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Induced Termination of Pregnancy Before and After Roe v Wade: Trends in the Mortality and Morbidity of Women.

Providing legal access to abortion in the United States was strongly correlated with reduction in maternal mortality rate, cutting the rate from 3.3 deaths per 100,000 procedures in 1973 to only 0.4 deaths per 100,000 procedures in 1985.

A meta-analysis of 250 studies showed that overall, women feel relieved after being able to have a safe abortion and move on with their lives with autonomy in family planning. 

Access to physician-led abortion procedures and  post-abortion care, such as antibiotics, allows women to feel safe in their decision to terminate a pregnancy. 

Early access to abortion helps reduce complications related to the procedure. 

(Coble et al. 1992)

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Figure 1. Maternal mortality rates, by race and Hispanic origin: United States, 2018–2021

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https://abortioncarenetwork.org/cnc2022/

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“This other pharmacist said they were selling a lot of this medication to young women from the United States. He also didn’t have the companion medication Mifepristone. In fact, he didn’t know any instructions on how to take it. He just shrugged his shoulders when we asked him for those recommendations.”

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“She would have to wait until she miscarried naturally, or got sick enough that doctors felt legally safe to induce an abortion. She considered traveling to a state where abortion remains legal, but her doctors told her the situation was so dire she needed to stay within 15 minutes of a hospital.”

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Video letter: A doctor who worked 'infected abortion' ward

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“They jabbed into their uteruses with knitting needles and coat hangers, which Mishell sometimes found still inside them. They stuck in bicycle pump nozzles, sometimes sending a fatal burst of air to the heart. They’d try to insert chemicals -- drain cleaner, fertilizer, radiator-flush -- and miss the cervix, corrode an artery and bleed to death. Mishell once put a catheter into a woman’s bladder and ‘got a tablespoon of motor oil.’”

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Uneasy Allies: Pro-Choice Physicians, Feminist Health Activists and the Struggle for Abortion Rights.

 “The American Medical Association (AMA), formed in 1847, quickly made the criminalization of abortion one of its highest priorities, a move based not on moral objections to abortion, but rather because the issue served so well as the center of the new organization’s professionalizing project. Because abortion provision in the 19th  century drew so heavily on nurses, midwives and other ‘irregular’ healthcare providers, mobilization around this issue provided a highly suitable vehicle to differentiate ‘regular’ or ‘elite’ physicians from the wide variety of other groups also making claims to be legitimate healthcare providers in that period ”

(Joffe, Weitz, and Stacey 2004)

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Women on Waves: Where Next for the Abortion Boat?

Women on Waves was established to provide reproductive health services to women in hopes of preventing of unwanted pregnancy and unsafe abortions 

A ship with a mobile clinic operates in international waters off the coasts of countries where women can’t seek legal abortion care.

Even when faced with officials stopping their abortion services, Women on Waves was able to provide reproductive health information, information on how to seek legal abortions, and contraception.

(Gomperts 2002)

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Expected to have enough funds to operate in 2024

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Overturning Roe v. Wade: Consequences for midlife women’s health and well-being

Limiting or removing access to aspects of reproductive health services affects particular populations of women, particularly women of color and midlife women experiencing unintended pregnancies.

930,000 abortions were obtained in the United States in 2020

Where will women seek abortion care if they are not given access to legal abortions?

The researchers predict that the overwhelming majority of consequences of the overturning of Roe v. Wade in the United States will fall on minority women, women of low socioeconomic status, and midlife women experiencing unintended pregnancies.

(Berg and Woods 2023)

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Estimating the Proportion of Medicaid-Eligible Pregnant Women in Louisiana Who Do Not Get Abortions When Medicaid Does Not Cover Abortion

“Based on published numbers, approximately 10% of pregnancies in Louisiana end in abortion. If Medicaid paid for abortion, this would increase to 14% [95% CI 12, 16]. [See Fig. 1] This means about

29% [95% CI 19, 41] of Medicaid-eligible pregnant women who would have an abortion if Medicaid covered abortion instead give birth.

Applying 7.2% to the number of Medicaid births in Louisiana in 2015 (41,931), approximately 3000 [95% CI 1700, 5200] Louisiana women with Medicaid give birth per year instead of having an abortion because Medicaid does not cover abortion.”

(Roberts et al. 2019)

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https://www.census.gov/library/publications/2023/demo/p60-280.html#:~:text=The%20official%20poverty%20rate%20in,and%20Table%20A%2D1).

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Repercussions of overturning Roe v. Wade for women across systems and beyond borders.

In America, there has been an historical control over women’s reproductive rights, particularly for women of color.

The medical care of women of color is not the same as white women and now more women of color are having to face the repercussions of unintended pregnancies and possible medical complications. 

In the wake of the overturning of Roe v. Wade, marginalized women will be forced to carry out pregnancy, face any medical complications associated with it, and shoulder the financial and emotional burden of having the child.

(Coen-Sanchez et al. 2022)