- Women denied abortion may be at risk for adverse long-term physical health and maternal death.
Why this matters
- Long-term physical health after abortion and denial of abortion should be considered as state abortion regulation is changing.
- Women who gave birth were younger than those who obtained a second- or first-trimester abortion (23.4 vs 24.5 vs 26.0 years, respectively; P<.001>
- Of those who gave birth, 60% were unemployed.
- No differences in self-reported health between women with first- and second-trimester abortions.
- Women who gave birth had an increase in fair to poor health over time compared with women who had a first-trimester abortion (aOR, 1.23; 95% CI, 1.01-1.51).
- Death because of maternal causes was more common among women with unwanted pregnancy than those with expected pregnancies, according to national data.
- Prospective cohort study.
- Women seeking abortion but denied care because they presented after a clinic's gestational age limit and gave birth (n=163) compared with those with first- (n=328) and second-trimester abortions (n=383).
- Data collected through telephone interviews semiannually for 5 years.
- Outcome measures included changes in physical health over time.
- Funding: Anonymous foundation.
- Outcomes were self-reported and subject to recall bias.