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Abortion Bans Have Not Stopped Miscarriage Care for Women

Last week, the American Journal of Public Health published a study analyzing miscarriage care. It purportedly found that pro-life laws are worsening the quality of care given to women who miscarry pregnancies.

Specifically, it claimed that in pro-life states, women who miscarry are more likely to do so without any medical treatment. This study has been reported on by a number of outlets that cover public health including StatelineMedPage TodayScience News, and the 19th News.

The study obtains medical data on over 123,000 miscarriages that took place between January 2018 and September 2024 from a large database of insurance claims. It compares miscarriage care in 14 states that either banned abortion or enacted a Heartbeat Act to 17 other states with permissive abortion policies. It holds constant a variety of factors including age, rurality, and location of diagnosis.

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The study is analytically rigorous. However, it does contain a significant methodological flaw. It wrongly assumes that all of the state-level pro-life laws took effect when the Supreme Court’s Dobbs decision was issued in June 2022. This is not the case. The Texas Heartbeat Act took effect in September 2021 — ten months before Dobbs. Additionally, Idaho, Kentucky, and Tennessee did not start to consistently enforce their abortion bans until August 2022. West Virginia did not start to consistently enforce an abortion ban until September 2022. Finally, North Dakota’s pro-life law did not take effect until April 2023.

Furthermore, taking the results at face value, there is far less here than meets the eye. The data indicate that a high percentage of women who miscarry do so without any surgical or medical intervention. In the 14 pro-life states, the percentage of miscarriages that occurred without any medical intervention increased from 73.2 percent pre-Dobbs to 76.7 percent post-Dobbs. Interestingly, in states with permissive abortion polices, there was also an increase in the fraction of miscarriages that occurred without medical intervention. The increase, however, was somewhat smaller — 69.7 percent to 70.4 percent. Overall, the difference between pro-life and pro-choice states were marginal.

So far, they have not found much.

Overall, infant mortality in the United States has declined since the fourth quarter of 2022. According to the CDC, maternal mortality has declined by over 25 percent since 2022. Furthermore, two studies in reputable public health journals have failed to find a statistically significant difference in maternal mortality trends in “pro-life” and “pro-choice” states. Overall, a nice body of data from the United State and abroad shows that pro-life laws are consistent with good public health.

LifeNews.com Note: Dr. Michael New is a professor at Ave Maria University. He is a former political science professor at the University of Michigan–Dearborn and holds a Ph.D. from Stanford University. He is a fellow at Witherspoon Institute in Princeton, New Jersey.



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