EDITORIAL: Lawmakers v. The Scientific Realities of Human Reproduction - NEJM
June 24, 2022
DOI: 10.1056/NEJMe2208288
The Editors
The just-announced U.S. Supreme Court decision in
Dobbs v. Jackson Women’s Health Organization represents a stunning reversal of precedent that inserts government into the personal lives and health care of Americans. Yet it was not unexpected. In the long, painful prelude to the decision, many states have severely limited access to reproductive health care. The fig-leaf justification behind these restrictions was that induced abortion was a dangerous procedure that required tighter regulation to protect the health of persons seeking that care. Facts belie this disingenuous rhetoric.[SUP]
1,2[/SUP] The latest available U.S. data from the Centers for Disease Control and Prevention and the National Center for Health Statistics are that maternal mortality due to legal induced abortion is 0.41 per 100,000 procedures, as compared with the overall maternal mortality rate of 23.8 per 100,000 live births.[SUP]
3,4[/SUP]
Experience around the world has demonstrated that restricting access to legal abortion care does not substantially reduce the number of procedures, but it dramatically reduces the number of
safe procedures, resulting in increased morbidity and mortality. Millions of persons in states lacking protections for abortion care are also likely to be denied access to medication-induced abortions. It may be difficult for many Americans in 2022 to fully appreciate how complicated, stressful, and expensive, if even attainable, their most private and intimate decisions will become, now that
Roe has been struck down. A recent
New York Times article recounted the experiences of women, now in their 60s and 70s, who sought abortions before
Roe.[SUP]
5[/SUP] They described humiliating circumstances, unsafe procedures literally performed in back alleys, and the deep shame and stigma they endured. Common complications of illegal procedures included injury to the reproductive tract requiring surgical repair, induction of infections resulting in infertility, systemic infections, organ failure, and death.[SUP]
6[/SUP] We now seem destined to relearn those lessons at the expense of human lives. ...
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