Understanding the 7% Surge in the U.S. Infant Mortality: What the Dobbs Decision Reveals

American infants perished at a higher death rate in the months following the Supreme Court ruling that abolished Roe v. The odds of dying as a neonate were greater for babies born with chromosomal or genetic abnormalities, according to a recent study; and all this was after the controversial Jackson Women’s Health case.

The findings are consistent with research the authors published last year examining the situation in Texas after early pregnancy abortion ban and seem to outline the direct impact of the lack of access to abortion care,” Maria Gallo, PhD from The Ohio State University, and her team explained their study in JAMA Pediatrics.

Writing in the seven to 14 months after Roe v. After the wade was overturned, we sampled the nation and observed an increase in infant mortality by 7 percent and newly birthed babies with congenital anomalies increased by 10 percent, said Singh, an assistant professor of epidemiology.

When the researchers compared isolation rates on or after the month Dobbs decided to before the decision, they found 247 more total infant deaths per month than would epidemiologically be expected, and 204 more chromosomal/ genetic deaths per month than epidemiologically would be expected.

‘I doubt that people anticipated that post-Dobbs infant mortality rates would go up.’

To assess the impact of the Dobbs decision on the IMR and specifically, IMR due to congenital issues, the researchers searched the national birth outcomes database for trends from 2018 to 2023.

‘Birth outcomes are generally not very volatile in any population and especially across the entire U.S., the infant mortality is more or less same,’ he said, pointing to the usual seasonal fluctuations. The researchers have also included the averages of those regular fluctuations within their analysis.

“These extra deaths are in the babies born to people who became pregnant within the first part of this year 2022,” Singh said.

Controlling for the fact that the researchers did not observe a higher frequency of infant mortality after 14 months post the decision the argument does not hold, according to Gallo.

Will this continue past this time period?

In future, the researchers would like to know the effects based on different populations, especially those who are worst off when care is truncated and the rates of maternal mortality.

‘There are also indirect costs where people’s mental health also suffers because they could not access abortion or because they were forced to continue pregnancies with deadly foetal abnormalities,’ Singh explained.

Reference: 

Crane M. US infant mortality increased 7% in months following Dobbs, national analysis finds

Medical Xpress

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