Experts say maternal mortality in the United States will definitely rise as more states limit abortion after the collapse of the Roe v. Wade case. ..
Maternal mortality rates in the United States are surprisingly high, especially for people of color, at a higher rate than in any other developed country.
Pre-pandemic statistics show that about 700 people die each year from pregnancy-related complications, and black and American Indian / Alaska Native women can die from pregnancy-related complications. The sex was about 3 times. Causes compared to white womenCenters for Disease Control and Prevention
According to theanalysisreleased at the JAMA Network Open on Tuesday, maternal mortality is as follows: Has increased to. As much as 41% after the pandemic was declared. The increase was most noticeable for Hispanics and black women.
As states across the country restrict access to abortion, female health advocates and researchers predict that maternal mortality and its racial disparities will only worsen. .. In particular, the states that ban abortion are often already high in maternal mortality. Mortality rate.
"There is no doubt that we need to expect an increase in maternal mortality and morbidity that is already terrible and uncaring," said Andrea Miller, president of the National Institute of Reproductive Medicine, about maternal mortality. Mentioned. Pregnancy-related conditions that adversely affect a woman's health.
She said some of them were number games. Increasing the restrictions on who has access to an abortion increases pregnancy and increases the likelihood of complications.
"Some of these pregnancies are healthy pregnancies, and some of those pregnancies will face complications," Miller said. "And even those with a healthy pregnancy will increase the tension that already exists in our healthcare system when it comes to pregnancy-related care."
Pregnant deaths by the CDC It is defined as death within one year after childbirth, during pregnancy, or from a cause related to pregnancy or its management, or exacerbated by pregnancy or its management.
Tuesday's JAMA Network OpenAnalysiscompared maternal mortality data from 2018 to March 2020 with data from April to December 2020.
Maternal mortality — Maternal mortality or death within 42 days Birth rate — After March 2020, the maternal mortality rate increased by 33.3% compared to before the pandemic, but the maternal mortality rate was 42 days or more and less than 1 year. It increased by 41%.
Guttmacher Instituteis a research organization that supports abortion, and 26 states have had an abortion due to lack of federal protection, including 13 that enacted a law involving abortion. We anticipate that it is certain or likely that we will ban. A ban designed to take effect when the Roe v. Wade case is overturned.
Among them is Mississippi. Mississippi is at the center of the decision to reverse Roe, with maternal mortality rates reported to be nearlydoubleof the national average, according to a 2019 report.
The state provides little health and social net to mothers. Earlier this year, Republican leaders of the Mississippi Capitolkilled a billthat extended Medicaid's coverage for the first year after childbirth from two months.
The racial disparity in Mississippi is particularly shocking. It is nearly 118 times more dangerous to give birth there than to have an abortion for a black woman. Citing state health data, "Womb's Policing: The Criminalization of Invisible Women and Motherhood."
In Louisiana, Republican Senator Bill Cassidy recently created aFirestormfor a comment that downplays the racial disparity in maternal mortality, but of black. Mothers arefour times more likely to die. From a white mother. The state's obstetric care "desert" iscorrelated, especially with poor pregnancy outcomes.
The reasons for racial disparities in these states and across the country are multifactorial, said Rachel Hardeman, a professor of health and racial equality at the University of Minnesota School of Public Health.
She said it included structural racism and a lack of investment in black, Latino, and indigenous communities to live, work and play. Potential lack of access to assisted reproductive technology, from prenatal care to abortion services. And "weathering" is the concept that daily exposure to racism worsens health and accelerates aging at the biological level.
Overthrowing Roe means much more than women's health care, she said.
"It is important to consider both the Supreme Court's decision and its direct impact on access to assisted reproductive technology and abortion services, but consider it as part of most of the health policy. Is also important. Perpetuate racial discrimination and white supremacy, "Hardeman said. "We will exacerbate the gap," she said, as to how Roe's fall affects racial disparities in maternal mortality.
How to prevent the surge in maternal mortality
As abortion bans are enforced, so-called sanctuary states are absorbing more patients.
Atlanta's Feminist Women's Health Center has received calls from hundreds of people from neighboring states since Law's overthrow, said Kwajalein Jackson, Managing Director.
Traveling to such places can be a burden to many, whether economical or not. Also, Georgia is awaiting a court ruling on a strict ban on abortion, which could soon severely limit the ability of health centers to carry out abortions.
Jackson said successful grassroots tissue should lead national debate on how to prevent maternal mortality.
"What I want to see more is to look at the expertise and experience of the black people doing this job in the community," she said of the nonprofit Black MamasMatter Alliance. I quoted and said. As an example, an organization that promotes the health rights of black mothers. She also encouraged further investment in local customized expertise.
"The intervention needed in Alaska will not look like the intervention needed in Mississippi," she said.
Hardeman said he would adopt an "all-hands-on-deck" approach to prevent maternal mortality, especially among people of color. The next election cycle will be the key to this, she said, and therefore will also do everything to prevent voter oppression.
"Everyone will be affected by the additional burden on our health care system, our economy, and the community.
Miller focuses on expanding contraception, pregnancy-related care, and affordable health care for abortion, including eliminating the out-of-pocket costs of abortion. I said it should be. Consider the impact it has on your life, even indirectly.
"Everyone will be affected by the additional burden on our health care system, our economy, and the additional burden. Miller said," Community. "About the support of the local community," he said. "It's not just a spillover effect, it's like a tsunami effect."
