The end of Roe v. Wade: implications for Women’s mental health and care

Frontiers in Psychiatry

Psychiatry

Camille A. Clare¹  Jennifer L. Payne²  Amalia Londoño Tobón³  Madeleine Becker⁴  Rachel K. Scott⁵  Eileen McNicholas⁶  Luu D. Ireland⁷  Nancy Byatt⁸  Tiffany A. Moore Simas⁸ 

[1] Department of Obstetrics and Gynecology, Downstate Health Sciences University, Brooklyn, NY, United States;Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, VA, United States;Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, United States;Departments of Psychiatry and Human Behavior, Sydney Kimmel Medical College, Integrative Medicine and Nutritional Sciences, Thomas Jefferson University, Philadelphia, PA, United States;MedStar Health Research Institute, Georgetown University School of Medicine, Washington, DC, United States;UMass Chan Medical School, Worcester, MA, United States;UMass Chan Medical School, Worcester, MA, United States;Department of Obstetrics and Gynecology, University of Massachusetts Chan Medical School, Worcester, MA, United States;UMass Chan Medical School, Worcester, MA, United States;Department of Obstetrics and Gynecology, University of Massachusetts Chan Medical School, Worcester, MA, United States;Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA, United States;Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA, United States;Department of Population & Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, United States;

关键词: abortion;    reproduction;    Roe v Wade;    Dobbs v Jackson;    mental health;    perinatal;    psychiatry;    obstetrics and gynecology;   

DOI  :  10.3389/fpsyt.2023.1087045

 received in 2022-11-01, accepted in 2023-03-07,  发布年份 2023

来源: Frontiers

【 摘 要 】

The Supreme Court decision in Dobbs v. Jackson in June 2022 reversed precedent which had previously protected abortion prior to fetal viability as a universal right within the United States. This decision almost immediately led to abortion restrictions across 25 states. The resulting lack of access to abortion care for millions of pregnant people will have profound physical and mental health consequences, the full effects of which will not be realized for years to come. Approximately 1 in 5 women access abortions in the U.S. each year. These women are diverse and represent all American groups. The Supreme court decision, however, will affect populations that have and continue to be marginalized the most. Forcing pregnant individuals to carry unwanted pregnancies worsens health outcomes and mortality risk for both the perinatal individual and the offspring. The US has one of the highest maternal mortality rates and this rate is projected to increase with abortion bans. Abortion policies also interfere with appropriate medical care of pregnant people leading to less safe pregnancies for all. Beyond the physical morbidity, the psychological sequelae of carrying a forced pregnancy to term will lead to an even greater burden of maternal mental illness, exacerbating the already existing maternal mental health crisis. This perspective piece reviews the current evidence of abortion denial on women’s mental health and care. Based on the current evidence, we discuss the clinical, educational, societal, research, and policy implications of the Dobbs v. Jackson Supreme Court decision.

【 授权许可】

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Copyright © 2023 Londoño Tobón, McNicholas, Clare, Ireland, Payne, Moore Simas, Scott, Becker and Byatt.