America’s already-dreadful maternal mortality rate looks set to rise

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America’s already-dreadful maternal mortality rate looks set to rise
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After Roe, abortion bans will take their toll

. International comparisons are imperfect but in 2018, while in the Netherlands and Norway there were no more than three maternal deaths for every 100,000 live births, in America there were 17. Moststates that now ban abortion, or soon will, allow exceptions if a woman’s life is in danger. But abortion providers and obstetrician-gynecologists say laws tend to be so vaguely worded that they often do not know if they are breaking them.

Bans mean abortions are routinely delayed, exacerbating medical problems in pregnancy. Shelly Tien, a doctor at a Planned Parenthood clinic in Jacksonville, Florida, says that soon after Texas’s “heartbeat bill” took effect last September she saw a woman who sought an abortion at seven weeks but did not get to Florida until 21 weeks—a common scenario, she says. She expects to seeamong those now “flooding into Florida” from nearby states, including Alabama and Tennessee .

The states in which pregnant women are likely to be in greater danger are those that have long had high maternal mortality rates. Alabama, Arkansas, Kentucky, Louisiana, Mississippi and Tennessee score worst . They have also long had restrictive abortion regulations and, following the end of, have either banned abortion or plan to. There is no proven link, but it seems likely that some women have died when they needed abortions but did not get them.

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