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

Trauma Surgery & Acute Care Open

article

Grace Keegan¹  Myles Francis²  Kristen Chalmers¹  Mark Hoofnagle³  Mary Noory⁴  Rachael Essig⁵  Lea Hoefer⁴  Neha Bhardwaj⁶  Elinore Kaufman⁷  Marie L Crandall⁸  Mohammad Zaidi⁹  Valerie Koch¹  Hillary McLaren⁶  Marion Henry^1,10  Chelsea Dorsey⁴  Tanya Zakrison⁴  Julie Chor⁶ 

[1]Pritzker School of Medicine , University of Chicago Biological Sciences Division

[2]Crown Family School of Social Work, Policy, and Practice , University of Chicago

[3]Surgery , Washington University in St Louis

[4]Surgery , University of Chicago Biological Sciences Division

[5]Surgery , Georgetown University

[6]Obstetrics and Gynecology , University of Chicago Biological Sciences Division

[7]Trauma and Surgical Critical Care , University of Pennsylvania Health System

[8]Surgery , University of Florida College of Medicine - Jacksonville

[9]Surgery , Duke Medicine

[10]Pediatric Surgery , University of Chicago Biological Sciences Division

关键词: health policy;    Health Care Quality;    Access;    And Evaluation;    Healthcare disparities;    pregnancy;   

DOI  :  10.1136/tsaco-2022-001067

学科分类：社会科学、人文和艺术（综合）

来源: BMJ Publishing Group

【 摘 要 】

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.health policyHealth Care Quality, Access, And EvaluationHealthcare disparitiespregnancyhttp://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND