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在德克萨斯州堕胎禁令之前和之后,输血治疗怀孕损失,2017年至2023年

Amanda Nagle¹, Goleen Samari¹, Lauren Thaxton¹

¹Amanda Nagle is with the Population Research Center at the University of Texas at Austin. Goleen Samari is with the Department of Population and Public Health Sciences in the Keck School of Medicine of the University of Southern California, Los Angeles. Lauren Thaxton is with the Department of Obstetrics and Gynecology at the University of Colorado Anschutz Medical Campus, Aurora. Alison Gemmill is with the Department of Population, Family and Reproductive Health at Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

American journal of public health

|September 11, 2025

概括

美国德克萨斯州德克萨斯州

科学领域:

公共卫生公共卫生
生殖健康生殖健康
医疗保健政策医疗保健政策

背景情况:

德克萨斯州在2021年实施了6周堕胎禁令 (SB8),并在2022年多布斯决定后实施了全面禁令.
妊娠损失并发症可能需要输血,表明严重的孕产妇发病率.

研究的目的:

为了评估德克萨斯州堕胎禁令对流血率对流产的影响.
评估与流产后流产相关的严重发病率的变化.

主要方法:

利用德克萨斯州医疗保健机构 (2017-2023) 的行政数据.
采用时间序列分析来比较观察到的与预期的输血.
分析了6周禁令和全面禁令之前和之后的数据.

主要成果:

在6周的禁令期间,没有观察到输血的显著变化.
总体堕胎禁令与流产输血增加了15.1% (每季度增加50.7次输血).
这种增加表明严重发病率上升.

结论:

德克萨斯州对堕胎的全面禁令与怀孕流产的严重发病率增加有关.
限制堕胎的政策变化可能会对公共卫生产生重大影响.

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