Pregnancy Complications After


Journal

The western journal of emergency medicine
ISSN: 1936-9018
Titre abrégé: West J Emerg Med
Pays: United States
ID NLM: 101476450

Informations de publication

Date de publication:
Jan 2024
Historique:
received: 27 06 2023
revised: 02 11 2023
accepted: 14 11 2023
medline: 11 1 2024
pubmed: 11 1 2024
entrez: 11 1 2024
Statut: ppublish

Résumé

In June 2023, the Supreme Court declared that there was no longer a right to abortion under the federal constitution. This decision has allowed states to promulgate different restrictions on abortion, many of which implicate the practice of emergency medicine. An abortion is defined as a "medical intervention provided to individuals who need to end the medical condition of pregnancy" and includes care such as termination of an ectopic pregnancy and induction of labor for previable preterm premature rupture of membranes-interventions that emergency physicians either perform or rely on the assistance of consultants to perform. State bans on abortion must be evaluated against duties under the Emergency Medical Treatment and Labor Act, a federal law that preempts state law. In this paper we examine the conflict between state and federal law as it applies to emergency abortion care and describe how emergency physicians can continue caring for patients.

Identifiants

pubmed: 38205988
doi: 10.5811/westjem.61457
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

79-85

Déclaration de conflit d'intérêts

Conflicts of Interest: By the

Références

Centers for Disease Control and Prevention. National Hospital Ambulatory Medical Care Survey: 2011 Emergency Department Summary Tables. 2011. Available at: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2011_ed_web_tables.pdf. Accessed November 1, 2023.
KA Kilfoyle, R Vrees, CA Raker, KA Matteson. Nonurgent and urgent emergency department use during pregnancy: an observational study. Am J Obstet Gynecol. 2017;216(2):181.e1–181.e7.
R Fleishman. STAT. Rural hospitals are closing labor and delivery services. Babies’ lives are in jeopardy. 2023. Available at: https://www.statnews.com/2023/04/18/neonatal-care-closure-rural-labor-delivery-services. Accessed November 1, 2023.
Roe v. Wade, 410 U.S. 113 (1973). Accessed November 1, 2023.
Griswold v Connecticut, 381 U.S. 479 (1965). Accessed November 1, 2023.
H.B.1510, Miss.Leg, Reg. Sess. (Miss. 2018).Accessed November 1, 2023.
Legal Information Institute. Cornell Law School. Stare Decisis. 2021. Available at: https://www.law.cornell.edu/wex/stare_decisis. Accessed June 1, 2023.
E Nash, I Guarnieri. Guttmacher Institute. Six months post-Roe, 24 US states have banned abortion or likely to do so: a roundup. https://www.guttmacher.org/2023/01/six-months-post-roe-24-us-states-have-banned-abortion-or-are-likely-do-so-roundup (Last visited June 1, 2023).
Ala. Code §26-23H-4 (2021). Accessed November 1, 2023.
Idaho Code §18-622 (2020). Accessed November 1, 2023.
R Flink-Bochacki, C McLeod, H Lipe, et al. Classification of periviable pregnancy-ending interventions for maternal life endangerment as induced abortion. Contraception. 2023;123:110011.
AJ VandeVusse, J Mueller, M Kirstein, et al. “Technically an abortion”: understanding perceptions and definitions of abortion in the United States. Soc Sci Med. 2023;335:116216.
The American College of Obstetricians and Gynecologists. ACOG Guide to Language and Abortion. 2023. Available at: https://www.acog.org/contact/media-center/abortion-language-guide#:∼:text=Abortion%20is%20a%20medical%20intervention,the%20medical%20condition%20of%20pregnancy. Accessed November 1, 2023.
Ind. Code § 16-18-2-1 (2022). Accessed November 1, 2023.
Tex. Health and Safety Code Ann. § 245.002 (2017). Accessed November 1, 2023.
SA Hahn, EJ Lavonas, SE Mace, et al. American College of Emergency Physicians. Clinical policy: critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy. Ann Emerg Med. 2012;60(3):381–390.
A Nambiar, S Patel, P Santiago-Munoz, et al. Maternal morbidity and fetal outcomes among pregnant women at 22 weeks’ gestation or less with complications in 2 Texas hospitals after legislation on abortion. Am J Obstet Gynecol. 2022;227(4):648–650.
