Maternal morbidity and fetal outcomes among pregnant women at 22 weeks' gestation or less with complications in two Texas hospitals after legislation on abortion.
Abstrak
Nambiar. Maternal morbidity and fetal outcomes at 22 weeks’ gestation or less with complications in 2 Texas hospitals after legislation on abortion. Am J Obstet Gynecol 2022. (continued) OBJECTIVE: Recent state-level legislation on abortion has encroached on access to reproductive care with disproportionate effects on underserved communities. In Texas, 2 legislative actions have been at the forefront of this public health issue. Senate Bill 8 bans abortions once cardiac activity is identified using standard medical practice on the basis of the estimated gestational age with enforcement by private plaintiffs through civil lawsuits. Senate Bill 4 states that a physician administering medicine to end a pregnancy even in the setting of a maternal medical emergency has committed a felony, with jail time ranging from 180 days to 2 years and a $10,000 fine; it also expands abortion complication reporting. The current national standard of care of women not in labor presenting with rupture of membranes before neonatal viability allows expectant management or immediate delivery following shared decision-making. We report the experiences from 2 urban, inner-city healthcare systems in Texas after these legislative actions.
Topik & Kata Kunci
Penulis (5)
A. Nambiar
Shivani Patel
Patricia Santiago-Munoz
C. Spong
David B. Nelson
Format Sitasi
Akses Cepat
- Tahun Terbit
- 2022
- Bahasa
- en
- Total Sitasi
- 84×
- Sumber Database
- Semantic Scholar
- DOI
- 10.1016/j.ajog.2022.06.060
- Akses
- Open Access ✓