Trauma of abortion restrictions and forced pregnancy: urgent implications for acute care surgeons.

Health Care Quality, Access, And Evaluation Healthcare disparities health policy pregnancy

Journal

Trauma surgery & acute care open
ISSN: 2397-5776
Titre abrégé: Trauma Surg Acute Care Open
Pays: England
ID NLM: 101698646

Informations de publication

Date de publication:
2023
Historique:
received: 22 11 2022
accepted: 02 12 2022
entrez: 6 2 2023
pubmed: 7 2 2023
medline: 7 2 2023
Statut: epublish

Résumé

In the aftermath of the Supreme Court's Dobbs vs. Jackson Women's Health decision, acute care surgeons face an increased likelihood of seeing patients with complications from both self-managed abortions and forced pregnancy in underserved areas of reproductive and maternity care throughout the USA. Acute care surgeons have an ethical and legal duty to provide care to these patients, especially in obstetrics and gynecology deserts, which already exist in much of the country and are likely to be exacerbated by legislation banning abortion. Structural inequities lead to an over-representation of poor individuals and people of color among patients seeking abortion care, and it is imperative to make central the fact that people of color who can become pregnant will be disproportionately affected by this legislation in every respect. Acute care surgeons must take action to become aware of and trained to treat both the direct clinical complications and the extragestational consequences of reproductive injustice, while also using their collective voices to reaffirm the right to abortion as essential healthcare in the USA.

Identifiants

pubmed: 36744294
doi: 10.1136/tsaco-2022-001067
pii: tsaco-2022-001067
pmc: PMC9896239
doi:

Types de publication

Editorial

Langues

eng

Pagination

e001067

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Am J Surg. 2017 Oct;214(4):596-598
pubmed: 28724500
Acad Med. 2020 Oct;95(10):1607-1615
pubmed: 32271231
Am J Public Health. 2020 Jan;110(S1):S21-S24
pubmed: 31967889
Contraception. 2020 Aug;102(2):115-118
pubmed: 32416143
Rev Obstet Gynecol. 2008 Spring;1(2):77-81
pubmed: 18769668
Contraception. 2021 Nov;104(5):496-501
pubmed: 33781761
BMC Pregnancy Childbirth. 2017 Dec 22;17(1):437
pubmed: 29272996
Expert Rev Obstet Gynecol. 2010 Sep;5(5):511-515
pubmed: 22355296
J Trauma Acute Care Surg. 2019 Aug;87(2):331-336
pubmed: 31348402
N Engl J Med. 2020 Mar 12;382(11):1029-1040
pubmed: 32160664
J Adolesc Health. 2019 Oct;65(4):520-526
pubmed: 31277990
BMJ. 2022 Jul 6;378:o1677
pubmed: 35793818
J Womens Health (Larchmt). 2015 Jan;24(1):100-6
pubmed: 25265285
Am J Public Health. 2022 Nov;112(11):1662-1667
pubmed: 36223577
Obstet Gynecol. 2022 Aug 1;140(2):146-149
pubmed: 35852261
Contraception. 2013 Jan;87(1):26-37
pubmed: 22898359
Obstet Gynecol. 2018 Apr;131(4):707-712
pubmed: 29528919
Contraception. 2022 Aug;112:111-115
pubmed: 35122730
Obstet Gynecol. 2012 Feb;119(2 Pt 1):215-9
pubmed: 22270271
Am J Bioeth. 2022 Aug;22(8):3-15
pubmed: 35652910
Lancet Reg Health Am. 2022 Jun;10:
pubmed: 35755080
J Health Polit Policy Law. 2021 Apr 1;46(2):277-304
pubmed: 32955562
MMWR Surveill Summ. 2019 Nov 29;68(11):1-41
pubmed: 31774741
JAMA Netw Open. 2020 Dec 1;3(12):e2029245
pubmed: 33337493
F1000Res. 2018 Dec 2;7:
pubmed: 30631424
J Pediatr. 2019 Feb;205:183-189.e1
pubmed: 30389101
Am J Public Health. 2017 Dec;107(12):1904-1909
pubmed: 29048970

Auteurs

Grace Keegan (G)

Pritzker School of Medicine, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Myles Francis (M)

Crown Family School of Social Work, Policy, and Practice, University of Chicago, Chicago, IL, USA.

Kristen Chalmers (K)

Pritzker School of Medicine, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Mark Hoofnagle (M)

Surgery, Washington University in St Louis, St Louis, Missouri, USA.

Mary Noory (M)

Surgery, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Rachael Essig (R)

Surgery, Georgetown University, Washington, District of Columbia, USA.

Lea Hoefer (L)

Surgery, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Neha Bhardwaj (N)

Obstetrics and Gynecology, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Elinore Kaufman (E)

Trauma and Surgical Critical Care, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.

Marie L Crandall (ML)

Surgery, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA.

Mohammad Zaidi (M)

Surgery, Duke Medicine, Durham, North Carolina, USA.

Valerie Koch (V)

Pritzker School of Medicine, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Hillary McLaren (H)

Obstetrics and Gynecology, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Marion Henry (M)

Pediatric Surgery, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Chelsea Dorsey (C)

Surgery, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Tanya Zakrison (T)

Surgery, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Julie Chor (J)

Obstetrics and Gynecology, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.

Classifications MeSH