The Pregnancy-Related Mortality Impact of a Total Abortion Ban in the United States: A Research Note on Increased Deaths Due to Remaining Pregnant
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Open Access
- 25 October 2021
- journal article
- research article
- Published by Duke University Press in Demography
- Vol. 58 (6), 2019-2028
- https://doi.org/10.1215/00703370-9585908
Abstract
In this research note, I estimate one component of the mortality impact of denying all wanted induced abortions in the United States. This estimate quantifies the magnitude of an increase in pregnancy-related deaths that would occur solely because of the greater mortality risk of continuing a pregnancy rather than having a legal induced abortion. Using published statistics on pregnancy-related mortality ratios, births, and abortions, I estimate U.S. pregnancy-related deaths by race and ethnicity before and in the first and subsequent years of a hypothetical total abortion ban. The number of estimated deaths following a total abortion ban is determined by assuming three conditions: that all wanted induced abortions are denied, that each abortion denied leads to 0.8 births, and that there is a corresponding increase in exposure to pregnancy-related mortality. I find that in the first year of such a ban, estimated pregnancy-related deaths would increase from 675 to 724 (49 additional deaths, representing a 7% increase), and in subsequent years to 815 (140 additional deaths, for a 21% increase). Non-Hispanic Black people would experience the greatest increase in deaths (a 33% increase in subsequent years). Estimated pregnancy-related deaths would increase for all races and ethnicities examined. Overall, denying all wanted induced abortions in the United States would increase pregnancy-related mortality substantially, even if the rate of unsafe abortion did not increase.Keywords
This publication has 22 references indexed in Scilit:
- Population Group Abortion Rates and Lifetime Incidence of Abortion: United States, 2008–2014American Journal of Public Health, 2022
- Self reported outcomes and adverse events after medical abortion through online telemedicine: population based study in the Republic of Ireland and Northern IrelandBMJ, 2017
- Abortion Incidence and Service Availability In the United States, 2014Perspectives on Sexual and Reproductive Health, 2017
- Pregnancy Intentions, Maternal Behaviors, and Infant Health: Investigating Relationships With New Measures and Propensity Score AnalysisDemography, 2015
- The Comparative Safety of Legal Induced Abortion and Childbirth in the United StatesObstetrics & Gynecology, 2012
- Abortion Incidence and Access to Services In the United States, 2008Perspectives on Sexual and Reproductive Health, 2011
- Self-induction of abortion among women in the United StatesReproductive Health Matters, 2010
- Legalized abortion: Effect on national trends of maternal and abortion-related mortality (1940 through 1976)American Journal of Obstetrics and Gynecology, 1978
- Illegal Abortions in the United States: 1972-1974Family Planning Perspectives, 1976
- Births averted by induced abortion: An application of renewal theoryTheoretical Population Biology, 1972