A Seitz. AP News. Feds: Hospitals that denies emergency abortion broke the law. 2023. Available at: https://apnews.com/article/emergency-abortion-law-hospitals-kansas-missouri-emtala-2f993d2869fa801921d7e56e95787567.
U.S. Department of Health and Human Services. HHS Secreatary Xavier Becerras Statement on EMTALA Enforcement. 2023. Available at: https://nwlc.org/wp-content/uploads/2022/11/Letter-to-Hospitals-FINAL.docx_Completed.pdf. Accessed November 1, 2023.
U.S. Department of Health and Human Services. Center for Medicare and Medicaid Services. OMB No. 0938-0391. 2023. Re: University of Kansas Hospital. Available at: https://nwlc.org/wp-content/uploads/2022/11/Freeman_260137-cms-form-2567-4-10-23-1.pdf. Accessed November 1, 2023.
U.S. Department of Health and Human Services. Center for Medicare and Medicaid Service. OMB No. 0938-0391. 2023. Re: Freeman Health System- Freeman West. Available at: https://nwlc.org/wp-content/uploads/2022/11/University-of-Kansas_170040-cms-form-2567-4-10-23.pdf. Accessed November 1, 2023.
C Kitchener.
S Simmons-Duffin. NPR. In Oklahoma, a woman was told to wait until she’s ‘crashing’ for abortion care. 2023. Available at: https://www.npr.org/sections/health-shots/2023/04/25/1171851775/oklahoma-woman-abortion-ban-study-shows-confusion-at-hospitals. Accessed November 1, 2023.
Zurawksi v State of Texas, D-1-GN-000968 (353rd Dist. Court). 2023. Available at: https://reproductiverights.org/wp-content/uploads/2023/03/Zurawski-v-State-of-Texas-Complaint.pdf. Accessed November 1, 2023.
D Grossman, C Joffe, S Kaller, et al. ANSIRH Deparments of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco. Care post-Roe: documenting cases of poor-quality care since the Dobbs decision. 2023. Available at: https://www.ansirh.org/research/research/how-post-roe-laws-are-obstructing-clinical-care. Accessed November 1, 2023.
Centers for Medicare & Medicaid Services. Emergency Medical Treatment & Labor Act (EMTALA). 2023. Available at: https://www.cms.gov/regulations-and-guidance/legislation/emtala. Accessed November 1, 2023.
EMTALA, 42 U.S.C. §1395dd(a) (1986).
Barber v Hospital Corp. of America, 977 F.2d 872 (1992). Accessed November 1, 2023.
EMTALA, 42 U.S.C. §1395dd(e)(3) (1986). Accessed November 1, 2023.
Cherukuri v Shalala, 175 F.3d 446 (1999). Accessed November 1, 2023.
Roberts v Galen of Va., Inc., 525 U.S. 249 (1999). Accessed November 1, 2023.
EMTALA, 42 U.S.C. §1395dd (1986). Accessed November 1, 2023.
87 CFR 15107. Accessed November 1, 2023.
U.S. Const. art.VI,cl.2. Accessed November 1, 2023.
KL Tritz, DR Wright. U.S. Department of Health and Human Services. Center for Clinical Services and Quality. Reinforcement of EMTALA obligations specific to patients who are pregnant or are experiencing pregnancy loss. QSO-22-22-Hospitals. 2023. Available at: https://www.cms.gov/files/document/qso-22-22-hospitals.pdf. Accessed November 1, 2023.
G Donley, K Chernoby, S Perryman.
United States v Idaho, No. 1:22-cv-00329-BLW. U.S Dist. Ct Idaho. 2022. Available at: https://storage.courtlistener.com/recap/gov.uscourts.idd.50547/gov.uscourts.idd.50547.95.0.pdf. Accessed November 1, 2023.
United States v Idaho, __F.Supp.3d__ (2022). Accessed November 1, 2023.
I.C. § 18-604(1), as amended effective 7/1/23. Accessed November 1, 2023.
Planned Parenthood v Idaho, Nos. 49615, 49817, 49899 (Idaho Jan. 5, 2023) at p. 88. Accessed November 1, 2023.
USA v Idaho, --- F.4th ----, 2023 WL 6308107 (9th Cir. Sept. 28, 2023). Accessed November 1, 2023.
USA v Idaho, No. 23-35440 (9th Cir. Oct. 10, 2023) (order granting rehearing en banc). Accessed November 1, 2023.
Texas v Becerra. No. 5:22-CV-185-H. U.S. Dist. Ct. N.D.Tex. 2022. Available at: https://storage.courtlistener.com/recap/gov.uscourts.txnd.365015/gov.uscourts.txnd.365015.73.0.pdf. Accessed November 1, 2023.

Auteurs

Kimberly Chernoby (K)

George Washington University School of Medicine and Health Sciences, Department of Emergency Medicine, Washington, D.C.

Brian Acunto (B)

Atlanticare Regional Medical Center, Department of Emergency Medicine, Galloway, New Jersey.

Classifications MeSH