多布斯决定对俄勒冈州一个大型高等医疗中心的堕胎服务的影响
Ava D Mandelbaum1, Erin C Nacev1, Megan F Fuerst1
1Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States.
Contraception
|May 11, 2024
概括
多布斯的决定增加了俄勒冈州一家医院的堕胎护理,更多的州外患者寻求晚期堕胎. 保护性状态对于获得生殖健康护理至关重要.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 美国最高法院的多布斯诉杰克逊妇女健康组织的决定推翻了罗诉韦德的判决.
- 这一裁决消除了联邦堕胎权,允许各州对该程序进行监管或禁止.
- 俄勒冈州是没有法律限制堕胎的州.
研究的目的:
- 评估多布斯决定对俄勒冈州一所学术医疗中心堕胎护理的影响.
- 评估患者人口统计和妊娠年龄在Dobbs后堕胎的变化.
主要方法:
- 电子健康记录的回顾性分析.
- 俄勒冈州最大的三级医院的多布斯决定之前和之后的堕胎护理数据的比较.
主要成果:
- 每月的平均堕胎数量在多布斯后显著增加 (57.8至77.1,p=0.001).
- 州外患者在决定后寻求护理的比例更高 (14.3%与9.5%,p=0.004).
- 观察到晚期堕胎 (≥26周) 的情况增加,特别是在州外患者中 (23.6%与3.7%在州内,p<0.001).
结论:
- 多布斯决定导致俄勒冈等保护性州医院堕胎服务的使用增加.
- 俄勒冈州在保护堕胎准入方面的作用强调了没有限制的州的重要性.
- 持续支持对于在全国范围内面临进入障碍的生殖保健基础设施至关重要.
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