晚期堕胎护理的可用性变化 在多布斯诉杰克逊妇女健康组织之前和之后
Nancy F Berglas1, Rosalyn Schroeder, Shelly Kaller
1Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, Oakland, California.
自从多布斯决定以来,堕胎设施的数量已经减少,特别是对于晚期的手术. 一些诊所正在通过开设新地点或扩大服务来适应患者需求而适应变化.
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2022年多布斯诉杰克逊妇女健康组织的决定取消了联邦堕胎保护.
- 这一裁决对整个美国的生殖保健服务格局产生了重大影响.
- 了解堕胎设施可用性的变化对于评估医疗保健准入至关重要.
研究的目的:
- 分析流程性堕胎可用性的变化,重点关注第二和第三个三个月的服务.
- 为了评估这些变化在罗伊诉韦德案被推翻后的时期.
主要方法:
- 利用生殖健康堕胎设施数据库的新标准 (来自2021-2023年的国家数据).
- 记录了服务可用性的趋势和计算的设施孕期限制.
- 检查了提供后期程序性堕胎的设施的数量和比例.
主要成果:
- 从2021年到2023年,全国范围内公开广告流程性堕胎设施的数量下降了11.0% (从473到421).
- 提供晚期堕胎 (例如24周或更晚期) 的设施大幅减少,南方地区的关闭最多.
- 虽然一些设施关闭或减少了孕期限制,但其他设施则开设了新的地点或扩大了服务.
结论:
- 程序性堕胎设施数量和地理分布的大幅减少发生在多布斯决定之后.
- 观察到,晚期堕胎服务的可用性急剧下降.
- 一部分设施正在积极努力通过新开放和服务扩展来满足患者需求.
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