Medical Implications of Restricting Abortions on Women Diagnosed With Fetal Anomalies Following the Overturn of Roe v. Wade: A Scoping Review

Medical Implications of Restricting Abortions on Women Diagnosed With Fetal Anomalies Following the Overturn of Roe v. Wade: A Scoping Review

This scoping review addresses the potential maternal health outcomes of abortion restrictions in the U.S. by studying and analyzing the reported effects of abortion bans or limitations globally. The goal was to examine the medical implications for pregnant women who are unable to abort fetuses that...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) Vol. 16; no. 4; p. e58994
Main Authors: Mellquist, Madison, Hoedt, Megan, Fusco, Kellie N, Alef, Rachel, Dittmer, Kaitlyn, Ash, Henry, Shoukat, Wamika, Fonteyn, Lorenzo, Herzstein, Salome, Heineman, Allie, Mayrovitz, Harvey N
Format: Journal Article
Language:English
Published: United States Cureus Inc 25-04-2024
Subjects:
Abortion
Bans
Fetuses
Gestational age
Keywords
Menstruation
Pregnancy complications
Restrictions
Womens health
United States > US
Ohio
fetal anomalies
abortion
health policy
reproductive rights
roe v. wade
abortion ban
congenital anomalies
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Summary:This scoping review addresses the potential maternal health outcomes of abortion restrictions in the U.S. by studying and analyzing the reported effects of abortion bans or limitations globally. The goal was to examine the medical implications for pregnant women who are unable to abort fetuses that have severe medical anomalies due to imposed restrictions. EMBASE, Medline, and CINAHL databases were searched for studies published in English concerning the medical implications of abortion restrictions in any country prior to the overturn of in 2022. For the search criteria using Boolean operators, keywords included the terms "fetal anomaly," "abortion ban," and "implications." Inclusion criteria incorporated studies published between 1980 and 2021, and controlled experimental research studies aimed to evaluate interventions were excluded. This resulted in 469 records initially found. Duplicate records were removed, and two separate tier reviews were conducted. Eleven reviewers independently screened abstracts and titles of 332 records to ascertain eligibility. Eligibility included pregnant women diagnosed with fetal anomalies, women denied access to safe abortions, and the maternal and fetal medical impacts of this. Three reviewers in the second screening independently read 36 full articles to further assess eligibility, resulting in 14 articles in the final review. Findings from this study showed that abortion bans in countries around the world have led to health complications in women seeking illegal abortion services, a decline in maternal mental health, including stress and depression, various medical complications such as obstructed labor, and an increase in high-risk fetuses born with severe deficits. The findings of this review portend similar negative consequences to be experienced by women who are subject to stricter abortion laws in the U.S.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.58994