions.
by delichon 2y ago
No mention of controlling for income level or access to healthcare, both lower in states with more abortion restrictions.
- toomuchtodo 2y agoAbortion restrictions means reduced access to reproductive healthcare. Reduced access to healthcare leads to increased mortality. https://www.propublica.org/series/life-of-the-mother https://www.propublica.org/series/life-of-the-mother https://www.theguardian.com/world/2024/sep/25/abortion-bans-healthcare-maternal-mortality https://www.theguardian.com/world/2024/sep/25/abortion-bans-... https://www.npr.org/2022/08/18/1111344810/abortion-ban-states-social-safety-net-health-outcomes https://www.npr.org/2022/08/18/1111344810/abortion-ban-state... Obgyns are also avoiding or leaving states limiting access to reproductive healthcare. https://www.pbs.org/newshour/health/more-medical-residents-are-avoiding-states-with-abortion-restrictions-analysis-finds https://www.pbs.org/newshour/health/more-medical-residents-a... https://thehill.com/opinion/healthcare/4721173-draconian-abortion-laws-are-driving-ob-gyns-from-red-states/ https://thehill.com/opinion/healthcare/4721173-draconian-abo... https://www.nytimes.com/2023/09/06/us/politics/abortion-obstetricians-maternity-care.html https://www.nytimes.com/2023/09/06/us/politics/abortion-obst... | https://archive.today/oc0Gl https://archive.today/oc0Gl https://www.axios.com/2023/04/18/abortion-ban-states-drop-student-residents https://www.axios.com/2023/04/18/abortion-ban-states-drop-st... A contributing factor is also financial drivers making it unsustainable to provide obstetrician services in rural America, as well as birth volume declining below levels needed to make providing this care sustainable going forward. https://www.npr.org/2022/10/12/1128335563/maternity-care-deserts-march-of-dimes-report https://www.npr.org/2022/10/12/1128335563/maternity-care-des... https://www.marchofdimes.org/maternity-care-deserts-report-2022 https://www.marchofdimes.org/maternity-care-deserts-report-2... https://www.npr.org/sections/shots-health-news/2024/07/12/nx-s1-5036878/rural-hospitals-labor-delivery-health-care-shortage-birth https://www.npr.org/sections/shots-health-news/2024/07/12/nx... https://jamanetwork.com/journals/jama-health-forum/fullarticle/2806615 https://jamanetwork.com/journals/jama-health-forum/fullartic... More than half (57%) of the rural hospitals in the U.S. do not offer labor and delivery services, and in 10 states, more than two-thirds do not. Over the past five years, more than 100 rural hospitals across the country have stopped delivering babies. ~40% of the rural hospitals that still have labor & delivery services lost money on patient services overall in 2022-23, so their ability to continue delivering maternity care is at risk. In fourteen states, the majority of rural maternity care hospitals have been losing money. https://ruralhospitals.chqpr.org/downloads/Rural_Hospitals_at_Risk_of_Closing.pdf https://ruralhospitals.chqpr.org/downloads/Rural_Hospitals_a... https://ruralhospitals.chqpr.org/downloads/Rural_Maternity_Care_Crisis.pdf https://ruralhospitals.chqpr.org/downloads/Rural_Maternity_C... (draw your attention to the two maps of the USA on page 1 of the PDF, compare to which states have abortion restrictions using the next link) https://states.guttmacher.org/policies/ https://states.guttmacher.org/policies/ My analysis: As always, lots of nuance, but the big rocks are obvious. States with abortion restrictions are predominately rural. Their labor, delivery, and obstetrician services were already in peril. They doubled down. It should not be unexpected that the outcome of these confluence of factors is higher maternal mortality rates.